How To Live Longer
I won't lie, I am afraid of dying. I'm afraid of what comes next. The worst possible option is "nothing" although I'm leaning that way if I have to make a bet. I'm pretty agnostic, and maybe even a little athiest, but I never stop wondering about how the big bang got going. Newtonian physics must not apply because a system at rest is not inclined to suddenly stop being at rest. Or maybe that's what we like to call God and imagine that a being that can create this entire universe would be interested in the comings and goings of some bugs on a beach. As such, I am always interested in how to live a longer, healthier life. This is not to say I don't eat bad foods, and skip working out, and lose sleep, often, but it is aspirational at the very least. I'm still hoping that eventually some kind of Upload-like capability is available. And the goal is to live long enough to see that option become available. Even the low-data people.
There are so many tools, products, and services on the market to manage health. I grabbed a few and tried to organize them and provide a brief summary about what they do or which one is the “best” at present along with any associated costs (in NYC) and such as of the time of the writing. I am fortunate to be able to consider some of these treatments for my immediate family but many of them are approachable for just about any middle-class American. Be sure to discuss anything you're going to do with your doctor first so you don't inadvertently do more harm than good to your body.
Exercise
Probably the cheapest thing you can do to improve your health is exercise. It often only costs time, although there may be fees for gym memberships, fitness classes, swimming pools, or other needs. Proper exercise will help you lose excess weight and build muscle.
- Swimming
- HIIT
- Running
- Elliptical (better on knees than running)
- Free weights
- Body-weight / Calisthenics
- Renpho Smart Bike
- Renpho Smart Jump Rope
- Tread Desk
Diet
Then you need to manage your diet:
- Intermittent fasting (16-8 seems like the popular start, maybe 18-6 or 20-4). Start by only eating from 12pm to 8pm (for a normal 8am wake / midnight sleep) which means you eat for 8 hours and stop eating from 8pm until 12pm the next day. Always try to stop eating 4 hours before bed. If you have to start at 14-10, it’s fine, and just move slowly down in 10 minute increments each day until you’re at your goal.
- Cleanses - 3/5-day cleanses are popular and provide pre-managed drinks to get you through the days of no solid foods. Generally best to try to take these days off or work from home and don’t make any plans.
- Fasts - just straight up skipping everything except water for a day or two, or every other day for a week
- Low/no sugar/carb - Many diets suggest avoiding carbs altogether, or strictly regulating them.
- Meal replacement setups
- Huel - $2.25/meal
- Soylent - $2/meal
-
Tracking your food can be done with:
- Food Marble
- Calibra 1 Smart Nutrition Scale
- Apps like FitnessPal
Supplements
And a special callout to supplements: Choosing Supplements Worksheet
- Gruns if you want gummies, which are easier, but not necessarily better, and cost about $3/day
- AG1 if you want powder, and also costs $3/day
- Zoe herbs and spices type blend $2/day
- Maximus - Standard Test ($100) or Advanced ($150) and then Oral/Gel TRT + Enclomiphene ($200) or Injectable TRT and hCG ($300). Gel is probably applied to the upper arms and shoulders.
Gut Health
And then you can measure your gut health (and colon cancer prevention):
- Viome - Gut, Oral, Cellular function ($400)
- Zoe - Gut and blood ($400)
- Cologuard
- FIT test
Wearables
Wearables are a great way to keep track of things:
- Apple Watch - ($400)
- Oura Ring - v3 ($200) or v4 ($350)
- Circul Ring - ($200)
- LYNX Ring - ($180)
- RingConn - ($200)
- Aura Strap 2 - Caveat emptor, it has a lot of bad reviews, but maybe it will work for you ($160)
- Circular Ring - Still a kickstarter, and might be more expensive later ($400)
- FitBit - ($250)
Drugs
We have “what kinds of drugs should I have available at home” and of course some of these are easy enough to get OTC or a prescription from your doctor. Some others are going to be very tough or even nearly impossible to legally possess. That said, these are the things that have been shown to save or greatly improve lives. Some of these are only a few dollars, but others can be up to hundreds of dollars per dose. This will vary depending on whether you can get a prescription, what kind of insurance coverage you have, if any, and if you have “a guy who can get you things” available. Many of these also have a limited shelf life, so you’ll need to renew them every two or three years.
