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The Biggest Advances in Longevity Medicine in 2025 — What Actually Matters for Your Healthspan
As 2025 comes to an end, it’s the perfect moment to reflect on what truly advanced longevity medicine this year — not in mice, not in theory, but in real humans. Here are the developments that meaningfully shape how we age going into 2026 and beyond. 1. Hormone Therapy for Women Was Finally Set Free On November 10, 2025, the FDA and HHS removed the long-standing boxed warning from many menopause-related hormone therapy products. For more than 20 years, this warning frightened
Octavian M. Belcea, MD
9 hours ago5 min read
The Truth Behind the Melatonin–Heart Failure Headlines
A recently released study has raised eyebrows in the medical community: long-term use of melatonin (3 - 10 mg in this study) was associated with a significantly increased risk of heart failure, hospitalizations, and even all-cause mortality in adults with chronic insomnia. While the study was observational (meaning it found an association, not causation), it’s still an important reminder of something I’ve seen repeatedly in my practice: melatonin is a hormone, not a vitamin,
Octavian M. Belcea, MD
Nov 152 min read
“Menopause Liberation Day” — November 10, 2025: The FDA’s Removal of the Black Box Warning on Hormone Replacement Therapy — and What It Means for Women’s Health and Longevity
For millions of women, hormone replacement therapy (HRT) was once a key part of vitality. But for more than two decades, fear has overshadowed its benefits, until now. November 10, 2025, marks a historic milestone in women’s health: the day the FDA officially removed the black box warning on hormone replacement therapy. This decision, now being referred to as “Menopause Liberation Day,” signals a new era of science-based empowerment for women navigating midlife and beyond. A
Octavian M. Belcea, MD
Nov 113 min read
Vitamin B3: The Simple Vitamin That Could Cut Your Skin Cancer Risk in Half
Many of my patients know that I’m always looking for practical, evidence-based ways to reduce disease risk and extend healthy lifespan. One of the simplest tools for protecting your skin may already be sitting on the pharmacy shelf: vitamin B3 , also known as nicotinamide (or niacinamide ). A new study from Vanderbilt University Medical Center and the U.S. Veterans Affairs system looked at more than 33,000 veterans and found that those taking nicotinamide had a significantly
Octavian M. Belcea, MD
Oct 292 min read
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