Page 50 - Tracy Anderson Magazine - Fall 2021
P. 50

You eat well, you exercise, you get your annual wellness   systems. It’s how old you are based on your body and not
                                                                                                                                           check, and your doctor says your labs are all “normal.”   just your birthday. While your chronological age may be
                                                                                                                                           Sometimes you may feel a little tired, have this ache or that   37, your heart may be working like the average 25-year-old
                                                                                                                                           pain, notice a sagging chin or waning libido, and your doc-  (CardioAge 25), thanks to all your high-intensity cardiovas-
                                                                                                                                           tor says, “That’s just normal aging.”          cular training, while your PulmoAge comes in at 52, thanks
                                                                                                                                                                                          to maybe a touch of asthma or a history of smoking, and your
                                                                                                                                           This is the embodiment of traditional medicine’s focus on   NeuroAge at 48, perhaps due to some sleep deficit.
                                                                                                                                           disease rather than on declining function and appearance.
                                                                                                                                           In this third millennium, is that the best we can do? Being   The composite PhysioAge is an excellent indicator of a per-
                                                                                                                                           normal isn’t all it’s cracked up to be, especially as many lab-  son’s functional status and longevity potential. A person
                                                                                                                                           oratory and functional performance tests are age-adjust-  whose biomarkers indicate a young physiological age is on
                                                                                                                                           ed, and what’s “normal” at 55 wouldn’t have been normal   the road to living longer and healthier. And it gives some-
                                                                                                                                           during your peak health, which for most people is around   one whose physiological age has overtaken their chronolog-
                                                                                                                                           age 25.                                        ical age a chance to slow or reverse the process. Tracking it
                                                                                                                                                                                          over time enables doctors to know whether the therapies
                                                                                                                                           I think of aging as a disease process that slips in through the   they’re prescribing—along with the lifestyle, diet, and exer-
                                                                                                                                           back door, taking hold when we’re still in our twenties, a   cise changes their patients are making—are having a posi-
                                                                                                                                           decade at least before most people start                     tive impact on their aging trajectory. We
                                                                                                                                           thinking about it. It begins gradually,                      can even tell patients how much they age
                                                                                                                                           causing subtle changes in the function                       biologically in the past year, which gives
                                                                                                                                           of our various organ systems. It comes                       them a rate of aging that can predict fu-
                                                                                                                                           in a thousand shades of gray and won’t                       ture functional status and even longevity.
                                                                                                                                           show up in the tests you’re given at a typ-
                                                                                                                                           ical yearly physical. As we get older, it’s                  At Raffaele Medical, our treatment
                                                                                                                                           mainly genetic inheritance and lifestyle                     approach draws from an explosion in
                                                                                                                                           that determine if and when the aging                         knowledge from two fields: gerontology,
                                                                                                                                           process flies under the radar or mani-                       the study of the aging process, and en-
                                                                                                                                           fests in officially labeled disease.                         docrinology, the study of the effects of
                                                                                                                                                                                                        hormones on our health. It also draws
                                                                                                                                           Longevity medicine takes a different view                    from  research  establishing  the  impor-
                                                                                                                                           from disease-based care that broadly                         tance of chronic inflammation, telomere
                                                                                                                                           recommends preventive-health practic-  Dr. Joseph            shortening, and epigenetic changes in
                                                                                                                                           es and “age-appropriate” screening for   Raffaele            disease and aging. We treat adults of all
                                                                                                                                           disease. This new and expanding field—a                      ages through an individualized program
                                                                                                                                           subspecialty I became interested in during my years as a gen-  after an extensive baseline evaluation that includes genetic
                                                                                                                                           eral internist—operates on the premise that aging is neither   and lifestyle factors. Their care plan may involve nutrient op-
                                                                                                                                           planned nor inevitable and can be tracked by a multitude of   timization, lifestyle interventions, hormone optimizations,
                                                                                                                                           biomarkers  evaluated  by  “optimal”  rather than “normal”   peptides, and other pharmaceuticals.
                                                                                                                                           range standards.
                                                                                                                                                                                          We believe our approach is the best way to expand the
                                                                                                                                           PhysioAge Analytics is a web-based system I created to help   health span by maintaining high performance and pre-
                                                                                                                                           me, and many other doctors around the world, practice   venting disease. The goal of medicine should be not only to
                                                                                                                                           personalized health optimization across the lifespan of my   treat and prevent disease, but also to preserve function so
                                                                                                                                           patients. I see each patient as an N=1, longitudinal lifelong   that one can die young as old as possible. ■
                                                                                                                                           clinical trial in which a large array of biomarkers (labs and
                                                                                                                                           other functional and diagnostic testing) is measured at   Dr. Joseph Raffaele has been exclusively practicing longevity med-
                                                                                                                                           baseline and then monitored periodically. This approach   icine from his Central Park South office for more than 20 years.
                 HO W  TO  DIE  Y OUNG                                                                                                     process and optimal functioning. It’s the ultimate in cus-  hormone optimization, immune system rejuvenation, and monitor-
                                                                                                                                                                                          He lectures internationally on the science of healthy aging through
                                                                                                                                           tells us whether or not a therapy is working for their aging
                                                                                                                                                                                          ing biomarkers of aging. He is a pioneer in the clinical application
                                                                                                                                           tomized medicine.
                                                                                                                                                                                          of telomere science. A graduate of Princeton University, Dr. Raffa-
                     ( A S  OLD  A S  POS SIBLE )                                                                                          Our algorithms calculate the equivalent physiological age   ele received his medical degree from Drexel University and trained
                                                                                                                                           of seven important body systems, nine biomarkers of aging,
                                                                                                                                                                                          in internal medicine at Weill Cornell Medical Center. He posts
                                                                                                                                           and a growing number of aging and disease risk markers.   regularly on @RaffaeleMD about the latest science of aging news
                                                                                                                                           Your PhysioAge is the aggregate age of your major organ   and ways to increase your health span.
                                 Dr. Joseph Raffaele shares his approach to increasing your longevity.



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