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Do you have a medical problem? Medical Knowledge, Diagnostics, Treatment and Disease Prevention.Articles by Aleksandr Kavokin, MD, PhD
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    Title:Death, Aging, Rejuvenation
    Article:Death, Aging, Rejuvenation
    Aging, Death, Rejuvenation 2004

    animation

    I would like to raise a question: Is Rejuvenation possible and how to approach it?
    This is just my own opinion about possible procedures. I used certain techniques based on a theory.
    As strange as
    it sounds some of those techniques and procedures might actually worked.

    There are several hundreds theories of aging. New and old ones. Different authors classify them
    differently.

    I would divide all those theories into 2 groups :

    1. Theories of Deterioration from external cause. "Wear and tear". Theory of free radicals damage
    is most fashionable at present time. Antioxidants are considered a cure. Benefits of caloric
    restriction are often explained by that theory. The theory has good objective support in scientific
    literature.
    Other theories of this group included changes of bacteria in the gut, radiation and accumulation of
    mutations during life of an individual, etc. - many more of those theories were discussed in the XX
    century.
    2. Internal clock - theories.


    I would divide the "internal clock" theories into 2 more subgroups:
    1. Internal clock on the level of cell. Telomeres shortening is the most discussed in literature at
    present.
    2. Internal clock on the level of organism. Growth hormone changes was a recent example of
    discussion.

    Authors are usually very cautious and objective in scientific literature. Telomeres are usually
    discussed in connection with "immortal" cancer cells.
    Caloric restriction is discussed as a mean of longevity (not rejuvenation per se). Level of growth
    hormone (GH) or insulin-like growth factor drops in aged persons.

    Mass media speculates wider: telomeres restoration - possible immortal life,
    growth hormone will rejuvenate you, etc.

    Original scientific studies usually do not speculate about this.
    In no way for example drop of GH level in elderly means that just giving it back will make you
    young again.

    Scientific literature rarely discuss "Rejuvenation" as it is. Authors mostly talk about "longevity". This
    is very different story. Longevity in a wheelchair is very distinct from a youth playing soccer.
    One proven method to reach longevity is caloric restriction. Often they say it is the only proven
    technique. Using antioxidants as a method to prolong life is in the same category. To put simple, the
    Theory says: nutrition produce products of oxidation - peroxides, etc. These products damage
    DNA,
    proteins, etc. Cell ages. Caloric restriction switches metabolic pathways. There are less free
    radicals.
    Hence longevity. Antioxidants work in similar way - they remove free radicals. Another speculation
    is
    that caloric restriction starting at young age delays reproductive age in animals and this slows down
    biological clocks and prolongs life until an environment with high nutrition supply is found.
    Animals look small and undeveloped.

    Caloric restriction significantly (25%-100% and more) prolonged life in worms, flies, spiders, rats,
    mice, etc. Experiments on monkeys and humans are under way and will take decades.

    Well, it is all good in experiments and theories. Some argue: why in this case prisoners of
    concentration camps do not live longer. Another example came from "Scientific American" - a
    person had caloric restriction of something 20 years or more - no effect - he just looks like very thin
    undernourished person of 50 years. Examples of opposite opinion also exist (tribes or groups with
    low food consumption or high antioxidants consumption have more centenarians than general
    population).
    Maybe you really need to start at 10 years of age, look malnourished and weak for the whole life
    and live to 100 years, getting to your puberty at 25.
    Antioxidants also bring many controversy. Vitamin E did not show many benefits though it was a big
    hope for prevention of many diseases of old age.
    And so on. Today there are big trials that disprove the theory. Tomorrow - great experiments that
    confirm the theory, at least partially. Many big trials and experiments are published in leading
    journals - Science, Nature, PNAS, New England JM, JAMA, etc.

    One bias for caloric restriction experiment in my opinion is following.
    Rats live in cage 30cmX60cm for their whole life. There are at least five rats or 20 mice. They live
    couple years and die. During the experiments they are celebrities when they live 5 years - some
    lucky ones. The Food is a balanced mixture of nutrition. Caloric restriction is - 60% of their regular
    meal. They practically don't move - there is no space in cage.
    Mostly they sleep whole day. Sometime they fight and mate.
    They live in those conditions at Yale, at Med U of South Carolina, at Russian State Medical
    University and I think everywhere else.
    To compare our fellow humans we would place 10 people on area of 20 square metres (200 sq.
    feet) for 50 years in a row, feeding them with what they want but all the same - let say junk food
    from McDonalds.

