Men's Health US - March April 2025
Men's Health US - March April 2025
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FOR MEN
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D A V I OLDER
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“As long as I’m fit and
healthy and my family
is healthy, that’s all
I care about.”
—DAVID BECKHAM, P. 66
FE AT U R E S
51 FIT (AND FUN) 74 THE BRAVE
NEW WORLD OF
AT ANY AGE! MIDDLE-AGE
The quest to live MEDICAL TOURISM
longer and stronger, Millions of men are flocking
in seven parts. to foreign countries for
everything from hair
transplants to stem cell
52 DO YOU EVEN therapies. Is this the
MAXX, BRO? passport to better health?
The extreme self-care BY RINA RAPHAEL
protocols shaping a
generation of young men. 82 THE ANCIENT
BY MICKEY RAPKIN GREEK DESKPROOFING
WORKOUT
58 RACQUET They trained for strength
NATION and longevity. Turns out,
For major health benefits, their plan holds up for the
you might want to modern man, too.
start hitting the court. BY MICHAEL JOSEPH GROSS
BY NICK PACHELLI, LAUREN
LARSON, ANDREW GUTMAN, 88 “LIVE AS IF IT’S
CORI RITCHEY, CSCS, AND THE LAST DAY OF
EBENEZER SAMUEL, CSCS YOUR LIFE, BUT
PLAN AS IF YOU’LL
66 THIS IS 50?! BE HERE FOREVER.”
David Beckham on how Brunello Cucinelli, style
he’s stayed forever fit. powerhouse, shares the
BY GORDON SMART secret to living a longer
and more serene life.
72 THE BY RICHARD DORMENT
MOST DANGEROUS
BIRTHDAYS
Fix when you age fastest.
BY JULIE STEWART On the cover: David Beckham photographed exclusively
for Men’s Health by Scott Trindle. Fashion direction by Ted
Stafford. Styling by Cathy Kasterine for CLM Agency. Styling
assistance by Jasveen Manku. Makeup by Miranda Joyce
for Streeters. Hair by Ken Paves for Rouge Artists. Set design
by Josh Stovell for Lalaland Artists. Lighting by Fabian
Nordstrom. On the cover: T-shirt by James Perse; sweatpants
by Beckham x Boss; underwear by Boss One Bodywear.
This page: Track pants by Dior; underwear by Boss One
Bodywear; sneakers by Beckham x Boss; socks by Falke.
GROCERY
GAINS
Power your cart.
(See page 31.)
LIFE
31 This year’s
Best Foods for Men
gets real (not
ultra-processed)!
34 Swole chef Eric
Adjepong hits the
gym, then builds a
salmon burger.
36 Denim just
keeps getting better.
Captain America:
Brave New World’s
Danny Ramirez
shows you how to
wear the best jeans,
shirts, and jackets.
40 We’re close to
finding a way to
reverse gray hair.
(Plus, what to do
while we wait.)
MIND
43 The psychedelic
renaissance is upon
us. What does that
really mean for your
mental health?
46 Deploy the tool
of “explore or exploit”
to help guide your
biggest decisions.
FOOD STYLING: MICHELLE GATTON/HELLO ARTISTS. PROP STYLING: JJ CHAN/BA-REPS.
47 How I Keep
It Together:
Activist (and actor!)
MH WORLD BODY Rudy Reyes.
11 What you’re doing 15 Now that CGMs 22 Yes, “manopause” 48 Athletes have
now to futureproof are OTC and RFK, Jr., is a real thing. Prepare long used brain-
your life. Also: spies! is taking on chronic yourself the smart way. training tools to find
diseases, everyone is their edge. Now you
talking about metabolic 24 The Portsmouth can, too.
health. Here’s how to Spartan Kettlebell
optimize yours. Club is building far +
more than fitness. 92 Six Pack: Country
18 The biggest buzzword music trailblazer
in fitness is hypertrophy. Kane Brown.
Understand the science
behind the process
and you’ll unlock more
muscle, faster.
LENWORTH JOHNSON (BROWN). PHILIP FRIEDMAN (SAMUEL, RYAN, GOLLAYAN, COLBERT, ZUCKER).
Elyssa Aquino Senior Creative Producer Daniel Bernard Chief Product &
Kyle Orozovich Senior Video Editor SALSA.
Technology Officer MEMORIZING A
Janie Booth Associate Producer Jonathan Wright President, DANCE ROUTINE IS
ADMINISTRATION Hearst Magazines International A BRAIN EXERCISE.
Catherine A. Bostron Secretary —TARYN COLBERT
Carol Luz Director of Editorial Business DIGITAL DESIGNER
Kate Remulla Editorial Business Manager Gilbert C. Maurer, Mark F. Miller
Publishing Consultants
MEN’S HEALTH INTERNATIONAL EDITIONS A GOOD TEAM
Australia, Germany, Italy, Japan, HEARST MAGAZINES INTERNATIONAL RUN. I WAS IN PHILLY
Mexico, Netherlands, Portugal, Spain, Kim St. Clair Bodden AND TOOK A JOG WITH
SVP/Global Editorial & Brand Director SOME BUDDIES TO
United Kingdom, United States THE ROCKY STEPS
Chloe O’Brien (CORNY, I KNOW). IT
Global Editorial & Brand Director WAS A HIGHLIGHT
OF THE TRIP.
—SEAN ZUCKER
GROOMING EDITOR
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First step
THE is to get
help for my
FUTURE
own mental
health.
@jbphilbrick
Working out
consistently, gett
my cardio, and ke ing
Taking a GLP-1 consistent with m eping
medication despite @yanishramku
mar
y diet.
some hesitation.
Future me is proud
for getting help.
@rickyyurkon
Limiting
smartphone
TRAVIS RATHBONE/TRUNK ARCHIVE.
use and
using it as
a landline
SUNSCREEN phone.
@daddiodad @primatecuisine
when you’re 90 years old? a start-up? There’s no clear answer. All of us age
differently based on genetics, past and present
@GIOELEFERRETTI
lifestyle choices, and how much of our time,
money, and energy we’re willing to invest in
OH, MAN. THAT Timothée Chalamet look-alike “optimizing” our bodies and minds. Comparing
contest has really gotten into peoples’ heads, huh? yourself to someone else is tempting, but it’s
I’m going to guess you’re not being literal here, ultimately not going to tell you a whole lot. THE 2025
GROOMING AWARDS
since the average 90something has weightier We publish our Fit At Any Age issue every year Soap, shampoo, deodor-
things on his mind than fine-line reduction, because we believe that aging is both a process ant, moisturizer, serums:
more than 50 of the best
but let’s seize on the essence of your question— and a practice, and like every practice, most of products for your face, hair,
how can an older person create or maintain the us can do it a little bit better. In this issue we have skin, and more, all tested by
skin texture and tone of a younger person?— Gen Z’s misguided pursuit of perfect jawlines, our staff and dermatology
advisors. MensHealth.com/
and go from there. middle-age adventures in medical tourism, and groomingawards2025.
For help, I turned to Garrett Munce, Men’s David Beckham, who is turning 50 and reveals his
Health contributing editor and the all-knowing personal fountain of youth may be…jellied eels?
expert behind our annual Grooming Awards. If there’s one takeaway from this issue, it’s this:
Here’s his feedback, with product recommenda- Consider the jellied eel. And then there’s this:
tions (and Grooming Award winners!) you can Instead of fixating on the idea of acting/looking/
buy on MensHealth.com. (See sidebar for details.) feeling “younger,” let’s act, look, and feel like
• Pretty much every dermatologist agrees that the best version of whatever age we actually are.
the best thing you can do for your skin is to wear That starts with making smarter choices today
sunscreen. UV rays are responsible for a lot so we can reap the benefits down the road, and it
of the signs of aging we see in the mirror. Try means being honest with ourselves about what
ALLIE HOLLOWAY (DORMENT). JEFFREY WESTBROOK (PRODUCTS).
Supergoop Unseen Screen SPF 50. we can and should expect from our aging bodies THE MH MUSCLE
NEWSLETTER
• Antioxidants during the day and retinol at and minds. You might not have a Chalamet-like Introducing our new 3x/
night. Antioxidants protect your skin from complexion, but pretty soon, he won’t either. week fitness newsletter that
free radicals, which cause oxidative stress (and We’re all aging, all the time, and when I con- puts fun, science-backed
workouts right in your inbox.
can intensify signs of aging). Retinol helps sider the alternative (RIP), I feel grateful for the These will be available only to
accelerate the cell turnover that is important wrinkles and spots I see in the mirror. Getting Men’s Health MVP members.
If you’re not one, sign up at
for skin’s regenerative abilities. Go with Drunk older is a gift. Try to enjoy it. MensHealth.com/signup now.
Elephant C-Luma Hydrabright Serum and
Paula’s Choice PRO Retinaldehyde Dual-
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Have a question for Rich?
• Research shows we produce about 1 percent + Hit him up at @MensHealthMag
less collagen every year starting around age 25, on Instagram, TikTok, or X with
which is why wrinkles form and our skin sags. Richard Dorment, Editor-in-Chief the hashtag #AskMHRich.
FOOD I CAN’T
LIVE WITHOUT
A good steak.
MVP RICHARD
CASEY
HOW I STAY
MOTIVATED
MEMBER
OF THE
STATS:
AGE: 66
I continually set
personal goals.
ASK AN LOCATION:
Middle River,
Maryland
gloves, sweat towel.
DREAM CELEBRITY
ADVISOR FEATURING
WORKOUT
PARTNER
Arnold Schwarzenegger.
DON SALADINO,
MH FITNESS ADVISOR MY PUMP-UP JAM
Anything Stevie Ray
Vaughan.
