Longevity medicine should be good medicine.
A Stanford-trained internist writing about prevention, symptoms, labs, and the places longevity medicine gets ahead of itself.
As seen in
ForbesHealthEatingWellParadeYahoo!Longevity advice without the miracle language.
Evidence-graded guides on labs, exercise, supplements, medications, and longevity claims that deserve skepticism.
Start with the work, not the biography.
The Letter is the cleanest way in. Care, speaking, and conversations are for questions that need more than a post.
Know your biological age.
Not a wellness quiz. A structured assessment — sleep, exercise, labs, metabolic markers, and functional tests — that estimates where your body is relative to your calendar age.
Calendar age
42
37
Example: sleep, exercise, and metabolic markers align to shave ~5 years
Good medicine first.
Longevity can get weird fast. The filter: evidence, safety, follow-through, and a plan to stop when an intervention is not earning its keep.
Know what you are measuring
A lab matters when it changes the decision, not because it makes the dashboard look complete.
Match biology to biography
Risk, symptoms, hormones, sleep, medications, stress, and goals belong in one clinical story.
Retest, edit, stop
Every intervention needs a reason, a check-in, and a way out if it is not helping real life.
Medicine, then systems.
Hillary trained at Stanford and Columbia, then built companies around the same problem: how to turn medical evidence into decisions people can actually use.
Clinical training
Stanford biology and medicine, Columbia oncology training.
Company building
Built a VC-backed mental health company and learned where protocols break when real patients are on the other side.
CareCore
Guardrails for longevity care: physician review, documentation, and stop rules.
Building in longevity care?
CareCore is clinical infrastructure for safe, accountable longevity medicine — physician oversight, documentation, and monetization rails for creators and clinicians.
Physician oversight
Review protocols, catch contraindications, and keep care within guardrails that protect both patients and creators.
Creator monetization
Monetization rails that don't require selling unreviewed supplements or making promises you can't back up clinically.
Stop rules
Built-in documentation and off-ramps. When an intervention isn't earning its keep, there's a clean path to pivot.
The Letter is where I do the thinking in public.
Prevention, labs, symptoms, and healthspan, written for people who want signal without the miracle language.
Building in care? The CareCore Stack is the builder-side note.
For health topics that attract bad slogans.
Longevity science, women's health, clinical AI, and the care models that need more medicine than marketing.
Speaking and partnerships