    I remember my cat (who was partially wild) stole meat and ate until it started to vomit. He repeated
    it many times when he was able to steal some steak or whatever. The same happens in wild - lions
    have maybe one successful hunt out of ten. When they catch a prey, they eat like crazy. Much more
    than they can digest at the moment. So it looks like there is an instinct. Eat as much as possible.
    This is not a joke - 60% of people in western countries are overweight.
    Abundant high calorie food and lack of activity. It does not seem that for these people any internal
    mechanism restricts food consumption.
    Applying this back to rats, we can see that what is considered normal consumption - "ad lib" -
    maybe actually big overfeeding of the animals in these cages. In this case 60% of caloric restriction
    would be just what rats need, just what the calories they spend in lazy, uneventful daily life.
    So called "control", "normal" rats - that fed as they usually fed might be compared for fat
    overweight humans. They consume junk food. They prone to the bunch of diseases of obesity and
    low activity. Heart diseases, strokes, variety of cancers, arthritis, etc.
    In this case all the hype about caloric restriction would just be brought to the business of mere
    balancing diet and activity in so called "calorie-restricted animals". I haven't seen any discussion of
    this problem.
    I might be wrong. This is why I use caloric restriction for myself.
    I did not work with worms and spiders. But my guess would be that they all are also in artificial
    standardized conditions. "Control" worms might be also overfed.
    To put rats into bigger cages (to increase activity in control group and balance calories and
    catabolism) would be incredibly expensive.
    Even at present conditions because of "animal lovers" and bunch of other regulations and
    considerations (e.g. sterile conditions), the price of animal housing is sky-high.

    You would say animals in wild would live longer because they balance activity and consumption.
    Well, recently I read that life span of animals in wild is shorter than animals in captivity. Correct
    me if I am wrong: pandas live 15-20 years in nature
    and 20-30 in zoos, bears 20-25 in nature and 30-40 in captivity. Civilization has certain benefits -
    vaccinations, good medical care, more or less good hygiene. So just moving into wild conditions
    wouldn't make you younger or allow to live longer.


    Now, to discuss rejuvenation procedures, I would need to talk about aging first. In this case
    Rejuvenation could be considered as reversal of aging (deterioration). Longevity is different story
    - it is prolonged life span. Rejuvenation supposedly should lead to longevity. But longevity is not
    equal to Rejuvenation.
    Aging leads to Death eventually. It is easier to discuss from that end.


    All written here is just plain speculation, take it with a grain of salt.

    ------------------------

    Death


    Death. Why it happens? Why do we die? Why do animals die? Why do plants die?
    What is the need of this?
    In my opinion mechanism of death was selected during Evolution.

    From the position of Darwin's theory of Natural Selection everything, that benefits survival of
    species and gives advantage in Natural Selection, is preserved in following generations.

    Improvements were often left unchanged from the moment of life appearance. Though there could
    be other ways, certain mechanisms were accidentally
    selected. These improvements are reproduced in the genome of more complex species.
    Billions of years ago, according to the theory of evolution, chemicals randomly organized themselves
    into a self-replicating molecule.

    Lightings and UV-radiation helped to create first organic molecules.
    This phenomenon is reproducible in a lab. The experiments were described in 1950-60.


    First self-replicating molecules were probably RNA. First enzymes were probably RNA -
    enzymes. Then proteins, DNA and more complex lipid molecules and polysaccharide came to
    the scene.


    Death as it is did not exist at the stage of Primeval Soup . Sure some organic molecules
    were destroyed , some new created. But in general it was still that swirling and bubbling primary
    broth - quasi alive in our understanding as a mixture of biochemical reactions.

    Everything in the evolution was build from the previous blocks selected sometime by accident.

    Appearance of lipid membranes allows to compartmentalize the primary broth and create first cells.

    At the cellular stage we could already talk about the Death. Cell is destroyed, membrane is broken,
    everything leaked out. This is the Death.

    Content of cell inside lipid membrane is irradiated. Process of crazy molecular swirling is messed up
    by free radicals irreversibly. This is also signs of Death.

