Unf*ck Your Health and Longevity with Dr. Bill Kapp

4 Apr 2024 · 1 h 10 min

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Podcast Episode Summary: Unf*ck Your Health and Longevity with Dr. Bill Kapp

Podcast Information Title: Raoul Pal: The Journey Man Episode Title: Unf*ck Your Health and Longevity with Dr. Bill Kapp Host: Raoul Pal, Co-founder and CEO of Real Vision Guest: Dr. Bill Kapp, Co-founder and CEO of Fountain Life Description: The episode focuses on preventative health, emerging medical technologies, and lifestyle changes to enhance health and longevity.

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Key Themes and Discussions

  1. Preventative Health as a Paradigm Shift
  2. Dr. Kapp emphasizes the need to shift healthcare from a reactive to a proactive model.
  3. Current healthcare often treats symptoms rather than addressing root causes of diseases.
  4. Fountain Life aims to utilize advanced technology to detect and reverse diseases before symptoms appear.
  1. Historical Context of Healthcare
  2. Traditional healthcare has relied heavily on old tools and practices (e.g., stethoscopes).
  3. Dr. Kapp draws a parallel between the evolution of aviation safety checks and the need for similar preventative measures in healthcare.
  1. Addressing the Scale of the Problem
  2. The US spends approximately $4.3 trillion on healthcare, yet ranks poorly in health outcomes (42nd longest life expectancy).
  3. Chronic diseases have become prevalent due to improved lifespan without corresponding health span.
  1. Behavioral Modifications for Health Improvement
  2. Dr. Kapp suggests that visualizing one’s internal health (e.g., through scans) can motivate individuals to make healthier choices.
  3. Behavioral modification is key, but it requires accurate, personalized data about one’s health.
  1. Technological Advancements in Healthcare
  2. AI and machine learning are beginning to revolutionize how health data is processed, improving diagnostics and personalized healthcare.
  3. The importance of integrating continuous health monitoring technology into daily life is discussed.
  1. Microbiome and Mitochondrial Health
  2. The microbiome plays a critical role in overall health, affecting everything from mental health to chronic disease.
  3. Mitochondrial health is highlighted as a fundamental aspect of disease prevention and longevity.
  1. The Role of Genetics and Lifestyle
  2. Genetic predispositions are not definitive; lifestyle choices can significantly influence health outcomes.
  3. Dr. Kapp explains that even individuals with adverse genetic markers can lead healthy lives with the right interventions.

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Practical Advice for Listeners

Lifestyle Recommendations

  • Diet: Aim for a plant-based diet with a focus on fiber and nutrient-rich foods. Incorporate fish for protein and avoid high consumption of red meat.
  • Exercise: Regular strength training is crucial for maintaining muscle mass, which correlates with longevity.
  • Sleep: Prioritize sleep hygiene by creating a conducive sleep environment and limiting alcohol intake before bed.
  • Health Monitoring: Utilize emerging technologies (e.g., continuous glucose monitors) to gather real-time data about your health.

Personal Action Steps

  • Explore preventative health screenings and interventions available at facilities like Fountain Life.
  • Stay informed about emerging health technologies and their applications in personal health management.
  • Consider joining community health programs that promote preventive care and access to medical advancements.

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Conclusion Dr. Kapp’s insights shed light on the transformative potential of preventative healthcare and the integration of technology in managing personal health. The episode encourages listeners to take a proactive approach towards their health and longevity by leveraging new tools and adopting healthier lifestyle habits.

For more information and a deeper dive into health optimization, listeners are encouraged to explore the resources and communities that focus on preventative health strategies. Raoul Pal reinforces the importance of being informed and proactive in “unf*cking” one’s future health.

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Transcript

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0:38Join the thousands of seasoned traders who trust Kraken Pro. Visit realvision.com slash Kraken Pro.

0:57Hi, I'm Raoul Pal, and welcome to my show, The Journeyman. The Journeyman, as you probably know by now, is me traveling to the nexus of macro crypto and the exponential age of technology. You see, there is a lot going on, as I always mention, and you can see from all of the guests I bring, the broad depth of what interests me in what's going on, whether it's NFT artists or whether it's technology or whether it's crypto. But one of the other things that interests me a lot is health and lifestyle. And I'm going to be doing some series on wine and other lifestyle stuff, because I know you guys are interested in that.

1:35But healthcare and health span longevity, those are things that interest me, because obviously I'm in my mid-50s, so it matters to me, but it should matter to everybody. And technology is accelerating at an incredible pace. So things are changing. And what your doctor knows or how you get advised these days is not current medicine. It's not current technology. And we've all read things like David Sinclair's book or Peter Atiyah, but things are even further advanced than that. Because by the time a book gets published, it's kind of two years out of date. so anyway one of the biggest things about how to unfuck your future if you think of a lot of what i'm trying to do is really get get you in the best way to live your life so you live it in the way that you want to achieve some of the hopes and dreams that we don't get all of our hopes and dreams but really it's that vision of your future self to deliver it to you i think the key vision for all of us is when we get older, we want to be healthy.

2:39We don't want to be maybe like our parents have been or others around us, where we may live longer than previous generations, but we're still ill for a long period of time. I really want to explore this topic with you all. It's a topic that I've gone down the rabbit hole on for the last... Well, since Tim Ferriss actually came on Real Vision back in 2014. He really got me down this path. It took me a while, but then from Tim's podcast, and if you haven't watched the interview with Tim, you should do. It's a really interesting podcast, and it's from the early days of Real Vision, but a lot of what he said stands true to this day, and that's well worth watching.

3:21I don't think it's on YouTube, so it's on the Real Vision platform, but watch that. But today, I'm really interested. I was speaking to Peter Diamandis a while ago, and Peter talked about Fountain Life, a business that he had helped build, which is a clinic around which they analyze your entire body and look at preventative medicine. They look at your kind of genetic makeup. They look at your biome. They look at all sorts of things and ascertain what the probability is that you may have certain ailments later in life, how to address them in advance. Or if you've got more advanced issues going on and you don't notice you're asymptomatic, then they'll look at that and figure out what is the latest technology to help you in your journey, in your health span.

4:11And the idea is to get your health span up to, I don't know, 100 years old. Anyway, I think you're going to find this fascinating. I think you should take a pen and paper and listen to this conversation with Dr. William Kapp. Okay, enjoy it. I'll speak to you at the end. Join me, Raoul Pal, as I go on a journey of discovery through the macro, crypto, and exponential age landscapes. In The Journeyman, I talk to the smartest people in the world so we can all become smarter together.

