by Dr Gene | Sep 5, 2025 | Midlife Wellness
Imagine reaching your 50th birthday and discovering that five specific health choices you’ve made—or avoided—could determine whether you live an additional decade or more. It’s a compelling thought, and recent research has shed light on just how impactful these choices can be.
A comprehensive study, analyzing data from over 2 million individuals across 39 countries, has revealed that avoiding five key risk factors at age 50 can significantly increase life expectancy and reduce the likelihood of developing cardiovascular disease. These risk factors are:
- High Blood Pressure (Hypertension)
- High Cholesterol Levels
- Abnormal Body Weight (either underweight or overweight)
- Diabetes
- Smoking
The absence of these factors at midlife doesn’t just add years to your life—it adds quality years, free from the burdens of heart disease and related complications.
The Numbers Speak Volumes
For men at age 50:
- Those with all five risk factors had a 38% lifetime risk of developing cardiovascular disease.
- Those with none of the risk factors had a 21% risk.
For women at age 50:
- The risk dropped from 24% with all five factors to 13% with none.
In terms of life expectancy:
- Men without these risk factors lived approximately 11.8 years longer than those with all five.
- Women enjoyed an additional 14.5 years of life under the same conditions.
These statistics underscore the profound impact that managing these risk factors can have on our health and longevity.
Midlife Changes Matter
What’s particularly encouraging is that it’s never too late to make positive changes. The study found that individuals who addressed high blood pressure and quit smoking between the ages of 55 and 60 experienced significant health benefits:
- Lowering high blood pressure in this age range was associated with the most additional years free from cardiovascular disease.
- Quitting smoking added the most additional years free from death from any cause.
These findings highlight the body’s remarkable ability to recover and thrive when given the chance, even in midlife.
A Global Perspective
This study stands out not only for its size but also for its diversity. By including participants from various regions and backgrounds, the research provides a comprehensive view of how these risk factors affect people worldwide. It reinforces the universal importance of maintaining heart health, regardless of where you live.
Taking Action
Understanding these risks is the first step. Here’s how you can take charge:
- Regular Check-ups: Monitor your blood pressure, cholesterol, and blood sugar levels.
- Healthy Diet: Embrace a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
- Stay Active: Aim for at least 150 minutes of moderate exercise each week.
- Maintain a Healthy Weight: Seek guidance to achieve and sustain a weight that’s right for you.
- Quit Smoking: Seek support groups, counseling, or medications to help you stop.
Your 50s can be a pivotal decade for your health. By addressing these five risk factors, you’re not just adding years to your life but also life to your years. It’s never too early—or too late—to make choices that lead to a healthier, longer, and more fulfilling life.
References:
- Global Effect of Cardiovascular Risk Factors on Lifetime Estimates. The New England Journal of Medicine. Link
- Vision Monday. “5 Risk Factors at 50 Can Steal a Decade of Life.” Link
- NY Post. “These 5 risk factors at age 50 shave more than 10 years off your life.” Link
by Dr Gene | Aug 28, 2025 | Mental Health
Stress gets a bad rap. In the modern wellness lexicon, it’s almost always the villain—blamed for everything from burnout and insomnia to chronic disease. And to be fair, there’s good reason for that. Unmanaged, chronic stress is indeed harmful. It taxes the body, fogs the brain, and chips away at our well-being over time. But the story of stress is far more nuanced than it’s often portrayed. In fact, not all stress is bad. Some forms of stress are not only beneficial—they’re essential for growth, resilience, and long-term health.
There’s a word in biology for this concept: hormesis. It refers to a phenomenon in which a small amount of stress or toxin stimulates the body to grow stronger. Think of it as the biological version of “what doesn’t kill you makes you stronger.” Whether it’s lifting weights, skipping a meal, or stepping into an uncomfortable conversation, controlled exposure to stress teaches the body—and the mind—to adapt, heal, and evolve.
In a world that prizes comfort and ease, we’ve become deeply conditioned to avoid stress at all costs. But what if we’ve misunderstood it? What if stress, when used with intention, is not the enemy but the catalyst?
Let’s start with the basics. The body is a beautifully dynamic system designed to respond to challenges. The stress response, at its core, is an adaptive mechanism. When we experience stress, our bodies release a cocktail of hormones—primarily cortisol, adrenaline, and norepinephrine. These hormones sharpen our focus, quicken our pulse, and flood the bloodstream with energy. It’s nature’s way of saying, “Wake up. Something important is happening.”
But what happens next is key. In a healthy system, the body returns to baseline after the perceived threat passes. Heart rate slows, breathing steadies and cortisol levels normalize. This ability to switch between states—to rise to the challenge and then recover—is what resilience is all about. The trouble begins when the recovery phase never comes. When stress becomes constant, unrelenting, and undefined, the body remains stuck in a heightened state of alert. That kind of stress leads to disease, fatigue, and emotional exhaustion.
