TBI-CHI,
I’m glad you’ve continued to share your journey with the Rapa community. As you’ve shared more, there are a few things that have come to light that I’d like to comment on.
First, you talk about how you used to be fairly physically active and an athlete. You need to return to physical activity in a sustainable way that works for you. It’s probably a great idea to get lots of daily steps, a few hours a week of Zone 2 cardio, with some time spent in Zone 4/5, along with balance, mobility, and flexibility work - and do whatever you truly enjoy. It’s quite debatable if this will impact maximum life span (it seems like no), but it will certainly impact health span and quality of life.
Your extensive imaging and testing is also of some value, in part because it can give you motivation to change when you see measurable progress (or a lack of progress, or even worse, regression). Be careful about investing too many financial resources into things you don’t have the money for. Your huge supplement list doesn’t mean a lot if the foundations aren’t correct (diet, exercise, sleep, stress management, relationships, and so forth) - or as someone else said earlier, “put first things first.”
Investing tens of thousands of dollars in testing, imaging, and expensive therapies will be of little to no value, and may add financial stress to your life when you don’t have the foundation right. You seem to be on a cocktail of medications to aggressively control some of your cardiovascular metrics, and that’s good given your cardiac history.
I’m really sorry to hear about people dying around you. These tragedies are good reminders of why we should do everything we can to take care of ourselves. Every time someone close to me passes, it motivates me to double down and stay well.
Regarding your valve replacement surgery, this is an area I am quite familiar with, and I want you to consider the following. While it’s possible future heart surgeries may be done via a transcatheter procedure, don’t be so sure of that. Also, currently, OHS is preferable to TAVR in many/most situations. I want to again stress that this is probably the biggest bottleneck in your journey to 120 (if that’s even possible) and I don’t think you are giving it the attention it deserves.
You’ve talked a lot about your weight and your physician’s direction to reduce it. Getting down from 220 to 170 is a great idea and probably one of the most important things you can do. I don’t think I’ve ever seen a 220-lb centenarian anywhere. I’m glad you are having success with the GLP-1 medication.
Regarding nutrition - Chick-fil-A, Starbucks, and a love for sugary danish’s? Come on man… there is very little nutrition here, even if your total calorie intake is low. The quality of food matters as much as the quantity. Plain matcha tea (single ingredient) with nothing added is a fine choice, but the moment things start getting added, it tends to reduce/eliminate many of the health benefits. Ditch the sugar and refined/processed food, and go for whole foods instead. Think vegetables, fruits, legumes, whole grains, nuts/seeds, lean protein, healthy fats, etc. And don’t for a moment think that fruit isn’t healthy. This paper on healthy aging and dietary patterns has been discussed at length on this forum, and fruit intake is one of the best predictors of healthy aging: https://www.nature.com/articles/s41591-025-03570-5
You also mentioned cheese, which is generally a bad idea due to the saturated fat content and its negative impact on LDL (though it’s probably a bit more nuanced than that).
At the end of the day, let the fact that you had a heart attack and survived be an amazing blessing. It’s a wake-up call to take control of your health and do everything you can to live a healthy life.
Please continue to update your progress. 