    Yet at the cellular stage we cannot talk about Aging. Death at this stage is accidental, not
    programed.

    Organic molecules may age (oxidation, conjugation, etc.) and cell would die. But damaged
    molecule are repaired or synthesized fresh usually. Hence, no good reason for a single cell organism
    to age. Irreparable damage from external cause leads to Death, not Aging. This is accidental death.
    For multicellular organisms, there is a parental organism that ages and eventually dies after next
    generation is born. For mono-cellular organism, there is parental organism that divides and becomes
    the next generation. There is no Aging leading to death of parental organism.

    Mono-cellular organisms are practically immortal in a right environment.

    Mechanism of division was selected during evolution. Cell has volume (3-D). Surface membrane is
    measured in square units (2-D). Growing beyond limits cause inadequate supply of nutrition from
    environment. Division solves the problem.

    Microbes, bacteria are immortal. Some divide every 20 minutes. In a an hour they multiply 8 times.

    Tumour cells divide slower. They are eukaryote. Most aggressive divide once a day.
    There is no need for Aging.

    They would die if you do not feed them. They die when you kill them with undiluted bleach in a
    flask.
    Otherwise they grow unstoppable. No aging.


    Multicellular organism supposedly has several control mechanisms to prevent excessive growth
    and division, to kill an extra cell. Apoptosis, programmed death, is used.

    Cancer cells often loose the control mechanisms.

    A scientist from Yale once pointed out to me that we can not say these cells are immortal. Maybe
    they divide and parental cell dies.
    Indeed. We do not follow the fate of every individual cell during experiments. They should give
    more children cells than parental cells die. Otherwise there would not be the multiplication.
    It is a possible scenario. We do not follow the fate of individual bacteria as well. Maybe they
    actually undergo aging.

    From the other hand some experiments suggest that new cells
    contain roughly half of the parent cell after division. So it is not Death or
    Aging. Next generations contain 1/4, 1/8, 1/16 and so on of the parent cell. Any mechanism that
    is more complex than simple division would cause disadvantage in evolution and would be quickly
    eliminated.
    On the level of mono-cellular organism neither Aging nor Apoptosis make a lot of sense. Though
    Nature often have hidden reasons.

    Flick's phenomenon and telomeres shortening make sense for a multicellular organism. Cells of
    multicellular organism do age. They stop dividing after 70 divisions or so.

    A multi-cell organism has clear cut advantage over a mono-cell.

    Why would mechanism of Death selected for multicellular organisms?
    Scenario could be the following.

    Big organism have more advantages compare to smaller one - stability, protection, etc.
    There are not so many natural enemies for whale or elephant because of their size.
    Large animals could be brought down by bacteria, viruses, small parasites, and lack of available
    food. Rare predator attack whale or elephant.

    No wonder that evolution was going into the direction of bigger animals - just look at giant
    bones of dinosaurs and you will feel some appreciation.

    Millions years ago not only Dinosaurs but also insects or crustacean were enormous. Cockroaches,
    spiders or dragon flies with size of one metre (3 feet).
    Going back in time we find shells of enormous molluscs.
    Many things imply that bigger animal with unstoppable growth have a lot of advantages compare to
    small ones. New species often evolve in their size. An example is growth acceleration in humans.
    Females prefer taller mates that lead to taller children.
    Shorter plants usually cannot compete with the taller forms in the wild. A short mutant in a patch of
    tall plants would be shaded out


    Mechanism of reproduction was also selected during the evolution. Any new animal, be it a mouse
    or a human, starts life as a single cell. That cell differentiates and develops into the complete animal.
    It assures that a rare advantageous variant sequence of DNA will be rapidly propagated by natural
    selection. It is much easier to reproduce and maybe get some new genes or favourable mutations
    starting from a single cell than starting from a whole multicellular organism. Functions of most genes
    will have been
    optimized by random point mutation and selection in any given species. Signalling between cells
    during the development process ensure that everything ends up in the right place. Tiny changes in
    these Signalling processes can have very large effects on the resulting animal. Genome, with at most
    forty-sixty thousands genes, is able to specify the creation of a human body containing trillions of
    cells, billions of carefully wired neurons and hundreds of different cell types all amazingly sculpted
    into organs as diverse as the liver and the brain. This is why mechanism of proliferation of fertilized
    oocytes was selected.

