PRODUCT REVIEWS & BUYING GUIDES
US EDITION · USD

Epigenetic age test

Tally HealthTallyAge Test

At-home cheek-swab epigenetic age test built on Tally's CheekAge clock

Source-based analysis, not hands-on testing. Our method

Cofounder of Superhuman Chambers · About the author. General information, not medical advice. No independent clinical review is claimed.

The verdict

TallyAge gives you an epigenetic age from an at-home cheek swab for $249, with no blood draw. It suits an adult who'll retest and judge the trend rather than one result. The catch is noise: Tally says results can swing by about two years between tests.

The trade-off

Tally says a reliable trend takes at least five to nine tests, at $249 a kit or through a $129-a-month membership.

TallyAge Test, manufacturer product image
Photo: Tally Health.Source ↗

Model reviewed: One-time TallyAge Test Kit, at-home cheek swab

$249

US price, checked

Check price at Tally Health

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About this price

This is the one-time price on Tally's product page and online store (the "One-off" option at $249.00), before tax. There's no crossed-out regular price, so it isn't a sale. Shipping is free, and the kit includes a prepaid return label. Tally's online store also lists a "Membership one-off" option at $234.00 with a $249.00 regular price. Tally doesn't say who can buy it at that price. The membership costs $129.00 a month and includes a TallyAge test every six months.

A GOOD FIT FOR

An adult who wants an epigenetic age estimate without a blood draw and plans to retest several times.

  • You're an adult who wants an epigenetic age estimate from a cheek swab instead of a blood sample
  • You'll test at least twice a year and judge the trend rather than one result

THINK TWICE IF

  • You want a diagnosis or a basis for medical decisions, since Tally's terms say it isn't a diagnostic test
  • You want a pace-of-aging score or organ-system ages, which the product page doesn't mention
  • You need results quickly, since Tally quotes 6 to 8 weeks
  • You want a test from a company independent of TruDiagnostic, since both now share a parent company
What still needs checking
  • The lab that processes samples, its CLIA number and any CAP accreditation
  • Whether samples now go to Infinite Epigenetics' CLIA-certified lab
  • Whether TallyAge uses the published CheekAge model unchanged
  • Whether a failed sample gets a free replacement kit
  • Who qualifies for the $234 "Membership one-off" price on Tally's online store
  • Whether the membership bills every calendar month or every 28 days
  • The return window for an unopened kit
  • How the 62% member-improvement figure was measured
  • An itemized list of what's in the kit
  • The test's FDA status, since the page carries only a general FDA disclaimer

The practical details.

Specifications for TallyAge Test
Exact variantOne-time TallyAge Test Kit, at-home cheek swab
Sample methodAt-home cheek swab, mailed back with a prepaid return label
Turnaround6 to 8 weeks, per Tally. The help center says 4 to 6 weeks once the lab receives the sample
ReportYour epigenetic age, viewed online. The product page lists a personalized action plan only as a membership benefit and doesn't mention a pace-of-aging score
Clock basisTally's CheekAge clock, built from cheek swabs of 8,045 adults aged 18 to 93
Test-to-test variationFluctuations of around two years are normal, per Tally, which suggests at least five to nine tests to see a trend
LabThe page says "lab analyzed" but doesn't name the lab or mention CLIA or CAP. Its only FDA text is a general disclaimer
RetestingOne-time kit. The membership is $129 a month for a test every six months, action plans and a daily supplement. You can cancel anytime
HSA/FSAHSA/FSA eligible, per Tally
DimensionsThere's no device. It's a mail-in cheek-swab kit, and Tally doesn't give the kit's size.
MaterialsNot stated by the manufacturer. Tally says the kit includes a unique barcode for registering the test, but it doesn't list the full contents.

Before you buy

InstallationNo installation or lab visit

No installation or lab visit. You swab the inside of your cheek, register the kit online and drop it in the mail with the prepaid return label. Tally says samples stay viable for 60 days after collection but asks you to send them as soon as possible.

WarrantyNot stated by the manufacturer

Not stated by the manufacturer. The refund policy asks you to contact Tally right away if an item arrives defective, damaged or wrong. Tally doesn't say what happens if a sample fails, although Tally's online store lists a $0 "Replacement" option.

ReturnsTally takes returns of items in the condition you received them…

Tally takes returns of items in the condition you received them, unused and in the original packaging, with proof of purchase. You have to email hello@tallyhealth.com first, and Tally sends a return label if it accepts the return. Approved refunds go back to the original payment method within 10 business days. The policy gives no return window and no effective date. Tally's terms say membership fees are non-refundable.

