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       THE FOUR KILLERS

      THE CURIOUS CASE OF DAVE ASPREY

      Until the age of five, I was a normal kid with few health problems. Then my family moved from California to New Mexico, and something in my biology changed. I started acquiring health problems normally reserved for people far older than I was. Today I recognize that my bedroom, which was in the basement of our new house and covered in water-damaged wood paneling (it was the 1970s), was full of toxic black mold. My own home was silently aging me, but nobody, least of all me, was aware of this at the time.

      For the next two decades, I suffered from joint pain, muscle pain, asthma, brain fog, extreme emotions, and even weird, frequent nosebleeds. Out of nowhere, my nose would start gushing, and I had unending strep throat that came back every time I finished yet another round of antibiotics. After I got my tonsils out, I started getting chronic sinus infections instead. My body didn’t properly maintain blood pressure, so I often got dizzy, and I was easily fatigued.

      At the age of fourteen, I was diagnosed with full-blown arthritis in both of my knees. I remember going home after receiving the diagnosis from my doctor, thinking, How can I have arthritis? That’s for old people. I had always been chubby, but now I was becoming obese. I developed tons of stretch marks, which also disturbed me. Weren’t those for pregnant women? I was just a kid!

      And can we talk about man boobs? I grew mine when I was sixteen, which would make anyone self-conscious, especially a teenager. The only other guy I knew with a matching set was my grandfather. My hormones were dysfunctional, just like those of my aging relatives. Between the stretch marks and the man boobs, you’d never catch me with a shirt off. The very thought terrified me, and I’d never in a thousand years imagine that thirty years later, there would be a full-page shirtless photo of me in Men’s Health magazine talking about how I used the techniques in this book to get rid of that flab and replace it with abs.

      When I got to college, I kept putting on weight until I had grown a size 46 waist. And my knees got even worse. I played intramural soccer, and my kneecap would become dislocated, so my leg would suddenly fold sideways in a sickening way. I got used to falling over unexpectedly when it happened. Besides the pain, this made dating really awkward. Who wants to date an obese twenty-year-old who might fall down at any moment, with stretch marks, man boobs, arthritis, and the lack of confidence that comes with having such things? Oh, and someone who was so fatigued that he often forgot names, was socially awkward, and could barely focus, even when he really tried? Not too many people, unsurprisingly.

      More important than my lackluster social life was the fact that my body was aging before its time. I was well on my way to prematurely developing all four of the diseases most likely to kill you as you age—heart disease, diabetes, Alzheimer’s, and cancer—or, as I call them, the Four Killers. These diseases are all deadly, and each of them is on the rise.

      Right now, about one in four deaths in the United States is connected to heart disease—that’s roughly 610,000 people who die from heart disease each year. Meanwhile, more than 9 percent of the population of the United States has diabetes, and that number rises to 25 percent for people over the age of sixty-five. The Centers for Disease Control and Prevention (CDC) estimates that 5 million Americans are living with Alzheimer’s, and this number is going up, too. The death rate due to Alzheimer’s disease increased a full 55 percent between 1999 and 2014. And last but not least, 1.73 million people in the United States are diagnosed with cancer each year, and more than 600,000 of them die from it.

      Suffice it to say that if you don’t die in a car crash or from an opioid addiction, chances are that one of these Four Killers is going to drain your life and your energy (and your retirement fund) before you die in a hospital. It was certainly looking like that would be the case for me—and sooner than most people, given how sick I was.

      In the 1990s when I was in my twenties, my doctor used blood tests to determine that I was at a high risk then for developing a heart attack or stroke. My fasting blood sugar was a whopping 117, which put me solidly in the range of prediabetic. I didn’t have Alzheimer’s, but I was experiencing significant cognitive dysfunction and often left my car keys in the refrigerator. And I may not have been at an obvious risk of cancer, but guess what nearly doubles your risk of certain cancers (including those of the liver and pancreas)? Diabetes¹—which is also a risk factor for Alzheimer’s.² Guess what else dramatically raises your cancer risk? Toxic mold exposure, which I had also experienced.

      Even obesity itself is the second largest preventable cause of cancer. Your risk goes up the more overweight you are and the longer you stay that way.³ Bad news—75 percent of American men are obese, and so are 60 percent of women and 30 percent of kids.⁴ No wonder the Four Killers are on the rise. Are you going to let them take you out?

      I still didn’t know what was causing me to age so quickly when I began a quest to discover how to fix my body. In the mid-1990s, we didn’t have Google yet, but we had AltaVista, and I worked at night teaching the engineers who were literally building the Internet. This meant I had the good fortune of having access to information that most people didn’t. I started doing a ton of research and buying whatever I could find that might help me slow down or even reverse my symptoms. I simply couldn’t imagine even more stretch marks or more joint pain as I got older.

      An important part of this journey was connecting with one of the first medical doctors who specialized in the study of anti-aging, Dr. Philip Miller. Seeing him required what was a tremendous financial investment

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