Silicon Valley billionaires including Sam Altman, Peter Thiel, and Jeff Bezos are investing heavily in cutting-edge ventures that seek to slow or even reverse aging by leveraging reprogrammable cells and Artificial Intelligence-driven drug discovery. Yet, according to physician and researcher Eric Topol, the transformative advances in human longevity are not futuristic—they are already present. In his new book ´Super Agers´, Topol asserts that true breakthroughs arise from the ability to predict, prevent, and manage chronic diseases earlier thanks to improved tools and data, not from attempts to halt time itself.
Interest in longevity has moved from the fringes into the mainstream, with myriad biotechs, clinics, and wellness influencers offering everything from gene editing to elaborate medical scans and blood transfusion therapies. While these innovations generate excitement, Topol notes that most have shown efficacy only in animal studies and carry unresolved safety issues, such as the risk of cancer. Moreover, many proposed interventions could remain prohibitively expensive and out of reach for the general public.
Topol points out that the most significant human killers—cancer, cardiovascular disease, and neurodegenerative conditions like Alzheimer´s—usually develop over decades, providing a window to intervene. Modern medicine has made extraordinary strides in identifying individuals at risk using relatively affordable biomarker tests that assess the age of different organs. With the help of Artificial Intelligence, this personalized biological data enables doctors to proactively monitor and guide patients with tailored lifestyle advice and surveillance, rather than a one-size-fits-all approach.
Certain drugs, such as GLP-1 agonists, are already demonstrating notable disease prevention potential by targeting inflammation, and researchers are gaining a deeper understanding of how factors like diet composition, exercise, sleep, environmental exposures, and social connection affect the aging process. These lifestyle elements remain the most accessible and cost-effective longevity strategies, and are now backed by mounting scientific evidence. Policymakers, too, are engaging with longevity science, with recent meetings on Capitol Hill signaling increasing national interest. In contrast, some tech leaders, like Elon Musk, have opted not to back longevity research, arguing it could have adverse societal consequences.
Ultimately, as Topol suggests, the quest for immortality may be less effective than applying advanced medical knowledge and healthy habits to extend both lifespan and quality of life. The tools for longer, healthier living are largely available to all, making billion-dollar immortality quests less relevant than ever.