u/psharmamd87

Research on Beetroot Juice and Nitric Oxide Support
▲ 326 r/Vitaveda+2 crossposts

Research on Beetroot Juice and Nitric Oxide Support

Came across an interesting study about beetroot juice and nitric oxide production.

Research suggests beetroot juice may help increase nitric oxide levels, which can support circulation, exercise performance, and healthy blood pressure. A lot of athletes and fitness enthusiasts seem to use it as a natural pre-workout for endurance and blood flow support.

Not claiming it’s a miracle drink, but the science behind dietary nitrates and cardiovascular health is pretty interesting.

Has anyone here tried beetroot juice consistently? Did you notice any difference in energy, endurance, or recovery?

PMID: 26653541

u/psharmamd87 — 14 hours ago
▲ 2 r/PeterAttia+4 crossposts

ptau 217 is a new blood test that detects Alzheimer's Dementia (AD) 10 years before symptoms.

Here's my video reviewing the biology, how to get the test & how to deal with the results.

Ptau-217 is becoming the gold standard for testing to the point where the efficacy of disease modifying drugs are judged based on this test - a huge innovation in AD prevention.

u/psharmamd87 — 23 days ago

The arms race continues with a drug that hits 4 receptors - GLP-1, GIP, and 3 PPAR receptors

u/psharmamd87 — 24 days ago
▲ 3 r/PeterAttia+5 crossposts

Blood pressure is incredibly important but also easier to treat without meds than most people realize. In this video I break down the new blood pressure guidelines as well as the 5 different lifestyle levers you can pull to reduce it including approx how much these can reduce your values

u/psharmamd87 — 25 days ago

I think it's key to note how many health influencers, even ones who claim to have credentials (like an MD here in Shawn Baker's case), conflating correlation with causation.

Is it deliberate, lazy, or ignorance? I'm not sure, but the key here is there is no explanation for WHY this effect might be happening, which is a surefire sign that it's worth ignoring

This kind of communication is rampant and we need to be careful of it or we'll go down rabbit holes that aren't real and more importantly people can get bad health advice and be harmed.

u/psharmamd87 — 28 days ago

I'm continuing laying out my longevity protocols, continuing to go through the cardiac section.

This one is about arrythmias - what they are, why we care about them from a lifespan and healthspan standpoint, how to evaluate for them, and how to manage them.

Here's my quick, easy to digest summary of this key aspect of heart health

https://vitaveda.substack.com/p/arrythmia

u/psharmamd87 — 29 days ago

Really interesting article showing that inflammation was the best predictor of cardiac events or death in folks undergoing stents who also had LDL < 70 (likely all via treatment). Notably triglycerides did not have the same impact.

This suggests inflammation is a key necessary component in ASCVD, maybe even sufficient (though I'm not convinced).

Now why did they still have cardiac events when their cholesterol was controlled? I think it could be because they already had a lot of disease. These were not people who were fully healthy at a time. If they had been fully healthy, I'm not sure if the inflammation alone would be enough to cause disease progression.

Full study - https://academic.oup.com/eurjpc/article/33/5/742/8088269?login=false

u/psharmamd87 — 1 month ago

This is a cool article displaying a concept I've been obsessed with for a while - gamifying "boring" things that are good for you. I think this is perfect for Longevity

A lot of Longevity is keeping your habits in line consistently for decades. That can become mundane, so the behavioral side is challenging. But what if you could gamify it to make it more engaging? It's potentially less boring than Trauma Triage Guidelines, and they were able to do it successfully.

Even a 10% increase in people sticking to their habits would make a massive difference over time, so it doesn't have to be a cure all

Have any of you been able to gamify elements of your Longevity? Would love to hear what worked

u/psharmamd87 — 1 month ago

This came in email. At the moment the only meds offered are tadalafil (erectile dysfunction), estradiol cream (for vaginal erosion in menopause), metformin (a diabetes med but not the best one), acarbose (similar to metformin), tretinoin (for skin), and minoxidil (for hair growth).

Seems less about Longevity and more focused on generic consumer meds, specifically going after HIMS / HERS, RO and other consumer telehealth brands.

My guess is these meds are Blueprint branded and like the other companies Bryan aims to make margin on the medications - it's a standard healthcare playbook

u/psharmamd87 — 1 month ago

Interesting to see WHOOP starting to move into traditional healthcare. The Medicare ACCESS program is not full medical care, and it's questionable how much the Whoop's data will be helpful, but interesting to see their strategic move

(I'm a medical director at a company that is providing these services as well so I have a deep knowledge of how it will work)

u/psharmamd87 — 1 month ago
▲ 8 r/Vitaveda+1 crossposts

Your Hearing is a Longevity metric. Treat it like one!

We obsess over VO2 max. We track glucose. We geek out over zone 2 training and ApoB levels. But almost nobody in the longevity space talks about hearing.

That's a mistake, and it might be one of the biggest blind spots in how we think about healthspan.

I'm in my 50s. I haven't noticed anything dramatic with my hearing. But I turn on subtitles for everything now. I didn't used to do that. And I've caught myself asking people to repeat things more than I used to. It's the kind of slow drift that's easy to dismiss as "no big deal." Then I started reading the research.

The [2024 Lancet Commission on Dementia Prevention](https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/abstract) identified 14 modifiable risk factors for dementia. Hearing loss was flagged as the single largest modifiable risk factor from midlife. Not hypertension. Not smoking. Not physical inactivity. Hearing loss. Every 10 decibel decrease in hearing ability increases dementia risk by 4 to 24 percent depending on the study. A [meta-analysis of 50 cohort studies](https://www.sciencedirect.com/science/article/pii/S1568163724001648) found hearing loss associated with a 35% increased risk of dementia and a 56% increased risk of Alzheimer's specifically.

It goes beyond cognition. A [study in The Lancet Healthy Longevity (January 2024)](https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(23)00232-5/fulltext) followed nearly 10,000 adults and found that people with hearing loss who used hearing aids regularly had a 24% lower mortality risk compared to those who never used them. That held regardless of age, income, or severity of hearing loss.

The [ACHIEVE trial](https://www.achievestudy.org/), the first large randomized controlled trial on hearing intervention and cognition, found that in older adults already at elevated risk for cognitive decline, hearing intervention slowed that decline by 48% over three years. Important caveat: the overall study population result wasn't statistically significant, and the 48% came from a pre-specified subgroup. But it's a compelling signal consistent with the broader observational data.

The mechanisms make intuitive sense. When you can't hear well, your brain works harder just to process speech. That drains cognitive resources. You start avoiding social situations because they're exhausting. Isolation increases. Depression risk goes up. Fall risk goes up. It's a cascade, and it happens so gradually that most people don't realize what's changed.

Here's what really struck me: about 65% of adults over 71 have measurable hearing impairment, but only 15% of people who could benefit from hearing aids actually use them. The [AAO-HNSF Clinical Practice Guideline (May 2024)](https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/cpg-age-related-hearing-loss/) now recommends hearing screening for all patients aged 50 and older. I've had my cholesterol checked annually since my 40s and nobody ever once suggested a hearing test.

I actually got one. My results came back fine. But now I have a baseline, and that's the whole point. When something eventually does change, I'll catch it early instead of five years too late.

If you're over 40 and you've never had a baseline hearing test, go get one. Add it to the same list as your bloodwork and your DEXA scan. Your future brain will thank you.

Anyone else here paying attention to their hearing? Curious if this is on anyone's radar or if it's as overlooked for you as it was for me.

reddit.com
u/DadStrengthDaily — 18 days ago