Jonathan Afilalo
@FrailtyMD
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Clinician scientist. Voracious learner. Director of McGill Geriatric Cardiology Program. Creator of https://t.co/PVflDwZCSD & https://t.co/4IJWOncQte.
Joined January 2018
Obesity in older adults is rising, and semaglutide & tirzepatide can bring significant weight loss and better heart, liver, and kidney health. Risks for older adults are muscle loss and functional decline. Policy must prioritize coverage + clinical trials for seniors to ensure
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🔑 point from AACE obesity statement Assessment of body fat % useful to Dx sarcopenic obesity in older individuals with potentially normal BMI Men >25% Women >32%
🆕 American Association of Clinical Endocrinology Consensus Statement: Algorithm for the Evaluation and Treatment of Adults with Obesity/Adiposity-Based Chronic Disease – 2025 Update @TheAACE
https://t.co/MZRPysPx8d 
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What's the difference between biological aging (body and organ clocks) vs chronological age? How can the former be useful clinically? My perspective @sciam, Q&A w/ @LaurenYoung
https://t.co/CT5Sjn19wH
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Writing = formalized thinking 🎯
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RESEARCH Two phase 2 trials show that immunosenescence as a mechanism of resistance to immunotherapy can be overcome with the #senolytics dasatinib & quercetin in patients with head & neck squamous cell carcinoma. #cancerresearch
https://t.co/z38W5VZv9d
nature.com
Nature Medicine - Two phase 2 trials, along with translational analysis of prospective cohorts and experimental analysis, indicate that immunosenescence as a mechanism of resistance to...
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Lithium has an essential role in the brain and is deficient early in Alzheimer’s disease, which can be recapitulated in mice and treated with a novel lithium salt that restores the physiological level, according to a paper in @Nature. https://t.co/CA4o9J3fBd
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2/4) The research was conducted by the world-renowned Snyder Lab at Stanford, pioneers in “longitudinal multiomics.” This approach combines various “omes”—like the genome, proteome, transcriptome, and microbiome—to form a detailed picture of how an organism functions at the
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On behalf of myself + 1st author and recently graduated geriatric cardiology fellow Dr. Marc Arcens, we would like to dedicate this to the memory of our wise and generous co-author Dr. James N. Kirkpatrick 🕯️
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💥 Decision-making for older adults with advanced heart disease: a framework for balancing benefit versus futility 📄 https://t.co/sqNKvG9oGa
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#9 take away: @bryan_johnson's personal journey turned "cult" jolts status quo inertia and mainstream interest in a field directly affecting 8B people, now it's on us (the scientists) to not only raise flags but also raise the bar!
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#8 would wealth be better spent funding these types of trials instead of n-of-1 case reports, I think so
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#7 e.g. @NirBarzilaiMD's TAME trial on longevity benefits and safety of metformin (the rub: 10 years and a few million $ to test a single hypothesis) https://t.co/ogAstpQgSJ
pmc.ncbi.nlm.nih.gov
Aging has been targeted by genetic and dietary manipulation and by drugs in order to increase lifespan and health span in numerous models. Metformin, which has demonstrated protective effects against...
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#6 this is precisely why we need controlled trials with sufficiently large sample sizes to vet novel therapies
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#5 + interacting effects of multiple concomitant therapies, muddying the waters and compounding risks
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#4 rapamycin ➡️ immunosuppression ➡️ sepsis gene therapy ➡️ off target edits ➡️ cancer
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#3 why not try it out? aside from the 💵 spent, the bigger risk is unexpected life threatening side effects:
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#2 but... most of this research currently comes from 🐁 and 🧫 which historically often fails to translate to 🧑🤝🧑
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@bryan_johnson is smart. his research on longevity science is deep and valid (yes, I said it)
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