What a New Metformin Study Reveals About Aging Joints Osteoarthritis is often described as a simple consequence of aging, with joints wearing out, cartilage breaking down, and inevitable pain. But if osteoarthritis were purely a mechanical problem, we would expect it to progress at roughly the same pace in everyone. In reality, we see enormous variability. Some patients remain active and relatively pain free well into older age, while others develop significant joint pain and disability much...

Why many women are being told to stop hormones, and what modern evidence actually shows For many women, hormone therapy has felt confusing, or even frightening ever since large studies from more than 20 years ago raised concerns about its safety. Recently, several of my own patients told me they were advised during routine gynecologic visits to stop hormone therapy immediately due to fears of stroke, heart attack, blood clots, or cancer. That understandably created anxiety. This blog was...

Every January, people pause and reflect on where they are and where they want to go. Some call these resolutions. Others see them as a continuation of work they have already been doing for years. Either way, the new year creates a natural opportunity to recommit. Longevity is not built on motivation. It's built on repeatable systems that respect human physiology over decades, not weeks. Longevity Is Boring for a Reason When people hear that longevity work is "boring," they often take that as...