    Hence, having younger (smaller) and older (bigger) animals make sense.

    But there is the problem: adult animals (or plants) consume all the nutrition around and there is not
    much left for next generation.

    Then it is why mechanism of Death was selected as a mean for next generation to establish.

    Imagine the following:

    First, mechanism of proliferation was selected . If mono-cellular organism does not have
    mechanism of reproduction it does not produce offspring with possible favourable mutations.
    Let say there are primitive bacteria spontaneously created in primeval soup. Just few of them. They
    consume nutrition, they live happily, practically immortal but they do not divide. Then set of enzymes
    appeared during mutations. The set allows bacteria to split. Synthesis of the new set is
    disadvantageous. It requires additional energy and nutrition. But advantage of splitting allows new
    mutants immediately overgrow non-proliferating cells.
    Selection is really cutthroat.

    Bacteria growing in a tube represent mini evolution. Any bacteria that fit for the environment are
    also selected on the ground of simplicity. In a toxic environment (antibiotics) mutant bacteria having
    a new mechanism of neutralisation would survive. But the more simple bacteria will eventually
    overgrow complicated ones. Unless complication gives big advantage that outweigh the benefits
    of simplicity.
    Another example: HIV virus is very complex compare to some other viruses. But because of
    the complexity it evades immune response. This is why it is so successful.
    For humans there was some discussion that hernias are direct
    problem of erect posture. So erect posture leads to disadvantage. From the other hand erect
    posture frees the hand, that allows to produce the tools and this gives huge advantage in the
    survival in natural world by creating possibility to adapt to virtually any condition.

    All high animals have just 4 extremities. Obviously it is enough in cutthroat environment. Growing
    additional couple of extremities will consume much more resources and take much more time, not
    giving big advantage in speed or protection of an animal.
    Thus, danger of losing one of the limb is not so big as the danger to not proliferate fast enough.

    Bilateral design of majority of animals was chosen at the level of primitive species. Though lower
    multicellular organisms may have 3-side symmetry or 5-side symmetry like sea stars. Often
    something chosen in the selection becomes building blocks for higher species.
    Maybe 5-side symmetrical tiger would be possible but it requires intermediate chain.

    The same is true for the mechanism of Death. Once chosen, it is replicated in all higher organisms.
    It should give an advantage in ultimate species survival. Otherwise it loses sense and species would
    be wiped out.

    So, what is advantage for Death?

    Immortal and childless animals are growing and growing. Mutations lead to species producing
    offsprings. They have disadvantage of been more complex. But advantage of proliferating animals is
    occupation of vaster areas. They displace immortal and childless species.
    Now, if proliferating animals are immortal they do not give offsprings enough space or food.
    Next steps of mutation brought mechanism of programmed death at certain age.

    Let consider situation when out of two species one is immortal and producing offsprings, other is
    mortal with offspring production as well.
    Mortality looks like an obvious disadvantage in stable environment. Adult organism are more
    powerful and more protected compare to juvenile.

    However, next catastrophe will wipe out all the species altogether. Only some mutants can adopt to
    new
    environment.
    But "mutant" for a multicellular organism imply that the mutation happened when the organism had
    only one cell (the stage of fertilized oocyte for example). Otherwise it needs precisely the same
    mutations on the level of several cells - infinitely impossible event.

    Thus, any species that had the mechanism to allow next generation to flourish (mechanism of
    programmed Death) will have advantage. They produce more offspring than immortal species.
    Death of parents spares the space and nutrition. Immortals can die form accidents only. It is too
    long for children to expect a vacancy.

    Then, having more offspring automatically means having more mutations (by mere number of
    events). Having more mutations means more probability for adaptation to the new environment.

    Immortal multicellular organisms, even if they existed in the past, were quickly wiped out by
    accidents and overgrown by mortal multicellular organisms.

    Again all this is just a hypothesis.




    Aging


    How did aging appeared?

    If mechanism of Death was chosen by evolution, how was aging chosen?

    Why for example at certain age animals do not die instantly and just give the room for the next
    generation.
    Nurturing is one explanation at least for human society.

    But lets say new generation of young adults already reached puberty . Why would not old
    generation die in
    an instant. Why do they age?

