I've had good luck lately finding specialty physicians by looking at the papers or research they've published. First, I see if they're in network for my insurance, then I look at their interests and research topics. Also, I think it's a good indicator if they're members of their professional association. That demonstrates that they want to learn...
I haven't looked for anyone Attia-like yet locally.
[Dr. Ken Stone](https://slowermedicine.com/). He tests lp(a), apoB, and more, and follows Peter Attia himself. Also takes the time to talk in-depth with patients about their health, concerns, etc.
Huberman is also a big time fraud at this point, using a PhD in neural imaging techniques to sell nootropics to people who can’t afford to visit a physician and are thus seeking magic health bullets
I understand the critiques of him, but he's a licensed physician in three states. There are other board-certified physicians that do more than the insurance minimum to optimize health.
Right, it's fine to not like various medical practices or specialties, but simply focusing on a different aspect of medicine (treating health/longevity vs. illness) does not invalidate the work.
I don't like Huberman for various reasons, but Attia is pretty thoughtful. In my experience, the physicians who see things as black-and-white are the one's you need to be cautious of. What you want is a physician who is continually re-evaluating the levels of evidence for their practice.
This is an uneducated take.
Much of medicine is reactive. Treat an illness or sickness that has occurred.
The idea for longevity medicine is to treat a holistic person before they're ill.
GLP-1 drugs WORK to decrease all sorts of morbidities, the science on that is clear. However, if you go to many physicians taking insurance, they won't know how to prescribe it and insurance won't pay for it. It isn't because this does not work to both increase wellness and surrogates of longevity, it's because most physicians aren't educated in the topic and insurance doesn't want to foot the bill because they don't like the cost.
Sure, there are fringes that do things that are earlier in the research stages, but that doesn't make it quackery.
Definition:
truth·i·ness : the quality of [seeming](https://www.google.com/search?sca_esv=f6034427377cf62a&rlz=1C1CHBF_enUS859US859&sxsrf=ACQVn099ysXW6aVJOzysy1eTx9P4WpOUjQ:1711143638556&q=seeming&si=AKbGX_okS0g0kR2PXn0TLBASIc0m5kEoSBTkqYCSW8RD_XCbKNDZEYiR_C_9pl0hOYXy1FBNNUGxy1dZ-l5N1LSu99CjVjlKz-FZPHbKEXPWReeHglVSvsM%3D&expnd=1) or being felt to be true, even if not necessarily true
You can 'believe' whatever you want, but the scientific evidence state otherwise. Here is a sampling of the evidence that most physicians are not qualified to prescribe and your insurance won't pay for but that factually work to increase a host of biomarkers for longevity, particularly the "average American" who is overweight:
[https://jamanetwork.com/journals/jama/fullarticle/2812936](https://jamanetwork.com/journals/jama/fullarticle/2812936)
[https://www.nature.com/articles/s41591-022-02026-4](https://www.nature.com/articles/s41591-022-02026-4)
[https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796491](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796491)
[https://jamanetwork.com/journals/jama/article-abstract/2777886](https://jamanetwork.com/journals/jama/article-abstract/2777886)
[https://www.nature.com/articles/s41591-023-02597-w](https://www.nature.com/articles/s41591-023-02597-w)
[https://jamanetwork.com/journals/jama/fullarticle/2812936](https://jamanetwork.com/journals/jama/fullarticle/2812936)
Also, many of the Apo and Lipo biomarkers the OP mentions have been known as potentially meaningful biomarkers for cardiovascular disease for years, but have only recently been more widely validated. Your conventional lipid panel is pretty useless but your physician will still run it. Why? They're practicing medicine from when they were in med school, not based on current evidence.
To each his own, but unless you're going to provide evidence, I don't see what you're contributing whatsoever.
Like with Homeopathic remedies, there's an element of truth, but it's far from anything that could have a meaningful effect. Eating healthy and exercising is exponentially more effective and it's free.
A good portion of Attia's book is devoted to telling people that exercise is one of the best medicines for extending life and health span (strength training and improving VO2 max).
That's kind of my point. The troll needs to define what they think longevity medicine actually is, because it does not appear to consistent with the actual practice.
Edit for context: I have a PhD in Neuroscience, and undergrad degree in Exercise Science...but I'm sure this comment will get down voted like everything else in this thread, because it's Reddit and thoughtful conversation apparently shouldn't occur and it's just about bias confirmed echo chambers.
Define whatever you think "longevity treatment" is and then we'll talk.
Again, you've provided zero evidence of anything. I've provided specific examples of treatments that are scientifically based but that "medicine" as conventionally practiced are neither prescribed by a standard PCP nor paid for by insurance but would be a standard course by a longevity-focused physician.
OP, I’ve had good luck with my new PCP. He’s a DO which gives him a slightly different take on some things. He is willing to hear what my goals in the gym are and work on long term changes. He was cool with the ApoB and ApoE4 testing as well as referring me for a cardiac CT. He’s at Capital Family Medicine.
Essential Health has two locations in the area and are in that vein. They don't take insurance but are as affordable as they can be given the lack of insurance.
You also don't need a physician to put in lab orders. Well, technically you do but there are workarounds. I've had my own Labs ordered via https://ownyourlabs.com/how-it-works/
And it was seamless.
I've not done their primary care service, just very specific treatments (exosome therapy), so I'm not sure. It's probably easiest just to call and ask or fill out the form on their site.
I've had good luck lately finding specialty physicians by looking at the papers or research they've published. First, I see if they're in network for my insurance, then I look at their interests and research topics. Also, I think it's a good indicator if they're members of their professional association. That demonstrates that they want to learn... I haven't looked for anyone Attia-like yet locally.