Q.IHow
make
do WHAT MAKES ME
FEEL STRONG
A good pump.
treadmill MY NUTRITION
runs GOAL THIS YEAR
Eat more fruits and
more fun? vegetables.
appropriately,
keeping your heart ANYTHING
rate between 110 and JAMES BOND
THE BOURNE
140 bpm. To increase TRILOGY 34.1%
intensity, start with 32.9%
AUSTIN POWERS
running intervals 15.9%
that are 15 to 30
seconds long, with
30 to 60 seconds of
walking between.
Build up the speed
and number of MISSION:
rounds, to make it IMPOSSIBLE
yours. And find equip- 17.1%
ment you like—I
prefer curve tread-
mills because they
make you create your
own force.
Based on a @MensHealthMag poll on X with 580 votes.
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WHY IS
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This gizmo—a
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ABOUT
that the quest for metabolic health has us insight into the leading indicators of research-tested: “As long as you are eating
become monetized and, as some critics our metabolic health is a good thing. It healthy, engaging in physical activities,
say, politicized. “Health doesn’t hap- frankly lets us know what to optimize.” avoiding smoking and alcohol, living
pen in the doctor’s office,” Calley says. It’s a message that sells. Levels reported healthy overall, and getting periodic
“Health happens when we have actual $21 million in revenue in 2023 alone. checkups,” says Dr. Santhanam, it’s pos-
information to allow us to change our But who actually needs a continuous sible to prevent or reverse many metabolic
micro-decisions every day.” glucose monitor and tracking app is still health–related dysfunctions.
(B)
hub, available at MensHealth.com/muscle-building-plan.
WARMUP:
SPIDERMAN LUNGE
Start in pushup position, then
shift your right foot just outside
Workout Schedule your right hand, keeping your
left leg straight (A). Squeeze
Train four days a week, doing each workout twice per week. On all other days, aim
to get in light activity (think: taking a walk). On at least one nontraining day, push yourself your left glute. Raise your right
athletically, going for a 20-minute run, taking a group fitness class, or playing hoops. hand toward the ceiling, follow-
ing it with your eyes (B). Reverse
D AY 1 D AY 2 D AY 3 D AY 4 D AY 5 D AY 6 D AY 7 the moves back to pushup
position, then repeat on the
LOWER UPPER REST REST LOWER UPPER REST
BODY BODY BODY BODY other side. That’s 1 rep; do reps
for 60 seconds. Do 2 sets.
1
HYBRID SUMO DEADLIFT
Stand with your shins touching a loaded
barbell, feet just wider than shoulder
width, then push your butt back and lower your
torso until your hands can grasp the bar, shins
just outside your arms, back flat. Stand explo-
sively, squeezing your glutes. Lower to start.
That’s 1 rep. Do two sets of 6 to 8 reps, then two
more sets of 4 to 6 reps. IF YOU’RE TIRED
4
HIP THRUST
Sit on the floor, shoulder
blades against a bench, feet
near your butt, a loaded barbell just
above your hips. Your hands should
be on the barbell. Squeeze your
glutes, driving the barbell upward and
creating a straight line from shoulders
to knees (while still flexing your abs).
Lower your butt to within an inch of
the floor, then drive up. That’s 1 rep.
Do two sets of 12 reps. After the 12th
rep, sit back on the floor. Rest for five
seconds. Then do another 4 to 6 reps.
until your right knee is an inch from the floor. Shift back to the start. That’s
1 rep; do one light warmup set, then do two sets of 8 reps per side.
1
INCLINE BENCH STRETCH ROW
Lie with your stomach on a bench set to a 30-degree angle,
glutes squeezed, dumbbells in your hands, held naturally. Your
chest should be just off the bench. Round your back and reach for
the floor with your dumbbells. Then squeeze your shoulder blades
and pull the dumbbells toward your hips. Hold. That’s 1 rep; do two
sets of 8 to 10 reps. Then do a set of 6 to 8 reps.
WARMUP:
FOAM ROLLER T-SPINE OPENER
Lie on your right side, knees and hips at 90 degree
angles, a foam roller between your knees. Your hands
should be in front of your chest, palms together.
Squeeze the foam roller and plaster your right arm to
the floor as you reach your left arm behind you, aiming
to touch the back of your hand to the floor. Return to the
start. That’s 1 rep; do 10 reps per side.
2
DUMBBELL INCLINE PRESS
Lie with your back on a bench set to a 30-de-
gree angle, dumbbells held directly over your
shoulders, abs and glutes tight. Bend at the elbows and
shoulders, lowering the dumbbells to within an inch
of your chest. Press back up. That’s 1 rep. Do two sets
of 8 to 10 reps. Then do a set of 6 to 8 reps. After the
final set, lower the dumbbells to within an inch of your
chest. Press them up a few inches. Do 6 reps like this.
LEARN
MORE!
Scan the QR code for
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THE ULTIMATE
3a
HAMMER CURL
MUSCLE-BUILDING
Stand holding dumb-
bells at your sides,
AMINO
abs and glutes tight, BY DEZI ABEYTA, RD
palms facing each
YOU KNOW PROTEIN matters. Now,
other. Without moving
master leucine, a critical branched-
at the elbows, curl the
chain amino acid (BCAA).
weights toward your
chest. Lower. That’s WHAT IS LEUCINE?
1 rep. Do 8 to 10 reps. Meet your most important BCAA.
Then lower to the start. Leucine drives muscle protein
Do 4 to 6 more reps, synthesis and helps keep muscle
raising the dumbbells proteins from breaking down.
until your forearms are
parallel to the floor. AND LOAD IT!
SUPERSET! Go straight Much like you can carb-load before
into the next move a big running event, you can leucine-
without resting. Do load, too. Aim for 2.5 grams of leu-
three sets like this, total. cine in your critical leucine-loading
meals. Good sources include beef
(3 ounces delivers 2.5 g of leucine),
START HERE IF YOU’RE TIRED
firm tofu (1 cup has 3 g), and black
beans (1 cup has 3.3 g).
BUT WHEN?
You’ll want at least 80 percent of
your meals to be leucine-rich. These
JM PRESS
meals send signals to your muscles
Lie with your
to rebuild. Focus especially
back on a
on your post-lift meal, your pre-
bedtime meal, and breakfast.
4
HOLLOW BODY
DUMBBELL
ANTI-EXTENSION
Lie on your back, legs straight,
a light dumbbell held in both
hands directly above your chest.
Press your lower back into the
floor. Raise your legs an inch off
the floor. Hold this position as
you reach the dumbbell back
behind you. Hold, then pull back
to the start. That’s 1 rep. Do reps
for 40 seconds, then rest for
40 seconds. Do three sets.
“MANOPAUSE”?
dating, playing competitive sports against
guys half my age, and generally redlining
my day-to-day. But as I was exiting this
pivotal decade—married now, with a
daughter—I felt more like Mike Tyson in
the eighth round against Jake Paul. Some
Low energy, low sex drive, days were low enough that I worried there
might be something seriously wrong.
low everything. This may be what I scheduled a full medical workup, but
the only red flag it raised was slightly ele-
middle age feels like—but does it have to? vated cholesterol. Whew. So how could I
BY NICK HEIL explain the fatigue, dwindling libido, loss
THE MOST
IMPORTANT PART OF
RECOVERY IS
EFFORT,
PORTSMOUTH, OHIO, HOLDS the unfortunate
crown of “Opioid Crisis Capital of America.” The hilly
city lies 100 miles east of Cincinnati, separated from
Kentucky by the Ohio River. In the early 2000s, Ports-
mouth was littered with pill mills, where broken-bad
doctors pushed OxyContin, fentanyl, and other addictive
substances. Many of these docs were eventually impris-
oned for illegal distribution of opiates. The aftermath
AND WE TRAIN THAT. was a city rife with “boarded-up businesses, high crime
rates, and a complete void of anything positive,” accord-
ing to native son Dale King.
King left Portsmouth in 2003 to join the army, where
In a community ravaged by the he spent five years, including two tours in Iraq. He re-
opioid crisis, the PORTSMOUTH turned to his hometown and was crushed to find it strug-
gling. King’s motto was “No one is coming to save us,”
SPARTAN KETTLEBELL CLUB which meant he needed to find a way for people to help
themselves. He had trained on his own for years and
builds a different form of strength. discovered CrossFit through other soldiers in 2007.
“CrossFit helps people make psychological gains as well
BY ROBERT WEINTRAUB as physical ones,” he says. In 2010, he opened the Ports-
mouth Spartan Kettlebell Club (PSKC) in a warehouse
PHOTOGRAPHS BY ZACHARY C. BAKO downtown and charged $5 per workout.
POWER LUNCH Led by
instructor Rickey Ellis,
the Nasty Nooners
grind through a WOD
called Diane. Ellis (in
the P-TOWN MADE shirt,
lower left) says he loves
seeing people step out
of their comfort zone
and achieve their goals.
The club borrowed
its motto from rocker
Henry Rollins: “Pain is
not my enemy; it’s my
call to greatness.”
MAX BYLES
“I am a product of the opioid
epidemic,” says Byles, a
Portsmouth native who was
hooked for years until he got
clean in 2012. He now serves
as a chemical dependence
counselor when not putting
up 700-pound deadlifts.
“Social work values the
importance of human con-
nection and helping people
find what works best for
them,” he says. “CrossFit, and
especially the Portsmouth
Method, is great at adapting
as needed.”
SARAH WALKER
Walker is a paramedic who still often deals with drug-related health emergen-
cies. “We see the same people all the time in the ambulance,” she says. Walker
is also a Nasty Nooner newbie, and this session is the first time she completes
Diane without compromise. She is the last to finish, but she does every rep,
showing the dedication that has enabled her to lose 40 pounds in nine months.
“You don’t get nearly this kind of encouragement in other gyms.”
JILLIAN WERRING
“The term we use is mutual suffering,” says
Werring, PSKC’s communications manager. That
explains why she feels so at home after a decade
at the gym. “I was severely overweight and badly
needed stress relief. I discovered this gym and
found people who gave a shit—that’s not some-
thing I had growing up.”
