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My take

Nobody walks in saying they want to live longer

Almost nobody walks into a longevity clinic saying they want to live longer. What people usually come in for is more practical, they want to lose weight, get stronger, have more energy, or find out what's going on before something shows up on its own. Living longer is in there somewhere, but it's rarely the first thing someone says. I think our field talks about lifespan a lot more than our patients do. That matters, because the goal someone walks in with is the thing that keeps them coming back, and if we swap it out for ours they tend to drift. The better visits I've seen start with what the person actually wants and then connect it to what the testing shows, so the plan feels like theirs. A weight loss goal usually turns into a conversation about muscle and blood sugar anyway. It just has to start where they are.

Erik Nelson · Views are my own and not medical advice