September 20, 2020

Weekly Emails

I need your help!

How can we take some of the bespoke insights we provide to our relatively few patients and deliver them on a larger scale?

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As some of you probably know, in addition to hosting a podcast I also have a clinical practice. My vision is to create an exceptional medical practice in service of optimizing longevity, and part of that vision includes having a team of analysts to keep me and the clinical team fully abreast of all the relevant science, a team of best-at-what-they-do consultants to weigh in on complex cases, and access to the best minds in longevity science and medicine to educate me (often through podcast interviews). 

Unfortunately, the practice of medicine, at least in the way I want to do it, is not really scalable. At some point, I worry the implementation of what we do would become diluted if we tried to deliver it at a larger scale. So, this begs a question. How can we take some of the bespoke insights we provide to our relatively few patients and deliver them on a larger scale? 

After much thought, we believe there is, indeed, a way to provide many of the insights we have learned over time and continue to learn. We are currently in the process of designing what such an offering might look like. Which is where you might come in. To help us build this offering correctly, we are looking to add people on our team to help us run said digital product. If you have a strong background in one or all of the below, please email Peter[at] with why you think you are good for this role and your background:

  • A background in product innovation and digital content creation  
  • A background in audience growth  
  • A background in customer development and customer insights

Thanks so much for your help and we’ll keep you updated on our progress.

 – Peter

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  1. You’re doing it (albeit perhaps more slowly than you’d like) just by running the podcast, sharing your insights, and having brilliant guests discuss their interests/passions. The greater field of medicine cannot ignore the data forever and metabolic health ought to be a medical specialty in and of itself. The change has to come from a bottom up approach in my view. Too many interests/incentives that just aren’t in line with the status quo.

    You’ve been deeply influential in my thinking as you helped me connect the dots of all of the chronic health problems that collectively ail us. I was extremely frustrated and saddened with a lot of my patient contacts as a former firefighter/paramedic and it motivated me to apply to medical school. It also showed me just how important playing the long game is. I never want to be the guy that has to call for an ambulance at 2 AM simply because I fell and could not get myself up off the floor.

    Let your conscience guide your decisions going forward. The nerdy stuff that gets discussed on this podcast is more influential than you realize.

  2. Build a service / intelligence layer on the quantified self movement. is bringing continuous glucose monitoring to the general public. Whoop straps, apple watches etc are recording heart rate, respiratory rate, hrv, sleep quality. Huge new pool of data to leverage for personalized medicine, nutrition etc.

  3. This is a wonderful challenge. This challege, I would imagine, requires a ‘gedanken’ experiment. Say, you want to tune cars. But these are ‘mystery cars’. In this scenario you only know, say, the year of the car. Furthermore, these cars are 100x more complex than normal cars with very few independent parameters. For example, head lights influence tire pressure, etc.

    Up until now you have been tuning these mystery cars individually. You do so by doing multiple tests. Now you want to scale this approach.

    This requires you to define what cars get what tests. It also requires a hierarchy of tests. Do these tests first. Take this action if the result is this and do that other thing if the results are something else. Then test this part over here, etc, etc.

    As you develop the structure, start slow. Just a few patients. These are your touch points. They let you develop the infrastructure along the way. You can’t think of all the nuances before launch so test with just a few candidates. Do the initial work remotely and then afterwards invite them for a full face-to-face to see what you missed. Repeat with a few more candidates. Keep reiterating. The small hurdles are where inspiration and creative energies need to be focused. Do not get locked in to a waterfall project approach with a massive PR campaign. This is a Lean Startup through and through. Be wary of diagnostic manuals. You will most likely have to develop your own or at least start tabula rasa before acquiring peeking else’s model.

    Human physiology has changed much less than car models have.

    This is doable

  4. First of all, kudos for wanting to expand your impact. I’m sure that there are hundreds like me who would like to have you (or a reasonable facsimile) as their doctor. So how does that happen? I believe that you have a great opportunity to have other doctors as your customer. They need research summarized and concluded. They need lab panel recommendations and how to interpret the results. They need protocols to be recommended to their clients. There is enough of a foundation that you can provide other doctors that would make it much easier for others to get care similar to what you provide. One specific suggestion – contact Crossfit and get their list of Crossfit affiliated doctors (25,000+). Start with those doctors who already subscribe to exercise, nutrition, and wellness and offer them tools for providing care to their clients based on current research. Would love to see you successful because I continue to look for a doctor like you near me – without success after two years.

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