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Episode
How I Became The World's Healthiest Human | Bryan Johnson Podcast
~63 min
Episode Brief·YouTube

How I Became The World's Healthiest Human | Bryan Johnson Podcast

Bryan Johnson
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Brian Johnson publicly shares 60+ biomarkers including an epigenetic pace of aging of 0.54 (aging at half speed), telomere length equivalent to a 10-year-old, and sperm quality of a 20-year-old, claiming to have the best comprehensive biomarkers in the world.

2

A detailed gum rejuvenation protocol using Emdogain (porcine growth factors), PRP, and a dental superglue reversed his severe gum disease to teenage-level health.

3

Despite being plant-based (plus collagen) and in caloric restriction, his high testosterone and normal LH/FSH debunked a carnivore advocate’s claim that such levels are impossible.

4

He begins a novel self-experiment cooling his testicles during sauna to isolate the impact of heat on sperm, using frequent semen testing.

Protocols

Concrete recipes — what, when, how much, and why

7 items

comprehensive-biomarker-baseline

WhatMeasure 60+ biomarkers across all body systems—epigenetic pace of aging (PACE), telomere length (Spectracell), full blood panel (inflammation, hormones, lipids, nutrients), oral health (pocket depth/attachment loss), bone density, cardiovascular fitness, sleep metrics, nerve sensitivity, 3D facial imaging—to create an exhaustive health baseline.
WhenAt least annually; Brian performed an initial massive mapping and now does blood draws every few months.
DoseOngoing; frequency depends on the marker (bloodwork quarterly, epigenetic testing every few months, DEXA annually, etc.).
For whomAnyone willing to invest in high-resolution health tracking; especially those with unexplained symptoms or performance goals.
WhyTo eliminate subjectivity and detect hidden dysfunctions by quantifying every organ system, enabling data-driven protocol adjustments and true whole-body optimization.
CaveatsVery expensive and time-consuming; requires access to specialized labs; not a substitute for medical guidance.

Brian argues that standard health assessments rely on single-tissue or subjective metrics, missing the interplay between systems. By measuring everything, pitfalls become visible: e.g., rapamycin (Rapatha) lowered LDL but raised resting heart rate and reduced HRV, providing a net-negative signal. He uses multiple markers per domain (CRP, TNF-alpha, IL-6 for inflammation) so that 'disease and lack of health has nowhere to hide.' He claims that most people have wild swings—some good, some very bad markers—but achieving uniform optimality across hundreds of metrics is extraordinarily difficult and proves systemic coherence.

Personal experience

He started from a heavily damaged health state and built up to top-tier bone density, sperm count, and epigenetic pace of aging by following this measurement-first method.

We did every single measurement we could find that would give us any kind of insight in terms of the biological age of various things... I became the most measured person in human history.

sperm-health-optimization-and-testing

WhatGet a semen analysis every 90 days (or at least a solid baseline) measuring count, motility, morphology, and DNA fragmentation; use at-home test kits (~$200–300) that also offer sperm freezing for IVF.
WhenStart with a baseline; repeat before and after any significant intervention (sauna, diet change, supplement).
DoseFrequency depends on goals; Brian did six tests within 90 days to establish a robust baseline and now continues regular tracking.
For whomMen interested in fertility, tracking overall health, or longevity.
WhySperm quality is a downstream composite of hormonal balance, mitochondrial function, and inflammation—a single window into whole-body health and fertility.
CaveatsResults can be temporarily skewed by illness, heat, or stress; consistent collection conditions needed.

Against the backdrop of a 50% global sperm decline since 1973, Brian's metrics (165M vs avg 80M; 43% vs 35% motility; 8% vs <5% normal forms) show the trend can be reversed. He attributes his numbers to broad-spectrum protocol adherence, not a single magic pill. With high-frequency testing, he now runs experiments like testicular cooling vs. heat to quantify cause-effect. The data from 2023–2025 show massive improvements: concentration +147%, total motile count +32.5%, normal morphology +233%.

Mechanism

Sperm count is driven by FSH, LH, and testosterone; motility is a direct readout of mitochondrial energy production; DNA fragmentation reflects oxidative stress and inflammatory load. Because spermatogenesis takes ~90 days, the metric provides a longer-horizon view than acute blood biomarkers.