However, when stress is applied strategically, in measured doses and followed by recovery, it becomes a tool for transformation. This is the essence of hormesis. It’s the reason why lifting weights builds muscle, why fasting sharpens metabolic health, and why breathing through discomfort can quiet the mind.
Let’s take exercise as a prime example. When you engage in strength training, you’re literally breaking down muscle fibers. That damage is a stress signal, prompting your body to respond by rebuilding those fibers with more strength and resilience. Without that initial stress—without lifting more than feels comfortable—there’s no signal to grow.
The same goes for cardiovascular training. When you push your heart and lungs to work harder, your circulatory system adapts, becoming more efficient. Your mitochondria—the powerhouses of your cells—increase in number and function. Your capacity expands. This is hormesis in action: stress, followed by adaptation, leads to greater capability.
Nutritional stress can also serve a purpose. Take fasting, for instance. Temporarily abstaining from food may seem counterintuitive to health, but science tells a different story. Fasting activates a process known as autophagy, in which the body begins to clean out damaged cells and regenerate healthier ones. It’s like a reset button at the cellular level. Hormones shift in beneficial ways: growth hormone spikes, insulin sensitivity improves, and inflammation drops. The mild stress of fasting forces the body to become more efficient and more resourceful. Again, it’s the presence of stress—not its absence—that triggers these benefits.
Even cold exposure, another form of hormetic stress, has profound effects on the body. Brief cold plunges or cold showers activate brown fat, increase norepinephrine, improve circulation, and bolster immunity. It’s uncomfortable, yes—but it’s also a wake-up call to your biology that leads to adaptation.
But hormesis isn’t limited to the physical realm. Emotional stress, too, plays a powerful role in shaping who we are and how we relate to the world. Consider interpersonal conflict. Most of us try to avoid it—preferring harmony over confrontation. But facing conflict, when done with mindfulness, can teach us invaluable lessons about boundaries, empathy, and communication. Each difficult conversation becomes a form of practice. Each emotional discomfort a chance to grow in patience, clarity, and compassion. Over time, you build emotional strength. You learn how to stand in discomfort without being swept away by it. You learn how to repair, how to speak truth, how to listen. And you carry those skills with you into every relationship you touch.
Breathing, too, becomes a tool to train resilience. Many ancient practices like pranayama or modern techniques like box breathing and the Wim Hof method leverage breath as both a stressor and a soothing mechanism. Holding your breath, extending your exhale, or breathing through the nose during physical exertion all create controlled stress. They train the nervous system to stay calm under pressure. They improve CO₂ tolerance and oxygen efficiency. Most importantly, they teach you to stay anchored—to respond rather than react.
When we begin to see stress through this lens, we stop fearing it. We start working with it. And in doing so, we gain access to a deeper, more resilient form of health.
At a hormonal level, the body’s response to stress is a finely tuned system. Cortisol, the so-called stress hormone, gets a lot of blame. But cortisol is not the villain. In fact, it plays a crucial role in regulating blood pressure, reducing inflammation, and supporting energy production. Problems arise not from cortisol itself but from chronic, unchecked release. When stress becomes a lifestyle rather than an event, the feedback loop that governs cortisol breaks down. This is where burnout begins. Adrenal dysregulation. Fatigue. Insomnia.
But short bursts of cortisol—elicited through intermittent stress—can be incredibly beneficial. They prime the brain for focus, signal the body to mobilize energy, and prepare us for action. What matters is what happens after the stressor is removed. Do you return to calm? Do you give your body the rest and recovery it needs to grow?
Hormesis depends on that balance. Stress + recovery = growth. It’s not enough to apply pressure; you must also release it. Just as muscle repair happens during rest, healing from any form of stress requires space. This is why sleep, nutrition, connection, and reflection are essential counterparts to every stressor you introduce.
The beauty of hormesis is that it’s self-reinforcing. The more you expose yourself to small doses of stress, the more resilient you become—not just physically but mentally and emotionally. You begin to welcome challenges rather than avoid them. You start to trust that discomfort is not the end of safety but the beginning of strength.
I’ve seen this play out in my own life and in the lives of patients and peers. I’ve watched people use intermittent fasting not only to manage their weight but to deepen their relationship with hunger and satiety. I’ve seen those who once feared exercise find empowerment in their first pull-up, their first mile. I’ve listened to individuals describe how facing a difficult relationship changed them—not because the other person changed, but because they learned to speak and listen in a new way.
And I’ve felt it myself—in the breath held just a little longer during meditation. In the challenge of pushing forward during HIIT training. In the difficult truth spoken kindly but firmly. In each of these moments, the message is the same: you are capable of more than you think. And stress, when approached wisely, will show you just how capable you are.
