David Barzilai, MD PhD

David Barzilai, MD PhD

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Clinician focused on prevention/longevity; curates aging science and protocols.

SIRT5 Crucial for Heart Health in Longevity Era
SocialMay 9, 2026

SIRT5 Crucial for Heart Health in Longevity Era

Unveiling the importance of SIRT5 for cardiac health and disease in an era of increasing longevity https://t.co/a8fXNPRIKp

By David Barzilai, MD PhD
Gut Metabolites Shape Immunity in Aging and Disease
SocialMay 9, 2026

Gut Metabolites Shape Immunity in Aging and Disease

Gut microbiota-derived metabolites as immune modulators in aging and age-related chronic inflammatory diseases https://t.co/iVUKH7ONVa https://t.co/8M3LmurbCa

By David Barzilai, MD PhD
Heat Therapy Emerges as New Exercise‑Like Medicine
SocialMay 9, 2026

Heat Therapy Emerges as New Exercise‑Like Medicine

Heat Therapy: Targeting Health, Disease, and Disability "In many ways, the current state of evidence supporting the use of heat therapy is reminiscent of the early days of “exercise as medicine.” Both heat therapy and physical activity have deep cultural roots...

By David Barzilai, MD PhD
Polypharmacy and Anticholinergic Load Accelerate Aging via Inflammation
SocialMay 9, 2026

Polypharmacy and Anticholinergic Load Accelerate Aging via Inflammation

Polypharmacy, anticholinergic burden and inflammation in relation to accelerated biological ageing Note the observational design, with corresponding limitation in inference. The authors concluded: "Both polypharmacy and anticholinergic burden are associated with accelerated biological ageing, partly mediated by inflammation, including a potential serial...

By David Barzilai, MD PhD
Kindness and Humor Cut Through Social Media Noise
SocialMay 9, 2026

Kindness and Humor Cut Through Social Media Noise

Social media has a lot noise, stress sometimes. Good character, humor, comradery, and kind words make all the difference.

By David Barzilai, MD PhD
Bold Ambition Drives Growth, Inspires Longevity Ventures
SocialMay 9, 2026

Bold Ambition Drives Growth, Inspires Longevity Ventures

Bold ambition pays off, and it tends to lift everyone around it. Elon, have you ever thought about starting a longevity company down the road? If not, what’s holding you back? If so, what would it take to make it happen?

By David Barzilai, MD PhD
AI Retinal Imaging Enables Low-Cost Multi-Disease Screening
SocialMay 8, 2026

AI Retinal Imaging Enables Low-Cost Multi-Disease Screening

AI framework for multidisease detection via retinal imaging 👉 “Overall, Reti-Pioneer could provide a translatable, low-cost pathway from oculomics to actionable clinical screening.” https://t.co/7Ji4WpSICV https://t.co/ulB18UhaVn

By David Barzilai, MD PhD
Longevity Field Shifts From Consensus to Convergence
SocialMay 8, 2026

Longevity Field Shifts From Consensus to Convergence

‘We are not at consensus but we are at convergence’ @LongevityTech @TinkingGumbel with @prof_horvath https://t.co/rGqQhNHYxw https://t.co/tcfNH3S2bH

By David Barzilai, MD PhD
Optimal Exercise‑Fasting Dose Boosts Metabolic Health
SocialMay 8, 2026

Optimal Exercise‑Fasting Dose Boosts Metabolic Health

Optimal dosage of exercise combined with intermittent fasting for body composition and cardiometabolic health in adults: a systematic review and multilevel meta-analysis https://t.co/JFrFVMpGDq

By David Barzilai, MD PhD
Rapamycin's 50-Year Odyssey: From Easter Island to Medicine
SocialMay 8, 2026

Rapamycin's 50-Year Odyssey: From Easter Island to Medicine

The rapamycin sTORy: 50-year journey from Easter Island to the frontiers of biology and medicine https://t.co/Jn67QrGVi6 https://t.co/dwGPgUVB83

By David Barzilai, MD PhD
IGF‑1 Switch Drives Biphasic SASP Aging Model
SocialMay 8, 2026

IGF‑1 Switch Drives Biphasic SASP Aging Model

The IGF-1 senescence switch: a biphasic model for SASP-driven aging and precision senomodulation https://t.co/f0BoHbaeCK? https://t.co/NjDlT0O9hQ

