
Why Self-Care Has Become The Most Important Form Of Healthcare – And What You Can Do To Improve It
In his recently published (and very good) book Super Agers: An Evidence-Based Approach to Longevity, Dr. Eric Topol emphasizes that extending healthspan—the period of life spent free from major diseases—is far more about lifestyle choices than genetics. His recommendations, grounded in decades of research on individuals who thrive into their 80s and beyond, focus on practical, evidence-based strategies.
In addition to the health-related benefits of proper self-care, there are growing financial benefits. As healthcare related to chronic conditions (including heart disease, diabetes, obesity, cancer, and neurogenerative diseases such as Alzheimer's) becomes increasingly expensive, and as more of the costs of healthcare are being passed onto insured consumers in the form of increased deductibles, co-payments, and coverage limitations, and as more individuals are uninsured, avoidance of expensive healthcare conditions and procedures has become essential to financial security.
It's NOT All in Your Genes
For much of my generally healthy life, I have been hearing that 'you can't beat your genes.' I have always been skeptical of this notion, not due to any hard evidence to the contrary, but because of an instinctive sense based on observation that it must be an oversimplification, and because of a stubborn refusal to accept such a fatalistic approach in my own life and those of friends and family members. Fortunately, there is growing evidence to suggest that my instinct has been correct, including one study highlighted in Dr. Topol's book.
Two decades ago, a California research team he led sequenced the genomes of 1,400 adults aged 80 or older without any major illness. The researchers expected to find genetic differences between this cohort (which they called the 'Wellderly') and the majority of older adults who have at least two chronic conditions (which they called the 'Illderly').
However, the Wellderly study found almost no difference between the biological makeup of the two groups. What they did find was that Wellderly members were more physically active, more social, and typically better educated than the general public. That genes don't necessarily determine healthy aging is 'liberating,' and suggests that 'we can all do better' to delay disease, says Topol.
In his book, Dr. Topol cites many examples of Super Agers whose parents died in their 50s from chronic conditions. Yet, these people are going strong in their 80s and 90s, and he believes that lifestyle has a much greater impact on health and longevity than genetics. While genetics may set the 'upper limit' for human lifespan—generally 90–100 years—he believes that lifestyle choices largely determine how close individuals come to reaching that potential without significant limitations.
Dr. Topol and a growing number of other experts estimate that 80–90% of heart disease, 40–50% of cancers, and nearly half of Alzheimer's cases are delayable or preventable through lifestyle factors such as exercise, diet, sleep, and social connection. Genetics may account for only 10–20% of overall health outcomes and lifespan, with lifestyle accounting for the remaining 80–90%.
Evidence-Based Self-Care
If you accept this premise, the next question is, 'What kind of self-care will extend my healthspan that is supported by evidence-based research?' There is no shortage of unsupported recommendations. One of the reasons I admire Dr. Topol's approach is that he sticks to what is supported by research and cites the research being cited. As background, he is a cardiologist, founder of the Scripps Research Translational Institute, and a molecular scientist who has published 1,300 articles and multiple books.
Following is a summary of what Dr. Topol has to say about what he calls 'Lifestyle+.' However, I highly recommend that you read the chapter in his book on this subject, as it contains many actionable insights that are beyond the scope of this article, including summaries of the evidence supporting some healthspan-promoting practices and casting doubt on the efficacy of others.
1. Exercise as the Cornerstone
2. Mediterranean Diet
3. Sleep Quality and Duration
4. Social Connection and Cognitive Engagement
5. Avoiding Unproven Longevity Hacks
Measuring Your Risk
Dr. Topol recommends a personalized and dynamic approach to health risk evaluation, including but also moving beyond traditional population-based screening and annual tests. His logic is based on the fact that many potentially debilitating diseases develop over decades, and that understanding one's vulnerability to one or more of them well in advance can facilitate interventions to prevent or delay the onset of symptoms. His key recommendations include:
1. Longitudinal Tracking of Lab Tests
2. Emerging Blood-Based Screening
3. Genomic and Polygenic Risk Scores
4. Brain Health and Alzheimer's Disease
5. AI and Digital Tools
6. Avoiding Unnecessary Full-Body Scans
7. Reservations about Aging Clocks
Recommended for a Reason
I rarely endorse a single work as I am with Super Agers, but as it has become increasingly clear that we must take more responsibility for our own health care—for both healthy aging and financial security—it has become equally difficult to find trusted sources of information about how best to do this among the torrent of possibilities that are not evidence-based (e.g., more than 60,000 diet books are sold on Amazon).
With that said, the combination of rapid advances in life science and information technology, including polygenic risk scoring, genome sequencing, imaging, and multimodal AI, is accelerating the pace of change and identifying new opportunities to increase healthspan that would have been unthinkable just a few years ago.
So, there is no healthspan 'handbook' available today that will be completely relevant tomorrow. Our ongoing challenge will be to sort through the many possible breakthroughs to identify the few that are truly supported by evidence. There are 326 research citations in Dr. Topol's nearly 100-page bibliography in Super Agers, which is the kind of scientific rigor we need to guide us today and hope to have at our fingertips tomorrow.
