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NAD+ for Long COVID Fatigue

The dawn of the 21st century has ushered in an unprecedented demographic shift, propelling societies into what can aptly be described as the longevity revolution. This transformation, characterized by a significant increase in average life expectancies, stands as one of humanity's most remarkable achievements, yet it also poses intricate challenges and opportunities that beckon for a comprehensive understanding and strategic response.
NAD for long covid

The dawn of the 21st century has ushered in an unprecedented demographic shift, propelling societies into what can aptly be described as the longevity revolution.

This transformation, characterized by a significant increase in average life expectancies, stands as one of humanity’s most remarkable achievements, yet it also poses intricate challenges and opportunities that beckon for a comprehensive understanding and strategic response.

Andrew J Scott’s “The Longevity Imperative” captures the essence of our time, marking the onset of a second longevity revolution. Scott’s analysis transcends the conventional discourse surrounding aging populations, reframing the narrative from one of societal burden to a beacon of opportunity. His proposition of an “evergreen” society — a society that is prepared and eager to embrace the longevity revolution by aligning its structures and ideologies with the realities of extended life spans — offers a radical yet essential shift in perspective.

In the realm of therapeutic innovation, the study on the combination of NAD+ and Low Dose Naltrexone (LDN) in the treatment of long COVID fatigue by AgelessRx pioneers a new frontier in gerotherapeutics.The parallels drawn between the symptomatology of long COVID and accelerated aging processes such as immunosenescence and inflammaging underscore a broader narrative about the biology of aging and the potential of targeted therapeutic interventions.

Meanwhile, Japan’s proactive strategies in managing its super-aged society offer invaluable lessons and a glimpse into the future for other nations on the cusp of similar demographic transformations. The nuanced examination of Japan’s challenges and responses sheds light on the multifaceted nature of longevity, encompassing social policy reforms, economic strategies, and labor market adjustments.

The insights presented herein not only underscore the complex interplay between demographic shifts, economic imperatives, and healthcare innovations but also spotlight the immense potential for growth, development, and enhanced quality of life that lies within the longevity revolution.

Let’s dive in … 


‘We’re at the Beginning of a Longevity Revolution’

In “The Longevity Imperative,” Andrew J Scott, a professor of economics at London Business School, challenges prevailing narratives around aging and longevity.

 Traditionally, aging populations have been perceived as societal burdens, but Scott reframes this demographic shift as one of humanity’s greatest achievements. His work advocates for a profound shift towards what he terms an “evergreen” agenda — a sustainable approach that aligns societal structures with the reality of longer human lifespans, ensuring that people don’t just live longer, but better.

Scott’s perspective is both revolutionary and grounded in significant economic analysis. He previously co-authored a paper that placed a staggering $367 trillion value on extending US life expectancy by ten years, emphasizing the immense potential wealth tied to increasing our lifespans.

Scott argues that current societal norms and structures are outdated, designed for a time when living past 80 was rare. Today, with life expectancy extending far beyond previous generations, there’s a pressing need for systemic change to address the realities of aging.

Scott draws a parallel between the urgency of addressing longevity and other global challenges like climate change and AI, pointing out that aging does not generate the same level of excitement or innovation. This comparison is apt, highlighting a significant branding problem within the field of longevity. The focus has been narrowly placed on extending life, with less attention on enhancing the quality of those additional years. Scott proposes a longevity society that goes beyond merely adjusting to an aging population, advocating for a fundamental shift in how we perceive and approach aging itself.

It’s not just about biological or medical advancements but also about cultural, social, and economic transformations. For example, improving healthspan — the period of life spent in good health — demands innovations in healthcare, but also changes in workplace practices, pension systems, and social norms about aging.

Scott’s insights into the economics of aging are particularly compelling for investors and policymakers. He suggests that investing in the biology of aging and preventive healthcare can yield significant economic benefits, potentially transforming aging populations from perceived burdens into powerful economic assets. This shift could drive a new era of prosperity, characterized by vibrant, productive older populations that contribute to society rather than depend on it.


Read the full article here.


Therapeutic Solution for Long COVID Fatigue

The recent publication by AgelessRx marks a significant milestone in the treatment of long COVID, a condition that has puzzled the medical community and impacted millions worldwide. 

This article, spotlighting a novel therapeutic solution involving a combination of NAD+ and Low Dose Naltrexone (LDN), opens new avenues in understanding and potentially curbing the debilitating effects of long COVID. 

With nearly 18 million people in the US alone grappling with long COVID’s persistent fatigue and other symptoms, this study’s implications reach far beyond immediate relief, hinting at a deeper understanding of aging and chronic illness.

Long COVID, characterized by a range of symptoms that mimic accelerated aging — such as fatigue, cognitive decline, and reduced quality of life — presents a formidable challenge. This condition, affecting a significant portion of COVID-19 survivors, shares troubling parallels with the biological aging process, particularly in how infection seems to accelerate aging at a cellular level. 

NAD+ and LDN, the therapeutic agents in focus, are known for their roles in gerotherapeutics — the application of treatments to combat aging and its associated diseases. NAD+ plays a critical role in cellular energy production, DNA repair, and immune function, all of which are vital for maintaining health and combating the effects of aging. LDN, on the other hand, has been shown to modulate immune response, reduce inflammation, and aid in neurological repair. 