By David Barzilai, MD PhD
Regular Fish Intake Supports Cognitive Health in Aging
SocialMay 8, 2026

Regular Fish Intake Supports Cognitive Health in Aging

Fish consumption and cognitive function in aging: a systematic review of observational studies "In conclusion, the evidence suggests that regular fish intake (typically ≥1–2 servings per week) is linked to preserved cognitive performance, although some inconsistent findings require further investigations." https://t.co/1axIS85WGf @GeroScienceAGE

By David Barzilai, MD PhD
Stop Signals Delay Step Initiation Across Ages
SocialMay 7, 2026

Stop Signals Delay Step Initiation Across Ages

The stop signal stepping task: how action cancellation commands disrupt step initiation in young and healthy older adults https://t.co/bjTuhURJMH https://t.co/9V14LZst7t

By David Barzilai, MD PhD
Psychedelic Figures Don’t Live Longer than Researchers
SocialMay 7, 2026

Psychedelic Figures Don’t Live Longer than Researchers

Psilocybin and human longevity "All groups exceeded population life expectancy, reflecting the effect of socioeconomic advantage on lifespan, but psychedelic personalities did not outlive cancer and aging researchers." 🙂"We examined mortality among prominent psychedelic personalities, researchers, and advocates who claimed psychedelic use...

By David Barzilai, MD PhD
Clarify Healthspan: When Does Quality Living End?
SocialMay 7, 2026

Clarify Healthspan: When Does Quality Living End?

Lifespan stops at death, but when does healthspan stop? "...Greater conceptual clarity is essential..." https://t.co/ybrK3kkQCS

By David Barzilai, MD PhD
Mild Sleep Loss Alters Blood DNA Methylation Patterns
SocialMay 7, 2026

Mild Sleep Loss Alters Blood DNA Methylation Patterns

Prolonged Mild Sleep Restriction Changes Epigenome-Wide DNA Methylation in Peripheral Blood Cells: A Randomized Crossover Trial https://t.co/nb9s0AP9O1

By David Barzilai, MD PhD
Extracellular Vesicles Deliver SASP, Fuel Aging, Offer Therapies
SocialMay 7, 2026

Extracellular Vesicles Deliver SASP, Fuel Aging, Offer Therapies

Extracellular Vesicles as Key SASP Carriers Driving Cellular Senescence, Inflammaging, and Therapeutic Opportunities in Aging and Age-Related Diseases https://t.co/SURS5ZbTD9 https://t.co/IXM2BkdurZ

By David Barzilai, MD PhD
Science and Gadgets Extend Athletes' Careers Beyond Age
SocialMay 7, 2026

Science and Gadgets Extend Athletes' Careers Beyond Age

The Longevity Secrets Helping Athletes Blow Past the Limits of Age With cutting-edge sports medicine and sci-fi gadgetry, more and more athletes are figuring out how to extend their careers. https://t.co/RsXENoJYgj

By David Barzilai, MD PhD
Oncology Care Ignores Patient Survival vs QoL Preferences
SocialMay 7, 2026

Oncology Care Ignores Patient Survival vs QoL Preferences

"Patient preference for extending survival or maintaining QoL was not associated with up-front treatment modifications or downstream outcomes, suggesting a possible lack of responsiveness of the current oncology care delivery system to patient preference." https://t.co/0RXf4h2dr3 In: Outcomes of Older Adults With Advanced...

By David Barzilai, MD PhD
Early Adversity Predicts Later Functional Decline and Multimorbidity
SocialMay 7, 2026

Early Adversity Predicts Later Functional Decline and Multimorbidity

Adverse childhood and adult experiences, intrinsic capacity decline, and subsequent physical-psychological-cognitive multimorbidity: a prospective cohort study from China "Childhood adversity is associated with reduced intrinsic capacity in later life, reflecting early functional vulnerability, while both childhood and adulthood adversities contribute to...

