The Anti-Longevity Playbook

40+ longevity interventions,
ranked by the evidence.

A physician's verdict on every supplement, peptide, and protocol you've been told you need. 140+ citations. Zero affiliate links.

By Ramy Khalil, MD ·  An Unsponsored, Practicing Physician
140+
Peer-reviewed Citations
40+
Interventions Reviewed
0
Affiliate Links, Ever

Most of what you've been told about living longer is selling something.

A typical longevity “stack”
$870/mo
Marketing dressed up as medicine.
  • NAD+ infusions$100
  • Supplement stack$70
  • Peptide injections$300
  • Biological-age test$400
What the evidence actually supports
$76/mo
Boring. Cheap. Backed by real RCTs.
  • Gym membership$50
  • Creatine$9
  • Vitamin D$5
  • Fish oil$12

The best longevity protocols we have today are painfully unsexy. The things that actually extend human life are boring, cheap, and don't make anyone money. Sleep. Exercise. A handful of generic medications. Not smoking. Some days, that's the entire list.

The things that do make money — exotic supplements, unproven peptides, $400 testing panels — have the weakest evidence in the whole literature. Often, no human evidence at all.

This playbook exists to tell you which is which.

Free Chapter

Exercise — the single biggest mortality predictor in the literature.

The complete chapter from the Playbook. 11 citations. Sent now to your inbox.

No spam. No sequences. Just the chapter.

Every intervention gets a verdict.

Six examples below. The full playbook covers 40+ interventions, and every claim has a numbered citation to a peer-reviewed study you can look up.

VO₂ Max Training
Each 1-MET increase associated with 13% lower all-cause mortality. The strongest single predictor of longevity in the literature.
Proven
NMN / NR
$1.2 billion market. Zero human lifespan-extension trials completed to date.
Unproven
GLP-1 Agonists
20% CV event reduction in a 17,604-patient RCT. Plus an emerging cancer-risk-reduction signal.
Proven
BPC-157
Fewer than 30 humans ever studied in published literature. One clinical trial cancelled without explanation.
Insufficient Data
Sauna
Finnish cohort: 4–7×/week associated with 63% lower sudden cardiac death. Observational, but dose-dependent and consistent.
Promising
Rapamycin
The most interesting longevity drug in preclinical research. Not yet supported by human trial data.
Watching

All 40+ interventions get this treatment. $50, lifetime access.

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Things you'll learn.

  1. 01Which commercially available peptides have zero human safety trials — and which three are the exceptions.
  2. 02The $20 blood test that predicts cardiovascular risk better than any $400 longevity panel.
  3. 03What the human trials on intermittent fasting actually show (it’s not what Instagram tells you).
  4. 04The free intervention that beats every supplement on the market for all-cause mortality.
  5. 05Why cold plunges feel good — and why the longevity data doesn’t support them.
  6. 06The longevity paradox of growth hormone: what makes you look young may shorten your life.
  7. 07My personal protocol — what I take, what I refuse to take, and why.

Thirteen sections. Every claim cited.

  1. 01The Things That Actually Work
  2. 02Supplements & Compounds
  3. 03Fasting & Dietary Protocols
  4. 04Peptides — The Wild West
  5. 05Cold & Heat Exposure
  6. 06Sleep
  7. 07Hormones
  8. 08Advanced Testing
  9. 09GLP-1 / GIP Agonists
  10. 10The Supplement Deep-Dive
  11. 11Mindset & Social Connection
  12. 12My Personal Protocol
  13. 13Quarterly Updates

An honest disclaimer.

You won't find

  • Affiliate links to supplement companies. Not now, not later.
  • Dosing protocols for compounds with no human safety data.
  • “Top 10 longevity hacks” listicles optimized for the Gram.
  • Confidence whenever the intervention calls for nuance (which is very common).

You will find

  • Every claim backed by a peer-reviewed citation you can verify.
  • An honest “we don't know” wherever the data is genuinely unclear.
  • Clear verdicts: proven, promising, unproven, or skip.
  • Quarterly updates as the science evolves — included for life.

The author.

Ramy Khalil, MD
LinkedIn

Ramy Khalil, MD is double board-certified in internal medicine and clinical informatics. He reads medical data for a living. He wrote this because he kept correcting the same supplement misinformation in clinic, one patient at a time, and decided to write it down once.

  • Founder, Clinicly — comprehensive direct primary care for Dubai expats.
  • Founder, Continuum Overnight Primary Care — live virtual care for Americans at night.
  • Dr. Khalil has no supplement line or clinic that sells these interventions. There is no affiliate revenue or industry sponsorship. None.
“My patients were spending hundreds of dollars a month on stuff that was either unproven or unsafe. I give them this resource to help guide our discussions on what's worth their time and money. I'm now offering it to anyone who wants to read it.”

Read the Playbook.
No upsells. Lifetime access.

$50

One-time. Lifetime web access.

Less than one month of the supplements you might reconsider after reading the evidence.

This is a living document.

Every quarter I revisit the evidence. Things get upgraded. Things get downgraded. New interventions get added. You get all of it, forever, for the $50 you pay today.

  • Lifetime web access to the full playbook
  • All 13 sections with 140+ peer-reviewed citations
  • Personal protocol breakdown
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Secure checkout via Stripe. If after reading the Playbook you don't change your mind about at least one thing you're currently spending money on, email me for a refund. Thirty days.

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Before you read.

Is this medical advice?+

No. This is one physician's evidence-based assessment. It's designed to help you make informed decisions with your own doctor.

What makes this different from free longevity content?+

Every claim has a numbered citation. There are no affiliate links, no sponsored products, and no financial incentive to recommend anything. My only conflict of interest is that I want you to read this.

How are quarterly updates delivered?+

Updated directly in the web version — included with your purchase for life. Each update covers what’s been upgraded, downgraded, and newly on radar.

Can I get a refund?+

If the playbook doesn’t change how you think about at least one intervention, I’ll refund you within 30 days of purchase.

Do you sell supplements or run a longevity clinic?+

No. I run a direct primary care practice. Zero financial incentive to recommend any specific product.

Why are you charging for this? Shouldn’t it be free?+

I don’t have a supplement line. Nobody sponsored this or told me what to include or leave out. That’s the point — and that’s also why it costs something.

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$50. Read it.

Or don't. The interventions that work are mostly free anyway.

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