Personal experience

Brian had only 2–3 historical measurements; now he does frequent testing to map intervention impacts. He saw large gains over two years, reflecting cumulative protocol improvements.

We said, 'All right, we're going to get a robust data set.' So over a 90-day period of time, we did six measurements.

testicular-cooling-during-heat-exposure

WhatApply a cooling pad or 'ice diaper' to the scrotum during sauna sessions; alternate 2 weeks with cooling and 2 weeks without, while measuring sperm parameters.
WhenDuring every sauna session in the cooling-on phase.
Dose2 weeks on / 2 weeks off, then analyze sperm; full protocol still being refined.
For whomMen who regularly use sauna, hot baths, or work in hot environments and want to protect sperm quality.
WhyHeat stress from sauna can impair spermatogenesis; cooling may preserve fertility while retaining sauna’s cardiovascular benefits.
CaveatsCooling method is improvised and may be uncomfortable; long-term efficacy unknown; proper gear not yet standardized.

This is a self-experiment leveraging Brian’s new high-frequency sperm testing. He acknowledges the current setup is pieced together with household cooling pads and seeks a systematic product. The alternating design aims to isolate the heat variable. The broader context is that modern thermal exposures (laptops, tight underwear, saunas) are suspected contributors to sperm decline, and this trial will provide personal data.

Personal experience

Brian: 'I'm wearing an ice diaper. Not really, but like kind of a testicular blushing... I'm doing testicular cooling.'

We're doing icing for the first two weeks... and then we'll go off two weeks and we'll make measurements and see what happens.

oral-gum-rejuvenation

WhatFor periodontal attachment loss and deep pockets, inject Emdogain (enamel matrix derivative) mixed with platelet-rich plasma (PRP) into the gums, then apply a dental cyanoacrylate superglue to fix the gums to teeth. Repeat sessions as needed.
WhenWhen periodontal probing reveals pocket depths ≥4 mm and attachment loss.
DoseBrian underwent three sessions; schedule depends on severity and healing response.
For whomPeople with gum recession or moderate periodontal disease unresponsive to standard hygiene and scaling/root planing.
WhyEmdogain stimulates regeneration of periodontal ligament, cementum, and bone; PRP provides additional growth factors; the superglue physically stabilizes the gum flap for reattachment.
CaveatsProcedures are uncomfortable; require a dentist experienced in biologic periodontal therapy; Emdogain is porcine-derived; long-term outcomes data are still evolving.

Brian's gum health was compromised by high childhood sugar intake and years of bruxism. Initial measurements showed pockets of 4–5 mm (healthy is ≤2). After three sessions, all pockets dropped to ≤2 mm, and his dentist said his gum health exceeded that of teenagers—no bleeding despite aggressive probing. This therapy exemplifies the Blueprint approach: treat an organ system as objectively as orthopedics, measure precisely, and intervene aggressively with available regenerative tools.

Mechanism

Emdogain contains amelogenin proteins that mimic natural tooth development signals, recruiting stem cells to rebuild lost attachment. PRP releases platelet-derived growth factors that enhance healing. The cyanoacrylate adhesive provides a stable scaffold, eliminating micromotion that disrupts reattachment.

Personal experience

Brian describes the therapy as 'not fun' and 'a lot of work' but extremely effective. He also uses a SomnoDent night guard to prevent further grinding damage.

We super glued my gums to my teeth and that worked. It took all of my four millimeter pockets and moved them all to two.

Also said
“My dentist said like you legit have better gum health than the teenagers I see.”— Highlights the dramatic, clinically meaningful outcome.

n-acetylcysteine-cycling-with-hbot

WhatTake NAC (N-acetylcysteine) as a regular supplement, but pause it when using hyperbaric oxygen therapy (HBOT) to avoid blunting hormetic oxidative stress signaling that upregulates endogenous glutathione production.
WhenWhenever undergoing HBOT sessions; consider cycling off NAC for the duration and monitoring glutathione.
DoseBrian had been taking NAC daily and stopped during HBOT; duration of cycling not specified, but likely stop for the HBOT period and a short time after.
For whomPeople combining antioxidant supplements with hormetic stress therapies (HBOT, exercise, cold exposure) who want to maximize endogenous adaptation.
WhyNAC is a precursor to glutathione and may quench the reactive oxygen species (ROS) that HBOT generates; that ROS signal is what triggers the body to upregulate its own antioxidant defenses (hormesis). Removing NAC during HBOT may enhance the adaptive response.
CaveatsGlutathione levels can drop temporarily when stopping NAC, as seen with Brian’s lowest reading of 105 µg/mL (vs. his average 210); this dip is expected but should be monitored to ensure it rebounds.