- Over-the-counter medications (acetaminophen, paracetamol, aspirin, ibuprofen, cortisol, iodine, alcohol)
- Heart attack response (thrombolytics, nitroglycerin, antiarrhythmics, morphine, beta blockers, ACE inhibitors, ARB, statins, clopidogrel, ticagrelor, vasodilators, anticoagulants, digoxin, antiplatelets, angiotensin II blockers, calcium blockers, nicotinic acid, PCSK9 inhibitors)
- Cancer prevention (maybe metformin [diabetes] or some statins)
- The most common drugs used in a hospital (ondansetron/zofran, acetaminophen-hydrocodone, ketorolac, hydromorphone, promethazine, albuterol, acetaminophen-oxycodone, ceftriaxone, diphenhydramine, lidocaine, lorazepam, prednisone, ciprofloxacin, azithromycin, cephalexin, amoxicillin, methylprednisolone, tramadol, TDAP, flexeril, levofloxacin, naproxen, famotidine, acetaminophen-codeine, TMP/SMX)
Body Scans
Full body MRI-based scans, all sorts of special differences, you really have to look at each one. Prenuvo is by far the best, but anything, even the cheapest of any of these, is worth looking into.
- Prenuvo - Torso ($1,000), With Head ($1,800), Whole Body ($2,500), Enhanced ($4,500)
- Function Health owns Ezra - Full Body ($1,500), Full Body Plus ($2,400), With CT ($2,700)
- SimonOne - Body [Head-Pelvis] ($650), Body Plus [neuro, MRA, prostate, ovaries] ($1,250)
- Craft Body Scan - Body ($2,500), Colon ($2,000), Lung & Heart ($1,400), Heart ($650)
DEXA Scans
- BodySpec
- Prefusion Health / Dexafit
Clinical Medical Devices
- VitalScan
- Respiree - Looks like medical professionals only, and maybe not available in the US
- Ventric Health Vivio - heart failure evaluation
Home Medical Devices
- Scales
- Hume Body - $200
- Withings Body Scan - $150
- Renpho Morphoscan - $150
- Oxiline Scale - $150
- Monitoring Devices
- Oxiline Pulse Oximeter - $50
- Conneqt Health Arterial Health Monitor - beyond blood pressure ($350)
- Oxiline / Omron Blood Pressure Cuff (Bluetooth) - $100
- Eko digital stethoscope - $400
- Glucose Monitoring
- Glucometer
- Nightscout - $100
- Oxiline Glucometer - $250 per year
- ECG/EKG Devices
- Kardia EKG
- 6-lead, consumer grade device - $120
- 12-lead, professional grade device, requires license - Unknown
- Cardi/O - out of stock right now ($350)
- CardioBit - Price unknown
- PocketECG - Price unknown, maybe get a demo unit
- Kardiobeat.ai - Price unknown, maybe get a demo unit
- uECG - $90
- Wellysis S-Patch ECG - Price unknown, maybe get a demo unit
- Kardia EKG
- Sleep & Comfort
- Manta Sleep Masks - $40 to $160
- Heating Pad - $50
- Acupressure Mat - $100
- Standing Mat - $50
- Measurement Tools
- Smart Tape Measure - $50
- Lumen
- Emergency & Safety
- MyMedic Kit - Pricing is based on how much stuff you want ($300-$1200)
- LifeVac - Choking prevention ($150)
- Home AED - $1500
Longevity Clinics
- Fountain Life - Core ($6,500), Apex ($19,500)
- Biograph - Core ($7,500), Black ($15,000)
Multiple Options
- Dexafit / Prefusion Health - DEXA Scan, RMR Analysis, VO2max Test, 50-biomarker Blood Panel ($300), IV ($480), Peptide ($300/mo), Hormone ($1,000/6-mos) also available
- Neko - only London and Stockholm - moles, heart, many blood biomarkers, and a consultation ($300)
- LifeLine Screening - Eight tests ($250)
- NextHealth - A bunch of services at varying prices starting at $150 each
- Mito Health - Partners with various providers, various tests, has a blood test regiment like Function/Superpower ($400)
Blood Testing
- Function Health - Twice a year get a 100+ biomarker test ($500)
- Superpower - Same as Function Health
- Marek - Base ($295), Comprehensive ($600), Complete ($1000), Executive ($2100), heavy metal testing for an additional ($150)
- Everlywell - Tests ($400) or with a consult ($500)
- Parsley - ($1,100) or ($2,500) based on insurance coverage
DNA Testing
- Sequencing - DNA scanning ($100)
- LifeDNA - DNA test kit plus normal testing ($310) or with a wellness test ($360)
Left to Sort Products
- Renpho Boot
- Renpho Eyeria Mask
- Bia Sleepmask
- Elemind Nap on Demand
Left to Sort Services
- Galleri (prescription only)
- Life force
- TruDiagnostic
- Care Access
- Alter me
- Nectar Allergy Testing
- Chirp Neck Back Pain
- Eternal Life
- Muse Brain
- Calibre Biometrics Breathing Metrics