
10/09/2025
I love all the interest and science in emerging ways we can improve longevity, but if you are not doing the basics you’re missing out.
I do think most women are not being informed of all of the preventative healthcare strategies they can do.
We should know more than just that we not diabetic or hypertensive.
We should be looking at things that suggest they’re getting close to those conditions so that we can change course.
ASVCD risk calculation? Falls FAR short for women .
Breast screening? Most women are not being offered individualized approach and most women don’t know their actual baseline risk of breast cancer.
Bones? Most women are under screened.
We should know what your baseline is in perimenopause but most women don’t get a dexa until 65.
Women are afraid MHT will cause them harm, but they’re not afraid of the four cocktails they have on the weekend .
Most routine annual physicals fall far short of prevention.
BUT-
Don’t talk to me about the latest sleep and health tracker when you’re still drinking two glasses of wine at night .
Don’t ask me about optimizing yourself with supplements, when you haven’t had your mammogram , have put off your colonoscopy, and haven’t gotten a baseline bone density test.
Lifestyle Medicine pillars are your ultimate longevity hack- problem is they take time and commitment. If you’re not doing them, you special longevity supplement isn’t gonna do anything for you.
And let’s remember treating your perimenopause and menopausal symptoms improves quality of life, lowers your risk of osteoporosis and subsequent risk of hip fracture and improves quality of life so that you can do all of the longevity hacks like a lifestyle medicine pillars .
And remember, you can’t “ out patch” a crappy lifestyle when it comes to protecting your heart, brain and bones.
Why is vaginal estrogen a longevity hack for women in menopause ?
Because it cuts your risk of UTIs in half as your age and greatly lowers your chances of ever being admitted to the hospital with urosepsis.