Brian and Mike suspected NAC might be blunting HBOT benefits, so they discontinued it. The subsequent low glutathione value was not alarming but confirmed that NAC had been significantly propping up levels. Since the goal is to train the body’s own systems, the temporary dip is acceptable as part of the hormetic cycle. This demonstrates the importance of measuring specific biomarkers and not blindly taking supplements alongside therapies.

Mechanism

HBOT induces a controlled burst of oxidative stress, which activates Nrf2 and other pathways that boost endogenous antioxidant enzymes (superoxide dismutase, glutathione peroxidase) and glutathione synthesis. Supplementing with direct antioxidants like NAC may dampen this signal, leading to a weaker hormetic upregulation. Cycling allows the stress signal to reach its full intensity.

Personal experience

Brian: 'We realized we were doing HBO and NAC and then we realized the NAC may be blunting something. So we discontinued it and then we got this result back.'

We stop doing the NAC because we were worried it may blunt some of the effects of HBOT.

Also said
“You use up glutathione with HBOT and it actually the HBOT likely upregulates the production of glutathione.”— Explains the expected hormetic mechanism.

ldl-management-with-rapatha-and-zetia

WhatUse Repatha (evolocumab, a PCSK9 inhibitor) and Zetia (ezetimibe) in combination to drive LDL and ApoB very low, targeting an ApoB around 50 mg/dL to halt atherosclerosis progression.
WhenWhen cardiovascular risk is present or as part of aggressive lipid optimization; under physician supervision.
DosePrescription dosing; Brian was on both simultaneously and later reduced intensity because they overshot (ApoB temporarily too low).
For whomHigh-risk individuals or longevity enthusiasts seeking maximal plaque stabilization, always under medical guidance.
WhyApoB ≤50 mg/dL is the threshold below which progression of atherosclerosis essentially stops in large clinical trials.
CaveatsCan cause LDL/ApoB to go too low; long-term very low levels lack safety data. Prescription only; not for self-experimentation without a doctor.

Brian’s latest ApoB was 52, considered solid and within the optimal range. They acknowledged a recent overshoot (when both drugs were combined initially) and adjusted down. The lipid discussion is brief but fits within the overarching biomarker optimization narrative.

Mechanism

Repatha inhibits PCSK9, increasing LDL receptor recycling on hepatocytes and clearing LDL from blood; Zetia blocks cholesterol absorption in the gut. Together they dramatically reduce circulating atherogenic particles.

Personal experience

Brian: 'We may have overshot LDL a little bit. It's too low.'

You don't necessarily want to be below about 50 for apo. That's what the studies have shown like is the floor for like no cardiovascular disease progression.

vitamin-d-monitoring-amidst-hbot

WhatMonitor vitamin D levels closely when starting HBOT; if levels spike excessively ( >100 ng/mL), reduce or stop supplementation.
WhenBefore, during, and after HBOT sessions; adjust based on lab values.
DoseBrian stopped his 5,000 IU/day after reaching 134 ng/mL; retest after a few months.
For whomThose taking vitamin D supplements and undergoing therapies that could alter gut function/absorption.
WhyHBOT may dramatically improve vitamin D absorption through microbiome healing; excess vitamin D poses hypercalcemia risk.
CaveatsVitamin D is fat-soluble and takes months to decline; monitor serum calcium and vitamin D regularly to avoid toxicity.

Brian’s long-standing low vitamin D suggested malabsorption, possibly due to an impaired gut. After HBOT, his levels surged to 134 ng/mL, nearly three times his previous baseline. The leading hypothesis is HBOT improved gut barrier integrity and microbiome composition, unlocking nutrient uptake. This changed his supplement requirement overnight, illustrating that interventions can radically alter the therapeutic window of otherwise stable supplements.

Personal experience

Brian: 'I've been hovering around like 40–50 range for the past couple years... it shot up to 134.'

