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Eric Topol

đŸ‘€ Person
3037 total appearances

Appearances Over Time

Podcast Appearances

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And of course, there's been so much consternation about healthspan.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

What are your thoughts on that?

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Because some of the anti-aging companies are thinking about rejuvenating or extending the life of ovaries in the years ahead in humans, of course.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

So that's why I asked you that question.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

I mean, it's all speculation whether it could be achieved, whether it'd be safe, whether it'd be worthwhile, I think.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Yeah, no, that's great.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

The immune system is something, as you know, we can't measure in the clinic.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And the only place it can up until now be measured was in academic labs with various T and B cells and interferons and antibodies and sequencing of the T cell, B cell, receptor.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Anyway, it's very convoluted and difficult.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

But

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

The discovery of organ clocks, which includes the immune system, has been interesting because in a big study and now replicated by others, by Tony Wiskory and Stanford, they found that the immune system in those women who were taking estrogen was,

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

shifted to a younger immune system clock.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

That is, the pace of aging was slowed.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

It's not a randomized trial, but it's an interesting point because it's something we haven't been measuring in the clinic.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

I mean, it's something to watch.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

I don't know if you want to make any comment about that, but the immune system does seem to be important as a driver of healthy aging.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

In a full agreement.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Okay, now let's move.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

Before I go into the partitioning of risk, you mentioned that your practice of use of MHT hasn't changed over the years.

Ground Truths
Jennifer Gunter & Eric Topol - Discuss Women’s Health and Recent Changes by FDA for MHT

And I suspect, you know, the way it was pre-WHI was that some approximately 30% of women were getting MHT.