#456 Q&A at Vitalist Bay About Health and Longevity

Siim Land (0:00)

There is a certain switch or like a shift around the age of like 65, that they see that a low protein diet actually increases mortality risk. Whereas, yeah, if you're younger, you can get away with lower protein, whether or not it's optimal, you know, that's a different question. In 10 years, we hopefully will have some Giroprotective drugs.

SPEAKER_2 (0:18)

But I'll start with our, I would say, a kind of landmark question when it comes to vitalism. How long do you want to live?

Siim Land (0:25)

I don't have any fear of death. I would be fine to live to 80, 100, 120 They all sound fine to me. No one would really want to die in their 60s or 70s. I think the statistics say the average answer would be something like 80 for most people. But I wouldn't mind to live like 150, 180, 200 either. So I didn't really have a hard cap on the number. I don't want to live to the age of 350, 500 or something either. At least I'm going to set my goal to that.

SPEAKER_2 (0:52)

Right, right. And you don't want to be decrepit, that's for sure.

Siim Land (0:55)

Yeah, I guess the quality of life matters. Like, are you, you know, how good is your quality of life?

SPEAKER_2 (1:02)

Awesome. All right. So one thing I was wondering about is, you know, you have so many measures that you're aware of, you track, et cetera. What was the change, if any, that created a lot of positive value in your mind that you couldn't measure well, or that there wasn't a good measure for, that you could point to? Is there any change like that?

Siim Land (1:24)

So, I guess my tracking of these blood markers began something like six years ago. So I had something like six years before that I didn't track, you know, that regularly. So I don't know if, you know, certain interventions that I was already doing, how big an effect they had on my blood markers. But I think a few things that I personally think that improved or have contributed to my health are intermittent fasting, so like time or sugar eating. So there's, you know, obviously, clinical trials on intermittent fasting, improving a lot of different blood markers, like cholesterol, lipids, blood sugar, blood pressure, et cetera. But they're mostly done on people who have problems with them to begin with. So like people who are slightly overweight or who have diabetes or something like that. You know, I never had that, but I've been doing intermittent fasting for like 10 years. So it would be interesting to see how they could have impacted some of my blood markers. But I personally think that it does contribute to slower biological aging and better blood work, even though like the clinical trials suggest that if the calories are the same, then there's no difference in those things. But I personally think that there might be, from my own experience, maybe like 5-10% difference.

SPEAKER_2 (2:45)

Awesome. So a lot of people here are probably interested in proving their health and longevity. But one thing that people find difficult is finding good providers. So doctors, specialists, etc. Who is your doctor? Do you have a doctor? And who are the providers or specialists that you consult with? And also, how has that changed now that you're a more known person and probably have more access than just an average person?

Siim Land (3:15)

I don't have like a doctor, actually. I think I'm my own doctor. Like I do all my own research and interventions.

I mean, I do think there are a lot of doctors out there with a lot of knowledge. From the states, there's also someone called Anil Bajnath, who's like the president of the American Board of Precision Medicine. So he takes it a bit step further, that he also looks at your genetics, he looks at all these other multiomics data to come up with your specific program for your health. So he would be someone I would use if I really wanted to, okay, go through all my genetics, go through all my family history, and all my blood work history, and come up with what are things I need to work on. He would be the person I would trust with that kind of a task.

SPEAKER_2 (4:11)

Awesome. Now, one question is around optimal indicators. So I've done some of the things that you've done, but to, let's say, less intense level. And one of the problems I ran into was that there wasn't good evidence about what is optimal, because often that hasn't been researched. We live in a sick care orientation from the medical establishment perspective for all sorts of reasons, many of which are not nefarious in any way. It's just kind of how things evolved. But what is your process for identifying what is optimal? And how do you get confidence about what that is?