We have a working hypothesis that HBOT so dramatically improved my microbiome that it could dramatically have improved my ability to absorb vitamin D.

What's new

Personal practice updates, fresh positions, predictions

6 items

full-biomarker-transparency

mid-episode

Brian posted 60+ biomarkers with raw lab reports and internal commentary, declaring himself the healthiest human and inviting a public competition for best biomarkers.

Why this matters: Establishes a quantified, transparent ranking of health that has never existed before, turning subjective health into a measurable game.

Background

Previously, health status was esoteric; no unified, public comparison of comprehensive biomarkers existed.

Brian spent years measuring every possible biological marker—from bloodwork to nerve sensitivity to 3D facial imaging—creating what he calls the most measured human dataset ever. He argues that by optimizing across hundreds of markers simultaneously, he achieved whole-body harmony where others typically have extreme highs and lows. The data drop aims to prove it's possible to have no weak spots and to inspire others to compete. He believes this creates a new avenue for status and power in society: quantified health. The post includes not just numbers but team commentary on hypotheses and areas for improvement, making the process fully transparent.

Personal experience

Brian came from a decade of poor entrepreneurial health, rebuilt his markers through systematic measurement and protocol tweaking, and now shows even oral health better than teenagers.

I have the best biomarkers of anybody in the world, not just a 47-year-old but literally better than anybody in the world.

Also said
“We've never had a ranking of who is the healthiest person in the world or who has the best biomarkers in the world.”— Highlights the novelty of the quantified health game.
“If someone else came out and posted as much data and proved that they had better biomarkers that would be such a win for the community.”— Invites competition, reinforcing the transparency ethos.

sperm-as-whole-body-marker

early

Sperm health is presented as a composite indicator of overall hormonal, mitochondrial, and inflammatory status, with Brian's metrics (165M count, 43% motility, 8% normal morphology) far exceeding his age average and matching a 20-year-old.

Why this matters: Breaks the taboo around sperm health and reframes it as a powerful, integrative health metric, not just a fertility concern.

Background

Global sperm counts have halved since 1973; the average 45-year-old has 80 million sperm, 35% motility, and less than 5% normal morphology.

Mike explains that sperm count correlates with cardiovascular disease risk and hormonal burden (FSH, LH, testosterone); motility reflects mitochondrial function; DNA fragmentation indicates oxidative stress and inflammation. Brian’s 90-day campaign (six samples) demonstrated consistently excellent sperm quality, consistent with his top-tier bone density and low inflammation markers. He argues that sperm can't be optimal if the rest of the body is malfunctioning—it's a lagging indicator of whole-system health. Past data was sparse, but now with frequent testing, he’ll map real-time effects of sauna, cooling, and other interventions. Importantly, he saw huge improvements from 2023-2025: concentration +147%, motility +32.5%, normal morphology +233%.

Personal experience

Brian improvised a testicular cooling setup with cooling pads and an 'ice diaper' for sauna use, planning two weeks on, two weeks off to measure effects on sperm.

My sperm health is really good... it is a product of the whole body. So if your body is not doing well in other areas, your sperm health is not going to be doing well.

Also said
“Motility is directly related to how well your mitochondria function.”— Connects vitality to cellular energy systems.

testicular-cooling-experiment

early

Brian will use a makeshift testicular cooling diaper/pads during sauna for two weeks, then stop for two weeks, measuring sperm quality to isolate the effect of heat exposure.

Why this matters: An unconventional, self-experimental protocol that tackles a known sperm hazard (heat) with a simple, improvised intervention.

Background

Sauna, laptop use, and tight underwear increase scrotal temperature and are suspected contributors to sperm decline.

Brian’s team only recently began frequent sperm testing and now has an opportunity to observe real-time causal relationships. The cooling protocol is still crude—he’s pieced together cooling items from around the house and is seeking a systematic solution. The alternating design will allow them to compare cooled vs. uncooled periods and quantify the heat effect. This embodies the Blueprint philosophy: measure everything, tweak one variable, remeasure, and let the data guide decisions.

Personal experience

Brian: 'I'm doing testicular cooling... I've pieced this thing together with various cooling pads... I need to legit solve it through some kind of systematic process.'