    Actually there is nothing impossible. Some butterflies grow couple years, mate,
    produce new generation and die in one day.
    Some plants live 1 year, some live 2 years and then invariably die. Some live 1000 years.
    Lemmings, having overgrowth of population, just go and
    massively commit suicide in the sea. No questioned asked.


    Why aging in other animals take several years?

    It might be selected by cut-throat evolution during another catastrophe.

    A relatively mild Cataclysm happened in the same time when all adults died programmed to do so.
    Older animals would survive the disaster. But they died instantly from internal timer. Younger
    generation did not tolerate the mishap.

    All species that did it - just disappeared. Younger animals were not adapted to new
    conditions.
    Only animals with mechanism of aging were selected. Maybe the aged animals are not so good
    as younger ones. They already slightly deteriorated. But it is better than nothing.

    Anyway. It makes sense why Death and Aging were selected during the Evolution.



    Biological clock


    Obviously you need biological clock to time and alarm the point when you need to die and when
    you need to age.
    Aging is the same death as in those one-day butterflies, but a little bit prolonged one. Not
    immediate kill but gradual shut down of protection mechanisms - immunological, genetical repair,
    and just other necessary functions of proliferation. As soon as those functions turned off -
    an organism starts to deteriorate and wear off.

    Interesting that our organism is not a static thing. We probably replace all molecules in our body
    within relatively short period of time. Obviously water is replaced completely every couple months.
    Water is 60% of our body. Other molecules are replaced as well.
    Thus, human being is just some unstable chemical organisation around genetical information.
    Molecules swirl and disappear like crazy.
    DNA in cells maybe is not changed so fast, but the cells themselves change quickly in most of
    cases. There is no need to age just because of wearing.

    Biological clocks are necessary and there is no doubt they exist.

    The theories of aging that consider death as a sequence of events caused by external causes -
    like oxidations and accumulation of genetical errors should anyway include the idea of
    Internal Biological Clock as well.
    Simple example is menopause in women. Somewhere at 40-55 all women undergo menopause.
    Unavoidable. Though there were reports of childbirth at 60 yo but considering one chance in
    billions, it is just a joke.
    Males have their equivalents too.
    All people after certain age change their immunological, hormonal, metabolic levels and so on.
    Majority of organs decrease their function . Thymus involute. Fat cells overgrow others, muscle
    cells degenerate etc.
    The same happens to all other multicellular animals and plants.

    Now the real question: Is it possible to break the biological clock or at least slow
    down and rejuvenate?





    Possible methods of rejuvenation.


    1. Telomeres lengthening and other genes regulation.

    Several genes that might play role in aging described recently. Telomerase encoding genes are the
    most discussed. In theory, if we lengthen the telomeres (these are the ends of chromosomes that are
    shortened with each division by very interesting mechanism), we could overcome cell tendency to
    lose ability for proliferation. Hence, we have "immortal cells". Hence, immortality or at least
    longevity is reached - cells divide indefinitely and repair organism. Basically, to restore telomeres
    length we need to activate production of or to introduce into the cell an enzyme named telomerase.
    To reach each cell in the body we would use viral vectors or smallRNA.
    Working with virus production and then cell transduction I would say it is difficult, very difficult.
    There are too many obstacles to use them efficiently. SmallRNAs would be more promising. In any
    case, when you go from theory to practice problems rise exponentially.
    Biggest question: will it work? Immortal cell (cell which is able to divide indefinitely) does not mean
    immortal body. One of the outcomes would be uncontrollable cell growth and, hence, cancer.
    Actually scenists discuss telomeres mostly in connection with cancer. They are very cautious saying
    about the rejuvenation. Mass media extrapolates the findings to
    possibility of longevity and further rejuvenation.

