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In the Spotlight

Anti-Aging Medicine: A Scientific Response to an Age Old Problem

By Michael Woo-Ming, MD MPH
PersonalMD.Com Medical Contributor

As we all know, Ponce De Leon never did find that Fountain of Youth. However, today some physicians are labeling themselves as modern-day "Dr. Ponce De Leons" known as anti-aging specialists, and the Fountain has now taken the form of nutrition, exercise, and a variety of drug therapies.

Anti-aging medicine is relatively new phenomena, and one that has certainly risen in popularity. As over seventy million baby-boomers enter retirement age, the demand to slow or even reverse the aging process has come full steam ahead.

Books with titles like "The Anti-Aging Zone" and "Real Age" are frequent visitors to the New York Times Best Seller lists. Last December, anti-aging medicine became a medical specialty, with 150 physicians becoming board certified (although not yet approved by the American Board of Medical Specialties), and the American Academy of Anti-Aging Medicine boasts over 5000 members.

But is anti-aging really all that new? Good primary care physicians have emphasized preventive care for a long time, espousing healthy diets and regular exercise, and ordering tests that prevent people from dying early. What worries most doctors today is that a mainstay of anti-aging medicine are expensive and unproven treatments.

For example, human growth hormone (hGH) supplementation is a popular therapy in anti-aging clinics. Although proven to help people with children and adults with growth hormone deficiencies, growth hormone can cause some serious and harmful side effects if given to just anybody. Current medical studies do not support the widespread use of hormonal therapies such as hGH and testosterone as a supplement to prevent disease.

The medical community has also been skeptical of the motives of some anti-aging proponents. The anti-aging phenomena have proven a lucrative business, with some treatments ranging from hundreds to thousands of dollars. Also worrisome is that the anti-aging physicians often sell their own nutritional supplements, leaving some to wonder if these clinics are nothing more than "money-making machines" taking advantage of unsuspecting patients.

I think the certification of anti-aging physicians last year, was a big step in helping "legitimize" the practice to the medical community. However, just as importantly, more clinical trials need to be done on anti-aging conducted before the specialty is to be completely embraced.

If you plan on visiting an anti-aging doctor, some questions you should ask are:
1. What training has the physician done in anti-aging?
2. What does the current medical literature say about the treatments that are recommended to me?
3. What is the overall plan recommended to me and is there an endpoint or is the treatment lifelong?
4. Is the physician certified in any other specialty?
5. How often do you follow up on your patients (It should be months, NOT years!)
6. Does the physician also recommend diet, exercise, and stress reduction, along with medications?
7. Does the physician take a proper medical and family history, as well as a physical?
8. Does the physician practice what he or she preaches?

These questions should go a long way in making sure you are better informed and make better choices.

Remember, one of the best investments you can make is to your health, and not to someone elses pocketbook.

Look forward to next weeks article on this subject: Is the Fountain of Youth Available in Pill Form? By Thomas E. Booth, MD, MS. This article will cover some the specific agents used in the pursuit of a longer life.

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