We just started sauna and so now we get to see the real-time impact of sauna on sperm, whether you either you cool the testicles during sauna or whether you let them heat up.

oral-rejuvenation-with-prp-and-emdogain

mid-episode

Brian reversed severe gum attachment loss and pocket depths from scores of 4–5 down to ~2 (teenage level) using injections of Emdogain (porcine growth factors) mixed with PRP, followed by a dental cyanoacrylate superglue.

Why this matters: A highly specific, multi-session therapy that biologically regressed his oral age by 15–20 years, outperforming teenagers.

Background

His gums had deteriorated due to childhood sugar intake and years of untreated bruxism, with measured pockets up to 4–5 mm and attachment loss.

Brian’s dentist measured pocket depths and attachment loss across all teeth, finding several 4s and 5s when optimal is ≤2. They applied Emdogain (enamel matrix derivative, promotes regrowth of cementum, ligament, and bone) mixed with his own platelet-rich plasma (concentrated growth factors). Then a biocompatible superglue was used to physically secure the gums to the teeth, allowing healing. After three uncomfortable sessions, all pockets dropped to ≤2 mm, and the dentist reported gums that wouldn’t bleed even with aggressive probing. This is presented as proof that aging of any organ, including gums, can be reversed with precise, data-driven interventions.

Personal experience

He describes the therapy as 'not fun' but remarkably effective. He also wears a SomnoDent night guard to prevent further grinding.

My dentist said like you legit have better gum health than the teenagers I see. Like I cannot get your gums to bleed no matter how hard I try.

Also said
“That took all of my four millimeter pockets and moved them all to two.”— Quantifies the dramatic improvement.

plant-based-high-testosterone

late

Brian achieved high natural testosterone on a plant-based diet (plus collagen) with caloric restriction, confirmed by normal LH and FSH levels, stunning a carnivore advocate who claimed it was impossible.

Why this matters: Challenges a common ideological belief that plant-based diets and calorie restriction inherently suppress testosterone to suboptimal levels.

Background

A prominent carnivore influencer publicly accused Brian of lying and being on testosterone replacement therapy.

Brian showed his lab reports live, demonstrating high testosterone with normal luteinizing hormone (LH) and follicle-stimulating hormone (FSH). In TRT, these pituitary hormones would be suppressed, which was not the case. The advocate admitted he had never seen this before. Brian attributes this to his whole-body optimization—no single food ideology dictates results; comprehensive biomarker tracking and protocol adjustments can produce outcomes that defy dietary dogma. He clarifies his diet is plant-based plus collagen peptides, so not strictly vegan.

Personal experience

Brian: 'I showed him my markers real time for my lab report. I'm like, "Here's my LH and FSH levels. If those two are normal, it's evidence that my testosterone levels are in fact natural."'

He said you would be the first person I've ever seen achieve this... And he was stunned like he had never seen it before.

Also said
“My LH and FSH levels. If those two are normal, it's evidence that my testosterone levels are in fact natural.”— Explains the biomarker logic that debunked the accusation.

vitamin-d-spike-from-hbot

late

After starting hyperbaric oxygen therapy (HBOT), Brian's chronically low vitamin D (40–50 ng/mL) unexpectedly shot up to 134 ng/mL despite consistent supplementation, leading to the hypothesis that HBOT dramatically improved his gut microbiome and nutrient absorption.

Why this matters: Implicates HBOT in a novel, strong positive effect on vitamin D absorption, a previously undescribed phenomenon.

Background

He had been stuck at vitamin D levels around 40–50 for years, even taking 5,000 IU daily, suggesting poor absorption.

Brian’s vitamin D rose incrementally with each blood draw during the HBOT period. The working hypothesis is that HBOT healed his intestinal lining or favorably altered his gut microbiome, unlocking absorption capacity. Because vitamin D is fat-soluble, levels will take months to drop after stopping supplementation. This illustrates a core Blueprint principle: an intervention can change how the body handles another supplement, making continuous monitoring essential to avoid toxicity. They halted the vitamin D to bring levels back below 100.

Personal experience

Brian: 'In trying to piece this together, we have a working hypothesis that HBOT so dramatically improved my microbiome that it could dramatically have improved my ability to absorb vitamin D.'

It shot up to 134... over 100 is getting to be excessively high. We don't want to maintain 134. So we're bringing it down now.

