Dr Hugh Leslie is an Australian physician with a special interest in longevity and healthspan optimisation. His approach is grounded in the best available evidence — separating signal from noise in a field that attracts both genuine science and considerable hype.
Standard cholesterol tests are useful, but they do not always show the full picture. ApoB can provide a clearer measure of the number of atherogenic particles driving cardiovascular risk.
Biological age tests are increasingly popular, but their clinical value is often overstated. They may provide interesting signals, but they should not be confused with a diagnosis or a complete measure of health.
Blood pressure is not only a heart issue. Midlife hypertension can affect the brain's small vessels, increasing the long-term risk of cognitive decline, stroke and loss of independence.
Most medicine waits for something to go wrong. My interest is in the years before that — the decisions, habits and investigations that determine whether someone reaches their seventies and eighties with full function, or merely alive. I trained as a GP before developing a specialist focus in healthspan optimisation, drawn by a simple observation: the gap between what the evidence shows is possible and what most people are told — is enormous.
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