DARIN LISTON
In 2020, an accident at Liston’s rail- ‘I don’t know either, but we sure can
way job caused the amputation try.’ Because of him, I’ve never felt
of both his legs above the knee. It insecure here.” Liston modifies
would’ve been easy to fall into addic- workouts as needed, swapping out
tion. Instead, the 49-year-old joined deadlifts for bench presses or using
PSKC, having heard of the gym’s sandbags during power cleans.
Some Assembly Required program. “The mental aspect is so huge,” he
“Three days after I got my prosthet- says of the workouts. “I haven’t
ics, I was here,” he says. “I told Dale, talked to any shrinks. I just come
‘I don’t know if I can do this.’ He said, here and work the demons out.”
REWRITING
THE FUTURE
OF LIVING WITH
HEMOPHILIA B
THROUGH
GENE THERAPY
– BECOMING HIS
BEST Michael working out weeks after his HEMGENIX infusion. Source: CSL Behring
Then as an adult, a worst-case scenario happened. Michael’s body began to produce an increased
Michael suffered a serious injury, tearing one of amount of factor IX, which it couldn’t do before.
his pectoral muscles while lifting weights during The best part he says is that due to the increased
PRESENTED BY a workout. “I had to undergo surgery, which was factor IX, he hasn’t experienced any breakthrough
terrifying because hemophilia B puts me at a higher bleeds since receiving HEMGENIX and he no
risk of bleeding during the operation and recovery,” longer needs regular infusions.
he said. Michael had to rely heavily on his family
during this time as he had to increase his self-infu- “I’ve noticed that I feel more confident and less
sions. While Michael recovered without any serious stressed, not worrying when I exercise and play
Growing up, Michael was always on the move. complications, the constant fear of bleeding and the basketball if I need to self-infuse before or after
Whether it was basketball, golf, or swimming, he need to adhere to a strict infusion schedule took a because I know my factor IX levels are steady,” he
was the epitome of an active kid. But unlike other toll on him physically and mentally. said.
kids his age, he had to navigate life with a unique
challenge. Michael had already started learning from his care HEMGENIX has given Michael a newfound sense of
team about HEMGENIX® (etranacogene dezapar- freedom. He looks forward to earning his MBA and
Michael was diagnosed with hemophilia B at just 4 vovec-drlb)—a one-time infusion that can elevate spending more time doing the things he loves, with
years old. Hemophilia B can cause prolonged bleed- factor IX levels for years, offering greater bleed less worry. “Continuing to talk to my healthcare
ing and increases the risk for spontaneous bleeding protection and significantly reducing or eliminat- team about the challenges I was having led to a
and bleeding into joints due to the body not ing the need for regular factor IX infusions—and new treatment for me. I encourage others to do
producing enough clotting factor IX. Every scrape while he was already considering it, the experience the same to find what’s right for them.”
or fall could result in a bleeding episode requiring solidified the decision.
treatment. For Michael, this usually meant a visit to
the hospital for intravenous (into a person’s veins) “I’ve had needles stuck in me multiple times a
infusions of factor IX replacement therapy, which month since I was 4-years old and the potential to
are necessary to prevent or stop bleeding. not need regular infusions anymore was absolutely
life changing,” Michael said.
Tired of the constant visits to the hospital, Michael
took a significant step by learning to manage his Following pre-screening tests and securing approval
condition by self-infusing factor IX intravenously from his insurance company, in March 2024 Michael
on a regular schedule in middle school. Self-in- received HEMGENIX. “For me, the process was
fusing reduced the number of hospital visits, but simple. The infusion took about an hour and then
breakthrough bleeding from simple accidents—like I had to stay for about three hours for monitoring
jamming his finger playing basketball—were still a for infusion-related reactions. My grandmother and For more information on gene therapy for hemo-
constant worry. I then simply drove back home.” philia B, visit https://www.hemgenix.com.
“Any injury you sustain can be exacerbated. The Following his infusion, Michael was monitored for
fear of an injury or spontaneous breakthrough side effects such as headaches, flu-like symptoms,
CREATED IN PARTNERSHIP WITH
bleeding was always in the back of my mind,” he fatigue, nausea, or feeling unwell, and had several
recalls. follow-up appointments to monitor his liver and
blood enzyme levels, as well as his factor IX levels.
adver tisement BRIEF SUMMARY OF PRESCRIBING INFORMATION
IMPORTANT SAFETY INFORMATION These highlights do not include all the information needed
to use HEMGENIX safely and effectively. See full prescribing
What is HEMGENIX? information for HEMGENIX.
HEMGENIX®, etranacogene dezaparvovec-drlb, is a one-time gene therapy
for the treatment of adults with hemophilia B who: HEMGENIX® (etranacogene dezaparvovec-drlb) suspension,
• Currently use Factor IX prophylaxis therapy, or for intravenous infusion
• Have current or historical life-threatening bleeding, or Initial U.S. Approval: 2022
• Have repeated, serious spontaneous bleeding episodes.
INDICATIONS AND USAGE
HEMGENIX is administered as a single intravenous infusion and can be HEMGENIX is an adeno-associated virus vector-based gene therapy indi-
administered only once. cated for the treatment of adults with Hemophilia B (congenital Factor IX
deficiency) who:
What medical testing can I expect to be given before and • Currently use Factor IX prophylaxis therapy, or
after administration of HEMGENIX? • Have current or historical life-threatening hemorrhage, or
To determine your eligibility to receive HEMGENIX, you will be tested for • Have repeated, serious spontaneous bleeding episodes.
Factor IX inhibitors. If this test result is positive, a retest will be performed
2 weeks later. If both tests are positive for Factor IX inhibitors, your CONTRAINDICATIONS
doctor will not administer HEMGENIX to you. If, after administration of None.
HEMGENIX, increased Factor IX activity is not achieved, or bleeding is not
controlled, a post-dose test for Factor IX inhibitors will be performed. WARNINGS AND PRECAUTIONS
• Infusion reactions: Monitor during administration and for at least
HEMGENIX may lead to elevations of liver enzymes in the blood; therefore, 3 hours after end of infusion. If symptoms occur, slow or interrupt
ultrasound and other testing will be performed to check on liver health administration. Re-start administration at a slower infusion once
before HEMGENIX can be administered. Following administration of resolved.
HEMGENIX, your doctor will monitor your liver enzyme levels weekly for • Hepatotoxicity: Closely monitor transaminase levels once per week
at least 3 months. If you have preexisting risk factors for liver cancer, regular for 3 months after HEMGENIX administration to mitigate the risk
liver health testing will continue for 5 years post-administration. Treatment of potential hepatotoxicity. Continue to monitor transaminases in all
for elevated liver enzymes could include corticosteroids. patients who developed liver enzyme elevations until liver enzymes re-
turn to baseline. Consider corticosteroid treatment should elevations
What were the most common side effects of HEMGENIX in occur.
clinical trials? • Hepatocellular carcinogenicity: For patients with preexisting risk fac-
In clinical trials for HEMGENIX, the most common side effects report- tors (e.g., cirrhosis, advanced hepatic fibrosis, hepatitis B or C, non-al-
ed in more than 5% of patients were liver enzyme elevations, headache, coholic fatty liver disease (NAFLD), chronic alcohol consumption,
elevated levels of a certain blood enzyme, flu-like symptoms, infusion-related non-alcoholic steatohepatitis (NASH), and advanced age), perform
reactions, fatigue, nausea, and feeling unwell. These are not the only side regular (e.g., annual) liver ultrasound and alpha-fetoprotein testing
effects possible. Tell your healthcare provider about any side effect you may following administration.
experience. • Monitoring Laboratory tests: Monitor for Factor IX activity and Factor
IX inhibitors.
What should I watch for during infusion with HEMGENIX?
Your doctor will monitor you for infusion-related reactions during admin- ADVERSE REACTIONS
istration of HEMGENIX, as well as for at least 3 hours after the infusion The most common adverse reactions (incidence *5%) were elevated ALT,
is complete. Symptoms may include chest tightness, headaches, abdominal headache, blood creatine kinase elevations, flu-like symptoms, infusion-
pain, lightheadedness, flu-like symptoms, shivering, flushing, rash, and elevated related reactions, fatigue, malaise and elevated AST.
blood pressure. If an infusion-related reaction occurs, the doctor may slow
or stop the HEMGENIX infusion, resuming at a lower infusion rate once To report SUSPECTED ADVERSE REACTIONS, contact
symptoms resolve. CSL Behring at 1-866-915-6958 or FDA at 1-800-FDA-1088
or www.fda.gov/medwatch.
What should I avoid after receiving HEMGENIX?
Small amounts of HEMGENIX may be present in your blood, semen, and USE IN SPECIFIC POPULATIONS
other excreted/secreted materials, and it is not known how long this contin- No dose adjustment is required in geriatric, hepatic, or renal impaired
ues.You should not donate blood, organs, tissues, or cells for transplantation patients.
after receiving HEMGENIX.
Based on November 2022 version. HEMGENIX is manufactured by
Please see brief summary of prescribing information for uniQure Inc. and distributed by CSL Behring LLC.
HEMGENIX.
HEMGENIX® is a registered trademark of CSL Behring LLC.
You are encouraged to report negative side effects of prescription drugs to
the FDA.Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. ©2024 CSL Behring LLC 1020 First Avenue, PO Box 61501, King of Prussia,
PA 19406-0901 USA USA-HGX-0915-DEC24
You can also report side effects to CSL Behring’s Pharmacovigilance Depart-
ment at 1-866-915-6958.
DID YOU KNOW
HEMGENIX IS BEING
ADMINISTERED
THROUGHOUT
THE COUNTRY?
Fo r G o o d
SweeGr anola,
t C u rr y
Buckwheat
Almonds, pumpkin seeds,
coconut, chia, and a robust
spice blend make for a mix
that tastes equally great in
a salad, over ice cream, or
straight out of the bag.