More about this assessment

The TallyAge Test is a $249 cheek-swab kit that reports your epigenetic age. Tally says it's based on its CheekAge clock. You swab at home, mail the kit back with a prepaid label and wait 6 to 8 weeks for results. Results can swing by about two years between tests, so one kit says little on its own. Retesting is where the cost adds up: the membership is $129 a month for a test every six months, an action plan and a daily supplement. Tally doesn't name its lab, and its terms say it isn't a diagnostic test.

Strengths on paper

  • Cheek swab at home, with no blood draw or lab visit
  • $249 with free shipping and a prepaid return label
  • The CheekAge clock is published, and its peer-reviewed paper reports a mean replicate error of 0.85 years
  • In an independent set of 225 cheek samples, CheekAge's mean absolute error was 3.48 years
  • Measured in blood from 1,513 older adults, CheekAge was linked to mortality about as strongly as DNAm PhenoAge
  • You can cancel the membership anytime, per Tally
  • HSA/FSA eligible, per Tally

Limitations

  • Results can swing by about two years between tests, so one kit says little on its own
  • Tally suggests at least five to nine tests to see a reliable trend
  • Tally doesn't name its lab or state CLIA certification
  • Results take 6 to 8 weeks
  • Tally gives no method for its claim that over 62% of members lowered their epigenetic age by an average of 2+ years
  • That average change is about the size of normal test-to-test variation
  • Tally Health scientists led both CheekAge papers
  • The mortality study used blood, not cheek cells
  • The blood arrays in that study lacked nearly half of CheekAge's CpGs
  • Membership fees are non-refundable, per Tally's terms
  • Tally now shares a parent company with TruDiagnostic, which sells the TruAge test

What it costs to own.

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PLAN YOUR OWNERSHIP COSTS

What will it cost to own?

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3-year planning total

$249.00

Every field has a value. This is an estimate, not a quote.

Energy component: $0.00

Purchase + installation + years × (annual consumables + annual other) + watts/1000 × hours/day × 365 × years × $/kWh. Annualized allowances, not an exact replacement schedule. Excludes taxes, shipping, finance and resale unless entered.
Replacement parts & cost assumptions

No scheduled consumable is listed. That does not mean zero maintenance or repair costs.

  • The three-year figure covers one $249 kit and nothing recurring, because it's a one-time test. Shipping is free both ways.
  • Retesting changes the cost. Tally recommends testing every six months, and the membership sends a kit on that schedule. Buying two one-off kits a year costs $498, or $1,494 over three years.
  • The membership costs $129 a month and adds action plans and a daily supplement. Billed 12 times a year, that's $1,548 a year, or $4,644 over three years. The store's subscription plan is set to deliver every 28 days, which would mean 13 charges, or $1,677 a year. Tally's help center and terms say memberships are billed monthly.

Evidence & sources.

Are longevity blood tests and biological-age clocks worth it? Our evidence review grades the research as Not supported. That grade is about the claim, not about this product.