4:46Bill, I'm really excited to have you on Real Vision. Thank you for joining us. My pleasure to be here. I look forward to it. So look, there's a lot to talk about. Firstly, we'll go into more detail about it, but what do you do now? And then we'll get into your journey of how the hell you got here in the first place, because that's going to be fascinating. So what do you do now? Sure. So, well, first of all, thank you for having me. I am the CEO of Fountain Life, which is a proactive preventative care platform. And our mission in life is to totally reconstruct healthcare or totally redesign healthcare from a reactive posture, which is what we've been doing for years, to a proactive posture and advancing the latest technology to detect disease at its very earliest stages and reverse it while you're still asymptomatic so that you never have to deal with it later.

5:31Amazing. So how did you get into this? Give me a background. Yeah, so I'm an orthopedic surgeon by training. I spent a number of years in orthopedic surgery. I have a background in molecular genetics as well. I had spent about 30 years in the traditional, I would call, hospital sick care space, meaning waiting. Today we would call healthcare, but we call sick care inside of our ecosystem. And literally built hospitals and surgery centers and imaging centers. And it was about six years ago that we started to see the advent of the technology that was fundamentally going to be able to reshape healthcare, meaning from a symptom-based healthcare system to a proactive system, very similar to the evolution of the aviation industry.

6:16I'm an Air Force flight surgeon, and I'm also a rated pilot. So I would just tell you, we don't get in the jet and fly it across the Atlantic without doing a systems check and doing preventive maintenance on the aircraft. But yet when you go to your doctor's office for your preventive maintenance, you kind of get a walk around, right? And we use old tools. The stethoscope is 200 years old. The reflex hammer was invented in 1930. And we don't use that technology on the front end. We use that technology on the back end after you're sick. And so the opportunity, about six years ago, we built a center here in Naples, Florida.

6:53And then about two years ago, or I should, four years ago, Tony Robbins and Peter Diamandis came to Naples, Florida, where I live, and saw what we were doing here and said, we really need to scale this into a national company and see if we can make a dent in this healthcare problem, which is becoming a bigger, bigger problem, not only in the United States, but worldwide. we're spending, as you know,$4.3 trillion on healthcare in the United States, and it's about 20 % of GDP, and it doesn't show any signs of abating. And outside the fiscal deficits that we deal with, the healthcare deficit is just as bad.

7:24And so the outcomes just aren't there. So we built the company, and we've been really on this mission ever for the last four years. And it's been wildly exciting. It's disruptive, I think, to several of the players in the industry, as you can imagine. But I believe it's the only real path forward, because everything else that I did in my prior career was aimed at trying to lower healthcare costs and improve outcomes. But that was geography, meaning we moved you from the hospital to the surgery center, we moved you from the hospital to your home for care. But we weren't doing root cause analysis.

7:57And we weren't really trying to dig down into why do we have the problem in the first place. So that was the exciting part what we're doing today. So let's talk about the scale of the problem. When I've been looking at this, I mean, the United States is particularly bad. You know, it's obviously, it spends more per capita on healthcare than any other nation in the world, yet it's the 42nd longest living nation. I mean, the outcomes are appalling. Now, obviously, Mediterranean Europe is somewhat different, but the UK is not great. And a lot of nations, what the hell is going on? So I think a part of it has to do with the fact that, you know, I think this is, you know, we talk about, you know, changes that happen over time in healthcare.

8:40And I think we have really gone from what I call the macro, meaning, you know, back 200 years ago, it was wash your hands, kill the rats, throw out the garbage, to the micro, where we, you know, harness the power of microorganisms and antibiotics and antivirals. So once you eliminate a lot of the things that were responsible for early death and you start to eliminate those reasons for dying early, then you're faced with chronic disease, meaning that we allow people to live much, much longer. but in the process uh you know by eliminating most of the things that used to keep you living around age 35 now we're living to the 70s and 80s and so these disease processes that are at a molecular level not a micro but even a molecular level now have a chance to kind of get root and they take a long time to eventually develop over about you know maybe 30 years in some cases and And they only become symptomatic until when they're late stage.

9:39So it's like a very slow burning fire. And then you grip your chest with chest pain, even though the plaque has been building in your arteries for the last 20 to 30 years. And up until now, every test we've had has been inferential, but not necessarily specific to how much plaque do you have in your arteries and can you reverse that? So I think when you look at the problem in healthcare, so there are a couple of things. One is the U.S. health care is the largest free market for health care in the world. So that is a component of the problem. The other component of the problem in the United States is that nobody is paid to keep you healthy.

10:15We don't pay doctors to keep you healthy. That's the fundamental problem that we have. We need two paradigm shifts. One of the paradigm shifts needs to be that we need to take people from this reactive, episodic, symptomatic-based care to a proactive platform, just like you would with a pilot or just like you would with an aircraft. But more importantly, we need to change the payment model because the payment incentives are misaligned for the treatment of sick care and not the treatment of prevention. And we've never treated prevention in the United States like they do in Eastern and throughout Europe.

10:48I mean, Europe has been a heavy user of preventive health services, but part of that is because the government's on the hook for the bill, the entire bill. And so it's a national security issue and it's certainly a national priority. Here in the U.S., we don't do that very well. And I think COVID, if it had one, if there's one glimmer of COVID that was positive, it did expose how weak the U.S. healthcare system is in terms of prevention. So I think that's the core. I think the reality is our data, and we can certainly happen to walk you through that, has shown that if we catch disease when we catch it using our platform versus when you become symptomatic and it is normally found and you treat it early when we find it at the very incipient stage, you can lower health care costs by 70 % to 80%.

11:34It's a massive, massive change. And it also means that you can make your health span match your lifespan, meaning you don't need to live the last 10 years of your life in decline. You can actually intercept, hopefully over the next 10 years, the technologies that are coming that are going to extend the healthy human lifespan even further. Hey everyone, we're going to take a quick pause and hear a word from our partners. We'll be right back.

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13:42so before you even look at the preventative side the the the analysis of of you know people's people's bodies there's got to be some sort of behavioral shift in how people treat their bodies and it's quite hard because it's a long-term time horizon humans aren't very good with long-term reward systems. There only could be short-term reward systems. So how do you think we should approach that in terms of diet, exercise, and stress, and all of the things that are proven over time to help drive health? There is no doubt that behavioral modification is number one, and two, when we talk about healthcare.

14:22The reality is, though, today, when you think about the myriad of things, everybody wants a quick fix, and there is no such thing as a quick fix. But what you can do is you can create, you know, you can draw a picture for people in terms of when I say that, for instance, if I want you to reverse your cardiac plaque, and I show you how much cardiac plaque you have in your vessels, and it's no longer a guess, meaning, oh, your LDL is elevated, so you must have plaque, and so you need to take this statin. For the first time, you see a picture of your arteries. And at least in our population, of course, we do have a more compliant population in terms of people that want to improve their health.

14:59But the reality is a picture is worth a thousand words. And when people see what their body looks like on the inside, we get a lot of behavioral change. Because when you see that your liver is full of fat and you know that that's going to lead to a liver transplant possibly one day, you will change what your behavior is. And I think part of the problem is so many of our tests in medicine are inferential, meaning we use a population-based methodology when we render healthcare. We say, if you have a high blood pressure and you're a white 50-year-old male, here's the pill that you should take today.