    My guess would be that telomeres are some of the "final cogwheels" in the Internal biological clock.
    It is useful to divide the clock on intracellular and whole body levels just for understanding. But in
    reality the levels are not separable, they continue one into another. It is easy to understand that
    intracellular production of any protein, any enzyme depends on transmembrane regulation.
    Hormones activate receptors that activate DNA transcription and protein production.
    Other genes that play role in cellular aging are described recently as well.
    I do not know how to use this method at present time

    2. Hormone replacement.

    When I studied in med school, several time I met mentions about hormonal side effects that cause a
    person to look much younger.
    Well known for example are:
    If a woman in menopause suddenly resumes menstrual cycles and looks younger than her age, we
    might suspect an ovarian Tumour producing excess of estrogen.
    If a person has thyrotoxicosis - excess of hormone thyroxine - he/she loses weight and looks much
    younger
    Persons with manic phases of bipolar disorder look younger, more energetic.
    Certain hormones - corticosteroids for example - might be increased or decreased in elderly.
    Couples that look younger were shown to have increased level of sexual relationships. Again, that
    supposedly should significantly change the hormonal levels.

    If we give a person some of those synthetic hormones - estrogen, thyroxine - we can sometime
    reproduce the younger looks.

    It is not the same as plastic surgery or skin creams and massages. It invigorates whole body. Skin
    as well.
    There is heavy price - recent debates are waxing and waning - if estrogen replacement increases or
    decreases risks of cancers (uterine, breast, ovarian etc.) Thyroxine excess takes heavy tall on
    cardiovascular system.
    Psychiatric disorders (mania for example) was linked to ceratin changes in neurotransmitter levels.
    Certain psycho tropic drugs change the ratios. Supposedly they can be employed for rejuvenation.
    Unfortunately, you would rather receive a psychosis than younger look.

    On internet you can find massive information about hormones that rejuvenate you.
    I saw some websites that list practically any major hormone:
    estrogen
    androgens
    corticosteroids
    growth hormone
    thyroxine
    DHEA
    melatonin
    and some others as a drug that leads to rejuvenation.
    The websites often have references to scientific literature.
    Most of the websites just sell you those hormones or offer courses of hormone therapy.

    My personal opinion would be that blind replacement can cause more harm than lead to any
    desired rejuvenation.

    Useful information that I would extract from the item is that A) Practically every hormone in the
    body is involved.
    B) Certain means of rejuvenation are actually documented. That gives hope.

    I do not use hormones personally. If I would employ them, I would use them in very small quantities
    to mimic physiology and in special controlled conditions that I will describe below.
    The doses that are used in regular therapy are actually way to high compare to the natural levels of a
    healthy organism.

    3. Antioxidant therapy.

    As we discussed, in the best case antioxidants are the method for longevity, not rejuvenation.
    I use mega-doses of antioxidants available over the counter. I use only those that I consider safe. I
    have a lot of doubts they give measurable effect.
    Anyway I use them. Would not throw away.

    4. Caloric restriction.

    I use it as well. 60% of regular meal - is way to much - you would barely move your feet. I regulate
    it.
    My opinion: if you increase your activity, you can eat more. Just balance your food and motions.
    Though I might be wrong.


    5. Hypothalamic regulation.


    This is scary level. Hypothalamus is the area of your brain that sits on the base of your skull.
    Why do we discuss hormones above? Well, hypothalamus contains hundred of centres that regulate
    your metabolism and first of all, hormonal status.
    Studies of hypothalamus are complicated - mostly there are postmortem studies of brain sections.
    To perform functional study you need to use micro-neurosurgical techniques (still very rude) and try
    to register changes in a hundred or so cells out of several billions. Changes would include minuscule
    production (nano and Pico grams) of poorly defined neurotransmitters. The infinitely small quantities
    of those neurotransmitters are produced by only few out of hundreds cell connections and exist only
    several nanoseconds.
    In general to study this area is more difficult than to look for a needle in a haystack. If you consider
    that there are only few centres have appropriate expertise, you would understand why the progress
    is relatively slow. Even fewer labs study rejuvenation.
    Though there were reports that transplantation of hypothalamic tissue from younger animals to older
    could result in rejuvenation-like effect.

    I mention this level because A) hypothalamus regulates production of bunch of intermediate
    messengers that in turn activate hypophysis, that activate adrenal glands, ovaries, thyroid gland etc
    (maybe many other areas in th body) that in turn produce the hormones discussed above. (Full
    description you could find in a textbook of Endocrinology)
    B) because of complexity of hypothalamus it is a good candidate were a "supreme cogwheel" of
    biological clock may reside. One hint would be proximity of epiphysis - small pea-like gland that
    produce melatonin and regulates circadian rhythms. It would not be surprise that all that is
    interconnected in the hypothalamus.
    One of objection - what is about worms? They do not have hypothalamus as it is. But they age
    and die as well as humans. Explanation would be that worms also have nervous system and some
    other part of it may play the central role in the biological clocks. Another explanation would be that
    there is no such centre at all, everything happens on the lower levels.