Crispy Green
Piña Picante,
Chili Chili
Sweet-sour dried pineapple
meets the double burn of
cayenne and habanero to
deliver an actually exciting
way to work toward your five-
servings-a-day produce goal.
A bag has three grams of
fiber and zero added sugar.
Mush
Protein Bar,
Peanut Butter Hodo Vegan All-Day
Chocolate Chip Egg Scramble
Creamy PB, dates, oats, honey,
The tofu wizards at this company
FOOD STYLING: MICHELLE GATTON/HELLO ARTISTS. PROP STYLING: JJ CHAN/BA-REPS. COURTESY OF BRANDS (PRODUCTS).
Acme Smoked
Fish Sesame
Crusted Smoked
Yellow fin Tuna
This lean, wild-caught fish is lightly
smoked, so it’s ready to roll up with
avocado, cucumber, and/or thinly
sliced carrots for a snack. Three ounces
has 13 grams of protein.
B I G
U R G E R . Fit chef
ERIC ADJEPONG
chases his workouts
with this high-protein
BBIG G E R feast-in-a-bun.
BY PAUL KITA
Denim’s
NEW FLEXAthleisure is great and all, but let Captain
America actor DANNY RAMIREZ introduce
you to the awesome next generation of jeans.
FUNCTIONALITY
IS BACK
Lots of big
pockets, rivets
for reinforcement,
the hammer loop—
carpenter jeans
have returned
(and, be honest,
you missed them).
Gap offers this
railroad striped
pair, which comes
double-reinforced
at the knee for
extra durability.
T-shirt ($30) and jeans
($90) by Gap; sneakers
($85) by Converse.
DUAL DENIM
WORKS
The key is to match
similar colors
but mix textures.
Up top, Ralph
Lauren’s trucker
jacket features
tapered button
pockets, a pointed
collar, and a faded
look. Below, keep
it simple with a
solid or slightly
distressed pair.
Jacket ($188) and jeans
($125) by Polo Ralph
Lauren; T-shirt ($40) by
Armani Exchange;
watch by Tudor.
NIKE C1TY G.H. BASS LARSON WEEJUNS LOAFER ASTORFLEX BITFLEX CHELSEA BOOT
The Nike C1TY unites suede and mesh From the office to date night, this shoe The ergonomic footbed and cush
for enhanced breathability. It’s dresses up everything. It’s built with crepe rubber sole make all-day
casual but still classy—and works best real leather, which makes blue, gray, wear easy. They pair perfectly with
with straight-leg jeans. $100 and, yes, even white jeans pop. $175 (what else?) boot-cut jeans. $250
WATCHES
INSPIRED
BY DENIM’S
COLLARS
VIBE KEEP
THINGS
COOL
This one’s made
with corduroy,
for style points.
For function, the
jacket traps heat
with the help of
a quilted-blanket
lining. Match it
with baggy utility
MOVADO HERITAGE pants for your new
SERIES CALENDOPLAN weekend uniform.
Its cobalt dial goes well Jacket ($350) and
with blue jeans. A 41 mm T-shirt ($28) by Lee;
pants ($90) by Gap.
stainless steel case means
it’s as rugged as your
favorite denim, too. $695
VERSATILE SHIRTS
DO IT ALL
Dockers’ work shirt
is built for pulling double
duty as a lightweight
jacket or a stand-alone
layer. With its darker-blue
wash and two-pocket
TUDOR BLACK BAY design, it delivers a laid-
CHRONO COLLECTION back, utilitarian look
The tough-as-nails steel that’s practical but also
band matches all sorts still comfortable.
of denim. And the classic Shirt ($60) by Dockers; jeans
chronometer face just ($98) by Levi’s; boots ($395) by
looks cool as hell. $5,875 Koio; watch by Seiko.
NEW CUTS FIT
WORKOUT
GAINS
Especially if you’ve
been hitting leg
day. Abercrombie
makes an elastane-
laced athletic
straight cut, which
means it has space
for—and bends
with—bigger
quads without
ever looking
baggy. To match,
pull on a ribbed
tank with some
stretch. You’ve
earned it.
Tank ($24) by Skims;
jeans ($80) by
Abercrombie & Fitch;
sneakers ($120)
by Adidas.
LIKE ANY TRUE superhero, Captain America: Brave love the functional combat boots worn by the charac-
New World star Danny Ramirez dresses down when ter he played, Joaquin Torres, a young Air Force lieu-
he’s not in costume. Hoodies. Sneakers. Jeans. “As a tenant who assists Sam Wilson (Anthony Mackie).
kid, my identity was ‘athlete,’” the 32-year-old says. Ramirez says he’s acclimating to walking the red
He played football and fútbol until injuries sidelined carpet, too, as he did for 2022’s summer blockbuster
him and he decided to try acting. That’s when he Top Gun: Maverick. “Whatever my stylists put me
found a new calling, one that has since cemented him in, I’m starting to feel comfortable,” he says. “In the
as Captain America’s wingman. In 2021, Ramirez beginning I used to be like, This is a different person.
joined the Marvel Cinematic Universe on the Disney+ But now it makes sense.” Still, if he’s going to dress
hit The Falcon and the Winter Soldier. He came to himself? Hoodies. Sneakers. Jeans. —eric francisco
G OING
Gladiator II. There’s certainly nothing
wrong with leaning into silver fox status.
But who among us hasn’t wondered, as
the hair collects on the barber cape, if
there is a way to trade out some salt for
CAN GRAYING BE
STOPPED?
IN THE SHORT TERM, YES. Studies have
found that alleviating the stress of
difficult events or conditions—such as Arey To The Root Leonor Greyl
relocating or the sudden loss of a job—can Serum, $55 Energizing Serum For Ageless Anti-Gray
re-pigment gray hair. “It’s more of a Not only does it Thinning Hair, $120 Hair Serum, $78
temporary fix,” says Robert Finney, MD, strengthen and volu- It’s packed with You’ll find palmitoyl
a dermatologist in New York City. “Like if mize hair, but its Mela- antioxidant green tea, tetrapeptide-20
someone went through a really stressful 9 complex (which protective maca extract, in this serum,
event and got a few extra grays, if you contains palmitoyl and Indian gooseberry (!), as well as caffeine,
tetrapeptide-20) may a natural anti-ager that to help reduce
remove the stressor, then they get better.”
help slow graying. could help delay grays. oxidative stress.
But in the long term, the answer is
maybe. The current scientific consen-
sus is that, barring extreme events and
JAMIE MCCARTHY/GETTY IMAGES (SLATTERY). KEVIN MAZUR/GETTY IMAGES (MARTIN). DIMITRIOS KAMBOURIS/GETTY IMAGES (COOPER). MICHAEL BUCKNER/GETTY IMAGES
Martin
tide-20. This new hair-care ingredient
has promise. It’s biomimetic, which
means that “it acts as an agonist of the
pigment process and mimics our own
peptide that stimulates our melano-
cytes,” says Dr. Finney. Some early stud-
ies back up palmitoyl tetrapeptide-20’s John
Slattery
effectiveness, and some brands (Arey, for Anderson
one) are already launching products with Cooper
it, like scalp serums that claim to slow the
graying process and re-pigment hair.
As with any product, though, absorp-
tion is key, says Dr. Finney. “Palmitoyl
tetrapeptide-20 is a large molecule that
doesn’t penetrate through the epidermis Jeff
as well,” so getting it to melanocytes Bridges
might be tough, he says. One essential for Guy
reversing gray, even with palmitoyl tet- Fieri
rapeptide-20, is that the hair still needs
some active melanocytes to stimulate.
Nothing has been shown to re-pigment
hair that is completely white.
So while total re-pigmentation may
still be science fiction, there are very real Rob Danny
steps you can now take to delay the gray. Ryan Glover
(See Color Correctors, top right.)
deckiez.com
geneticlabsaustralia.com
newbarnorganics.com
⇒tkingshop.com
PM IMAGES/GETTY IMAGES (BRAIN). IVAN MIKHAYLOV/GETTY IMAGES (MUSHROOMS).
MICRODOSING IS A
MAYBE
SOME RESEARCH shows that years ago, while I was taking a
microdosing with LSD or psilocy- break from my shift covering a
GO AHEAD.
ORDER THE MEAT LOAF.
Sure, the burger might be the safer bet. But when you
learn to weigh the benefits of new options versus familiar
standbys, the big decisions (about work, about life,
about diner food) become a whole lot easier.
BY ALEX HUTCHINSON
RUDY REYES
Retired recon marine RUDY REYES is the founder of Force Blue,
an ocean conservation charity, and a cohost of Fox’s Special
Forces: World’s Toughest Test, now in its third season. Here’s
how he manages all of it—plus PTSD—at the same time.
—AS TOLD TO CHARLES THORP
unpredictability.
gry reminds him of “I have lived in a lot
“You have to strike
running lean during of loud and uncom-
when the opportu-
military survival fortable places,
nity is there, and you
training, when he so I work to keep my
can’t do that without
lived on deer moss home like a quiet
being prepared,”
or lizards. What temple,” he says.
he says. So he logs
on to his computer about cravings? “I’ve He’ll take two hours
to nail down ideas felt hunger before, to make and eat din-
for the show and to and I’ve never actu- ner, accompanied
check in with the ally been hungry in by a documentary
Force Blue team on civilian life.” and a glass of wine.
what missions need
to be organized. 1:00 P.M. 9:00 P.M.
FIRE OFF STRESS ZZZ…
10:00 A.M. He hits the gun Sleep, he says, “has
GET IN PT range not just to stay been an issue since
“I honestly can’t comfortable with my time in the mil-
fall asleep unless the tools of his trade. itary.” Most of his
I’ve put in some Known for his car- operations were at
sort of hard training ing instruction and night, and “even on
Alex Hutchinson’s new book,
during the day,” guidance, Reyes base I slept pretty
The Explorer’s Gene: Why We
Seek Big Challenges, New Fla- says Reyes. He also likes it because light.” Action-
vors, and the Blank Spots on does 20 sets of four he gets to let go of packed days and
the Map, will be published on exercises, includ- steering others — peaceful nights help
March 28 (Mariner Books). ing bench presses someone else leads it come easier.