15:31Okay. Or you have elevated LDL and you need to take this statin. And while you look at that in a population sense, you know, it might make sense over a large expanse of a population. The challenge is that most people want an N of 1 solution and we don't provide that for them. So quite frankly, we could tell you, we have a lot of people with elevated LDL that would normally put on a statin, but when we check their coronary arteries, they're clear. So how do you make that argument for needing the LDL? There's this idea that we provide generic recommendations when people live in a world where almost everything is customized to the individual, everything from your iPhone to what you like to do on a behavioral basis, how you like to exercise is customized to the individual.

16:18So I think what is important when you want to achieve behavioral change, number one, show the picture is show somebody where their baseline is, number one, and show them what could be and then guide them through that. And one of the things, the problem in health care, because we practice symptom-based health care and it's episodic, you only see the doctor when you're having symptoms. And so the problem is you really need not only a proactive platform, but you need a continuous platform. And more importantly, you actually need your own data. If you have your digital twin in your hand and your phone, and you can see what behavioral metrics are changing your overall body, it becomes a very different discussion, at least with our clients today, than maybe what you might see in a traditional preventive medicine, you know, primary care setting.

17:04And do you think there is chances of reversing some of this stuff? So let's say you have a high calcium score from a scan in your heart, so i.e. you've got a plaque buildup, because the medical profession tells you you can't do anything about it. That's absolutely false. So when you look at what is going on in healthcare today, so one of the challenges is also there is a thing called the clinical latency gap, meaning from the time at which a technology or a treatment is proven to the time it's widely adopted in medicine is about 17 years. Wow. So the iPhone is actually more current today. And if you can imagine when the iPhone 1 came out, that's kind of where we practice medicine today.

17:54So within a world of exponential technologies, we have two facets that are really slowing us down. One is the medical schools are behind in what they teach. They teach sick care very well. They don't teach prevention very well. But the second part of that is this clinical latency gap. And so for instance, in the case of carnery plaque, Dean Ornish 20 years ago proved that you can reverse heart disease with a low-fat diet. He's already proven that. We can tell you in our clientele, once we see what their plaque score is, that on average, our average client has about a 40 % reduction in plaque over 9 to 12 months.

18:31And that's a combination of exercise, diet, and some pharmaceuticals. But the reality is you can reverse heart disease. you certainly can reverse even insulin dependent type 2 diabetes and you can reverse early cognitive decline this this data is out there this is not new this is well known to the functional medicine community but it's not taught because there's no emphasis on prevention in the u.s health system no and you you get the impression that once you bump up against the healthcare profession there tends to be an enormous amount of arrogance oh it's like we know what we know and you are an idiot for questioning us.

19:08And they say things like, well, you're just watching stuff on YouTube. What do you know? I'm the expert. It's like, it's weird. And yes, of course, there's a lot of misinformation out there as well. But assuming people are smart enough to learn from a lot of people, but the general medical profession is terrible with this. Well, they're very bad at adopting new technology and they're very bad at adopting new treatment modalities, especially if it threatens the bottom line. And look, I was in that population for a long time. I practiced orthopedics for a number of years. You go to your academy and you have the top guys in the field that are passing down knowledge from on high.

19:50And you're the lowly ones down below receiving that knowledge. But what you don't realize is how corrupt that the U.S. health system has become. And it's not universal, but I will tell you it's rare that I go to my orthopedic academy anymore. and the top guys giving the top lectures are all sponsored by 10 to 15 companies. And they have to put their disclaimers up there. And so then the question becomes, how valid is the data? And so I don't want to impugn my colleagues' motives, but I will tell you that the reality is most physicians are not up. They tend to be down on what they're not up on.

20:24And the reality is they kind of stop learning when they leave medical school. And they learn incrementally and the technology is moving so fast that they're unaware and they probably are unwilling to adopt the new technology at a rapid pace. And then beyond that, they're not paid for it. So it's really hard to get them to understand things like this. I give this talk frequently around the country and I will tell you, I have physicians who stand up and say, I don't understand why you're doing whole body on people, whole body MRI on people. you're just going to find things. And they say it with a totally straight face.

21:02Okay. And why do they say that? They say that because they remember the technology 20 years ago, when MRI was still relatively new. And we were getting false signals and we didn't know what those were. And so we were doing a lot of biopsies and needle biopsies, trying to find out what things were. But what they failed to realize is that imaging technology has gone just as exponential as genomic technology. And the reality is that technology is so good today that the false positive rate is well under 1%. So when we do find things, they tend to be significant. And yet, most physicians are unaware of it.

21:36Most physicians are unaware you can get a whole body MRI, that it's even available. And it's certainly getting more widely available with Produbo, Azra, and some of the other companies doing it today. But I do think that we just, we really are looking at a pretty arcane way of doing prevention and it has to be changed. And the medical establishment is not, you know, it's interesting. It's a little generational. You know, I would tell you, you know, I'm 62. So everybody my age and older doesn't really like change. I mean, I enjoy it, but most people don't. But I will tell you the younger generation is very data-centric and your doctors that are millennials and Gen X doctors tend to be very data-centric and they really like what we're doing, they're unfortunately kind of stuck in a model that doesn't really work for them right now.

22:20How are you dealing with the speed of innovation with genetic sciences, diagnostics, and all of this? I mean, it's a lot to try and process, right? I mean, I have to remind our teams frequently, and we have almost 200 people in the company now, but I have to remind them on a constant basis that what we're doing on a day-to-day basis is still light years ahead of what is available in your primary care doctor's office. And even then, every day we see an innovation that's coming across that could potentially be disruptive. So I think we manage it because we have a group of scientific advisors. We have Dr.

22:58Mark Hyman, we have Dr. Eric Verdin from the Buck Institute, and we also have Dr. Daniel Kraft, as well as Peter and a group of our others, including our chief medical officer, Dr. Helen Messier. and they help to vet all of the newest technologies coming through for safety and efficacy. And so we look at these on a constant basis. We have a once a week round table where all the new technologies are coming out and we decide what we're going to bring into the fountain platform and which ones we don't. But as far as the genomics platform and where we are with all of the rest of it, I mean, really artificial intelligence is making a huge difference in being able to query your genome.

23:34and we have a very robust digital platform that we can upload your entire genome and then we can query it. Meaning if there's a particular variant we want to search in the 3.2 billion base pairs, we can do that now. And that would not have been available five years ago, but today due to machine learning and some of the newer AI programs that are out there, you can actually search somebody's entire genome for a variant if you have a question. How else are you going to use AI? Because it's obviously the big disruptor in the space because you can process so much more information, A, at system-wide level, i.e.