    I was interested in methods of rejuvenation since childhood. Maybe I read too many science fiction.
    When I was in medschool a saw some mentions of unusual phenomenon in magnetic radiation.
    To make story short, eventually I found a book - 400 pages of fine script.
    I found the book in Central Medical Library in Moscow.
    Even our relatively large library in Russian State Med U did not have this book.
    In addition I read the dissertation thesis, that were related to that book.
    Several Russian scientists developed relatively complicated theory, done many hundreds of
    experiments.
    Theory is a little bit complex, involves discussion of stress and adaptation syndrome. Obviously
    hypothalamic area also discussed.
    I am not big fan of that theory. But result the authors described were striking:
    they were able to restore menopause in rats, prolong rats life span almost twice and more
    important repeat it again and again. By the description from the book "rejuvenated rats" looked the
    same as young, but were just bigger in size.
    Well, you saw a lab rat, you know that older rats have rare hair, bleak eyes, are in menopause etc.
    Young rat, in opposite, would have bright red eyes, very sleek hair, menstruations, etc.
    This is no surprise - all growth of hair, production of oil by skin, production of moisture in lacrimal
    glands and so on are regulated by the hormones. The same is true for rats as well as for humans.
    Authors described the methods that they found mostly empirically.
    Moreover they tested some methods on humans and described treatment of variety of diseases -
    asthma, gastritis, peptic ulcers, low grade skin cancers (non-melanoma) just to name few.
    As I understand they did not describe rejuvenation in humans. Though later there were some
    mentions in literature. Authors describe zones of activation, training and stress.
    In general the methods are difficult to apply - they require permanent control of organism condition
    for many months, maybe years. Control of hormonal level and control of blood work. In addition
    parameter would vary from individual to individual. In modern medicine it is much faster and more
    reliable to cut out skin cancer with knife or give powerful proton pump inhibitors for a gastric ulcer.

    I realized that I used some of the methods described, even before I read that book. Since then I
    added some more methods for my own use. Mostly I use the methods that I feel safe and efficient.
    For example transplanting of hypothalamus would be out of question. It is a wacking unsafe
    procedure.
    Recently there were reports that DHEA, melatonin or other hormones could make miracles: older
    people feel as young.
    I would wait confirmation of the effects. Some authors suggest rejuvenation may be
    reached by individually designed cocktails of hormones.
    I would think that any hormone given makes more mess than regulation. Practically every hormone
    described have loops and pathways that prevent overproduction. If you just replace the hormones
    by
    giving the substitute, you wack the production of your own hormones those that injected as well as
    many others. All hormones are complexly interrelated.
    Individual cocktails would be better, but the doses described in literature are wacking.
    Again I might be wrong. Maybe everything is so simple - just get cocktail and you will jump as
    a newborn bunny.

    Considering different information from different sources, I would propose following theory:

    To rejuvenate yourself you need to recreate the hormonal and metabolic level of young organism.

    This is actually very difficult to reach: your organism have all the means to produce all the necessary
    hormones. Levels of hormones in elderly are not so far from the levels in youth actually. The
    difference is several percentages, not several folds. But biological clock switch to underproduction.
    The idea is to cheat the biological clock and to restore the youth levels.
    The most difficult part is to get into the window of optimal production.
    You can not go too low - just wouldn't have any effect on rejuvenation. You can not go above the
    optimal level - it will cause stress and even more deterioration.
    So approach is very individual. There is no quick effect - you can not rejuvenate from looking 50 to
    looking 30 overnight. You really need a lot of commitment and time.
    The methods which you choose are not of so great importance. Practically any action toward your
    body would cause changes in your metabolic and hormonal status. Physical exercise, herbs, yoga,
    hormones (low doses) etc - we could list thousands.

    Personally I used available antioxidants, slight caloric restrictions, herbs (some of substances in
    herbs like ginseng, Echinacea, etc mimics hormones in their chemical structure), self-hypnosis,
    neurolinguistic programming (NLP), auto-training, different exercises, lactic bacteria, etc. Important
    is the ability to adjust the level of treatment - reduce the dose of herbs or increase dose of exercise
    etc.

