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#357 ‒ A new era of longevity science: models of aging, human trials of rapamycin, biological clocks, promising compounds, and lifestyle interventions | Brian Kennedy, Ph.D.

The Peter Attia Drive

Release Date: 07/21/2025

#373 – Thyroid function and hypothyroidism: why current diagnosis and treatment fall short for many, and how new approaches are transforming care | Antonio Bianco, M.D., Ph.D. show art #373 – Thyroid function and hypothyroidism: why current diagnosis and treatment fall short for many, and how new approaches are transforming care | Antonio Bianco, M.D., Ph.D.

The Peter Attia Drive

Antonio Bianco is a world-renowned physician-scientist and expert in thyroid physiology and metabolism. In this episode, Antonio explores the complex biology of thyroid hormone production, conversion, and regulation—highlighting how deiodinase enzymes modulate hormone activity at the tissue level and why that matters for interpreting lab results. He discusses the shortcomings of relying solely on TSH as a marker of thyroid function, the ongoing debate around combination therapy with T3 and T4 versus standard T4 treatment, and how genetics, tissue sensitivity, and individual variability...

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The Peter Attia Drive

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The Peter Attia Drive

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The Peter Attia Drive

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#370 - AMA #76: Peter evaluates longevity drugs, aspirin for CVD, and strategies to improve muscle mass — proven, promising, fuzzy, noise, or nonsense? show art #370 - AMA #76: Peter evaluates longevity drugs, aspirin for CVD, and strategies to improve muscle mass — proven, promising, fuzzy, noise, or nonsense?

The Peter Attia Drive

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#369 ‒ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D. show art #369 ‒ Rethinking protein needs for performance, muscle preservation, and longevity, and the mental and physical benefits of creatine supplementation and sauna use | Rhonda Patrick, Ph.D.

The Peter Attia Drive

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The Peter Attia Drive

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The Peter Attia Drive

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The Peter Attia Drive

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The Peter Attia Drive

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Brian Kennedy is a renowned biologist, leader in aging research, and director of the Center for Healthy Longevity at the National University of Singapore. In this episode, Brian shares insights from ongoing human aging studies, including clinical trials of rapamycin and how dosing strategies, timing, and exercise may influence outcomes. He presents two key models of aging—one as a linear accumulation of biological decline and the other as an exponential rise in mortality risk—and explains why traditional models of aging fall short. He also explains why most current aging biomarkers lack clinical utility and describes how his team is working to develop a more actionable biological clock. Additional topics include the potential of compounds like alpha-ketoglutarate, urolithin A, and NAD boosters, along with how lifestyle interventions—such as VO2 max training, strength building, and the use of GLP-1 and SGLT2 drugs—may contribute to longer, healthier lives.

We discuss:

  • Brian’s journey from the Buck Institute to Singapore, and the global evolution of aging research [2:45];
  • Rethinking the biology of aging: why models like the hallmarks of aging fall short [9:45];
  • How inflammation and mTOR signaling may play a central, causal role in aging [14:15];
  • The biological role of mTOR in aging, and the potential of rapamycin to slow aging and enhance immune resilience [17:30];
  • Aging as a linear decline in resilience overlaid with non-linear health fluctuations [22:30];
  • Speculating on the future of longevity: slowing biological aging through noise reduction and reprogramming [33:30];
  • Evaluating the role of the epigenome in aging, and the limits of methylation clocks [39:00];
  • Balancing the quest for immortality with the urgent need to improve late-life healthspan [43:00];
  • Comparing the big 4 chronic diseases: which are the most inevitable and modifiable? [47:15];
  • Exploring potential benefits of rapamycin: how Brian is testing this and other interventions in humans [51:45];
  • Testing alpha-ketoglutarate (AKG) for healthspan benefits in aging [1:01:45];
  • Exploring urolithin A’s potential to enhance mitochondrial health, reduce frailty, and slow aging [1:05:30];
  • The potential of sublingual NAD for longevity, and the combination of NAD and AKG for metabolic and exercise enhancement [1:09:00];
  • Other interventions that may promote longevity: spermidine, 17𝛼-estradiol, HRT, and more [1:17:00];
  • Biological aging clocks, clinical biomarkers, and a new path to proactive longevity care [1:23:15];
  • Evaluating rapamycin, metformin, and GLP-1s for longevity in healthy individuals [1:32:15];
  • Why muscle, strength, and fitness are the strongest predictors of healthspan [1:37:30];
  • Why combining too many longevity interventions may backfire [1:39:30];
  • How increased funding and AI integration could accelerate breakthroughs in aging research [1:41:45];
  • The research Brian is most excited about, and the need to balance innovation with safety in longevity clinics [1:47:00];
  • Peter’s reflections on emerging interventions and the promise of combining proven aging compounds [1:54:00]; and
  • More.

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