24:09looking at what research is coming out and trying to filter that, but also down to just finding things faster. Yeah. So there's several ways we use it. We use it for image detection because, quite frankly, the cardiac scanning, we can get into that, talking about how we determine how much whack you have. That's an AI protocol. It's an old test. It's called a carnary CT angiography, where we put a little dye in your vein and we take a quick CAT scan of your heart. But we used to read it with the human eye, which is fine, but it's not nearly as accurate as the AI. And so when we look at it with an AI overlay, we can measure not only how much plaque you have, but where it is in your arteries, whether it's in the wall of the artery, what's on the outside of the wall of the artery, whether it's significant or not.

24:51And so that's why the calcium score, while being beneficial, saying, yes, you do have carnary plaque, means nothing unless you have the AI overlay to tell you how much plaque you have and where it is, particularly soft plaque, because that's what we're looking for. That's the vulnerable plaque that we're looking for. Because that's the plaque that breaks off and cause blockages. Correct. The calcified plaque is actually stable. And so it doesn't break off. But there's some really, really unique, as a matter of fact, it's out of the UK. There's a brand new technology by a company called Caristo that is coming to the US and will be utilizing it here shortly.

25:24that not only can look at how much plaque you have, but it can tell you how much inflammation you have in the wall of the vessel for the very first time with an AI algorithm. So once again, this is imperceptible to the human eye, but it is really good when you use AI in computer learning because it really has to do with how many pixels at a microscopic level that can be detected by the AI. So it's certainly those types of things we're seeing for AI. We see lots of impact in imaging and certainly a lot of impact in genomics, But what we have with our very unique database is we can absorb any of your omics, meaning your genomics, your microbiome, all of your scans, all of your medical history into a very comprehensive database where you have a digital twin that it populates.

26:10And now we're now for the first time starting to use generative AI on that data set. we believe we've probably compiled the largest asymptomatic data set out there meaning people who don't have any symptoms but have disease and so what we're in the process of doing now using some of the new generative AI tools is actually training our AI on our own proprietary data set because the large language models are great and there's a lot of foundational models but they have to be trained and so the reality is it's our physicians who are functional medicine root cause analysis trained who are helping us to train this ai and where does that lead us what that means in the future is not that doctors are going to be eliminated i don't believe doctors will be eliminated for a while um because the doctors have to number one train the data sets and then people still you know i always i joke with my friends in the u.s and my uh my friends here in the u.s the attorneys are going to keep the physicians in working probably because we We haven't gotten rid of it because there's just too much liability involved in letting the AI provide all your medical care.

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27:18We haven't gotten rid of pilots yet, even though the jumbo jets can pretty much fly themselves. So I'm not so sure we're quite ready to get rid of physicians. But it is very clear that your doctor who is not using AI will be replaced because he's just not going to be able to manage the massive amount of information. But what we get excited is the opportunity when your AI could read your data set and start to make recommendations for you as an individual. The early applications for it that I really like are the ability to take a complicated medical document and then translate it into layman's terms.

27:55And that can be done with AI. So for now, instead of your body being a black box and the doctor giving you essentially what is a Greek manuscript written in medical terms, you can now find out what's going on. inside your own body. So I think that's very important. I think where we really see healthcare going, and I think the ultimate logical progression is healthcare will go to your home at some point fairly quickly, meaning that air quality, water quality, sleep quality, your home will become a wearable, meaning you'll have sensor technology in your home. You won't have to wear an R ring or an Apple watch.

28:28It'll just collect the data. And we have that technology now, and that will really populate your own personal data cloud. And over time, your lifestyle data will be married with your healthcare data. And then you can see the overlap. And now you start to really see, you know what, I slept last night, my cortisol levels are much lower if I slept well. Or you can start to see changes in behavior around dietary and exercise and muscle mass making impact on biomarkers that we know are helpful for you to determine what's going on in your body. So I think moving healthcare from the four walls of the doctor's office and the purvey of only doctors and nurses to giving you enough information about your body that you can start to make real substantive change and be able to track it over time is going to be the real change in healthcare.

29:17And that's where people get excited about getting their data back. Hey, everyone. We're going to take another quick break and hear away from our partners. We'll be right back.

29:29well also it goes back to the conversation we had at the beginning it becomes behaviorally easier if you're getting real-time data as opposed to periodic data when you're not feeling good or or you happen to do your annual or every two-year health checkup which is a snapshot but this as you say you can see what really affects you in real time yeah so you know so we've seen the continuous blood glucose monitors right so up until just recently, matter of fact, now you can buy them at the grocery store. You used to not be able to buy them without a prescription, right? So now they're going to be available for the first time.

30:03But what we know is behavioral change comes when you have a closed feedback loop in a relatively short period of time. That's what people like video games, right? They get immediate feedback, right? And that immediate feedback makes a big difference in behavioral change. But what we can do with the CGM, because we're measuring your blood sugar every 15 at 15 minute intervals or 10 minute intervals, you can see what happens when you had that glass of red wine or you ate that donut. I mean, and all of a sudden now you get immediate feedback, right? So now you start to see the behavioral change start to occur.

30:34And all of that sensor technology is getting cheaper and cheaper and cheaper. It's going to be embedded. Whether you wear, use a, I don't personally believe people are going to do implantables. I know some people say they will. I'm not so sure that most people are ready to have their skin cut open to stick a probe in. But I will tell you that the technology we're seeing right now is going to be much, much easier to access. And what we're working on in several projects now is embedding Fountain Life into residential communities where it becomes paid for through your HOA. And so this becomes like your homeowner's fee actually covers the cost of your preventive services.

31:10And the idea is it's in your home. And once you're in your home, now we can start to help you with nutritional guidelines. We can help you deliver the right food that you may need for your microbiome. We can deliver the right exercise program for you that it fits your genetics. I mean, you may be somebody who's a slow fast or a fast switch muscle fiber person. You might be somebody that is an endurance athlete. You can look at all that with your genetics and optimize the type of exercise program you really need. And really, the biggest thing we have seen in the last couple of years, and we're excited we just started doing this at fountain is measuring your mitochondrial health i was going to ask about both the mitochondrial health and also microbiome which is two areas that are kind of under discussed but seem of crucial importance yeah so actually those are probably the two most uh uh yeah highly under penetrated areas of medicine in terms of knowledge base and but secondarily the ones that have the highest impact.

32:09And one of those, obviously, let's talk about microbiome first. So on average, you have about 40 trillion cells in your body, but you have about 10 times as many bacteria in your gut. And so when you realize that you've got all these commensal bacterias that are living with you, that have been put there evolutionarily and have been part of your evolutionary microbiome for years, it turns out they have an immense impact on your health. And we don't really, up until recently, most people in medicine didn't even acknowledge the existence of the microbiome. But we do know today that it has huge impacts on, you know, not only mental, you know, dementia, heart disease, inflammatory conditions.