STRENGTH
believe that the future for brain trainers
AND is promising. One of the biggest and most
encouraging categories: cognitive train-
ing tools that buff up visual processing
skills. “The brain is like a muscle you can
YOUR BRAIN
that are like video games are backed by
FOR evidence-based science to improve your
reaction time.”
Appelbaum, who recently published
a systematic review of more than 100
studies on sports vision training, is also
on the cautiously bullish side. “It’s clear
that you can train certain visual skills
and that this training can fix multiple
Welcome to the booming world of high-performance bottlenecks,” he says. “There’s real
evidence that these regimens work for
mental training, where tech tools offer
specific applications.” Whether you want
amateur athletes (like you!) a chance to wield more focused brain waves or
enhance your vision, here’s a deeper look
at pro-level focus, calm, and control. at three of the more exciting products in
BY PETER FLAX this new world.
game involves two racing aliens, information than your brain can
with your alien picking up speed process. If you limit what your
as your EEG data indicates you’ve eyes see while you’re performing
reached a state of focus. (Fun, other tasks, you can help your
right?) “The promise of neuro- brain process faster by relying
feedback is that it can help people on your other senses. One study
enter a flow state—this is the thing analysis found that this process-
that differentiates truly great ing exceeds 200 gigabytes of
athletes from everyone else,” says information per second—but
Dr. Doraiswamy. And research research indicates that you can
suggests that anyone—from pros train your brain to work faster and
to regular joes—can train them- smarter if you force it to process
selves to do so using EEG. visual input more efficiently.
ANY AGE!
SORRY, FELLAS, you’re probably not going to be able to live to 150 after all, according
to the big brains at the University of Illinois at Chicago, who determined that “radical human
life extension is implausible this century.” Sure, you can eke out incremental lifespan
gains by pounding lentils and guzzling EVOO, doing endless sessions of cardio in zone 2,
and sleeping eight hours a night, but even with great exercise, diet, and lifestyle
choices, less than 5 percent of men will make it to 100. But lifespan is only one measure
of a good life. There’s healthspan and a bunch of other “spans” that can measure
and reflect how well you’re futureproofing your body, mind, and life today. The following
stories tap into those powers—and could help extend your life by a decade, too.
GEN
Chewing-gum workouts
for SHARPER JAWLINES. Specialty
products for FEATHERED BANGS.
So. Much. COLOGNE. One man’s
exploration of the AURA-ENHANCING
SELF-CARE trends shaping an
entire generation of YOUNG MEN.
BY MICKEY RAPKIN
ILLUSTRATIONS BY EDDIE GUY
54 MARCH • APRIL 2025 | MEN’S HEALTH
me that story over Zoom from his home in support for mewing’s jawline-sculpting aware of physical appearance than they
London. The tale begins with his father, claims is as thin as dental floss.” And used to be,” says Keith Valone, PhD, a psy-
John Mew, who ran afoul of the U.K. med- “these trends, popularized on social me- chologist in private practice in Pasadena,
ical establishment in the ’90s by claiming dia, raise significant concerns about their California. “And they’re not embarrassed
that traditional orthodontics was funda- safety and efficacy.” It’s worth noting that or shy or feel that it’s somehow strange or
mentally flawed. Braces were designed to John Mew lost his medical license in 2017 vain to talk about physical appearance.”
pull the lower jaw forward to meet the top after being found guilty of making unsup- This isn’t new behavior. Men have been
jaw, he said, describing orthodontics as a ported claims. But on the Internet, pissing concerned about their appearance since
one-size-fits-all solution to crooked teeth off the Establishment is the surest sign the first caveman saw his reflection in a
that’s not only detrimental to puddle. But two things have
our health but also prone to re- changed. Cosmetic proce-
sult in relapse. dures have “grown exponen-
But braces also ignore a tially in popularity with the
much bigger problem, the elder development of social me-
Mew claimed. Sometime in the dia,” says Joshua Zeichner,
last 200 years, he posited, the MD, a dermatologist at Mount
human skull changed for the Sinai Hospital, “as more peo-
worse. He blamed the advent of ple are in front of the camera
processed foods, which made on the regular.” Terms like
chewing much easier, but what- brotox have made their way
ever the reason, he said our into conversations, he adds.
skulls no longer had room for “As more men are taking to
all 32 teeth, which led to a rise social media and are becom-
in sleep apnea, wonky smiles, ing more conscious of their
and (worse) “ugly faces.” Want appearance, I am seeing an
to see some nice teeth and uptick of patients coming
a hot jawline? Forget Equi- into the office asking for jaw-
nox; check out the Museum of line-enhancing procedures.”
Natural History. But we’re not just staring
John Mew promised he could at ourselves all day (though
fix all of that. His technique— that would be concerning
which he named orthotropics— enough). We’re getting push
typically begins earlier than notifications poking at our
traditional orthodontics and insecurities as revealed by
involves installing a device in our search history. As Mike
the mouth that makes more Parent, PhD, an associate
room for the teeth while also GLOW UP American Psycho dropped 25 years ago, but the professor at the University of
opening up the airways. He character played by Christian Bale is a Gen Alpha role model. Texas at Austin who special-
experimented on his children, izes in young male behavior,
according to an A24 documentary called that you’re doing something right. explains, “Advertisers have done about as
Open Wide, and in lieu of scientific stud- Last Christmas, Mike Mew launched much as they can do to make women feel
ies on orthotropics (there are none), the an app called Mewing by Dr Mike Mew. bad about themselves—and profit off of it.
movement now puts forward Mike Mew’s He truly believes his family’s work can not Now they’ve turned to men.” It seems to
own face as all the proof one needs. just make people better-looking but also be working. Parent told me about a 2009
And his jaw really is something—an ex- reduce sleep apnea, which in turn could study on male college athletes ashamed of
aggerated right angle that looks like it was raise a person’s IQ by 10 points, he claims. their own bodies, proving that even a 20-
drawn by a caricaturist. But he became an “Self-interest isn’t driving me,” he says. something Adonis can feel insecure. Per-
incel poster boy by putting the power back “I want to make the world a better place.” haps that’s why the bottle for a popular
in the public’s hands. Mike Mew promises cologne, Le Male by Jean Paul Gaultier, is
that you, too, can have his jawline with a shaped like a torso with a bulging crotch.
little practice. All you have to do is press
your tongue against the roof of your mouth
NEARLY A YEAR before Gladiator
II stormed theaters, a photo of actor Paul
And the pressure campaign is real.
Within exactly one day of beginning
for hours a day. The extremely online have Mescal went viral. He was standing on a my research for this story, my feed was
dubbed his technique “mewing,” and that street corner in New York City, holding a flooded with ads for self-help products.
hashtag has been viewed more than 2 bil- Sweetgreen salad, dressed in short shorts I also started to see a lot of ads for Jaw-
lion times on TikTok. with thighs for days. He looked like every liner gum, which is 10 times harder to
ALAMY STOCK (2).
When asked about mewing, a represen- guy at my gym posting selfies in their ath- chew than a standard piece of gum and is
tative for the American Association of Or- leisure fits. I must have texted Mescal’s designed to tone the masseter muscles
thodontists sent me a lengthy statement curbside thirst trap to a dozen friends. I in your face. The founder of Jawliner,
that included this burn: “The scientific guess I’m not alone. “Men are much more a German named Anton Perl, reminds
Mogwarts is run by the beauty influencer to “tell me everything you think I should first jokes in 2024’s Ryan Gosling film The
Kareem Shami, who has more than 1.8 mil- improve,” which seemed dangerous to me. Fall Guy is about his jawline.
lion TikTok followers, and his site operates According to a report on the news site The What was more remarkable about this
on a subscription model: For 19 bucks a Conversation, that line of questioning is call and the others was how at ease these
month, users get access to his online tutori- fairly common, and men who receive low kids felt talking about their own appear-
als. Shami comes by his auramaxxing bona scores on their “sexual market value” have ances and their skin-care regimens, which
fides naturally. According to a New York been encouraged to take their own lives. involved regular trips to Sephora. When
Times story, he and his family fled the civil Yes, the Internet is cruel. Though this kid I was a teenager, we all cared about how
war in Syria in 2012 and landed in Beirut, looked like a boy band heartthrob and was we looked, but to talk about it would have
where Shami was teased for his light skin. maybe fishing for compliments? invoked a whiff of gay panic. In the sixth
Homeboy later mistook American Psycho But a lot of the posts come from teenag- grade, I begged my mom for a pair of Z.
for an instructional video, beginning a ers asking genuine questions, often about Cavaricci shorts—the ones with the white
relentless transformation that involved how to improve their skin. And they’re met label running vertically down the crotch.
(among other things) mewing. His TikTok with sincere, almost emo feedback. It feels But I didn’t talk about those shorts in the
and Instagram username? “Syrianpsycho.” less like an AMA for basement dwellers cafeteria. But these kids I spoke to? They
Photographs by
Jenna Gang
GAME
versations in which people new to
the game asked questions about the
scoring, the footwork, and who the
players were and where they were
from. What stood out most during
the match, though, was the huge
slogan plastered on the court, on
the Jumbotron, and basically on
every billboard across the center’s
grounds:
Tennis has become
FASHION DIRECTOR: TED STAFFORD. PROP STYLING: JJ CHAN/B&A. GROOMING: CHARLES MCNAIR/SEE MANAGEMENT. PREVIOUS SPREAD, LEFT IMAGE:
the world’s healthiest sport.
synonymous “Is that a thing?” I asked my boy-
friend. With all the superlatives
with health and floating around tennis—including
TOP BY LULULEMON, SHORTS BY ASICS, SWEATBANDS BY PRINCE. RIGHT IMAGE: TOP BY ASICS, SHORTS BY VUORI, SNEAKERS BY ASICS.
longevity. But can a resurfaced study that suggests
tennis may be the best sport for in-
the sport really creasing your lifespan—it seemed
help us live longer? fitting that the United States Ten-
nis Association, which organizes
We dug into the the US Open, would lay down this
claims to find out. claim, too. But honestly, as some-
one who has played tennis his
BY NICK PACHELLI whole life and wrote a book about
the sport, I just had to laugh. Yes,
tennis is one of my favorite pas-
times, but it’s also an infuriating
one that strains and can even break
my body if I’m not careful.
