Screening for Longevity: My Personal Protocol
One of the most effective ways to increase longevity—both in terms of lifespan and healthspan—is by reducing the risk of chronic disease. Heart disease and cancer remained the leading causes of death in 2023, according to the CDC. While I take proactive measures to prevent these diseases, we all know stories of individuals who “did everything right” yet still faced a cancer diagnosis or heart attack.
This reality motivated me to develop a comprehensive testing protocol aimed at catching diseases early, before they become life-threatening.
A Thoughtful Approach to Screenings
Screenings come with tradeoffs. After extensive research and in-depth discussions with a longevity-focused physician, I designed my protocol to balance the benefits and risks of each test.
It's important to note: this protocol reflects my personal choices and circumstances. I’m sharing it not as a recommendation, but as a conversation starter you can use with your healthcare provider to tailor your own approach.
My Screening Protocol
In addition to standard screenings like colonoscopies and bloodwork, I’ve incorporated the following tests into my routine:
1. Full Body MRI
(Every 2 Years)
This imaging detects cancer and other irregularities without using radiation. While it carries risks of false positives and incidental findings that may require follow-up, I’m comfortable accepting these risks for the chance to identify issues early.
2. Liquid Biopsy (Galleri/Grail Test)
This advanced blood test screens for multiple cancer types from a single sample. It’s not a replacement for standard cancer screenings but serves as an additional layer of detection. I alternate this test with my full-body MRI every two years.
3. CT Calcium Scan or CT Angiogram (Every 2–3 Years)
These scans monitor heart health by detecting calcified plaque (calcium scan) or soft plaque (angiogram). Because they involve radiation, I use them sparingly and weigh the benefits against the potential risks.
4. Carotid Intima-Media Thickness (CIMT) Test (Every 2–3 Years)
This ultrasound measures the thickness of the inner layers of the carotid artery, identifying potential issues while they’re still asymptomatic. I alternate this test with the CT Calcium Scan.
Takeaways for Building Your Own Plan
Understand Your Risks: My protocol is heavily influenced by my family history, which includes heart disease and cancer. Your risks may differ, requiring a unique approach.
Invest in Preventive Health: Screenings should complement proactive lifestyle measures like regular exercise, good sleep, and a nutritious diet.
Personalize Your Strategy: Health isn’t one-size-fits-all. Work with your healthcare provider to design a screening plan based on your risks and goals.
Have Open Conversations: Every screening comes with tradeoffs. A discussion with a trusted professional can help you navigate these decisions.
Preventive health is a long-term investment. While no approach is foolproof, thoughtful screening can provide a valuable safety net in your pursuit of a longer, healthier life.