By David Barzilai, MD PhD
Obesity Requires More Than Lifestyle Changes, Biology Matters
SocialMay 7, 2026

Obesity Requires More Than Lifestyle Changes, Biology Matters

Why Lifestyle Alone Is Insufficient in Obesity: Biological Evidence, Conceptual Analogies and a Legacy of Missed Opportunities in Patient Care https://t.co/MOXZrDVWZD

By David Barzilai, MD PhD
Socioeconomic, Lifestyle, and Genetic Factors Jointly Shape Intrinsic Capacity
SocialMay 6, 2026

Socioeconomic, Lifestyle, and Genetic Factors Jointly Shape Intrinsic Capacity

Associations and interaction effects of socioeconomic, lifestyle, and genetic factors on intrinsic capacity https://t.co/crOBp21bRN https://t.co/LgbFdA0GEe

By David Barzilai, MD PhD
Bed Rest Lowers Cholesterol, Raises Insulin Resistance and Inflammation
SocialMay 6, 2026

Bed Rest Lowers Cholesterol, Raises Insulin Resistance and Inflammation

The effects of bed rest on cardiometabolic health: A systematic review and meta-analysis "HDT lowered total cholesterol but increased insulin and homeostatic model assessment for insulin resistance, and both reduced high-density lipoprotein cholesterol. C-Reactive protein increased with HBR, and tumour necrosis...

By David Barzilai, MD PhD
Young‑Adult Work Activity May Shield Against Dementia
SocialMay 6, 2026

Young‑Adult Work Activity May Shield Against Dementia

Physical activity across the life course and neural biomarkers 💡"PA done as part of one's job or schooling during young adulthood, such as standing and walking, may be protective against dementia later in life." https://t.co/tGarY3gUA2

By David Barzilai, MD PhD
Gut Microbiome Resilience: Key to Longevity
SocialMay 6, 2026

Gut Microbiome Resilience: Key to Longevity

Gut Microbiota Resilience and Environmental Stressors: A Hidden Key to Lifespan Optimization? "...The review also outlines practical ways to bolster resilience: fiber-rich, plant-based and fermented foods; targeted probiotics, prebiotics/synbiotics, and (in special cases) fecal microbiota transplantation; regular physical activity; good sleep...

By David Barzilai, MD PhD
Klotho Deficiency Heightens Stroke Risk in Aging
SocialMay 6, 2026

Klotho Deficiency Heightens Stroke Risk in Aging

The antiaging protein Klotho is a key factor in susceptibility to cerebral ischemia Highlights: • Klotho deficiency links aging to higher vulnerability to ischemic stroke • Klotho deficiency increases inflammation and disrupts the blood–brain barrier. • Loss of Klotho intensifies ischemia-induced oxidative and ER...

By David Barzilai, MD PhD
New Framework Separates True Aging Effects From Study Bias
SocialMay 6, 2026

New Framework Separates True Aging Effects From Study Bias

Mitigating the Hawthorne effect in aging “This Comment proposes a methodological framework to distinguish true biological aging modulation from the confounding effects of study participation.” https://t.co/h9Z2qiFzwv https://t.co/KdnJfSJzhe

By David Barzilai, MD PhD
Young Gut Microbes Fail
SocialMay 6, 2026

Young Gut Microbes Fail

Gut microbiota transplantation from young adult mice fails to restore low bone and muscle mass in old mice https://t.co/BXKJo3Ovi6 https://t.co/JZ3O4BqXd6

By David Barzilai, MD PhD
Longevity Experts Reveal How to Live to 100
SocialMay 6, 2026

Longevity Experts Reveal How to Live to 100

How to Live to 100, According to Longevity Experts In his new book, ‘Longevity Nation,’ Michael Clinton shares insights from experts about how to make the most of the second half of your life. @ROARforward | @goodhousemag https://t.co/hwABZaPQ49

By David Barzilai, MD PhD
Aged Male Mice Stay Glucose Tolerant Despite Obesity
SocialMay 5, 2026

Aged Male Mice Stay Glucose Tolerant Despite Obesity

Aged Male Mice Remain Glucose Tolerant Despite Increased Energy Storage Efficiency Favoring Diet-Induced Obesity https://t.co/PzeRMKqvKw https://t.co/mUihjmGsSG

By David Barzilai, MD PhD
Time‑Restricted Eating Counteracts Hypoxia‑Induced Glucose Dysregulation
SocialMay 5, 2026

