100 Not Out

100NO 637: Where Longevity is Won: What you can & can't control


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In this episode we take a deep dive into the topic of control and its impact on longevity.

Reflecting on last week’s interview with centenarian Henry Martell, the conversation explores which aspects of health, wellbeing, and aging are truly within our control, and which are simply part of life’s roulette.

Key Talking Points
  • Rule Breaking & Longevity:
  • Marcus and Dr. Damian discuss the ‘rule-breaking’ spirit of their centenarian guests, exploring how not following conventional rules and doing things ‘your own way’ may add zest to life.
  • Movement: The Non-Negotiable:
  • Despite Henry Martell’s playful attitude toward exercise, Dr. Damian strongly reports that movement is a non-negotiable for aging well. While many aspects of longevity are optional or negotiable, regular movement is essential to maintain independence and quality of life.
  • Control vs. Influence:
  • The hosts examine what is truly within our control as we age. They stress that while you can’t always control your circumstances or genetics, you can control your actions and environment—from food choices to physical routines, and even your social circles.

    • Rehabilitation & Taking Ownership:
    • Dr. Damian shares his personal journey overcoming knee pain in his late 30s and advocates for self-responsibility. He highlights the importance of consistently doing the ‘boring but crucial’ rehab and movement work, rather than being a passive victim to pain or age.
    • The Power of Mindset:
    • Drawing on stoic philosophy and Viktor Frankl, the conversation explores the importance of choosing your response to life’s challenges and reframing how you see ‘control’ in daily situations.
    • Quality Over Quantity:
    • The goal isn’t simply to live to 100+, but to do so in ‘good nick’—feeling vibrant, connected, and strong, right up to the end. Tommy Hafey is cited as an example of living a full, high-quality life, with only a few weeks of decline at the end.
    • Genetics, Environment, and the Future:
    • Genetics are largely outside our control, but how we ‘interact’ with them (through choices and environment) remains a potent lever. The hosts muse about future knowledge in genetics and health, and the excitement of learning more in the years to come.
      • “Almost everything that most people suggest is required for longevity is optional—I just don’t think movement is optional. I think you’ve got to do it.” – Dr. Damian Kristof
      • “You can’t change your gene profile, but you can control the environment you put your gene profile in.” – Marcus Pearce
      • ...more
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        100 Not OutBy Marcus Pearce, Damian Kristof

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