32:49I mean, it is not uncommon anymore inside the functional medicine community to have somebody who comes in who's got Crohn's disease. and they can actually be taken off of their Humira or whatever their immunosuppressive drug is and with a protogram to restore normal gut microbiome function can actually be off all of their medications. Okay, so that's not taught in medical school and it's not popular in the pharmaceutical business. But I could tell you going from a$60 ,000 a year drug to a$12 ,000 a year program that keeps you off of a drug that may in the long run cause an increased risk for cancer and all the other complications from those drugs that is a classic case of microbiome but the point is that we can now detect what what is in your gut healthy bacteria versus bad bacteria and we can now start to change that and give you a different program so that you get a healthy gut bacteria it feels like ai ai is going to be a big help there because it's obviously a very complicated space of what's in your gut it is and we work with some of the top people in the field uh one of the friends of the company is a guy named Dr.

33:57Leo Brady, and he's got a company out now called Jonah, which is just getting started. And Jonah's a fantastic AI company that is actually looking at all of your microbiome and how does your diet affect that? And then, you know, this is kind of where we get kind of get back to the basics, right? We get back to, you know, it's interesting, you know, you look at ancient cultures and, you know, what they've done over the years, and you look at turmeric and you look at curcumin and you look at, you know, the high fiber, vegetarian, you know, based diets. The Vedic stuff's been around for thousands of years as preventive medicine.

34:30And the reason it's been around is it works. It works because they've had a lot of years of trial and error. And so I think that helps. But I think what's nice about it is now we're seeing the science catch up to what has been done historically for years. So I think all of that is super important. But the impact between the microbiome and dementia is really, it is a very, very strong association. And by improving somebody's microbiome, you can often improve their cognitive function significantly. And we just don't focus on it. Once again, this is not an area of medicine that we focus on. And so I think that's part of it.

35:08And we measure all of that and treat all that. The second part of this is mitochondrial function. And so mitochondrial function is probably the basis of most disease. We just don't necessarily think about it. So when you think about the mitochondria, which are the power plants of the cell, and when we look at every major chronic disease condition, it involves some form of mitochondrial dysfunction. And particularly when you look at cancer is another form of mitochondrial dysfunction. And so now for the first time, we can kind of measure mitochondrial dysfunction. and you can restore mitochondrial dysfunction.

35:45And so the most common way to do that is with all a lactic acid test. Some people would do a VO2 test to see what your zone two training heart rate is. And now the data is very clear. If you can train at zone two for 50 minutes, three to five times a week, you can actually restore mitochondrial function. And that's where the benefit of exercise comes in. You know, we talk about exercise for cardiovascular health. We talk about it for all of this, But it has an immense effect on every facet of your body, everything from cognitive function to microbiome function to lowering inflammatory levels. But what it does, all of that through mitigating mitochondrial dysfunction.

36:22And so you can improve the number of mitochondria you have per cell. You can improve the quality of the mitochondria you have per cell. and we know that people who even have had cancer and have recovered from cancer when put on an aggressive mitochondrial restoration program don't usually get much of a recurrence at all and Dr. Messier has shown that in her work so I think all of this is understanding what is the root cause for whatever dysfunction you have not giving you a symptom suppressive medication but let's dig a little deeper and find out exactly why you have that condition in the first place yeah and this symptom suppressant medication i mean that is the entire system mainly 90 percent 90 medications are symptom suppressive so so when you look at that and not my not our work but dr eric verdin uh will tell you from the buck institute he will tell you that fda approved medications when you really look that look at them uh they're only really effective at about 25 percent of the population.

37:22And it has to do with how the studies are conducted and who has been eliminated from the studies. And then if you actually look at most of our studies in the U.S., you know, they tend to be in white males. You know, we don't have honors of females in the studies and we don't have a very good representation of minorities in the studies, you know, and, you know, people of color. So, and by the way, the United States is the most genetically heterogeneous planet, country on the planet, maybe with the exception of the UK. So how are we possibly making these, you know, generic recommendations? We know that it just, a lot of this flies in the face of common logic.

37:58And I just would tell you that, you know, as we move forward, and the reason we started the company was to harness this technology to be able to change the trajectory of healthcare. Because if we don't do that, we won't be able to afford or we won't like, I can guarantee you, the decisions we'll be forced to make. Last year in the United States, we spent about$300 billion on memory care facilities alone. Meaning that, and by the way, if you're a male and you're put in memory care, your life expectancy is about 13 months. Wow. Yeah, I'd say, you know, we, first of all, our elderly deserve better, number one.

38:38And number two, we're expecting that number of people needing memory care to increase by fivefold in the next 30 years. And that is because people have dementia because they're living longer. But the reality is we know with brain scans and AI overlays, we can tell you, plus your genetics, we can tell you what your risks are and show you a pathway to hopefully not ever develop that in the first place, even if you have bad genetics. Because genes are not destiny, and everybody thinks they are. But there are a lot of people that, you know, live a full life without ever, you know, they have two bad genes for Alzheimer's.

39:12Yeah, genes are a probability, not a certainty, right? That's absolutely right. And we know this with all the epigenetic modifications that we can see. and you can see this in David Sinclair's work and George Church's work at Harvard, you can modify how gene expression happens. It's this idea of genetic plasticity that we don't really think about very much. But the human body is a very plastic structure in terms of its ability to change. Neuroplasticity, genomic plasticity, biologic plasticity, all of these are things that can be changed, but you just need a different plan. And the current plan that we have in the U.S.

39:46is just wait until you break and then we'll fix you. And we never really fix you. We just patch you until you have another recurrence. So it's a little bit of an arcane situation. What do you think of the kind of movement, the David Sinclair movement and Peter Atir? And there's a whole bunch of people who are approaching this in different ways. And some of them are like, just take preventative anti-inflammation stuff or whatever it may be, whether it's metformin or whether it's NMM or whatever. How do you think about that? Is that an approach or is that a bit of a blunt tool as well, really? I think all of it is relevant.

40:23I think the real question is, you know, and, you know, what we're about at Fountain is giving you the most comprehensive deep dive into your health as you can get. And then figuring out what are the parts of your health that we want to work on? And so we come at this a little differently in that we do a very deep dive baseline. We will determine what's going on, and then we prescribe what you need specifically. There's nothing wrong with metformin, but I will tell you there are some people that cannot tolerate metformin. If you do metformin, it's hard to weight train. It's hard to do cardiovascular exercise.

41:02I mean, there are, once again, that is a, that's a tool that people are using in a mass batch, you know, for the mass population, looking for a, there are 12 hallmarks of aging, 12 pathways of aging that we're aware of. so the the likelihood that we'll find one solution that hits all 12 hallmarks of aging is probably unlikely uh but does it mean that they don't work no i think they probably do in certain percentages of population certainly uh fasting intermittent fasting nothing wrong with intermittent fasting once again how many cultures have been doing fasting for thousands of years Thousands of years.