Time‑Restricted Eating Counteracts Hypoxia‑Induced Glucose Dysregulation

Time-restricted eating improves intermittent hypoxia-induced dysglycemia "In IH, TRE mitigates adverse hypoxic effects on glucose homeostasis, via improvements in pancreatic insulin secretion. Some beneficial glycemic effects of TRE are accentuated in IH. TRE may represent a novel therapeutic strategy in OSA" https://t.co/SQgSGnX6Ay

By David Barzilai, MD PhD
Moderate Training Boosts Brain Metabolism; HIIT Adds Benefits
SocialMay 5, 2026

Moderate Training Boosts Brain Metabolism; HIIT Adds Benefits

High-intensity interval and moderate-intensity continuous training on cerebral energy metabolism in older rats "These findings suggest that MICT is the preferred regimen for enhancing cerebral metabolic function and neurovascular adaptation, while HIIT serves as a complementary strategy to involve other brain...

By David Barzilai, MD PhD
Multivitamins Show No Overall BP Benefit, Help Low‑Diet Individuals
SocialMay 5, 2026

Multivitamins Show No Overall BP Benefit, Help Low‑Diet Individuals

Long-Term Effect of Multivitamin Supplementation on Incident Self-Reported Hypertension and Blood Pressure Changes in the COSMOS Trial "MVM supplementation versus placebo did not reduce hypertension incidence or lower BP overall. Exploratory analyses showed greater reduction in hypertension risk and BP changes...

By David Barzilai, MD PhD
Male‑dominant Dementia Risks Highlighted in 2024 Lancet Report
SocialMay 5, 2026

Male‑dominant Dementia Risks Highlighted in 2024 Lancet Report

Broadening dementia risk models: building on the 2024 Lancet Commission report for a more inclusive global framework Your dementia risk profile may differ by sex. Which risk factors matter most for you? 🤔👇👨‍⚕️ "The 2024 report identifies 14 modifiable risk factors for...

By David Barzilai, MD PhD
Sunlight Boosts Heart Health Beyond Vitamin D
SocialMay 5, 2026

Sunlight Boosts Heart Health Beyond Vitamin D

Sunlight: Time for a Rethink? 🤔 “Growing evidence shows that sunlight has health benefits through vitamin D–independent pathways, such as photomobilization of nitric oxide from cutaneous stores with reduction in cardiovascular morbidity. Sunlight has important systemic health benefit as well as...

By David Barzilai, MD PhD
Healthy Habits Boost Odds of Living Past 100
SocialMay 4, 2026

Healthy Habits Boost Odds of Living Past 100

Healthy lifestyles and survival beyond age 100: Evidence from a national cohort of Chinese centenarians https://t.co/FsfcGUzlFV

By David Barzilai, MD PhD
Acarbose Protects Retina by Modulating Microglial Metabolism
SocialMay 4, 2026

Acarbose Protects Retina by Modulating Microglial Metabolism

Acarbose modulates microglial Pkm2 acetylation to reshape immunometabolism and preserve retinal neurons after ischemia-reperfusion 👉"Our findings support that ACA exerts retinal protection through the Sirt1-Pkm2-NAD axis, suggesting a metabolic checkpoint that integrates immune and mitochondrial regulation." https://t.co/V3WGPV26qk

By David Barzilai, MD PhD
EU Should Launch Coordination Programme for Healthy Ageing
SocialMay 4, 2026

EU Should Launch Coordination Programme for Healthy Ageing

The need to increase support for healthy ageing and longevity research in the EU by establishing a Coordination and Support Programme on Healthy Ageing and Longevity 🌟This paper calls for the establishment of an EU Coordination and Support Programme on...

By David Barzilai, MD PhD
Tech-Based Programs Boost Activity in Adults 55+
SocialMay 4, 2026

Tech-Based Programs Boost Activity in Adults 55+

Interventions for promoting physical activity and reducing sedentary time among people aged 55 years and older: an overview of systematic reviews "Consistent evidence suggests that technology-based interventions are effective in increasing physical activity, step counts and MVPA, whereas inconsistent findings support...

By David Barzilai, MD PhD
Klotho Buffers Age‑Related Brain Atrophy Effects in Seniors
SocialMay 4, 2026

Klotho Buffers Age‑Related Brain Atrophy Effects in Seniors

Serum Klotho Levels, Brain Structure, and Cognitive Performance "Results suggest that circulating serum klotho levels modified the known adverse association between age-related brain atrophy and cognition in older, but not younger, adults at risk for AD, suggesting that the neuroprotective effects...