The combination of these agents, administered through a 12-week regimen, has shown promising results in improving the quality of life for long COVID sufferers, with significant improvements noted in pain, emotional wellbeing, energy levels, and daily role limitations.

They discuss immunosenescence, the gradual decline in immune function associated with aging, and inflammaging, a chronic, low-grade inflammation prevalent in older adults. These conditions, exacerbated by COVID-19, contribute to the severity of long COVID symptoms and their resemblance to the aging process. 

This overlap between long COVID and aging biology underscores the potential of gerotherapeutic interventions not just for long COVID but for aging-related diseases at large.


Read the full article here.


Japan’s Lessons in Longevity

Japan’s demographic landscape serves as a critical case study for the rest of the world grappling with the implications of an aging population.

As nations worldwide face the inevitable shift towards older demographics, understanding Japan’s strategies and challenges in managing its “super-aged” society becomes invaluable. The article “Japan Offers Lessons in Longevity” meticulously outlines how Japan, the frontrunner in confronting the longevity conundrum, offers a blueprint for navigating the complexities of an aging population, emphasizing productivity, social spending, and labor force adjustments.

Morgan Stanley Research identifies Japan’s aging dilemma as a pivotal theme for 2024, underscoring the urgency with which global economies must address the longevity conundrum. With the highest proportion of individuals aged 65 and over, Japan’s demographic challenges are unparalleled, presenting a unique opportunity to glean insights into sustaining an aging society without compromising economic vitality.

The article highlights three primary areas of focus: mitigating the social costs associated with aging, enhancing productivity, and addressing the shrinking labor force.

Social spending in Japan, particularly on pensions and healthcare, has seen a dramatic increase, constituting about 27% of the GDP. Despite this, Japan maintains certain advantages, such as a healthier population compared to other advanced economies, which mitigates medical costs and allows for extended work lives, delaying retirement. Over the past two decades, Japan has incrementally raised the pension age and implemented reforms for a more sustainable pension system. Additionally, Japan’s nationalized healthcare system, which grants the government regulatory control over drug prices and hospital stays, showcases a strategic approach to healthcare management amidst demographic aging.

The article suggests that technology, specifically advances in IT and the adoption of generative artificial intelligence in healthcare, could play a pivotal role in reducing treatment costs, improving health outcomes, and ultimately curtailing social spending. This aspect underscores the potential of technology-driven solutions in mitigating the financial strain of an aging population.

However, addressing social costs is just one facet of the challenge.

The crux of Japan’s strategy lies in boosting productivity to offset the economic implications of increased longevity costs. Feldman from Morgan Stanley advocates for a productivity growth target that outpaces the growth in longevity costs, a critical factor for maintaining living standards and managing debt. Despite Japan’s productivity growth languishing at 0.1% over the last decade, there’s an evident need for a substantial leap in efficiency to sustain its economic framework amidst demographic shifts.

Labor force adjustments also occupy a central role in Japan’s response to aging. With high labor participation rates among women and older individuals, Japan still faces the need for significant adjustments. Technology, while a catalyst for workplace revolution, tends to favor younger, more adaptable workers, potentially sidelining older employees unless reskilling initiatives are broadened. Japan’s approach to reskilling, targeting a fraction of the workforce, indicates the scale of the challenge in transitioning to jobs that match the productivity demands of a technologically advanced economy.

Furthermore, Japan’s strategy to mitigate labor shortages through increased immigration, while pragmatic, encounters obstacles such as language barriers and cultural integration. This nuanced approach to bolstering the labor force through foreign workers highlights the complexities of addressing labor needs in an aging society.

Read the full article here.


As we reflect on the insights garnered from an in-depth exploration of the longevity revolution, it’s clear that this demographic shift heralds significant implications for society, the economy, and healthcare innovation. These not only illuminate the complexities of aging but also pinpoint vibrant opportunities for strategic investment in a world progressively skewed towards older demographics.

The concept of an “evergreen” society, alongside breakthroughs in therapeutic solutions for age-related conditions, highlights a burgeoning market in health, wellness, and biotechnology. These sectors, ripe for investment, promise not only to cater to the needs of an aging population but also to pioneer advancements in prolonging healthspan. Moreover, Japan’s proactive stance in addressing the needs of its super-aged society sheds light on potential investment avenues ranging from healthcare innovation to technologies aimed at enhancing productivity and quality of life for the elderly.

For those looking to allocate resources in this evolving landscape, the emphasis shifts towards investments that align with enhancing life quality through healthcare innovation, technological solutions for aging populations, and services that support longevity. The longevity revolution, with its blend of challenges and opportunities, underscores the need for investments that are not just economically lucrative but socially impactful, paving the way for a future where aging is not just sustainable but thriving.

It’s not just about recognizing the economic potentials of demographic changes but about contributing to a societal transformation towards better health and well-being across all ages. Engaging offers a chance to be at the forefront of one of the most significant shifts of our time, driving forward innovations that redefine aging and longevity.

Until next time,

The Longr Reads Team


“An investment in knowledge pays the best interest.”

Leonard I. Sweet


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