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Presentation details Title: Protein misfolding-specific epitope identification for passive and active immunotherapy of neurodegenerative diseases Presenter: Neil Cashman, M.D., Chief Scientific Officer and Co-founder, ProMIS Neurosciences Session: Featured Research Session: Advancing Translational Success by Enhancing Predictive Validity in Neurodegenerative Diseases, Thursday, July 31, 2025: 10:00am – 11:30am Eastern Time Abstract Number: 98670 Title: PRECISE-AD, A Phase 1b, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study of the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of PMN310 in Patients with Early Alzheimer's Disease Presenter: Larry Altstiel, M.D., Ph.D., Chief Medical Officer, ProMIS Neurosciences Session: In Person Poster: Drug Development: Human, Wednesday, July 30, 2025: 7:30am – 4:15pm Eastern Time Poster Number: 103159 Title: Leveraging recent advances in biomarkers to optimize early phase drug development in Alzheimer's Disease Joint Presenter: Garret Duncan, Statistician, Pentara Corporation and Johanne Kaplan, Ph.D., Chief Development Officer, ProMIS Neurosciences Session: In Person Poster: Biomarkers: Biomarkers (non-neuroimaging), Monday, July 28, 2025: 7:30am – 4:15pm Eastern Time Poster Number: 103841 Abstracts will be available on the Poster and Publications page of the Company's website at n following the presentations. About PMN310 and the PRECISE-AD Clinical Trial PMN310, the Company's lead product candidate for the treatment of AD, is a humanized monoclonal antibody that has been designed to be differentiated in its ability to selectively target only the toxic oligomers, avoiding plaque, thereby potentially reducing or eliminating ARIA liability. In addition, because PMN310 may not be limited by off-target binding or side effects, PMN310 could potentially offer an improved efficacy profile over other amyloid-directed antibody therapeutics. Based on the encouraging results from the Phase 1a trial ( NCT06105528 ) of PMN310, ProMIS initiated PRECISE-AD, a Phase 1b clinical trial in AD patients. PRECISE-AD ( NCT06750432 ) is a randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability and pharmacokinetics (PK) of multiple ascending doses (5, 10, 20 mg/kg) of intravenous PMN310 in patients with Mild Cognitive Impairment due to AD and mild AD (Stage 3 and Stage 4 AD). PRECISE-AD will be the first study to examine the effects of a monoclonal antibody directed solely against AβO on biomarkers associated with AD pathology and clinical outcomes. Safety will be a primary outcome of the study with particular emphasis on assessing whether, as a non-plaque binder, PMN310 may have a reduced risk of ARIA. The study is powered to provide 95% confidence for detection of ARIA. The study has been designed with a sample size intended to provide sufficient power to provide meaningful insight into effects of PMN310 on biomarkers and clinical outcomes. About ProMIS Neurosciences Inc. ProMIS Neurosciences is a clinical-stage biotechnology company committed to the discovery and development of therapeutic antibodies selective for toxic oligomers associated with the development and progression of neurodegenerative and other misfolded protein diseases. The Company's proprietary target discovery engine, EpiSelect™, predicts novel targets known as Disease Specific Epitopes (DSEs) on the molecular surface of misfolded proteins that cause neurodegenerative and other misfolded protein diseases, including Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), multiple system atrophy (MSA), and Parkinson's Disease (PD). ProMIS has offices in Cambridge, Massachusetts (USA) and Toronto, Ontario (CAN). Forward-Looking Statements This press release contains forward-looking statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Certain information in this news release constitutes forward-looking statements and forward-looking information (collectively, 'forward-looking information') within the meaning of applicable securities laws. In some cases, but not necessarily in all cases, forward-looking information can be identified by the use of forward-looking terminology such as 'plans', 'pleased to', 'look forward to', 'potential to', 'targets', 'expects' or 'does not expect', 'is expected', 'excited about', 'an opportunity exists', 'is positioned', 'estimates', 'intends', 'assumes', 'anticipates' or 'does not anticipate' or 'believes', or variations of such words and phrases or state that certain actions, events or results 'may', 'could', 'would', 'might', 'will' or 'will be taken', 'occur' or 'be achieved'. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances contain forward-looking information. Specifically, this news release contains forward-looking information relating to the Company's progress and expectations for its Phase 1b clinical trial in AD patients, including planned timing for completion and anticipated data readout of interim and full results in the second and fourth quarters of 2026, repsectively, the potential for such studies to provide the first proof-of-concept data for PMN310, the potential for PMN310 to positively benefit patients with AD and to be a more effective and well-tolerated option, the targeting of toxic misfolded proteins in neurodegenerative diseases that the Company believes may directly address fundamental AD pathology (including the belief and understanding that toxic oligomers of Aβ are a major driver of AD) and have greater therapeutic potential due to reduction of off-target activity and the Company's expectations regarding the benefits of Fast Track Designation and management's belief that its proprietary target discovery engine can predict and identify toxic misfolded proteins implicated in the development and progression of neurodegenerative and other misfolded protein diseases. Statements containing forward-looking information are not historical facts but instead represent management's current expectations, estimates and projections regarding the future of our business, future plans, strategies, projections, anticipated events and trends, the economy and other future conditions. Forward-looking information is necessarily based on a number of opinions, assumptions and estimates that, while considered reasonable by the Company as of the date of this news release, are subject to known and unknown risks, uncertainties and assumptions and other factors that may cause the actual results, level of activity, performance or achievements to be materially different from those expressed or implied by such forward-looking information, including, but not limited to, the risk that enrollment may not continue at the current rate, that clinical results or early results may not be indicative of future results, the Company's ability to retain and recognize the incentives conferred by Fast Track Designation for PMN310, the Company's ability to fund its operations and continue as a going concern, its accumulated deficit and the expectation for continued losses and future financial results. Important factors that could cause actual results to differ materially from those indicated in the forward-looking information include, among others, the factors discussed throughout the 'Risk Factors' section of the Company's most recently filed Annual Report on Form 10-K for the year ended December 31, 2024 and in its subsequent filings filed with the United States Securities and Exchange Commission. Except as required by applicable securities laws, the Company undertakes no obligation to publicly update any forward-looking information, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise. For further information: Visit us at Please submit media inquiries to info@ For Investor Relations, please contact: Kaytee Bock Zafereo