Many anti-aging, healthy living books share the same general advice: eat well, exercise, do less dumb harmful stuff. This book specifies the advice with written exercises and habit forming activities, and chooses its advice specifically from telemere verified research.
Blackmore received the Nobel Prize in Medicine in 2009 for her research into telomeres, and into telomerase on slowing aging. This comprehensive review of telomere research shows (along with articles in Sciences and leading journals) that she is still in the lead of her field, so we can trust that the (often common sense) advice she gives is scientifically rigorous.
The first half of the book explains telomeres at an adequate level of detail, and describes how their length both correlates with health or disease, and explains causative biology pathways for how short telomeres operate on creating disease. This is a 2017 published book, and much of the citations are for very recent research, since it is only after 2010 that telomeres have been identified as a key mechanism by which toxic habits and thoughts lead to a shorter healthspan!
The second half of the book, after a (scientifically validated) self-scored telomere length estimation survey, lays out an organized set of lifestyle interventions, a nicely clear path to protecting your telomere length, and repeats the benefits of doing so. The advice is both specific to telomere benefits, and written very actionably — a reader can immediately commit to specific behaviors and habits which will empirically improve his or her health span. One example how up to date and correct this volume is: the diet section intensely focuses on reducing sugar / glycemic index, which has become a clear consensus only in the last 2 or 3 years.
Encouraging and invigorating. Crafted with meticulous care and attention to detail. Informative and an engaging pleasure to read. Pages 243–48 present a new, innovative, cogent, concise method for reliably changing habits; I’m a psych major and deep into this literature, yet it is one of the best I’ve come across.
One popular comment dismisses the practicality of the advice, by belittling the questionnaire as saying care givers, people of color or hard working office people are just destined to die. That’s exactly backwards! Blackmore humorously quotes “aging is mind over matter -- if you don’t mind, it doesn’t matter.” so the emotional and biopsychological reaction to the reality is what matters most for telomeres. No matter your life circumstances, the advice is useable and practical. On page 71 is clearest distinction between the life events and the emotional attitude or interpretation of those events, and it is the later only that effects telomeres.
The epigenetic aspects of telomeres over generations are uniquely meaningful. Mothers (and fathers, less) pass down the current length of their telomeres to kids, so society has a distinct reason to protect the health of unborn kids by removing stresses from pregnant women, as those stress are highly unequal by region, income, race, age and education.
Why doesn’t the book list chemical or pharmaceutical methods for just lengthening one’s telomeres, especially since therapies exist for the one-in-a-million people who have genetic mutations that mandate early short telomeres and therefore lead to early deaths? Because too much telomerase causes cancer, and all the research studies around this are still pending. Ironically, longer telomeres can be indicative of active cancer, and more telomerase can suggest frantic body effort to repair shortened telomeres — this greatly complicates research, and requires attending to the tissue sources of the measured outcome. In summary, let's just keep ourselves maximally healthy until the day when a medical treatment for telomere length does become available.
Great quotes herein:
“I’ve lived a long life with many troubles, most of which never happened” -Mark Twain (on anxiety)
“Every day, think as you wake up, today I am fortunate to be alive, I have a precious human life, I am not going to waste it." -Dalai Lama, p120
Even if some of the lifestyle advice she gives actually lengthens healthspan by some other mechanism than telomeres, such as reducing inflammation or reducing lysosomes overload, that's okay... there is some correlation happening, and this is another reason telomerase boosting alone will not yield immortality. Tetrahymena doesn't have complex systems to maintain.