This isn’t to say we should glorify stress or seek it recklessly. Chronic stress—especially the kind that comes from toxic work environments, harmful social or romantic relationships, financial insecurity, or unresolved trauma—is not the same thing as hormesis. It overwhelms rather than strengthens. That’s why discernment matters. That’s why we must pair challenge with care and intensity with intuition. Hormesis is not about pushing through everything. It’s about training the body and mind in a way that builds—not breaks—you.
So, where do you begin?
Start by noticing your patterns. Where do you shy away from discomfort? Where are you coasting in comfort that’s keeping you stagnant? Then, choose one area—movement, food, breath, or relationship—and apply just a little stress. Skip a meal and see how your body responds. Take a cold shower. Have the conversation you’ve been avoiding. Walk an extra mile. Hold your breath at the top of an inhale. Then, recover. Rest. Reflect. Listen.
This is how resilience is built—not in leaps, but in layers, not through avoidance, but through intentional exposure. You don’t need to overhaul your life. You need to learn to harness stress, one moment at a time.
The body was made for this. The mind was made for this. You were made for this.
References:
- Calabrese, E. J., & Baldwin, L. A. (2003). Hormesis: the dose-response revolution. Annual Review of Pharmacology and Toxicology, 43(1), 175-197.
- Mattson, M. P. (2008). Hormesis defined. Ageing Research Reviews, 7(1), 1-7.
- Longo, V. D., & Panda, S. (2016). Fasting, circadian rhythms, and time-restricted feeding in healthy lifespan. Cell Metabolism, 23(6), 1048–1059.
- Van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking.
- Hof, W. (2020). The Wim Hof Method: Activate Your Full Human Potential. Sounds True.
- Sapolsky, R. M. (2004). Why Zebras Don’t Get Ulcers. Holt Paperbacks.
by Dr Gene | Aug 16, 2025 | Health
The conversation around cannabis has evolved dramatically over the years. Once demonized as an illicit drug with no medical value, cannabis has since gained widespread acceptance, both medicinally and recreationally, across many parts of the world. The shift in perception has been fueled by research highlighting its potential therapeutic benefits, economic advantages, and changing legal frameworks. However, amidst the discussions surrounding its positive effects, an emerging body of research is shedding light on a far less explored but crucial aspect of cannabis use—its impact on heart health.
A recent study published by the American College of Cardiology has brought forth startling findings that suggest regular cannabis users face a significantly higher risk of heart attacks and heart failure. This revelation has triggered concern among medical professionals and researchers, who now urge individuals to take these potential dangers seriously. While cannabis has often been promoted as a safer alternative to tobacco and alcohol, the growing evidence suggests that its effects on the cardiovascular system are far more complex and concerning than previously thought.
The Study: Cannabis and Cardiovascular Risk
The study, released on March 17, 2025, examined data from thousands of individuals across multiple countries, comparing cannabis users with non-users who had no preexisting cardiovascular conditions. The findings were alarming: individuals who regularly used cannabis had a dramatically increased likelihood of experiencing a heart attack, particularly those under the age of fifty, and an overall higher risk of developing heart failure. These results challenge the long-held assumption that cannabis is relatively harmless, highlighting the need for greater awareness of its potential cardiovascular consequences.
The researchers analyzed health records and conducted extensive screenings to ensure that external factors such as obesity, high cholesterol, and diabetes did not unduly influence the results. Even when controlling for these variables, the increased incidence of heart disease among cannabis users remained significant. This suggests that cannabis itself, rather than merely accompanying lifestyle choices, may play a direct role in elevating cardiovascular risks.
How Cannabis Affects the Heart
Understanding how cannabis interacts with the heart is essential to grasp the implications of these findings. The primary psychoactive compound in cannabis, tetrahydrocannabinol (THC), has been found to affect the cardiovascular system in multiple ways. One of the most immediate effects of THC is an increase in heart rate, sometimes by 20 to 50 beats per minute. While this may seem inconsequential in healthy individuals, it can place immense stress on the heart over time, particularly in those with underlying conditions.
Cannabis consumption also leads to temporary spikes in blood pressure. For individuals who are already at risk of hypertension, this can significantly elevate their chances of experiencing a heart attack or stroke. Researchers have expressed growing concern that cannabis use contributes to arterial constriction, reducing blood flow and accelerating the progression of heart disease.
Another critical factor is the method of consumption. Smoking cannabis introduces carbon monoxide into the bloodstream, which reduces oxygen levels and places additional strain on the heart. Unlike cigarette smokers, cannabis users often inhale more deeply and hold the smoke in their lungs longer, potentially increasing their exposure to harmful substances. These factors collectively heighten the likelihood of long-term cardiovascular complications.
