A 31-year-old patient sits across from me and says, “My friends are all freezing their eggs. Should I be doing that too?” It is a question I hear constantly. And while oocyte cryopreservation is a legitimate tool for specific situations, the way it is being marketed has created a damaging assumption: that fertility is a fixed, steadily declining resource that technology must eventually rescue.
There’s one metric that consistently predicts how well we age, and it’s finally showing up in the conversations that matter. It’s not blood pressure, cholesterol, or BMI. It’s muscle strength. Muscle health plays a central role in healthy aging, influencing mobility, quality of life, and metabolic health. Yet historically, strength has been viewed primarily through the lens of fitness or performance rather than as a core clinical target.
No doubt our regular readers and listeners will have noticed that muscle is having a moment in the healthy aging conversation. In this article, I want to tease out the potential contribution of some additional interventions that we can think about clinically to support muscle health – the amino acid leucine, its derivative HMB (beta-hydroxy-beta-methylbutyrate), vitamin D and urolithin A.
More than 90% of women and 97% of men in the US fall short of recommended fiber intake. The standard American diet lacks the overall fiber content that each of us need to maintain health. But, this gap is not only about quantity; there’s also a significant gap in fiber diversity. There is evidence that fiber quality and diversity are critical because different types of fiber are metabolized by different gut bacteria, producing a variety of short-chain fatty acids (SCFAs) and downstream effects on gastrointestinal and metabolic health.
If you’re still skeptical about incorporating creatine into your clinical practice, or even into your own supplement stack, this second part of our blog series may help you make that final decision. I understand the hesitation. The internet is saturated with both legitimate concerns and anecdotal horror stories about creatine use (and misuse). Extreme water retention, hair loss, and gastrointestinal distress are frequent talking points.
Functional medicine often focuses on nutrition, exercise, and stress management as the foundational pillars of health. But what other powerful environmental inputs could be leveraged with greater precision? What if heat and light could be used as biological inputs in a way that is measurable and clinically relevant?
Did you know that 1 in 3 older dolphins develops the same aging-associated conditions as humans? While continually helping to improve the health of older Navy dolphins living in San Diego Bay, veterinarians found that some dolphins had elevated cholesterol, insulin resistance, chronic inflammation, and fatty liver disease – just like some of us.
Creatine has been around for decades. I leaned on it big time in my early career days (both as a physician and a competitive cyclist). I lectured on it in my second year of medical school. And as an athlete, I had firsthand experience of creatine’s most common side effect – water retention. I saw visible changes in my face and swelling in my ankles as I loaded on creatine before a big athletic event, dropping the dose afterwards. Even so, creatine has consistently demonstrated an excellent safety profile when used appropriately. What excites me now is its potential to benefit other areas, such as brain and cardiovascular health, and its validation by the latest research. In this 2-part article, we explore the latest research on creatine’s health benefits, clinical uses, dosing strategies, and potential side effects. Take a read; you may be surprised by some of the findings! ~DrKF
Age-related declines in muscle function, immune resilience, and cellular energy are closely linked to mitochondrial dysfunction, making mitochondrial-targeted interventions a key focus of aging research. In this context, recent placebo-controlled human trials show that a Urolithin A dose of 1000 mg produces broader and more pronounced effects on mitochondrial gene expression, muscle performance, and immune markers than lower doses.
How close are we to ovarian rejuvenation and what role will AI play in getting us there? In this conversation, reproductive biologist and aging researcher Dr. Vittorio Sebastiano joins Dr. Kara Fitzgerald to explore how rapidly advancing technologies are transforming geroscience and regenerative medicine.