41:44Not new, right? It rediscovered recently, right? In an era of food abundance, we rediscover these things over and over again. But I think there are lots of opportunities for, and look, I applaud everybody in the field that's looking at all of these pathways because we will get to a point fairly quickly, I think in the next 10 to 15 years where we will have some significant interventions and we've seen some amazing gene writing technologies that are happening at Arbort and out on the West Coast to be able to start to change the trajectory of healthy aging. But what we know today, with what we know today, and these aren't my words, these are Dr.

42:25Verdun's words from the Buck Institute, Eric will tell you, with what we know today, you should be able to make 98 healthy. With what we know today. The problem is, it's not a lack of knowledge, it's just an unequal distribution of that knowledge. What is the current health span as opposed to lifespan, you think? With what we know today, you can have a healthy lifespan in 98. We know that today. What is it currently, the actual health? It's probably closer to, you spend the last decade of your life in decline, essentially. So 70 is your... Probably 70, and then you start to see the gradual decline.

43:01And that's what we do. And what do we do at your doctor's office? We manage that decline. we don't like your doctor's not looking at you saying hey let's optimize your health let's check your microbiome let's get your muscle mass up by the way if we get your muscle mass up you're going to improve your cognitive function you know i mean these things are not taught and so what we do is we tend to give you that symptom suppressive drug and the the problem is it's not the doctor's intent is wrong it's just they've been given the wrong tools or haven't been trained any of the latest tools that are available.

43:32So let's get specific. For somebody coming in to Fountain Life, how does it work? Because I've been meaning to do this myself, so I'm very interested. What's one thing you need to overcome is people are going to come in with fear because they know you guys know what you're doing and you will find anything that's there and it's going to sound scary of it. So how do you first, you know, somebody's looking at this, they're thinking, oh my God, they're going to find they're going to die tomorrow. How do you get over that first hurdle? Very, very common. A lot of people are very concerned. And I understand that.

44:06We understand the trepidation to taking a look. But the reality is I tell people you would rather find out early than find out late. Yeah, of course. So it is intuitively obvious. But what we do is our setting is more like a spa than a medical facility. It's a blend of a medical facility and a spa. It takes about a half a day, five to six hours to go through the entire process. People come in either in the morning or the afternoon. They're usually fasting. We draw all the necessary bloods, and then we start you into the testing process. So we're going to look at your cardiac scan. We're going to do a lung scan on you as well.

44:43We do a combination of imaging, whole body imaging, AI overlays for your brain, your body, body composition. So we're going to do a lot of imaging. We're also going to do baseline DEXA scan, things of that nature. And then we're going to start to work on some blood samples. We're going to look at your genomics blood samples. We're going to look at microbiome. We're going to look at, you know, toxicology. I mean, toxicology is a huge problem right now. And people are unaware because everybody says go eat fish. And so they go eat fish and they eat tuna and they eat swordfish and they find out they have mercury, right?

45:16Or they have arsenic. Or they live near a chemical plant. They're unaware of, right? Geomedicine is a big part of this. Where do you live? What's the water quality in your area? You may not know these things, right? And so we are going to check you for toxicology. Then after we do a baseline of all of those, we're going to do some other cognitive tests on you. We'd like to get a baseline cognitive test on you. We're going to check your grip strength because there's a high correlation with grip strength and longevity. We also do a litany of other tests, olfactory tests. We check you for sleep apnea, which is a huge contributor to heart disease.

45:51There's lots of these things that we're going to do. But more importantly, with our people who have our Apex membership, which is our most common membership, they get a full year of follow up with not a doctor, but a care team. Yeah, because this is not a one off thing. This is it's a membership, right? You're there to be part of something to help you in your journey through life, right? And part of that is also, you know, we really think of this as a it's a lifelong, long life membership. And the goal is to have access to the latest technology as it comes out. under one roof so that you and you can do this on your own and some people do they're biohackers and they go from perdubo to go get a scan here to go get a scan here but then they have all their results and you know if you take your average pernuvo scan which is amazing uh and those guys are doing a great job but if you take that average scan your full body mr and you take it to your average family doctor they really don't know what to do with it right so it's a little bit like taking, you know, a Greek manuscript to an English professor, right?

46:52I mean, you know, I mean, who's not trained in the classics. So I think that's part of the problem because they really don't know what to do with the data. But, you know, our teams are trained and obviously in all of that. And then we're going to look, and then over a course of a couple of weeks, you're going to get a full comprehensive readout of all of your test results. And then a plan on, you know, okay, so first of all, what are your goals? Because we start with what your goals are personally. And once we rule you out for heart disease and cancer, the things you're going to be really concerned about and aneurysm, things of this nature, then it's a question of how do we optimize your health?

47:28What do you want to do? What are your goals personally? And then what can we do to optimize every facet of your life so that you can live as robust a life as you possibly can? And once again, like Peter says, you want to intercept this technology that's coming, which is going to be here, I think, much sooner than most people think in terms of being able to do healthy life extension. Now, that is not going to reverse every bit of bad decisions we've made up until then. But I think for people who take a proactive approach to their health and want a better, deeper dive into their health, they'll be able to intercept this technology that's coming.

48:04And are you finding that people coming in are still predominantly older people? you know somebody like me who's in mid 50s is now starting to think about this or are you starting to get younger people who are starting to think okay actually if i can do this earlier it's going to pay huge dividends yeah so i think there too so once again that's that generational divide i would tell you our average client's 50 uh which is pretty normal makes sense yeah yeah people is as young as 18 okay uh and and as old as you know uh i think the oldest client we've had is 85 and part of that is also the understanding is that it doesn't matter what age you start because of the genetic and the biologic plasticity that you possess you can make a change in as little as six months with almost anything that's going on in your body so I think you can certainly improve a lot of different things certainly muscle mass and things of this nature but I think what we're finding now is as we move a little past the baby boomer generation into the gen x and the millennials they want the data and they want their data right now.

49:05I mean, and that's the important part, the millennials and the Gen Xers, they want their data and they want to know what's going on. And so for them, they don't, they don't really see a downside to doing any of the testing. We, we have, you know, our program's not inexpensive right now, but what we're in the process of doing is working to find ways to democratize access to this. And that's really what we get excited about. And so ongoing, so I've had my test back. I've had the general guidance, Then what happens over the rest of the year or few years? How do I then use the services of this incredible array of technology and doctors and brains and stuff?

49:42So anytime you're once you're a fountain member, you can go to any fountain center for any of the add on testing that you may want to do throughout the course of the year. We're going to continue to do blood testing with you remotely. We're going to continue to send different test kits to you periodically, things that we want to work on. us. And we will continue to tweak your program, you know, depending on what your blood work is showing us and what, you know, our questionnaires that we're going to be sending to you will give us more information. And then, you know, you may be somebody who wants to go in and have one of the more advanced treatments that we have.