Additionally, some studies have linked frequent cannabis consumption to increased inflammation and a heightened risk of blood clot formation. These conditions can contribute to plaque buildup in the arteries, further escalating the chances of heart attacks and other cardiovascular disorders.
Cannabis vs. Tobacco: A Risk Comparison
While cannabis and tobacco are not identical, their potential cardiovascular risks share striking similarities. For decades, smoking cigarettes has been widely recognized as a leading cause of heart disease, prompting significant public health campaigns aimed at reducing tobacco use. However, the conversation around cannabis has not yet reached the same level of scrutiny, despite mounting evidence that it may pose comparable risks.
Many of the harmful chemicals present in tobacco smoke, such as tar and carbon monoxide, are also found in cannabis smoke. Furthermore, studies suggest that cannabis users inhale more deeply and hold the smoke in their lungs for extended periods, increasing their exposure to these toxic compounds. Some researchers argue that, in certain cases, cannabis smoke may be even more damaging to cardiovascular health than cigarette smoke due to these intensified inhalation patterns.
As a result, medical professionals are now encouraging doctors to ask patients about their cannabis use just as they would inquire about tobacco consumption. Given the emerging data, understanding a patient’s history of cannabis use is crucial for assessing their overall heart health and providing accurate risk assessments.
The Growing Body of Research on Cannabis and Heart Disease
The recent study aligns with other research that has established a link between cannabis use and cardiovascular disease. Previous studies have found strong correlations between cannabis consumption and increased rates of coronary heart disease, strokes, and heart attacks.
The Centers for Disease Control and Prevention (CDC) has acknowledged these concerns, noting that cannabis use can affect heart rate and blood pressure in ways that elevate the risk of heart-related complications. Additionally, researchers in Canada have discovered that young cannabis users are significantly more likely to develop heart disease than their non-using counterparts, even when other lifestyle factors are accounted for. These findings reinforce the notion that cannabis is not without risks and that individuals should be more aware of its potential effects on their cardiovascular system.
The Misconception of Cannabis as a Harmless Substance
Despite these warnings, many people continue to perceive cannabis as a safe alternative to other substances. The widespread promotion of its medicinal properties, such as pain relief and anti-inflammatory effects, has led to a perception that cannabis is largely beneficial with minimal downsides. However, it is important to distinguish between controlled medicinal use and frequent recreational consumption.
While compounds like cannabidiol (CBD) have been studied for their potential health benefits, THC has repeatedly been linked to adverse cardiovascular effects. The belief that cannabis is inherently safer than tobacco or alcohol overlooks the growing evidence suggesting it carries its own unique set of risks. With legalization expanding in many parts of the world, public health messaging must evolve to include education on these potential dangers.
Mitigating the Risks: What Cannabis Users Can Do
For individuals who use cannabis, there are steps that can be taken to mitigate potential cardiovascular harm. Open communication with healthcare providers is essential. Many people hesitate to disclose their cannabis use to their doctors due to fear of judgment or legal concerns, but transparency allows for better monitoring of heart health and early intervention if issues arise.
Exploring alternative methods of consumption may also reduce some of the risks associated with smoking. Edibles, tinctures, and vaporized forms of cannabis can offer different routes of administration that may be less harmful to cardiovascular health. However, it is important to recognize that high doses of THC, regardless of how it is consumed, can still impact heart rate and blood pressure.
Lifestyle choices also play a significant role in mitigating the risks. Maintaining a balanced diet rich in heart-healthy foods, engaging in regular physical activity, and avoiding the combination of cannabis with other substances that elevate heart rate, such as tobacco and stimulants, can all contribute to reducing overall cardiovascular risk.
The Need for Continued Research and Public Awareness
As research continues to evolve, it is becoming increasingly clear that cannabis is not as harmless as once believed. While there is still much to learn about its long-term effects, the available data already provides compelling reasons to approach its use with caution. Public health campaigns should incorporate education about cannabis-related cardiovascular risks, just as they have done for tobacco and alcohol.
Furthermore, regulatory agencies and healthcare professionals should work together to establish guidelines for safe cannabis use, particularly for individuals who may be at greater risk of heart disease. This includes older adults, individuals with high blood pressure, and those with a family history of cardiovascular conditions.
Conclusion While the conversation around cannabis has largely centered on its benefits, it is equally important to acknowledge its potential harms. The heart is one of the most vital organs in the body, and protecting it should be a priority for everyone, regardless of their lifestyle choices. As legalization spreads and cannabis use becomes more mainstream, awareness of its cardiovascular effects must keep pace. By making informed choices and staying aware of emerging research, individuals can better navigate the complexities of cannabis use while prioritizing their long-term health.