How Old Are You and What You Can Do About It ft. Aaron Hartman

You're in this room because you spot patterns others miss. You make moves that look crazy until they work. Here's the one thing that might stop you. What if your most valuable asset isn't your revenue or your network? It's you, your true age, and how fast you're actually aging right now. Yet almost nobody knows this number. Dr. Aaron Hartman has spent 25 years on this, triple board certified with over 100,000 patient encounters and performed over 1 million laboratory tests. In today's talk titled, How Old Are You and What You Can Do About It, you will get the answer. Please help me welcome the very brilliant Dr. Aaron Hartman. Thank you, sir.

How old are you? I mean, really, how old are you? Most think— people think about a number, their chronological age, while others think about things like telomeres, DNA length, Or whatever's trending on social media at the time. But what if none of those is right? And what if it's hiding in a place no one's thinking about or even measuring? What I'm talking about today is your true age, your biological age. This is an estimate of your body's overall wear and tear plus its repair capacity. It's the oldest studied marker for how long you'll live. It's not sexy and it's not trending on social media, But it's measurable, it's actionable, and it might just save your life, or at the very least, extend it. So William Osler, the father of modern medicine, said this in 1892: a person is as old as their arteries. In 130 years of medicine, this one truth has stood above all others. You are as old as your arteries. You are as old as the 60,000 miles of vessels that carry blood in your body. Whether it's the artery to your brain, your heart, or your kidney, you're only as old as those arteries. Cardiovascular disease, dementia, kidney issues, they're all the same thing: sick arteries. And we've had this truth sitting in front of us for over 130 years, yet we have not been acting on it. Today in the United States, 900,000 people die every year from vascular disease. This is equivalent to 12 commercial jet crashes every second. single day. Damage to your arteries can come from almost anything, but there are only 3 final outcomes, 3 final outcomes that cause this damage and thus aging and disease. The first one is inflammation. This is the fire alarm and it's the underlying cause for modern disease, the underlying cause for modern disease. The second one is stress, a special kind of stress called oxidative stress.

What's that?

This is literally your body rusting from the inside out. And the last one is immune dysfunction. This is your confused immune system attacking itself. These are the 3 final outcomes that damage your arteries and thus your entire body. And they're all measurable. So what? Why should you care? 75% of people with their first heart attack had no previous symptoms. None. 75% of the people in the emergency room right now with a heart attack had a normal cholesterol. And half, half of people who've had a heart attack had no previous symptoms. They were silent. They never felt a thing. Now, I know there are a lot of high achievers in here today and you might think you're low risk. This doesn't apply to you. Well, you're wrong. In individuals labeled low risk by traditional risk factors, a heart MRI shows that half already have plaque in their arteries, and 25% already have multivessel disease. This is what you get bypass surgery for. And this is the point. Our current testing, it's failing us. And it all starts young. 1 out of 3 young adults will have plaque in their arteries by middle age. And here's the key. This is all preventable. Let me take you on a journey inside your body for a moment. You have 60,000 miles of vessels throughout your body, carry blood everywhere. That's enough to go around the Earth almost 3 times. How are yours working for you right now, or do you even know? Lining all these is a whisper-thin layer of cells called the endothelium. This is the skin on the inside of your arteries. It has a surface area of 6 It's the size of 2 tennis courts and is the largest hormone-producing organ in your body. And it all starts here. You all saw that coming up. It all starts here. Inflammation, stress, and immune dysfunction damage this lining first, decades before any vascular event. Current research shows us that these 3 markers acting here can predict your risk for a vascular event— heart attack, stroke, whatever— up to 40 years prior to any event.

Wow.

40 years prior. But what does our current healthcare system do? We wait. We check echoes, cardiac stress tests, heart catheterizations at end-stage disease. Yet all the cutting-edge research is happening at this inner skin layer where it all starts. And this is the real anti-aging game. This is the true biohack.

Hey, I hope you're enjoying this video, and I want to let you know that I have a new book that's come out, and if you'd like to get it absolutely free, there's a link below in the description, or you can wait till the end of this video, or you can simply go to joesfreebook.com and you can get a copy there.