“Sure, why not?” he responded.
LAST SUMMER, THERE was a good a cable-knit sweater. At my neighborhood A few days later, when I went out to play
chance you noticed how horny people were tennis courts in Brooklyn, the battle to get with a friend, fighting to hit the ball harder
for tennis. Partly thanks to Zendaya and time on a court felt as intense as a Sinner- and with more spin, hoping for better foot-
the erotically charged, racquet-smashing Alcaraz matchup. work, I kept thinking about that slogan.
boys in Challengers (which premiered Come September, the craze manifested Is this really the world’s healthiest sport?
last April), the Internet became feverish at the 2024 US Open, which smashed its If I keep at this mentally vexing and phys-
for the sport. Suddenly, we had influenc- attendance record by attracting more than ically brutal game as I have since I was
ers and celebrities picking up a racquet for 1 million people to the USTA Billie Jean 9 years old, will I live a longer life?
the first time or showing off the forehand King National Tennis Center. Hats with
they learned as a kid. Then the tennis-core the event’s simple logo and a swooshing LET’S JUST GET this out of the way:
There is no agreed-upon ranking of the
healthiest sports. But if you’re one of the
Jannik Sinner
FITNESS GAME CHANGER:
LANDMINE ROTATIONS
Sinner has historically
lacked the physical prowess
of his competitors, so the 23-year-old has
gone all in on strength and mobility work.
He does landmine rotational exercises
such as the hollow body landmine press,
which builds upper-body power.
millions of people worldwide who play ing tennis and living significantly longer. poor strength has been linked to an in-
tennis, you may find yourself with some As a possible explanation, the researchers creased risk of death, and the easiest way
serious health benefits. pointed to the potential impact of social to determine if someone has adequate
Tennis involves a combination of aer- interaction and community, as the ac- muscle strength and function is to test
obic and anaerobic exercise. Aerobic ex- tivities showing the greatest increase their grip strength. The researchers did
ercises use oxygen to perform continuous in lifespan require two or more people. not pinpoint why the tennis players had
movements (cardio), while anaerobic Social connection is strongly linked to better musculoskeletal function, but Otey
exercises use energy stored in your mus- longevity, as it can help keep loneliness, has a simple explanation: Tennis pushes
cles for quicker bursts of high-intensity which raises the risk of Alzheimer’s and your body in lots of directions—and
movement. In tennis, your aerobic sys- dementia, at bay. “Those connections pushes it hard. “This leads to more integ-
tem gets a serious push as you’re running, generally get associated with purpose, rity in your tendons and ligaments and ev-
repositioning yourself, and bouncing on and it’s the purpose that keeps people go- erything else, because [playing] is going
your feet waiting for a return. Meanwhile, ing when times get rough,” says Deborah to add stress,” he says. “And that stress is
every stroke requires classic gym-built Kado, MD, a professor of medicine spe- going to add an adaptation to the body to
power (anaerobic energy). Both types of cializing in geriatrics and a codirector of make it get stronger and more durable to
exercise have positive effects on cardio- the Stanford Center on Longevity. sustain playing tennis.”
vascular health, and good cardio health Then again, you could argue that play- Unfortunately, this stress can also lead
has been proven to lead to increased blood ing any sport is social and therefore to injuries (tennis elbow, anyone?), which
flow (check), improved brain function healthy. But what makes tennis (and all is why it’s critical to incorporate strength
(check, check), and a significantly lower racquet sports, for that matter) so next- training into your routine. “Sometimes
risk of developing cardiovascular disease level isn’t just that you’re moving with people will go, ‘It’s going to affect my
(check, check, check). your buddies but how you’re moving with tennis game,’” says Otey. “Well, no, not
So does this mean playing tennis gives them. In the gym, we often move in the lifting will affect your tennis game, be-
us a better shot at living longer? The best sagittal plane, or forward and backward cause then you won’t be as strong as you
QUINN ROONEY/GETTY IMAGES (ALCARAZ). KELLY DEFINA/GETTY IMAGES (SINNER). LINTAO ZHANG/GETTY IMAGES
empirical evidence we have to support this (think walking, running, bench presses, need to be when it comes to sustaining
is a viral 2018 study in which researchers deadlifts). Many sports, like basketball that. The people who are more prone to
(DJOKOVIC). FIONA GOODALL/GETTY IMAGES (SHELTON). DARRIAN TRAYNOR/GETTY IMAGES (TIAFOE).
observed 8,577 Danish residents, ages 20 and football, also push us to move mostly getting injured are those who don’t work
to 93, from 1991 to 2017. Those who regu- in one direction, while only occasion- out and don’t do these things on the back
larly played tennis lived an average of 9.7 ally changing direction. Racquet sports, end. That can go for tennis, that can go for
years (!) longer than their sedentary coun- however, force us to utilize all planes of marathon runners, that can go for any lei-
terparts. And those tennis gains beat out movement. We can’t help but shuffle from surely everyday sport.”
the gains from other activities: badmin- side to side along the baselines, and ev- So, yeah, playing tennis—and all rac-
ton (6.2 years), soccer (4.7), cycling (3.7), ery serve, forehand, backhand, and vol- quet sports—is pretty good for you and
swimming (3.4), jogging (3.2), and calis- ley demands that we rotate through our me. Over the years, I had never really
thenics (3.1). The category called “health hips. Rotational movement in particular thought about the impact tennis could
club activities,” which included the tread- results in improved mobility, agility, and have on my longevity, but now I’m going
mill, elliptical, stair-climber, stationary power, says David Otey, CSCS, a Men’s to continue to pick up my racquet for as
bike, and weight rack, added only 1.5 years Health advisor. This helps prevent pain long as my body lets me. After all, I feel my
in the studied population. and injury in the long term—the real key sharpest, most pliable, and most social
While the researchers did not include to longevity. when the sport is a regular activity in my
several sports popular in the U.S. (I wish One 2019 study, which compared 43 life. And who knows, maybe next I’ll get in
they had looked at basketball, baseball, tennis players and 47 nonplayers, ages 18 deep with the padel community. Just don’t
or, hell, even pickleball), and the partic- to 65, found that those who played tennis ask me about pickleball—that’s for you to
ipants didn’t necessarily play just one had vastly better grip strength and knee explore on the next page.
sport (so it’s unclear if tennis alone was re- strength than their nonplaying counter-
sponsible for the gains), the findings show parts. Grip strength is a research-backed nick pachelli is a journalist, a pro-
there’s a strong association between play- biomarker for longevity, says Dr. Kado, as ducer, and the author of The Tennis Court.
LE V EL O F DIF FIC U LT Y*
P H Y S I C A L LY
M E N TA L LY
WORKOUT TYPE
High intensity, Moderate intensity, Low intensity, Moderate intensity, High intensity, High intensity, High intensity,
high impact moderate impact low impact moderate impact high impact high impact high impact
ACCESSIBILIT Y R ATING**
A A C B C B C
Free or cheap Yard space + cheap If you can’t find a Courts are Declining pop- You might struggle The sport is
courts are net kit = success. table, it will cost popping up ularity means to reserve the few rapidly growing,
everywhere. you a few hundred everywhere, but new courts are courts in your area. but courts are
bucks to buy one. you’ll likely wait hard to find. available only in
in line for them. select locations.
BENEFITS
Improved cardio- Birdie drops Improved coordi- The social With no wall Focusing on “de- The combo of net
vascular health, mean you need to nation without the benefits reign off-limits, you’ll ception” in your and wall will put
agility, balance, change level posi- higher physical supreme while develop keen shots provides your speed and
and coordination. tions quickly—pro- demands of other still giving you a spatial awareness mental stimula- agility to the test.
viding a stealthy racquet sports. great workout. and hand-eye tion while you
cardio workout. coordination. work up a sweat.
THE VIBE
A full-body Backyard Olympics Your go-to cruise “In da clurb court, Your dad’s dad’s Nobody puts Pickleball’s posh
workout disguised meets…the actual ship activity. we all fam.” (It’s a favorite pastime. squash in the cor- Gen Z cousin.
as play. Serious Olympics! meme. Contact ner. It’s coming for
inquiries only. your local teen.) the LA28 Games.
FRIEND
does three-a-days, playing squash after
pickleball.
