

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

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.

Sep 30, 2025 • 1h 1min
Female Biohacker: Why Women Need Different Longevity Protocols (Simple Steps)
In this enlightening discussion, Kayla Barnes, a longevity clinician and biohacker, shares her journey from a conventional lifestyle to health optimization. She highlights how toxin reduction and consistent practices, like sauna use, can transform health. Kayla explores female-specific longevity issues, emphasizing the impact of ovarian aging and the need for more research. She dives into cutting-edge therapies such as therapeutic plasma exchange and hyperbaric oxygen, revealing their potential benefits while stressing the importance of evidence-based protocols.

33 snips
Sep 23, 2025 • 1h 24min
AI Medicine: ChatGPT Reads Blood Tests Faster Than Your Doctor
Ryan Ware, a medical doctor and co-founder of MitoHealth, dives into the intersection of AI and medicine. He and Matt Kaeberlein discuss how tools like ChatGPT can interpret blood tests faster than traditional methods. The conversation highlights the pitfalls of supplements, emphasizes the need for evidence-based health decisions, and critiques the wellness industry’s blind spots. They also explore the evolving role of physicians in an AI-driven era and the importance of reliable diagnostics for proactive health management.

11 snips
Sep 16, 2025 • 9min
Is Creatine Harming Your Kidneys? The Blood Test Myth Explained.
Many people experience alarming results on standard kidney tests when taking creatine, raising fears of kidney failure. The discussion clarifies that creatinine and EGFR tests can produce false positives. An alternative marker, Cystatin C, is introduced as a more reliable measure for kidney health. The hosts explain who else might be at risk for these misleading results and emphasize the importance of consulting healthcare professionals for accurate assessments. This conversation debunks myths and empowers listeners to understand their kidney function better.

11 snips
Sep 10, 2025 • 1h 39min
Elite Performance: How Pro Athletes Use HRV to Train Smarter (Not Harder)
Joel Jamieson, a global authority on heart rate variability (HRV) training, shares insights from training elite fighters to enhance health and performance. He explains the importance of consistency, balance, and resilience over high-intensity workouts. The discussion unpacks why VO2 max predicts longevity, and how HRV serves as a vital biomarker for stress and recovery. Jamieson highlights the significance of lifestyle factors and emotional health impacting athletic performance, while stressing the need for a comprehensive approach to fitness and recovery.

Sep 4, 2025 • 33min
Magic Mushrooms: The Next Anti-Aging Drug?
Dive into the fascinating potential of psilocybin as a longevity booster! Recent research reveals it may extend lifespan in mice, leading to a critical look at how this compound interacts with the aging process. Discover the science behind serotonin, the intriguing 'Psilocybin Telomere Hypothesis,' and explore possible biological mechanisms at play. The discussion is packed with insights on both the strengths and weaknesses of current studies, opening up exciting questions for future research.

37 snips
Sep 2, 2025 • 1h 25min
A Scientific-Backed Discussion On Fighting Cognitive Decline
Kevin White, a former ICU nurse at Mayo Clinic, and Erik Nelson, a lifestyle intervention expert, team up for an enlightening discussion on cognitive decline. They unveil a multi-faceted program aimed at halting and even reversing cognitive decline, emphasizing the importance of personalized diagnostics like blood tests and brain scans. They dive into advanced therapies including rapamycin and peptides, while also sharing lifestyle interventions as 'brain armor.' This insightful conversation challenges traditional views and offers hope for new strategies against dementia.

28 snips
Aug 28, 2025 • 38min
Debunking 10 Longevity Myths You Still Believe | 126
Dive into the science behind longevity as myths are debunked! Discover why biological age isn't as straightforward as it seems, and learn about the limited role of supplements. Age isn't a barrier for improvement; your choices matter more than you think. Unpack the truths behind resveratrol and the surprising underfunding of aging research. Explore how genetics stack up against lifestyle choices when it comes to lifespan, and question the hype surrounding caloric restriction and new peptide therapies—it's time to rethink what you believe!

Aug 26, 2025 • 2h 1min
Inside the Offshore Clinics Developing Gene Therapy to Fight Aging | 125
Ivan Morgunov, CEO of Unlimited Bio, and Anna Vakhrusheva, its CTO, share insights on their innovative gene therapies targeting aging. They discuss regulatory challenges that drove them to offshore clinics in special economic zones. The duo emphasizes the significance of the extracellular matrix in aging, their first VEGF therapy, and ethical debates around safety versus accessibility. They highlight exciting future therapies like follistatin and Klotho, while advocating for a balanced approach to regulation and innovation in longevity treatments.

Aug 19, 2025 • 41min
Testosterone, Rapamycin & Diet Myths: A Scientist's AMA | 124
Dr. Matt Kaeberlein answers burning questions about testosterone therapy and the longevity drug rapamycin. He explains his own injection protocol and offers insights on its use for women. The discussion highlights the pitfalls of excessive supplement regimens and debunks common diet myths, including time-restricted eating. Matt also clarifies the differences between DEXA scans and their importance for body composition. Stick around for entertaining tales from his Ireland trip featuring Guinness and whiskey!