50:15You know, one of the big issues right now is plastics and microplastics in the environment. And everybody's concerned about that. And there was just a study that was published in Italy that they found microplastics in the plaque of the arteries of people that they were biopsying right so 57 percent of the people that had actually had microplastics in the plaque in the artery plaque right so so as we know that we've you know pretty much contaminated a lot of the oceans today how do you start to do that well you can actually get rid of that through therapeutic plasma exchange their tpe and that that is a way you know we've been doing plasma donations for years but that is a one way to kind of lower plastic counts in your body.

50:52But there are other things you can do, certainly TPE. There are some regenerative technologies that we offer in our centers where you can have access to some of the latest cellular technology under FDA protocols. And we do this under FDA approved study, where you might get NK cell therapy, which is natural killer cell therapy, or you might get stem cell therapy, depending on what we think you may need. But we do those in a few of our centers. but most of our clients it's a one year every follow-up they come back in they do a download or an upload I said once a year they go the entire process and then almost everything else is done remotely so it doesn't require you to physically be at a center to get your ongoing follow-up and we have people that come in from all over the world so we have a lot of European clients that we continue to consult with remotely for that.

51:41So there's the remote care as well so It's like the Zoom call with the experts and that kind of thing. Absolutely. And if we find something for you, let's say you come through and we find a cancer, we're going to make sure you get to the best treatment. And we have, you know, depending on our four centers, we have one in Dallas, one in New York, one in Naples, Florida here, and then one in Orlando. And we have relationships with some of the top treatment centers so that we'll make sure you get the right care that you need and get expedited. So for the people who, I mean, there's a whole load of people in Real Vision, I'm sure are going to be interesting what you're doing and can afford it, but there's a bunch of people who can't.

52:17So, and you said you're working to democratize that, which is great news. And I know, you know, Peter and Tony have been all, you know, everybody's looking to do this. but what are the basic steps people should just do if you would just get somebody in and said listen forget about the testing everything else right now you know the super stuff these are the things you should do what would you what do you recommend yeah so it's not a shameless plug but i will tell you we're going to launch a digital program uh that will be uh launched sometime next month in a beta pilot in dallas uh with uh invited country clubs there are about 480 000 members and that That involves four times a year blood draw, follow up with functional medicine physicians, follow up with a health coach to kind of get you started to get started.

53:07And then that would give you access if they felt like your next step would be a whole body MRI. And that overall, that one year testing, that membership is going to be about$3 ,000, a little bit more accessible to the average person. But more importantly, if you needed to get that whole body MRI, you could go to a fountain center if you're close by or if you wanted to make the travel. and you could get your heart checked and you could get your whole body MRI or get a grail test. So those are some things that you could do on a la carte fashion. When people ask me all the time, they say, what is the biggest secret to longevity?

53:41You know, number one, that one thing that's been correlated the most of anything else with longevity is actually muscle mass. The higher your muscle mass, that cohort of people with the highest quartile of muscle mass lives the longest and is the most disease free. Because one of the things we have underappreciated, even in the orthopedic community, is how unbelievably regenerative muscle strength training is for your entire body. So people who have early cognitive decline and go into strength training can improve their cognitive function as well. Why in that kind of blues under analysis, the Mediterranean, you know, I lived in Spain for 10 years.

54:17Why? I mean, they don't have muscle mass. Americans generally have more muscle mass from the higher protein diet and they do more gym stuff. I guess a lot of the longevity people probably have stronger muscles because they walk down hills and they walk more, but they're not classically like gym people. Right. So when I say muscle mass, I think you have to look at it as a percentage of overall body composition. Okay. So what it is, is that they have a very high amount of lean muscle mass, not a bodybuilder. I mean, people think, you know, you go in the gym, it's all about bodybuilding. And certainly that component, I wouldn't say it's the bodybuilders, but it's the people with the highest quartile of muscle are the ones that live the longest.

55:00And that means that in order to maintain your muscle, they have to be active. And so they are in those blue zone areas. And I just was whipped in at a meeting recently. And you look at what everything he's done there and what he's analyzed. And first of all, their diet is really super helpful, right? And so it's clean air, clean water, diet, sleep, community, and exercise. And really, when you look at what they eat, it's not heavily predicated toward meat, I would say animal protein, but there are a lot of proteins in plants. And they tend to be fairly heavy on that. Now, I don't know that, you know, they get, they probably get on average about 0.7 grams per pound of lean body weight, which is probably enough.

55:43I don't think you need a gram necessarily. necessarily but i think that that's kind of where they live but i will tell you i think the biggest impact that the blue zones has is because of the heavy plant base of the diet their microbiome is very healthy they have a really super healthy microbiome and so we're kind of back to that original interest area right so i think that that's part of it i think when you live in a western society or a high stress society um you know it's it's very hard to have and adopt that type of a lifestyle always. But if you are in the right location where, and our goal here is to really right size and into, I would say, correct the imbalances in your body.

56:25Because if we can eliminate the toxins and we can eliminate some of these things and get your own innate ability to recover back to baseline, then that's your best chance. I mean, almost all of aging is a fight between inflammation and regeneration. And if we can keep the inflammatory process low enough, the regenerative process will take care of itself usually so outside of building muscle mass what are the other things that people everybody should think about sleep is enormous i think that's the hardest one people just go yeah you should get eight hours sleep no shit sherlock how are you supposed to do that very hard there there is it actually a really good book by dr matt williams and uh it is called why we sleep and we highly recommend it because there are a lot sorry it's called Why We Sleep by Dr.

57:13Williams, Matt Williams. He's a Stanford trained sleep specialist. And it's a fascinating book. It's very easy to read. But there's some things around sleep hygiene that we just don't think about. And one is make sure you're not in a real high EMF level. And so if there are a lot of electrical components around your bed, you know, you need to really get into a quiet zone before you go to sleep. Turn the lights down, all of that. I mean, if you're in an area where you can't really do that. You know, blue blockers, things of that nature will help. The second part of that is, you know, which is harder for some people, is that you really sleep.

57:46Alcohol is terrible for sleep. Try to drink alcohol before you go to sleep. You have a decrement of about 10 % of the quality of your sleep with one drink. So getting rid of alcohol, particularly around the peri-bedtime area. The third part of this is getting the temperature of the room down because you really need the temperature of the room down to be at least about a cent, you'd like it ideally at least one degree below what your body temperature is while you're sleeping at night. And when I say that body temperature, I mean, you want your overall temperature to be much cooler in the room. So you could do that with chili pads.

58:21You can do that with a sleep aid pad, anything to keep the body temperature cooler because that will induce really good sleep. What we know about sleep is that when people sleep and once they get into that deep sleep, particularly that component of their sleep cycle, that's when the brain really rinses itself from toxins. And that's why it's so important. And it's really hard. The other thing is exercise is extremely important. Maybe not right prior to bed, but exercise will also help you in a deeper sleep pattern. There are lots of sleep aids out there. I can't detail them all here, but I would tell you that book is very helpful.

