What if the future of medicine wasn’t about fighting age, but mastering it? Dr. Thomas Paloschi – the visionary behind Dr. Longevity™ – blends cutting-edge diagnostics, AI, and deep human connection into a new paradigm of care. His philosophy moves beyond living longer to living better: where data meets empathy, and prevention becomes personal.
In this interview, he unveils why psychological safety is as crucial as sleep or diet, how AI can become an effective tool for personalized care, and why the true power of longevity lies in restoring trust, purpose, and care to medicine. For Paloschi, longevity isn’t a promise of forever – it’s the art of staying fully alive, decade after decade.
If your younger self could see Dr. Longevity today, what do you think he’d be most surprised by?
The younger Dr. Longevity™ always had a bold vision for the future, but like anyone starting out, there was a lot of uncertainty. If I could give my younger self some advice, I’d say: keep pursuing your dream, dream even bigger, and see every obstacle as a learning opportunity. Stop comparing yourself to others and keep pushing forward with focus and persistence.
What’s something you’ve learned from your patients that changed how you see longevity?
There’s a beautiful interplay between what patients feel and what we, as doctors, see in advanced diagnostic results. Every patient is unique, so it’s essential to listen carefully to their symptoms and adjust how we interpret diagnostic ranges to capture the full picture of their health.
On the business side, having worked in hospitals like Semmelweis and NYU, as well as in private clinics and fast-growing medical companies such as Fountain Life, I’ve learned that the reason we haven’t yet seen a true unicorn in the longevity clinic space is simple: the moment a patient feels like just another number, rather than a cared-for individual, they lose trust and disengage from that type of care.
You talk a lot about healthspan over lifespan. If you could design the perfect final decade of life, what would it look like?
For me, the final decade of life should not feel like a slow decline. Physically, it means remaining mobile and strong enough to enjoy the simple things such as walking in nature, carrying your own luggage, playing with grandchildren, and hopefully even holding your great-grandchildren. Mentally, it means staying sharp and curious, still learning and contributing. Emotionally, it means being surrounded by purpose and meaningful relationships.
A good end of life is not defined by how long it is, but by how vibrant it remains, free from unnecessary suffering, able to experience joy, connection, and dignity.
Dr. Thomas Paloschi
Let’s say you could only keep three tools from your entire longevity toolkit – AI, diagnostics, functional testing, lab work, etc. Which three would survive the cut, and why?
Advanced diagnostics because you can only improve what you can measure. Detecting early deviations in health is the foundation of prevention. AI-driven data interpretation because the volume of health data we now have is far beyond human capacity to analyze alone. AI reveals the patterns that guide truly personalized care. Human interpretation and support because data and insights do not change lives by themselves. Lasting behavior change and health optimization happen through trust, guidance, and human connection.
If you had to write a “Longevity for Rebels” manifesto – three rules that go against the mainstream wellness noise – what would be in it?
Stop chasing trends and master the fundamentals. The most powerful longevity interventions are still the 4 foundations of my pyramid of health (MEDS), Mental Health, Exercise, Diet and Sleep.
Think in decades, not days. True longevity is not about short bursts of biohacking. It is about consistent, sustainable habits guided by good science.
A happy home, a healthy body and a peaceful mind are the only things worth chasing.
Imagine it’s 2035, and 1 billion people have used Dr. Longevity. What unexpected ripple effect do you hope this global shift would create outside of health?
If a billion people adopted Dr. Longevity, I would hope the ripple effect would be a cultural shift in how society defines success and aging. I imagine older adults staying in the workforce longer not out of necessity but because they are healthy and engaged. Families would have more active grandparents. Healthcare systems would transform from crisis management to proactive care. Most importantly, people would realize that the quality of each year of life matters as much as the number of years.
What’s a “non-obvious” longevity factor you wish everyone took more seriously?
The factors most people underestimate are psychological safety and emotional health. Chronic stress, isolation, and lack of purpose shorten healthspan as much as poor diet or inactivity.
I want people to understand that a supportive community, meaningful relationships, and a sense of purpose are not just nice extras. They are longevity interventions.
Dr. Thomas Paloschi
You’ve built a model that combines high-tech AI with personal care. How do you avoid becoming just another wellness brand – and stay visionary instead of trendy?
We stay anchored in science, evidence based and measurable outcomes. The vision of Dr. Longevity is to build an AI-driven operating system for human health, a platform that integrates data from diagnostics, wearables, and lifestyle factors to guide precise, evidence-based interventions.
Your Instagram presence feels like a digital extension of your longevity mission – part science lab, part inspiration hub. How do you define your role in that space?
I see Instagram as an education hub and a bridge. It allows me to translate complex science into accessible insights and inspire people to take action. The platform is not just about showing what is new in longevity. It is about helping people feel empowered, curious, and capable of improving their health.
What’s one message you would like every reader to remember?
Longevity is not about living forever. It is about owning the decades you already have. The earlier you start paying attention to your health, the longer you get to live with energy, clarity, and purpose. What matters most are the daily habits you repeat, because small, consistent actions compound into decades of healthy life.
Author: Révész Bogi
(Featured image: Dr. Thomas Paloschi)