Also said
“The rise in my vitamin D exactly is in the same time frame as HBOT therapy incrementally going up over the blood draws we did.”— Adds temporal correlation supporting the hypothesis.

Recommendations

Products, supplements, and tools mentioned in the episode

4 items

PACE Epigenetic Aging Test

Tool

Brian uses the PACE pan-tissue epigenetic clock as his primary aging speed biomarker, citing its strong clinical validation. He achieved a best three-test average of 0.54 (aging at half chronological speed), ranking first among known users.

PACE measures DNA methylation patterns to calculate a rate of aging. Brian values it because it is tissue-agnostic and has accumulated the most clinical validation among epigenetic clocks. He uses it alongside telomere length and other aging biomarkers to avoid putting all faith in one metric. Making his results public is part of his campaign to turn health into a measurable competition.

vs alternatives

Compared to older epigenetic clocks (Horvath, PhenoAge), PACE is presented as more clinically validated across multiple tissues and outcomes.

Personal experience

Brian: 'My best three test average is 0.54. This is number one in the world.'

This is now one of the most clinically validated markers of aging and this particular one we use this PACE is the most clinically validated pan tissue epigenetic test.

Find PACE

SpectraCell Telomere Length Testing

Service

Brian used SpectraCell to measure telomere length; his result was age-equivalent to a 10–15 year old, with telomerase activity comparable to a 12-year-old, based on their 15,000-sample database.

My telomere length... is age equivalent to like a 10 to 15 year old. This is based upon a data set of 15,000 samples from SpectraCell.

Find SpectraCell

Collagen Peptides

Supplement

Brian adds collagen peptides to his otherwise plant-based diet, making an exception for connective tissue support.

He clarifies this to pre-empt criticism that his high testosterone is impossible on a strict vegan diet; his diet is plant-based plus collagen peptides, an animal-derived supplement. This nuance is important in the carnivore vs. plant-based debates.

I'm plant-based plus collagen peptides.

Find Collagen

Regular Sperm Testing (At-Home Kits)

Practice

Multiple companies offer at-home sperm analysis kits for $200–300 that can also freeze sperm for IVF. Brian recommends men get tested.

People can get tested and I think the test we have several companies offer this test and it's like $2 or $300 and these companies even will even freeze your sperm for you if you want to save it for IVF.

Find Regular
Disclosed sponsorships1speaker disclosed

Don't Die Food Guide

Book Sponsored · disclosed

A dietary guide recommending avoidance of sugars, fried foods, etc., as a starting point for healthy eating.

DisclosureCreated by Bryan Johnson's Blueprint

Brian points to this guide in response to the diet wars, acknowledging that everyone has food addictions and the hardest step is limiting harmful foods. The guide serves as a simple foundation for the nutrition component of his protocol.

vs alternatives

Unlike restrictive ideological diets (e.g., carnivore), this is a flexible, plant-based framework focused on eliminating obvious harms.

We point people to the don't die food guide. Generally you want to avoid sugars, fried foods, that kind of stuff.

Find Don't

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

5 items
I have the best biomarkers of anybody in the world, not just a 47-year-old but literally better than anybody in the world.
Bold, central claim that defines the episode’s provocative stance.
I became the most measured person in human history. There's no human ever to exist that has more biological age measurements done than me.
Highlights the unprecedented scope of his self-tracking, supporting his credibility claims.
My dentist said like you legit have better gum health than the teenagers I see. Like I cannot get your gums to bleed no matter how hard I try.
Striking, specific outcome of the oral rejuvenation therapy that illustrates regenerative potential.
I legitimately think it could be the case that out of 8 billion people I have the best comprehensive biomarkers in the world at age 47.
Reiterates and expands the claim with a planetary frame, emphasizing the novelty of quantifiable health ranking.
If someone else came out and posted as much data and proved that they had better biomarkers that would be such a win for the community.
Invites open competition and reframes personal data sharing as a collective advancement tool.

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Topics covered

sperm-healthbiomarkersepigenetic-agingtelomeresoral-healthgum-rejuvenationtestosteroneplant-based-dietcaloric-restrictioninflammationcardiovascular-fitnessbone-densityhbotnacrapamycincholesterolvitamin-dmeasurement-philosophyfood-guidebruxism
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