58:57And that's the hardest thing for most people to adopt. But once they get into a good sleep hygiene pattern, it just has so many benefits in the help of recharging the brain and cleaning the brain from debris and improving overall outlook. We think that's extremely important. So final one, what kind of diets should people think about? I know that's a very broad, varied topic, but give somebody some sort of a general directional true north. So do this, you're doing all right. Yeah, generally speaking, you know, we are advocates of a more plant-based diet. I tell people every time, nobody can be a purist.

59:32I mean, we're all not going to be Brian Johnson. Okay, Brian Johnson, he's a testament to human perseverance and the willing to try everything, which I think is great. But most people don't fall in that camp, right? Most people are. And so I tell most of our clients, it's an 80-20 rule. Get about 80 % of it right. Don't stop living, first of all, because if you're miserable, that's a stressor. uh and so you can't do that but i do think it's it's really important uh on diet to number one find out what's your microbiome if you have a healthy microbiome or not and you know get that tested because that's extremely important but generally speaking most humans do better with more plants and less uh less you know red meat protein not that it protein's bad okay you need to make sure you get the right quantity of protein but it's the fiber content in plants it's the phenol content in plants it's all of those components that help feed the healthy microbiome and that's what's important to do but i think a lot of this needs to be very carefully curated with what your microbiome looks like and are you having gut issues if you're having gut issues find out why and restore your healthy gut microbiome and then lots of ways to do that if you're having dietary issues you can do elimination diets there's all kinds of things everybody's different and so we try not to make generic recommendations although it is clear that mostly you know 80 70 percent plant-based diets people probably do better fish preferable over other forms of protein i guess i think fish is great i think i think on balance that is definitely true uh and i think you know if you can get your protein sources from plant-based as well that's that's great as well bill this has been fascinating i'm definitely coming in i just need to find some time to come to Naples, but I'm definitely coming.

1:01:21Let me know if you want to come to Naples or Orlando or whatever, Dallas. Just let me know. Call, just call me and send me a note. I'm happy to. Yeah, I'll definitely, I just need to book it and then I'll come. That'd be great. I look forward to having you. Fantastic. I really appreciate your time and I'm sure we'll get you back at some point because I know people are going to be fascinated by this. It's like, it's like the hottest topic in the world for many people now and rightly so after so long. Absolutely. No, I really appreciate it. Thank you for the opportunity to speak in and I'm happy to come back anytime.

1:01:49There's lots of other things we can talk about too that are really exciting that are on the horizon. Fabulous. All right, Bill, thanks so much. All right. Thanks, Rob. Take care. Okay. So there was a lot in that and you can see how fast things are moving. You can see the scale of the problem of healthcare and how it's just suppressing symptoms. It's not really solving why we get ill or why we age or why we end up with chronic diseases. But the technology is now available and the people are there and these clinics are being built and there are others like it. And I think it's a really, really interesting area for all of us to explore, to read up on and experiment with.

1:02:33It's all about unfucking your future in the way that probably matters the most. Now, the costs aren't for everybody, but there were some pointers there as well of how you can think about living your life and the simple life hacks that might make a huge difference to your health span. Now, if you are interested in unfucking your future, which I think every single person watching this should be, and everybody is, because we want to deliver that future vision of ourselves, then obviously we've been running this two weeks on Real Vision about how to unfuck your future, where we go through all the big problems, whether it's the health problems, but also the solutions, or whether it's the central banks have got us into and how to solve for that.

1:03:16We are very cognizant of the problems that face us, but we're also optimists that there is solutions for all of us, and they're not that difficult to do. We just need to be aware of them. So on Friday the 22nd of March, so by the time this video comes out, it will have just come out, we're just coming out the following day, we're actually running a workshop as part of real vision plus and you can sign up for a one dollar trial membership for it and it's actually a workshop to culminate everything we've done during the house for unfuck your future two weeks and i think there's four major sessions one is for young people how to think about planning financial planning for your life how to think about you know buying a house saving investing all of those things i think that's going to be super fascinating.

1:04:06We're also going to have a discussion on people who are going to retire or who have retired, how to think things through in an intelligent way that makes sense to give you the highest chance of not running out of money, which is obviously everybody's biggest fear. We've also got two panels on investing where we think the key trends, the secular trends that I've identified are obviously technology. We're looking at how options can help you in some of that. And we've got the Najarian brothers joining, who are two good friends of mine. They'll be joining Imran to talk about options and how you can use options to enhance your portfolio.

1:04:44Also on the portfolio side, we've got Jamie Coots to talk about how to invest in crypto. Because I know many of you don't really know how to or want to know more. Well, Jamie's going to help you on that. So that's an incredible workshop, four whole panels, lots to get out of it you can ask questions get involved there'll be discussion forums afterwards so that's um uh just realvision.com it's it's signing up for the um for realvision plus and there's the uh there's the one dollar membership so i think it's realvision.com forward slash future anyway the link's below uh sign up for that it will change your life be the best dollar you'll ever spend in your entire life anyway see you next time all of us together are living through the death of an old world and the birth of a new one.

1:05:31This is a fourth turning, but this is not the fourth turning of demographics or politics. This is the birth of the new technological age. This new world has a world of 3D printed rockets, crypto payments in space, discussions on the rights for humanoid robots, machine intelligence that may outperform our own, simulated worlds where autonomous AI agents write code for other autonomous AI agents. It's a world full of opportunity and full of difficulty too. You see, we are living history and it's happening much, much faster than any of us can comprehend. This is Reed's law, Metcalfe's law squared.

1:06:13Humanity has never gone through anything like this. But we have to comprehend and understand what is happening. It is into this world that The Exponentialist is born. The Exponentialist is a new service from me, Raoul Pal, and David Matin, author of New World, Same Humans. It's an almanac of the fastest period of change ever witnessed in the human history. A period of excitement, exhilaration, difficulty and terror. And The Exponentialist really is for humans first and investors second. Yes, the opportunities are enormous all round. To find out more and get our special launch pricing, go to realvision.com forward slash the future.

From the publisher

🔥 Sign up at www.realvision.com/krakenpro
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Real Vision co-founder and CEO Raoul Pal welcomes Dr. Bill Kapp, co-founder and CEO of Fountain Life, to explore the intersection of health and emerging technology. Expect to learn the importance of preventative health, the present and future innovations in medical science, and lifestyle changes you can make to improve your health markers and increase your lifespan.
Real Vision members can get exclusive discounts on Raoul’s co-created research service, the Exponentialist, here: www.realvision.com/exponentialist and his business cycle tool, the Macro Investing Tool, here: www.realvision.com/mit
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