So if your true age is your vascular age, how do you know your vascular age? I'm going to quote the famous, famous Joe Weldon here. You know what your problem is?

Hartman?

Hartman? Or anybody else? You know too much. You got to keep it simple. So instead of the 300+ vascular risk factors and my lab panels of over 1,000 biomarkers that look like a grocery receipt, here's what matters most: 3 lifestyle levers, 3 lab tests, and 3 anatomical tests. These will get you 90% of the outcomes you're looking for today. So let's start with the lifestyle levers. Lifestyle levers alone count for 80% of vascular disease. So you have to eat real food. Avoid ultra-processed, high-sugar, rancid fat diets. And I'm not just talking about seed oils here. I'm talking about every industrialized processed fat. These all damage that vessel lining and cause inflammation. I give all my patients a resource that allows them to source real food anywhere in the country. It took my wife and I over 2 years to figure out how to find real food. With this guide, my patients figure it out. The next is you have to move. We've all heard it, right? Sitting is the new smoking. This is not just a cute phrase. Inactivity increases your risk for death 6-fold and diabetes 91%. And finally, you gotta sleep. Sleep is when your immune system resets and inflammation is regulated. Chronic poor sleep drives inflammation and immune dysfunction 2 of the 3 factors I mentioned above. If you can only do one of these, eat real food. You cannot biohack your way out of these 3. You cannot supplement your way out of these 3. These 3 are foundational. Next, let's talk about some key blood tests. These are the following blood tests everybody in this room should know about, in addition to all the standard lab tests you've already done. The first is a cardiac CRP. This is the most sensitive marker for inflammation in your arteries.

What is that?

It's also an antimicrobial peptide, which is a fancy way of saying it's a way of checking and finding chronic infections in your body. The next is an LDL particle number. This tells you what your LDL cholesterol is actually made of, not just the weight of the LDL cholesterol, which is what a standard lab panel tells us. This number is influenced by nutrition, toxins, and infections, and you can measure all of these. And the last is the lipoprotein, or Lp. This is like throwing gas on the fire. If this number is high, your system lives closer to the edge. If it's low, your system is protected. This number is largely genetic. However, it can be influenced with targeted interventions. In my clinic, I've been able to get it down up to 50% in patients without medications. But if you can only do one test, get the cardiac CRP. It's the easiest one to obtain, and it's a great marker you should get. So— and I forgot what I was going to say, but we'll move on. Next, finally, 3 anatomical tests. In addition to standard lab panels, there are 3 anatomical tests we all need to know about. The first is a coronary artery calcium score, also known as a CAC. This measures established plaque in your arteries. It predicts your 10-year risk for heart disease, and it's available in most cities around the country. Next is a carotid intimal medial thickness test, or a CIMT. This is a specialized ultrasound that measures the thickness of your carotid artery wall, not just the opening in the middle of it, which is what a standard ultrasound measures. It correlates with about 80% of your heart disease risk, but has a strong correlation with brain risk. Finally, small vessel testing. Tools like the Endopat and Vindiz allow you to evaluate the stretchiness of your small arteries, which is where disease starts decades before large arteries clog. But if you can only do one test, get the calcium score. It's the easiest one to obtain, and anybody over 40 should consider getting this done. So putting it all together, with these lifestyle levers and focused testing, you can prevent up to 90% of vascular disease and detect it up to 40 years prior to any event. In other words, you can see the future and you can change it. Sir William Osler said this in 1892 and it's just as true today. You are as old as your arteries. Not your family history, not your genetics, your arteries. And unlike your birthday, this is a day and this is a number you can actually change. So what are you all going to do about it today? Imagine, Imagine it's 6 months from now and you're relaxed, you're no longer stressed about your health and wellness because you've instituted what we talked about today. You're eating real food, you're physically active, you're sleeping well. You've tested and normalized your lab testing. You are living out the oldest known and most studied biohack in the world and you feel it in your body.

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