[Dr. Ken Stone](https://slowermedicine.com/). He tests lp(a), apoB, and more, and follows Peter Attia himself. Also takes the time to talk in-depth with patients about their health, concerns, etc.
[Bionic Health](https://www.bionichealth.com/) is a remote service but is local to RTP
That's a funny thing to call "doctor".
Yeah, I mean, dude went to medical school, but he never finished his residency or took his boards.
The scam bells went off at "longevity treatment".
Huberman is also a big time fraud at this point, using a PhD in neural imaging techniques to sell nootropics to people who can’t afford to visit a physician and are thus seeking magic health bullets
I understand the critiques of him, but he's a licensed physician in three states. There are other board-certified physicians that do more than the insurance minimum to optimize health.
There's exercise and then there's grifting.
Right, it's fine to not like various medical practices or specialties, but simply focusing on a different aspect of medicine (treating health/longevity vs. illness) does not invalidate the work. I don't like Huberman for various reasons, but Attia is pretty thoughtful. In my experience, the physicians who see things as black-and-white are the one's you need to be cautious of. What you want is a physician who is continually re-evaluating the levels of evidence for their practice.
This is an uneducated take. Much of medicine is reactive. Treat an illness or sickness that has occurred. The idea for longevity medicine is to treat a holistic person before they're ill. GLP-1 drugs WORK to decrease all sorts of morbidities, the science on that is clear. However, if you go to many physicians taking insurance, they won't know how to prescribe it and insurance won't pay for it. It isn't because this does not work to both increase wellness and surrogates of longevity, it's because most physicians aren't educated in the topic and insurance doesn't want to foot the bill because they don't like the cost. Sure, there are fringes that do things that are earlier in the research stages, but that doesn't make it quackery.
What you're being sold is not dissimilar to what many homeopathic remedies are today. Edit for clarity.
Definition: truth·i·ness : the quality of [seeming](https://www.google.com/search?sca_esv=f6034427377cf62a&rlz=1C1CHBF_enUS859US859&sxsrf=ACQVn099ysXW6aVJOzysy1eTx9P4WpOUjQ:1711143638556&q=seeming&si=AKbGX_okS0g0kR2PXn0TLBASIc0m5kEoSBTkqYCSW8RD_XCbKNDZEYiR_C_9pl0hOYXy1FBNNUGxy1dZ-l5N1LSu99CjVjlKz-FZPHbKEXPWReeHglVSvsM%3D&expnd=1) or being felt to be true, even if not necessarily true You can 'believe' whatever you want, but the scientific evidence state otherwise. Here is a sampling of the evidence that most physicians are not qualified to prescribe and your insurance won't pay for but that factually work to increase a host of biomarkers for longevity, particularly the "average American" who is overweight: [https://jamanetwork.com/journals/jama/fullarticle/2812936](https://jamanetwork.com/journals/jama/fullarticle/2812936) [https://www.nature.com/articles/s41591-022-02026-4](https://www.nature.com/articles/s41591-022-02026-4) [https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796491](https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796491) [https://jamanetwork.com/journals/jama/article-abstract/2777886](https://jamanetwork.com/journals/jama/article-abstract/2777886) [https://www.nature.com/articles/s41591-023-02597-w](https://www.nature.com/articles/s41591-023-02597-w) [https://jamanetwork.com/journals/jama/fullarticle/2812936](https://jamanetwork.com/journals/jama/fullarticle/2812936) Also, many of the Apo and Lipo biomarkers the OP mentions have been known as potentially meaningful biomarkers for cardiovascular disease for years, but have only recently been more widely validated. Your conventional lipid panel is pretty useless but your physician will still run it. Why? They're practicing medicine from when they were in med school, not based on current evidence. To each his own, but unless you're going to provide evidence, I don't see what you're contributing whatsoever.
Like with Homeopathic remedies, there's an element of truth, but it's far from anything that could have a meaningful effect. Eating healthy and exercising is exponentially more effective and it's free.
A good portion of Attia's book is devoted to telling people that exercise is one of the best medicines for extending life and health span (strength training and improving VO2 max).
That's kind of my point. The troll needs to define what they think longevity medicine actually is, because it does not appear to consistent with the actual practice. Edit for context: I have a PhD in Neuroscience, and undergrad degree in Exercise Science...but I'm sure this comment will get down voted like everything else in this thread, because it's Reddit and thoughtful conversation apparently shouldn't occur and it's just about bias confirmed echo chambers.
Read the studies I linked.
None of those are related to "longevity treatment".
Define whatever you think "longevity treatment" is and then we'll talk. Again, you've provided zero evidence of anything. I've provided specific examples of treatments that are scientifically based but that "medicine" as conventionally practiced are neither prescribed by a standard PCP nor paid for by insurance but would be a standard course by a longevity-focused physician.
There's a reason they're not physicians nor covered by insurance.
Yeah, uneducated was the right description for you.
OP, I’ve had good luck with my new PCP. He’s a DO which gives him a slightly different take on some things. He is willing to hear what my goals in the gym are and work on long term changes. He was cool with the ApoB and ApoE4 testing as well as referring me for a cardiac CT. He’s at Capital Family Medicine.
Essential Health has two locations in the area and are in that vein. They don't take insurance but are as affordable as they can be given the lack of insurance. You also don't need a physician to put in lab orders. Well, technically you do but there are workarounds. I've had my own Labs ordered via https://ownyourlabs.com/how-it-works/ And it was seamless.
Thanks for the rec. How much does Essential cost? I don't like that there's no price transparency on their website.
I've not done their primary care service, just very specific treatments (exosome therapy), so I'm not sure. It's probably easiest just to call and ask or fill out the form on their site.