How two men, three “I try to limit myself,” Temesvari says
decades apart in age, wryly. “I say, ‘At my age, I’m not supposed
to be doing this.’”
found fitness and healing But studies have shown that pickleball
in pickleball—and in their is exactly what older adults should be do-
friendship. BY LAUREN LARSON ing at his age. The sport was invented in
the 1960s, but participation was reinvig-
orated during the COVID-19 pandemic,
WHEN TODD “HAPPY” Boynton is his head in cumulus curls. They both wear when Americans were seeking new modes
vetting someone new for his pickleball T-shirts, Temesvari’s bearing the logo of of socializing outdoors. Now courts and
squadron, he asks them to accept four a pickleball doubles challenge the friends clubs are popping up across the country,
rules: Don’t get hurt, have fun, don’t be traveled to Washington, D.C., for in 2024— and the Association of Pickleball Players
a dick, and “the more the merrier.” The they were one of six intergenerational pairs estimated in early 2023 that nearly 50 mil-
last is not so much a rule as an existential from across the country selected to partic- lion Americans of all ages—the average
mandate for the 56-year-old Boynton, ipate. Though they’ve known each other age of players was 34.8—played pickleball
who approaches possible recruits with the only a couple of years, and though nearly in the previous 12 months, with more find-
pleasant persistence of a missionary. three decades separate them, the men ing the sport since then. Players young and
So it was with 82-year-old Gabor “Gabe” speak like old high school friends. When old are drawn to pickleball’s health bene-
Temesvari. Two years ago, Temesvari was they address each other, they do so ribb- fits, which include improved balance, co-
hitting a tennis ball by himself on a court ingly, but when they’re talking about each ordination, flexibility, and cardiovascular
in the small town of Deerfield, Massachu- other, they speak with complete earnest- health, as well as reduced stress. The low
setts, not far from where Boynton, who ness and total admiration. barrier to entry, as well as the frequent ro-
lives in the nearby town of Greenfield, “He played hard-to-get a lot more than tation of players in and out of games, also
was playing pickleball with some friends. he says he did,” Boynton recalls. “There makes it unusually social.
Temesvari, a retired schoolteacher, was were quite a few days of ‘There’s that Temesvari and Boynton both discovered
a lifelong tennis and squash player, but old guy over there again, hitting tennis pickleball at pivotal moments. Temesvari
he had never tried pickleball and was balls.’ ” Boynton would approach him, had just lost his wife after nearly 54 years
reluctant to join the others. However, and Temesvari would say he was content together; he had always joked around and
when Boynton approached him, lent him hitting alone. But Boynton and the other been active, but her death, along with the
a paddle, and began hitting with him, pickleball players admired Temesvari’s recent death of his youngest daughter,
Temesvari took to it quickly. “I didn’t strong shots, and Boynton was committed tested him. “Pickleball has really been my
think that I was as good as I wanted to be
right away, but I said, ‘Eh, I think I can
handle this,’” he says. That afternoon, he
bought a paddle of his own and returned
the next day, and most days since. “I ad-
mired this guy’s scorpion-sharp shots over
the net,” he says of Boynton. “I started
calling him ‘Scorpion’ all the time. He
hooked me on the sport.”
Today, the two men sit side by side in
Boynton’s living room in Greenfield, rem-
iniscing about the meeting that would
prove fateful for both of them.
Temesvari is lanky, with a hel- Temesvari (left)
met of thick white hair; Boyn- and Boynton at
COURTESY OF SUBJECTS.
levels” by 150 percent. Research from the Beyond the positive effects on mood that to stay in shape, but if you can’t laugh and
2023 Apple Heart and Movement Study, any exercise can have, one systematic re- have a good outlook on life, there are too
which used data collected from 82,809 view pointed to pickleball’s inclusiveness many things that could get you down.”
Apple Watch users from November 2019 as a factor in its effect on players’ well- Shannon Jarrott, PhD, a professor of so-
to November 2021, showed that the ben- being. This begins with the game’s acces- cial work at the Ohio State University who
G R AP HS BY
PHOTO
S C OT T E
TRINDL
trophies, although he never brought home a World
Cup. He is both the goat and GOAT of English
football, igniting both fan fury and fan adoration
throughout his career. Beckham retired in 2013,
but his body and mind still bear the scars of carrying
a nation’s hopes, as well as the grind of playing more
than 600 games for clubs and country.
On the cusp of 50, and enjoying renewed knees or my ankles? My Achilles was a bad
global interest thanks to his hit Netflix doc- injury toward the end of my playing career,
umentary, Beckham still looks like he could but it never troubles me now, despite rup-
kick it: quads sculpted, physique shredded, turing it. It’s actually the lower left side of
hair perfectly scruffy. He’s now busy off the my back and my left hip that give me the
field, co-owning Major League Soccer’s Inter most grief. I’ve had it all X-rayed, MRI’d—
Miami team, launching the supplement it’s just wear and tear.
brand IM8 (available at IM8Health.com), I’m better at looking after myself now.
and raising his four kids, ages 13 to 26, with It’s working on things with my friend and never really upper body. I never had pecs
Victoria, a.k.a. Posh Spice. He rolled up early trainer Bobby Rich. I’ve never been the until I met Bob [Rich]. You could say I’ve
to our photo shoot in London in a racing- best at taking supplements. You know, gone up a couple of cup sizes as a result.
green Rolls-Royce, and after several hours Victoria would always put them out for me, I’ve never had a chest. I never really had
in front of the camera, he grabbed a bag of and I’d always forget or I’d think, There’s a desire to, either. I was determined to be
salt-and-vinegar Kettle chips and talked to 16 tablets there—I just can’t be arsed. It’s as lean as I could be. But since I’ve retired,
MH about how he’s bending it—time, that the reason that I created IM8. There were I’ve put a bit of meat on my pecs. I hated
is. Beckham may train hard and primp so many supplements, so many tablets, pullups with a passion. I could literally
meticulously, but looking good, he says, will and so many powders. One person saying only do two or three—three at most. Bob
never come at the expense of a decent bag one thing is the best and others would dis- decided to focus on press-ups and pullups.
of chips. agree. IM8 works for me. Gut health, en- I hated both, and now we do them most
ergy, focus—all of it is improved. days. I’ve been trying to get Victoria to
Men’s Health: The saying goes that your work out with Bob for years, and she finally
body keeps the score. How are you hold- MH: What does your workout look like? agreed to adjust her workout. Now we do
ing up these days? DB: The strength work that I do for my core five days a week, sometimes six, together.
David Beckham: My body’s actually feel- and upper body helps with the backaches
ing better than it has done for a long time. that I’ve got. When I was playing, the only MH: Do you do the same exercises?
People ask where I feel it the most—is it my strength work I did was on my legs. It was DB: She still does the StairMaster or the
VersaClimber. She’ll do half an hour on and my family is healthy, that’s all I care really, I’ve been able to eat whatever I want
there, then she does an hour with Bob and about. For my 50th, I’m going to keep it whenever I want. But I’m still quite strict
me. I love training with Victoria. I give her really simple. I want good food, good on how I eat. There’s not many things I don’t
a lot of shit. We both give each other plenty wine—that’s it. All my closest friends. like, so you can always have your cheat day.
of shit. She’s not very good at listening to There’s nothing wrong with that. You’re
Bob. Well, she’s good at listening, then MH: How has your approach to eating allowed to do that. If you want a burger, if
she does her own thing. She’s not great at changed? you want some chocolate, if you want some
taking a rest. He’ll get her to have 90 sec- DB: I’m very lucky. My best mate Dave says crisps—it’s all in moderation.
onds’ rest, and she’ll be ready to go after I have a metabolism like a Ferrari. He hates
25 seconds. But when it’s good in the gym me for it. We’ll go out and I’ll eat and eat MH: What are your favorite foods?
and we’re both in a good mood, it doesn’t and eat and I won’t get any bigger. He looks DB: I’m an East End [of London] boy, so I
get any better than that, I suppose. at a packet of Hula Hoops and he thinks he’s grew up eating [beef] pie, mash [potatoes]
put on weight. I eat virtually everything. and liquor [parsley sauce], and jellied eels,
MH: Is approaching 50 fazing you at all? My diet hasn’t changed over the last 20, 30, so that really is my favorite food of all time.
DB: It doesn’t bother me one bit. People are 40 years, in all honesty. Even throughout I love a roast dinner. I love gammon egg
asking me about it gently, like it should be my career, I was able to eat what I wanted. chips and pineapple, but I love all foods.
a big issue. It’s not something that I’m wor- Obviously, it was more strict throughout My love of cooking came from my mum. I
ried about—as long as I’m fit and healthy the time where I played professionally, but always used to cook with my mum at home.
And then, obviously, when I moved up to
Manchester when I was 15 years old, I lived
in lodgings, and I just cooked and I loved it,
and it’s something that I always felt took
me back to my childhood.
STYLIST: JASVEEN MANKU. HAIR: KEN PAVES/ROUGE ARTISTS. MAKEUP: MIRANDA JOYCE/STREETERS.
to create a franchise but to create one of everywhere. I used to drive myself up the ers, and I knew that I wanted to be a snow-
the best sports franchises in America. It M6 [a major highway in the U.K.] and boarder. I wanted the cool clothes. I wanted
1 CALISTHENICS
To keep strong, carve his core, and stave
off back pain, Beckham does pullups,
hanging knee raises, and pushups most
days. Rich says Beckham sometimes calls
him “Boring Bob” because he emphasizes
the same exercises, but he considers
these foundational functional moves.
And Rich does mix it up by varying the
tempo, reps, and sets.
2 STRENGTH
Two decades of playing soccer means
Becks has done a lot of leg work and now
focuses on full-body training sessions,
including the Big 3: deadlifts, squats,
and bench presses. But Boring Bob adds
Track pants by Dior; spice by mixing in variations, so one ses-
underwear by Boss sion it’s deadlifts with a barbell, the next
One Bodywear;
sneakers by
with kettlebells, the next with dumbbells,
Beckham x Boss; so the actual sessions are always fresh.
socks by Falke.
3 CARDIO
Beckham likes ”any fitness challenge,”
SUPPLEMENT CHECK and while he’s a fan of SoulCycle, Barry’s
Our editors test out IM8 Daily Bootcamp, and boxing, his current
favorite cardio is playing padel, the
Ultimate Essentials, Beckham’s
tennis-squash hybrid. When in Miami,
92-ingredient superpowder.
he plays three times per week. It revs
his cardio, tests his agility, and serves
COLOR: Between Mussallem, DO; and It’s NSF Certified for
as QT with his family and friends.
crimson and Red former NASA scientist Sport.
