My name is Garrison Watts and I am a board-certified cardiologist, a former board-certified geriatrician, and practicing internist. I became interested in age management as I noticed the age-related changes that were happening to me. I did not like these changes and I have used anti-aging medicine to do something about them. I have been greatly impressed with the results of these techniques, and I take real pleasure in making them available to others.
Throughout my career, I have tried to adhere to the scientific principles with which my colleagues and I were trained and have used over the years in the practice of medicine. I apply the procedures of anti-aging medicine as best I can, in keeping with the scientific principles, which are routinely used in the practice of mainstream cardiology and internal medicine. I am a conventional physician, (but one who uses hormone therapy) and I speak from more than 2 years of in depth study, as well as personal experience. This site details how I view anti-aging medicine, its problems and certain non-traditional therapies. I intend for it to assist you in delaying the deterioration of body, function and mind that begins as early as the fourth decade, hopefully you can even reverse it a few years. There are instructions on the links page that should help a computer neophyte or anti-aging beginner use the internet to learn about anti-aging techniques. But do not believe everything you read.
My thesis is that the short-term effects of hormone therapy on body composition (muscle, bone, fat and skin), brain and organ function, are so welcome, so extraordinary and so beneficial, that for some individuals, the risk of the known and possibly unknown side effects and complications is well worth taking. This therapy must be guided by symptoms and clinical results and targeted to the hormone blood test levels of, for example, individuals who are 30 years old.
Anti-aging medicine is different; you should not just go to the physician to be told what to do. You should know exactly what you want, how to get it and what to expect from using these techniques. It requires a significant commitment.
The AA&CVHC, Inc. and this web site were created in order to make anti-aging information available and to integrate anti-aging techniques with conventional cardiovascular recommendations. Also, I enjoy seeing regular cardiology patients.
We are interested in 2 separate categories of patients:
- Individuals who are considering anti-aging procedures.
- Patients with uncontrolled cardiovascular disease or risks.
According to the National Institutes of Health and other major mainstream professional organizations, recent studies indicate that millions of Americans have serious risks of which they are unaware and that these risks can easily and significantly be reduced. In addition,
major “treatment gaps” have been described between the programs or treatments that are recommended by these authoritative organizations and what most patients are actually receiving. Specifically, current conventional guidelines or recommendations by these authorities (actually committees made up of recognized experts from the major teaching and research institutions) suggest consideration of the following therapies (each of which is very
effective) for all individuals who have the conditions listed below. These medications/therapies are so effective that the question should be “Why should I not use them?” rather than the usual question “Why should I use them?”
- Blood pressure > 130/85. Only 23% of Americans with hypertension achieve a level of 140/90. A multi-drug approach with lifestyle modifications is recommended for those who are not controlled. That is 130/80 for diabetics. Significant statistical risk has been found for “normal BP (120-129/80-84)”. The optimal BP is < 120/80. In other words, most patients are at excess risk because their BP is not properly controlled. The new goal, depending on the physiologic price to be paid, is 120/80 or less.
- Cholesterol abnormalities or known cardiovascular disease. Statins and other approaches. If the LDL or bad cholesterol is not less than the recommended 100 or 130 mg/dl, additional treatment is indicated. The NIH has provided a risk calculator at this link for those that know their numbers. http://hin.nhlbi.nih.gov/atpiii/calculator.asp
- Heart attacks or heart failure. Beta-blockers and ACE-inhibitors or ARBs (related but distinct classes of drugs). Many who are in fact using these medications are taking only a token dose.
- ACE-inhibitors or ARBs may be indicated to prevent kidney disease. They should be seriously considered.
- Insulin resistance. Glucophage or metformin and perhaps medications such as “glitazones or TZDs” will decrease insulin resistance and are indicated in selected
patients. Insulin resistance includes as many as every 3rd American who may or may not have known diabetes and it includes most of those who are overweight and many who have only a family history of diabetes. Metformin should be considered in all over-weight diabetics since it produces weight loss. Metformin may delay or prevent diabetes when prescribed to those with insulin resistance who have not yet developed diabetes.
- Strokes or heart attacks. Anti-clotting agents are indicated for those with risk or known disease.
- Emerging risk factors. C-Reactive Protein (CRP), Homocysteine and certain other blood constituents are associated with increased coronary artery disease. It is not known whether targeting these factors will decrease risk but especially in those with other risks, treatment may well be indicated.
With very few exceptions, patients should be treated as indicated above with aggressive, conventional techniques. Integrating these programs in the proper patient with anti-aging techniques may provide extra benefits. For example, in males with overt diabetes or only insulin resistance, the administration of testosterone will usually allow reduction of insulin or other diabetic medications and perhaps even their discontinuation.