  • Manufacturer claimTally calls TallyAge a "uniquely accurate and peer-reviewed epigenetic clock" optimized for accuracy and reproducibility. It also says that within 12 months, over 62% of members lowered their epigenetic age by an average of 2+ years.115 The page names no study for the 62% figure and doesn't say how members were counted. Tally's own help center says fluctuations of around two years between tests are normal. That's about the size of the claimed average improvement.
  • Manufacturer claimTally's terms say its programs, products and website do not constitute a diagnostic test. The product page carries a general FDA disclaimer and the label "lab analyzed", with no lab named.16 No CLIA certificate, CAP accreditation or FDA clearance appears on the product page, help center articles or terms reviewed. The terms also let Tally keep information about your sample for future research and share de-identified data with its parent company.
  • Independent testInfinite Epigenetics, which runs TruDiagnostic as a subsidiary, acquired Tally Health in an asset purchase announced April 29, 2026. NutraIngredients reported the deal the same day, and the company's release says Tally will remain a standalone consumer brand. Tally's terms, effective April 29, 2026, describe Tally Health as "a brand owned and operated by IE Tally Holdings, LLC, an affiliate of TruDiagnostic, Inc."61920 TruDiagnostic sells the TruAge test, so Tally and TruAge now share an owner. Neither the article nor the release gives financial terms. Neither says whether Tally's samples will move to TruDiagnostic's CLIA-certified lab.
  • Published studyThe CheekAge clock was built from cheek-swab DNA methylation data and questionnaires from 8,045 adults. In cross-validation it predicted age with an R² of 0.91 and a mean absolute error of 3.22 years. The mean replicate error was 0.85 years. In an independent set of 225 cheek samples, the mean absolute error was 3.48 years. The CheekAge gap was associated with factors including BMI, smoking, alcohol, stress, exercise and sleep quality. The authors say healthier lifestyles were predicted to lower the gap.131416 Published in GeroScience in 2024 by authors affiliated with Tally Health. Tally's help center points to this paper as the basis for TallyAge but doesn't say the sold test uses the published model unchanged. The lifestyle links are associations and don't show that lowering the score improves health.
  • Published studyIn 1,513 older adults from the Lothian Birth Cohorts of 1921 and 1936, CheekAge measured in blood predicted mortality. Each standard-deviation rise in the CheekAge gap carried a hazard ratio of 1.21, after adjusting for sex, age, cohort and cell types. That was comparable to the blood-trained DNAm PhenoAge clock (HR 1.23) and better than the first-generation clocks tested.17 This used blood samples, not cheek swabs, and the older arrays lacked nearly half of CheekAge's CpGs. Four of the six authors are current or former Tally Health employees, and Tally provided internal funding alongside the Wellcome Trust. Two co-authors are from the Lothian Birth Cohorts at the University of Edinburgh.
  • Published studyA 2024 Nature Medicine review by Moqri and colleagues says no consensus exists on how biomarkers of aging should be validated before they're used in the clinic. It says rigorous validation will be critical to clinical use.18 The review covers aging biomarkers in general, not TallyAge specifically.
Sources (20)
  1. TallyAge Test Kit Tally Health · manufacturer · checked Oct 13, 2026
  2. TallyAge Test Kit listing on Tally Health's store, including the One-off and Membership one-off options Tally Health · manufacturer · data file · checked Oct 13, 2026
  3. Tally Health Membership Tally Health · manufacturer · checked Oct 13, 2026
  4. Tally Health Membership listing on Tally Health's store, including the Monthly plan Tally Health · manufacturer · data file · checked Oct 13, 2026
  5. Tally Health refund policy Tally Health · manufacturer · checked Oct 13, 2026
  6. Tally Health terms of service (effective April 29, 2026) Tally Health · manufacturer · checked Oct 13, 2026
  7. Help center: How does it work? Tally Health · manufacturer · checked Oct 13, 2026
  8. Help center: Purchasing and shipping logistics Tally Health · manufacturer · checked Oct 13, 2026
  9. Help center: Test sent back, what's next? Tally Health · manufacturer · checked Oct 13, 2026
  10. Help center: How long can I wait before my test expires? Tally Health · manufacturer · checked Oct 13, 2026
  11. Help center: Tally Health membership Tally Health · manufacturer · checked Oct 13, 2026
  12. Help center: How often should I measure my epigenetic age? Tally Health · manufacturer · checked Oct 13, 2026
  13. Help center: How was the TallyAge test built? Tally Health · manufacturer · checked Oct 13, 2026
  14. Help center: How does TallyAge differ from other tests? Tally Health · manufacturer · checked Oct 13, 2026
  15. Help center: How reliable are the TallyAge test results? Tally Health · manufacturer · checked Oct 13, 2026
  16. CheekAge: a next-generation buccal epigenetic aging clock associated with lifestyle and health (Shokhirev et al., GeroScience 2024) GeroScience · study · checked Oct 13, 2026
  17. CheekAge, a next-generation epigenetic buccal clock, is predictive of mortality in human blood (Shokhirev et al., Frontiers in Aging 2024) Frontiers in Aging · study · checked Oct 13, 2026
  18. Validation of biomarkers of aging (Moqri et al., Nature Medicine 2024) Nature Medicine · study · checked Oct 13, 2026
  19. Infinite Epigenetics acquires Tally Health in 'largest epigenetic testing deal to date' NutraIngredients · independent test · checked Oct 13, 2026
  20. Infinite Epigenetics Acquires Tally Health to Accelerate the Future of Epigenetics-Driven Health and Longevity (PR Newswire release, April 29, 2026) Infinite Epigenetics via PR Newswire · manufacturer · checked Oct 13, 2026

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About this review. The facts on this page come from manufacturer pages, published studies and independent tests, checked Oct 13, 2026. The sources are listed above.

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