    Methods of control are of much great importance.
    The described methods include measurement of hormonal level and of certain fractions of cells in
    the blood work(that is also regulated by hormonal and metabolic reactions)

    If I would have a clinic of rejuvenation therapy I would probably use many of those methods - they
    are objective and reproducible. But they require blood work.

    For individual use there some subjective methods exist. They are described in literature as:
    If you are in the condition of rejuvenation you feel great energy, hunger, restlessness. Your sleep
    would be normalised, you are fighting regular infections much more efficiently - inflammatory
    reaction might be exaggerated, but they last shorter time. Your eyes would glisten as in youth. You
    will feel constant euphoria and need in doing something.
    There are some other subjective criteria.
    Personally, I would add: you will notice that your nails and hair grow like crazy in those conditions.

    The biggest problem is how to hold in this condition of rejuvenation for a prolonged period of time.
    You really can not go overboard - super activation would just wack all your system. You can not
    go under activation - just no any useful effect. You need to get it is just right.
    Solution is tight, continuos control.
    Boy, it's really tough in the modern stressful environment (would not describe all the junk that I had
    in recent years), but it is possible. Dedication is your solution.
    Some formulas to calculate doses of stimuli are described in the literature, but I feel it is easier to go
    with individual subjective feelings.
    Below there is an animation that contains some simple elements of NLP and might help to tune a
    brain a little.


    Now, what did I get by using those methods?
    Well not much, but I hope for more.
    At present time I am 35 yo I do not really have good control group in my personal experiment.
    Sometime people asked me if I am younger than my brother (He is younger than me for several
    years). Maybe it is some sort of control group.
    When I come into a bar (can not say often, maybe once in a year with friends) waiter often asks
    my ID. It is funny also because I do not use alcohol. So, to drink a Coke I need to show ID, being
    35 yo.
    Sometime people ask me are you 18 or 19
    When I played water polo at Yale, undergrads told me they thought I was freshman (as I guess also
    18 or 19). That time I was 33. Teenagers often start to talk to me in the way if I am another
    teenager.
    And so on.

    So, in general it is really hard to measure rejuvenation. All measurements are mostly subjective.
    Even
    in well designed scientific trial you find either some description of biochemical changes (which
    doesn't say you anything about rejuvenation as it is) or some subjective descriptions - "patients felt
    much better, felt rejuvenated and invigorate". How much rejuvenated? How many years were
    reversed? It is very difficult to estimate.
    If I say to a person that I have MD and PhD, he says "aha". Mentally they immediately adjust and
    now they say that I am probably 30. OK. Sometime they just say: you look so young.

    Again 35 is not the age where you really can brag that the methods worked. I would wait couple
    more decades to say that there was measurable effect. Unfortunately. You do not have the right for
    a
    mistake. If a method did not work , you can not go back and change it. You already are behind for
    several years.

    But my personal, subjective feeling is that the methods do work. I believe that it is possible by tight
    control maintain the level of younger organism. It just requires a lot of work.

    Below there is animation that might help to tune in the desired "optimal rejuvenation condition".
    Animation requires Flash file player
    I use that animation for myself.
    I doubt that it will necessarily help you. Maybe 1 out of 10. If you are not sure, don't' touch it.
    The animation contains some simple NLP information.
    Animation:
    animation
    Basically looking at the animation couple times a week for 5 min should start the tuning process (at
    least I feel so).
    You should target at the condition when you feel inexhaustible energy, euphoria, normalized sleep,
    and some feelings that is hard to describe - like a fine tingling in your fingertips, subjectively it feels
    like a pouring energy. It is difficult to explain, but when you feel you understand it.
    If you do not feel anything, it means it did not work, forget it.

    So to finish I would say that Rejuvenation is difficult but probably possible to reach - at least in a
    certain degree.




    animation
    Author:Aleksandr Kavokin, MD, PhD
    System:Body
    Subject:Rejuvenation
    Abstract:I would like to raise a question: Is Rejuvenation possible and how to approach it?
    Website:www.kavokin.com
    Time:11:44
    Reference:www.rdoctor.com
    Reference 2: 

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