By David Barzilai, MD PhD
Mitochondrial Dysfunction Drives Frailty; Biomarkers Needed for Precision Therapy
SocialMay 4, 2026

Mitochondrial Dysfunction Drives Frailty; Biomarkers Needed for Precision Therapy

The mitochondrial side of frailty "Mitochondrial dysfunction lies at the intersection of musculoskeletal, metabolic, and immune changes underpinning frailty. While integrative biomarker panels have defined metabolic signatures, early diagnosis and personalized therapies remain unmet needs. Longitudinal studies are required to establish...

By David Barzilai, MD PhD
From 18 Years to 1M: Health Literacy Wins
SocialMay 4, 2026

From 18 Years to 1M: Health Literacy Wins

Congrats Bryan. The outcomes worth naming: •Destigmatizing prioritizing health systematically •Pushing quantified self into mainstream conversation •Raising lifestyle medicine literacy Yes biohacking debates get the headlines, but those wins deserve a lot more credit👨🏻‍⚕️

By David Barzilai, MD PhD
Glucagon Signaling Required for Caloric Restriction Benefits
SocialMay 3, 2026

Glucagon Signaling Required for Caloric Restriction Benefits

Glucagon receptor signaling is indispensable for the healthspan effects of caloric restriction in aging male mice https://t.co/xZYiHWkw5s @GeroScienceAGE https://t.co/WcZgdHgsG2

By David Barzilai, MD PhD
Higher‑intensity Aerobic Exercise Cuts Loneliness in Older Adults
SocialMay 3, 2026

Higher‑intensity Aerobic Exercise Cuts Loneliness in Older Adults

Effects of aerobic exercise of different intensities on the social, emotional, and financial functioning of healthy older adults: results from a 16-week exercise randomized control trial https://t.co/SePImekLGY Interaction plot depicting change across time in loneliness by condition:

By David Barzilai, MD PhD
Early PFOA Exposure Linked to Lower Adolescent Bone Density
SocialMay 3, 2026

Early PFOA Exposure Linked to Lower Adolescent Bone Density

Per- and polyfluoroalkyl substances and adolescent bone mineral density: assessing periods of susceptibility 🦴 “Serum PFOA concentrations from delivery to age 12 years were associated with lower 1/3 distal radius BMD in early adolescence” https://t.co/rY8mLmmPi4 https://t.co/dOPKFYYm7m

By David Barzilai, MD PhD
Control Life’s Essential 8 to Prevent CVD
SocialMay 3, 2026

Control Life’s Essential 8 to Prevent CVD

Risk Factors Present in Nearly All Patients Who Develop CVD Keeping these factors in check and adhering to the AHA’s Life’s Essential 8, is the best way to prevent CVD, say researchers. https://t.co/YbqEkUmjiK https://t.co/kt6Rmem11c

By David Barzilai, MD PhD
Glial Senescence Drives Neuroinflammation and Brain Degeneration
SocialMay 3, 2026

Glial Senescence Drives Neuroinflammation and Brain Degeneration

Disentangling causality in brain aging: The complex interplay between glial senescence, neuroinflammation, and neurodegeneration https://t.co/kiLXyxFUL0 https://t.co/XmyARd1bst

By David Barzilai, MD PhD
Depression Reduces Chances of Exceptional Longevity in Older Women
SocialMay 3, 2026

Depression Reduces Chances of Exceptional Longevity in Older Women

Prospective association of depression symptoms with exceptional longevity among older women "...Depression symptoms associated with lower odds of healthy longevity..." https://t.co/RnVcQs7XG4

By David Barzilai, MD PhD
Epigenetic Reprogramming Enters Human Trials for Vision
SocialMay 3, 2026

Epigenetic Reprogramming Enters Human Trials for Vision

Aging biotech has made TIME's "New Frontiers" list. @lifebiosciences is using Yamanaka factors, and the FDA just cleared their first-in-human trial for optic neuropathies. Partial epigenetic reprogramming is no longer theoretical. It's in human trials. https://t.co/ZtVT5PxbHZ https://t.co/OhqLtNfqGT

By David Barzilai, MD PhD