Hillary Lin, MD

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Hillary Lin, MD Longevity physician and Stanford-trained, board-certified internist. More years. More choices. Medicine, science and AI to help you understand your options.

Co-founder and CEO of Curator; host of The Longevity Show. I'm Dr. Hillary Lin, a Stanford-trained internal medicine physician and longevity clinician. I use this page to make longevity medicine more rigorous and less hype-driven: what labs can and cannot tell you, when medications or supplements make sense, how to think about prevention, and where the evidence is thin. For clinic support: [email protected]. For CareCore: [email protected]. CareCore builds clinically governed protocol infrastructure for evidence-based care and health products. This page is Hillary Lin, MD, so the center of gravity here is physician judgment, science translation, and practical prevention — not miracle claims or one-size-fits-all optimization.

10/27/2026

Cold plunging for weight loss? Maybe think again.

In a small study, 15 adults tried cold water and warm water on separate days. After each session, they could eat pasta until comfortably full.

After cold water: about 665 calories.
After warm water: about 434.

They ate more. They didn’t feel hungrier.

The catch: this was 30 minutes at 61°F. It doesn’t tell us what a quick plunge does, or whether people lose weight over time.

If you’re doing it for weight loss, what you eat afterward matters too.

Grigg et al., 2025. PMID: 40221072.

10/27/2026

Is your doctor missing something?

Your AI might be, too.

That’s the question I asked Dr. Michael Turken. His answer starts with finding the source of the disagreement.

The two answers may be based on different facts or different research. One may be missing an important detail about your health. Your doctor may know something the AI doesn’t; the AI may also show you information your doctor hasn’t seen.

Before your next appointment, keep the exact claim and the source it came from. A question like “Does this research apply to my situation?” gives you something concrete to discuss.

Share this with someone who uses AI to prepare for medical visits.

Educational only. Don’t change treatment based on an AI answer.

10/21/2026

A sugary drink mix increased colon cancer spread in mice. Why?

These are real liver photos from a 2025 Nature Metabolism paper. Water, glucose, then glucose + fructose. All three groups are shown after five weeks, and both sugar solutions were 25%.

Here’s what the researchers think happened. An enzyme called SORD turns fructose into sorbitol and recycles NAD+, which cells need to break down glucose. The cells process glucose faster, and activity rises in the mevalonate pathway, which makes cholesterol and other molecules. In these experiments, cancer cells moved and spread more.

Deleting SORD or blocking that pathway with statins reduced spread in mice.

What about people? One study followed 1,011 people with stage III colon cancer. Two or more sugary drinks a day, versus fewer than two a month, was linked to a higher rate of cancer returning or death. People chose their drinks, so other habits or health differences could help explain it.

The wider human evidence is mixed. Other studies found weaker or no clear links. A 2026 review of 13 studies found a small link with developing colorectal cancer, but it is a preprint and did not test spread.

For people, this is hypothesis-generating: a possible explanation to test. We still need trials to learn whether cutting sugary drinks or targeting this pathway slows cancer spread.

BTW, NMN, an NAD+ booster, sped up pancreatic cancer progression in cancer-prone mice. Human risk is unclear. Keep routine cancer screening current.

Sources: Nacarelli, Nat Cell Biol 2019; NCI screening guidance; Bu, Cell Metab 2018; Goncalves, Science 2019; Fowle-Grider, Nature 2024; Fuchs, PLoS One 2014; Hur, Gut 2021; Zoltick, Br J Cancer 2021; Yuan, AJCN 2022; Hauan, BMC Cancer 2025; Jayedi, WCRF CUP 2026 (preprint); Zani & Blagih, Cancer Res 2026 (commentary).

Photos: Feng et al., Fig. 1f. CC BY 4.0. Cropped, labels restyled, fades added.
Paper: https://doi.org/10.1038/s42255-025-01368-w
License: https://creativecommons.org/licenses/by/4.0/

10/01/2026

My genetic test seemed wrong.

High cholesterol runs in my family. Mine was high too, but I didn’t have the classic genetic finding for inherited high cholesterol.

That didn’t mean the test was wrong, or that genetics played no role. It meant I still needed to look at my bloodwork and family history.

Wei-Wu He and I compare notes on our families here: https://www.youtube.com/watch?v=SG1aq_6vkFI

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