

The Optispan Podcast with Matt Kaeberlein
Optispan
Optispan is a vision for what health should be.
The typical person gives up 10-20 years of quality life in exchange for disability, frailty, and early death. We call this "the lost decade". Time that should be spent with loved ones doing the activities you enjoy are instead spent suffering from multiple diseases and taking a cabinet full of medications that probably do as much harm as good.
We believe that the current practice of medicine is disease care, not health care. We believe that everyone can get closer to their own optimal healthspan.
The typical person gives up 10-20 years of quality life in exchange for disability, frailty, and early death. We call this "the lost decade". Time that should be spent with loved ones doing the activities you enjoy are instead spent suffering from multiple diseases and taking a cabinet full of medications that probably do as much harm as good.
We believe that the current practice of medicine is disease care, not health care. We believe that everyone can get closer to their own optimal healthspan.
Episodes
Mentioned books

14 snips
Nov 22, 2025 • 59min
Scientist Reacts: Why Megadosing Creatine Is A Waste Of Time
Creatine is often dubbed a 'cognitive super-drug,' but the hype around mega-dosing is misleading. The hosts critically evaluate various claims from health influencers, debunking the idea that 20 grams a day is beneficial. They explore the actual effects on brain health, resistance training, and potential side effects. Insights on how to judge health claims and a simple, effective dosing protocol are shared. Ultimately, they recommend a modest daily intake of 5 grams while encouraging listeners to prioritize sleep and training.

Nov 18, 2025 • 1h 33min
We'll Pay $101 Million If You Prove You Can Reverse Aging
In this enlightening discussion, Jamie Justice, Executive Vice President for Health and Director of the $101M XPRIZE Healthspan, dives into the ambitious goals of this global competition aimed at extending human healthspan. He shares insights on the challenges faced by past trials like TAME and the importance of real-world applications for the prize winners. Jamie discusses key healthspan pillars, ethical considerations in clinical trials, and the potential for innovative solutions like public health initiatives to win. Expect a mix of science, ambition, and a dash of the unusual!

Nov 11, 2025 • 1h 13min
Dr. Stanfield Mortgaged His House For $150k To Prove Longevity Drug Works
Dr. Brad Stanfield, a primary care physician and YouTube communicator from New Zealand, shares his passion for longevity research. He reveals his bold decision to remortgage his house to fund a rapamycin clinical trial. The discussion dives into the importance of evidence-based medicine and the complexities of supplements like vitamin D. Stanfield critiques biological age clocks and emphasizes the difference between preventive care in New Zealand and the U.S., while urging a focus on rigorous, patient-centered clinical trials for better insights into aging.

7 snips
Nov 6, 2025 • 10min
Don't Fall For This Scam: Matt's Deepfake PSA
Matt dives into the alarming issue of deepfake videos impersonating reputable figures in health. He uncovers the misleading claims made in these videos about common health items like green tea and coffee. The dangers of pseudoscience are highlighted, showing how misinformation can harm real health efforts. Listeners learn practical tips to avoid falling for longevity scams, such as verifying expert credentials and resisting emotional manipulation. The conversation stresses the importance of relying on trustworthy sources to navigate health information.

7 snips
Nov 4, 2025 • 42min
You Might Have The Heart Attack Gene. Here Are The Signs
Joel Jamison, a coach and fitness expert, shares his personal heart-health journey, including a shocking calcium score that revealed significant health risks. The discussion dives into the nuances of heart rate variability (HRV), contrasting the needs for athletes versus those focused on longevity. Joel also emphasizes the importance of advanced imaging over standard tests for individuals with family histories of heart disease. Plus, he challenges the accuracy of wearable tech in measuring vital health metrics, urging early screening for those at risk.

24 snips
Oct 28, 2025 • 1h 48min
The $40 Cure They Don't Want You to Know About
Dr. Jon Berner, a psychiatrist and clinician-scientist specializing in lithium and rapamycin, uncovers the hidden potential of these compounds in health. He discusses lithium's emerging role in mitigating Alzheimer's risk and the importance of individualized dosing strategies. The conversation shifts to rapamycin and its promising application for Chronic Fatigue Syndrome, delving into its connection to inflammation and potential reproductive benefits. Dr. Berner advocates for personalized treatment and explores innovative dosing methodologies that could reshape therapeutic approaches.

Oct 22, 2025 • 1h 48min
Longevity Lie: Doctor Reveals Why Anti-Aging Supplements Don’t Work
Jan Hennigs and Alexandru Ardellian, leading physicians at the YEARS Healthspan Clinic, explore the science behind longevity and healthspan. They discuss the importance of rigorous diagnostics over trendy supplements, emphasizing personalized interventions. The duo reveals insights from a comprehensive 6-hour health assessment and shares a compelling case of reversing type 2 diabetes. They advocate a lifestyle-first approach, caution against overusing supplements, and highlight the cautious use of experimental therapies, debunking myths around longevity medicine.

39 snips
Oct 21, 2025 • 1h 26min
Blood Cleaning: Cuts Age Biomarkers 2.6 Years in 90 Days!
Dr. Brad Younggren, an emergency physician and CEO at Circulate, shares his journey from combat to longevity science. They dive into the innovative Therapeutic Plasma Exchange (TPE), likening it to an 'oil change for your blood.' Discover how TPE may reduce biological age by 2.6 years, tackling toxins like microplastics and chronic diseases. Dr. Younggren discusses clinical trial insights, the science of parabiosis, and the impressive results observed, while sharing patient stories, including improvements in long COVID symptoms.

Oct 15, 2025 • 54min
Doctor Reveals: The Dark Side of the Longevity Industry
Explore the intriguing contrasts between high-stakes investor gatherings and academic conferences in the longevity field. Discover the ethical dilemmas surrounding biological age clocks and hear a hilarious MRI tale from Berlin. Dive into insights about the divide between genuine science and snake oil remedies, and the challenges of translating geroscience into practical therapies. From promising biomarkers to the impact of celebrity culture, the conversation spotlights the complex landscape of longevity and health optimization.

8 snips
Oct 5, 2025 • 1h 30min
Why 400+ Alzheimer's Drugs Failed (Here's What Works)
Dr. Cory, a systems biologist at the Institute for Systems Biology and co-founder of Fulcrum, explores innovative perspectives on Alzheimer's. He argues that it's not just about amyloid plaques, but rather a flawed debris management system in the brain, particularly concerning cholesterol. Discussing the roles of genes like ApoE4 and the impact of lifestyle factors, he sheds light on why current drugs often fail. Dr. Cory also highlights practical prevention tips, emphasizing sleep, diet, and personalized lifestyle choices to combat Alzheimer's.


