They are the same… started on rapamycin, then insurance put me on rapamune. Been on Sirolimus almost 4 years. Same molecule… same feeling, same results… for me.
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Something to look forward to @Kelman. At 60, mine were still in play. One could interpret this as not being as “alive” but I think that is incorrect. Stand by for an interesting and I think rewarding phase coming up.
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Thanks for the head’s up. Always nice to hear there are good things ahead since we all know that as we get older the “not so good things” tend to happen/appear more often in our lives (losing loved ones/friends, losing some of our capabilities, looking ugly LOL, aches and pains and so on).
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For most men the changes are so gradual they hardly notice, but the year my doctor put me on Dutasteride (to treat my enlarged Prostate) the change was quite sudden : I can still perform just fine when my wife is in the mood, but the loss of that male sex drive and male aggression/anger is like a burden lifted off me and I no longer need to constantly be on guard to make sure I am under control of myself.
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Thanks for explanation. Out of curiosity where you put on Dutasteride because of an increase in PSA number, or just as a precaution? I kind of like the idea of “burden lifted” but at the same time sometimes I love my animal inside me also LOL, especially the times when it makes me think I can do anything, and conquer any obstacle (an obviously I’m talking about feeling that way, because reality may be far from it LOL)
edit: my bad you did say to treat your enlarged prostate.
My doctor diagnosed the enlarged prostate based on my symptom of constant urinary urgency and difficulty emptying my bladder. My PSA numbers were never elevated.
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It is basically inconceivable to the young that life would be worth living without a strong sex drive. I know I felt that way when taking a yoga course. The beginner’s goal was to be free from the body’s physical desires and material attachments. Frankly, I didn’t consider this a goal I desired as a teenager. So, one of the blessings of old age is that if you are lucky, you will have achieved these goals naturally. Old age has brought a contentment that is hard to achieve when you are young.
To put it crudely, you no longer think with your crotch and want the fancy car.
As a teenager, I was into all things esoteric, at least to my mind. This was before the days of personal computers and the internet.
I subscribed to a home-study course from the “Self-Realization Fellowship” founded in 1920 by Paramahansa Yogananda. Oddly, the course consisted mainly of practicing yoga asanas and breathing techniques, which is the lowest form of his teachings. Basically, this was Hatha Yoga, which is a traditional branch of yoga that focuses on balancing the body and mind through physical postures (asanas), breathing techniques (pranayama), and meditation."
Even though I didn’t continue to the advanced teachings, I am forever grateful for the insights the course gave me.
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I was disappointed to learn about Peter Attia’s association with Jeffrey Epstein, but it hasn’t changed my view that he has a deep understanding of proactive, preventative medicine.
Frankly, his work has helped me more than anyone else’s. After listening to his podcasts, I got a CAC scan in 2022 and discovered I had significant plaque buildup. That pushed me to take action—I started a statin and a PCSK9 inhibitor—and I’m in a much better place now.
That outcome speaks for itself.
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Yes, I agree. I’m saying his partial residency term is basically irrelevant in regards to his current practice of concierge medicine and marketing a partial Hopkins Gen Surg residency is ridiculous to anyone who has actually completed a residency and fellowship. If anything it detracts from his CV. Tells me there’s a high chance he couldn’t hack it and had to alter plans.
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Reading the responses here I can see that his rehabilitation has begun. It is how it is : if you’re up high enough you don’t fall all the way down, and you don’t pay the true price for anything you’ve done. Some are above the law, and certainly above the laws of ethics and decency.
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I unsubscribed.
I wouldn’t criticize him too much on not completing the residency. It’s long, and I think he had other better opportunities. I also suspect that being subservient didn’t suit him well - which probably was a big factor (e.g. taking a beating from senior physicians and fellows probably didn’t suit him well).
He is remarkable in intellect (not in personal decision making) and had so many insightful discussions with others, which were excellent.
In the longevity space, he really did well on breadth and depth of knowledge. The problem is that he is self taught, which means there wasn’t a systematic education in primary or acute care, which I think is a risk to patients.
I don’t know if he’s been referred to the CA, TX, NY state medical boards, but I’d think this would be the bigger issue. Epstein seemed to have been a patient, and the communications were unprofessional for a doctor-patient relationship.
I personally used a few of his videos for patient education as they were excellent.
It is highly disappointing that he made the choices he did.
It’s also cowardly to see the boat load of doctors too scared to make a squeak when he was on top, but, the moment he is in trouble, everyone was putting up videos tearing him down on his intellect and education. Those were cheap shots, his personal choices were the issue.
I’d actually expressed interest in becoming part of his practice 15 months ago as he was recruiting. Dodged a bullet on that one!
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Do doctors not have closer communications with wealthy patients?
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Doctors will have a lot more in common with wealthy patients and thus are more likely to have things to talk about that aren’t solely medical This however needs to be taken with care to not cross professional boundaries.
The problem in this case, is that it seems that there were discussions of topics that are generally unacceptable, but in the context of a doctor-patient relationship crossed the line significantly.
I do suspect as Attia was on his way up, the allure of someone who was as well connected and affluent as Epstein led to decision making that was seriously clouded by being in the presence of wealthy/influential individuals.
We’ve seen this happen with Dr. Conrad Murray with Michael Jackson, and Dr. Salvador Plasencia with Matthew Perry.
It’s a serious warning to doctors to be very careful to not allow fame and power to lead to decision making that would never happen normally.
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He does not practice surgery
Yes, repeating…
The real fact is He ha$ and will have more re$ource$ than most people will have in a lifetime.
Some may not like this, but it is the hard fact.
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Never said he practiced surgery. My point was a surgery residency is beneficial if you’re a surgeon. He is not and couldn’t be. Thus emphasizing his few years at Hopkins is laughable because it has nothing to do with his current career and in my opinion is a weakness in his CV not a strength. If I bailed part way through my training I wouldn’t be using that fact to try to impress people.
Furthermore, the original comment I responded to made it sound like he was deep into his surgical residency, “specializing” in oncology, and basically a trained surgeon already. Again, anyone who knows about surgical training knows that no 3rd year Gen surg resident is currently specializing in anything. They are specializing in being told what to do by their senior residents and aren’t operating independently. Don’t over embellish it.
Please reread @Shady. You responded to me but instead of responding to my brief comment, you misidentified quoted published content, which was responsive to another question on the table, as if I was my assertion.
You wrote: Old age has brought a contentment that is hard to achieve when you are young.
To put it crudely, you no longer think with your crotch and want the fancy car.
So glad I haven’t hit “old age” yet.
Sex… fast cars and rock & roll… still love them!
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I can’t speak for @desertshores but I’m close to his age and I interpreted his comments differently. For me: sex, flying, and rock & roll are a central part of the mix – these passions have not faded but new ones have emerged and some are more important. I have found these changes difficult to explain to someone for whom they lie in future so I won’t try here. I took Desert Shores to be telling us that material things, like fast cars or airplanes, no longer form a part of his identity. In the US, the identity of younger men is significantly defined by their job and a small number of other signals of social status. Healthy aging is characterized by changes in one’s values not a loss of them. Some become more important. Others become less important. A few now look foolish in the rear view mirror. Enjoy the age you are in and appreciate the folly of judging the merits of a maturity you have yet to experience.
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I’ll be on my death bed and still loving them LOL
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