Devil red, thanks to James Green, PhD.
the beet, cherry, and DISLIKES: $99 per
pomegranate. The pre-, pro-, and month—very posh! 4 RECOVERY
postbiotics, plus After training, Beckham often makes
TASTE: Refreshing digestive enzymes. EXPERT TAKE: “It’s “a protein shake with a little bit of cre-
and tart. Not medici- certainly convenient atine, coconut water, two bananas,
nal (or grassy) at all. The 100 g of the coen- to have all of these almonds, lots of ice—that’s it.” He’s a
zyme Q10, which sup- products in one fan of acupuncture and cupping, which
LIKES: The science ports heart health. place, but you could he says helped him overcome injuries
team, including buy a multivitamin, a during his career and help whenever he
Cedars-Sinai microbi- The 30 mcg of vi- probiotic, CoQ10, and has any aches or pains. Beckham also says
ome expert Suzanne tamin D3, 65 mg of magnesium and save he “prefers ice baths over cryotherapy”
Devkota, PhD; Mayo magnesium, 900 mg money,” says Brian and likes to do contrast sessions from
Clinic integrative of vitamin C—classic St. Pierre, RD, an MH sauna to ice bath. This can boost circula-
oncologist Dawn multivitamin stuff. nutrition advisor. tion and reduce inflammation.
SLEEP NOW
FOR MORE ENERGY
LATER.
Bad sleep doesn’t
just make you look
old, it could age
your body. Research from
UCLA found that people who
RECOMMIT TO PROTECT YOUR
said they got six or fewer
STRENGTH IMMUNE SYSTEM.
“We expected
hours of shut-eye per night TRAINING. changes in the 60s,
Age-related
because we know that
were biologically 15 months muscle loss gets
some people’s risk for
older on average than their serious at this
cancer and cardiovascular
age. “People lose
chronological ages. something like 1 to 2 percent
disease goes up—their immune
system declines,” says Snyder.
of their muscle mass every The immune system dip can
year, and so they lose make you more prone to
their mobility, and their diseases like cancer, he
GET SERIOUS ABOUT health just plummets,” says explains, because your immune
Snyder. Strength training
YOUR HEART BEFORE can help keep muscle
system clears out cells and
tissue that shouldn’t be there,
YOUR RISK TICKS UP. where it belongs. (Snyder helping keep cancer cells from
If you can’t remember your is in his 60s and lifts daily.) multiplying. And since your
last cholesterol check, you’re In a recent study from Brazil, immune system isn’t as robust,
probably due. Depending people middle-aged and you’ll want to pay attention to
on the results, your doctor older doing 12 weeks of being up-to-date on flu shots
might recommend cholesterol-lowering progressive strength training and other preventive vaccines,
statins as you approach your 40s, delayed or reversed age- as well as cancer screenings
says Snyder. Start paying attention to related muscle loss. such as colonoscopies.
heart-healthy habits, too. A study in
the Journal of the American Heart
Association showed that a better score
on the AHA’s Life Essential 8—a rubric STAY HYDRATED.
VALERII EVLAKHOV/GETTY IMAGES.
T HE B R AV E
NE W WOR L D
OF MiD D LE -A G E
MEDiCAL
T OU R i S M
BY RINA RAPHAEL, JULIE STEWART & BEN COURT
WEiGHT LOSS
SURGERY iN
COSTA RiCA
After his insurance company refused to pay for a sleeve
gastrectomy, MATTHEW SMITH went south. Way south!
“I’VE HAD A WEIGHT PROBLEM my whole adult life and spent years
yo-yoing up and down. I tried dieting and exercising more. I gained and
lost 100 pounds a couple of times. At 40, it was time to consider weight- RIGHT: The
loss surgery to remove part of my stomach. I did all the pre-op evalua- author before
tions and scheduled a sleeve gastrectomy, but about three weeks before his transplant.
my surgery date, my insurance company sent me a denial letter. After ABOVE: After!
doing some research, it looked like it was going to cost me $30,000 or
more. I was nervous that I could experience a complication and end up in
the intensive care unit. That could be a life-changing financial hit.
“I started looking into other options on Reddit, Google, social media,
and I watched YouTube videos from people who had the procedure done
abroad. I learned that many Americans have had this procedure in Costa
Rica, where there are high-quality hospitals and practitioners that treat
American expats. I opted for Clínica Bíblica in San José. It’s a full-service
hospital, so if something were to go wrong, they would be equipped to
handle it. A couple of weeks before I traveled, I spoke in English with my
surgeon, Jacobo Zafrani, MD, who reviewed my medical records and pre-
scribed my pre-op routine, including a regimented low-calorie diet that is
high in protein and vegetables, low in carbs and sugar.
“When I got to Costa Rica, we did a half-day medical exam. My surgery
was two days later. The procedure lasted about 90 minutes. I had pain,
but it was manageable. I spent two more days in the hospital and five days
in a hotel before flying home. I even had enough energy to walk around
San José before I left. Even with travel expenses, the procedure cost
about a third of what it would have cost in the U.S. I still see a dietitian
virtually through Clínica Bíblica to help me eat well with my smaller
stomach. My only regret is not doing this surgery earlier. I have lost 130
pounds, and my resting heart rate and blood pressure have dropped into
healthy ranges and my quality of life is much improved.”
SECOND OPINION: Costa Rica’s life expectancy is 77, the same as in
the United States, and it’s known for the high quality of its health care,
iN MEXiCO
ranking above the U.S. in a 2023 report by the Prosperity Institute, DEVANTE DODGENS, a 32-year-old
a London think tank. While GLP-1s and other new drugs show great operations analyst in Chicago,
promise, new research reveals that minimally invasive bariatric traveled across the border for multiple
surgery is the lowest-cost, most effective long-term treatment for obe- tooth transplants.
sity, according to Ann Rogers, MD, a professor of surgery at Penn State
College of Medicine. She cautions that follow-up care, both a month
TYPICAL SAVINGS 50%–80%
after the surgery and annually for five years, is important.
“MANY PEOPLE IN my family work over three days. I was Clinic in Bangkok took care of
have bad teeth. I first needed a concerned about the trauma the scar with steroid injections
bunch of fillings in my teens, but and pain because it was a lot and laser smoothing for about
a dentist did the work improp- of work, but they made sure $1,000. It healed fantastic and
erly and I ended up having seven I had the right pain meds. looks much better than before.”
teeth pulled in my early 20s Everyone spoke English, and
because they were infected. By they followed up and gave me SECOND OPINION:
the time I finished college, I was e-records and images to share While Los Algodones is
missing all my back teeth and it with my dentist in America. a global dental hub with
was impacting my bite, what I He actually told me the work more than 300 clinics,
could eat. I talked to my dentist I’d had done was excellent there are also some top
about implants and other work, when I later went for my regular clinics in Playa del Car-
and he gave me an estimate of cleaning. Having great teeth is men where patients can
$55,000—even with insurance, months as I made my decision. I a confidence booster, and I can recover at beach hotels.
I didn’t have the funds for that. picked Sani Dental because the eat whatever I want. Look for accreditation
COURTESY OF SUBJECT (SMITH, WALLACE, DODGENS).
“My aunt, who is a nurse in team seemed the best qualified. “The whole experience from the Commission
Los Angeles, suggested I go to “I sent Sani Dental my X-rays was so smooth that it opened on Dental Accreditation,
Los Algodones in Mexico, right and talked with the dentist my eyes to medical tourism. says Tyrone Rodriguez,
across the border from Yuma, regarding options. The estimate Several years later, I cut my face consumer advisor
Arizona. Some of her friends had for four implants, three crowns, and had a prominent crescent- spokesperson for the
excellent, inexpensive dental a root canal, bite alignment, and shaped scar. Plastic surgeons American Dental Asso-
work done there. I was freaked whitening was $5,000—abso- in America said it would cost ciation. And ask about
about the whole idea as well as lutely insane. $30,000 to remove. I did some follow-up and a two- or
the language barrier, but I Goo- “They picked me up at the research and found out I could five-year warranty to
gled different clinics and talked border, took me to a hotel near get good, affordable work done ensure you’re covered if
to different dentists over six the office, and then did all the in Thailand. The Rajdhevee something goes wrong.
travel and undergo the surgery. thing I want except running.” housed in Hospital CIMA in San José, and the
Advanced Fertility Center in Cancún.
SECOND OPINION: NASH was founded in 2016 and works with partner
hospitals in Cancún and Monterrey, Mexico—where the focus is on
orthopedic work, bariatric procedures, and cosmetic surgeries—and Maggie
also a pharmacy in Toronto, where people can get specialty meds. This Quinn,34,
kind of service, along with top American hospitals sharing protocols and Ricardo
Escobar, 37,
with foreign hospitals, is becoming more popular, says Vequist, the
in Medellín,
medical tourism researcher, because it can alleviate some of the fear Colombia,
patients may have undergoing treatment abroad. 2023.
IT’S AN UNLIKELY PAIRING: swimming with sharks are willing to pay for the promise of a more able-bodied future:
in the Caribbean Sea on Monday, then receiving stem less sickness, fewer disabilities, and more strength. “There’s
cell injections on Tuesday. But that’s what Jim Cripps this huge movement of people wanting to live longer,” says
signed up for. If you’re going to get medical treatment, the Jonathan Edelheit, CEO of the Medical Tourism Association.
thinking goes, might as well get treated in paradise. But while patients venture offshore for “cutting-edge” ther-
For years, Cripps, 46, experienced arthritis pain in his apies, they aren’t always well informed about how to evaluate
knees. His doctor told him that he might want to consider whether a clinic can deliver on bold cure-all or “longevity”
knee replacement at some point in the future. The Tennessee claims. “Anybody can launch a website today and make any
business coach became increasingly health conscious, ex- statement about their treatment and even lie about the re-
ploring treatments promoted by biohacking podcasters who search,” cautions Edelheit. “Patients just don’t know the right
dabbled in cold plunges and ozone therapy. He admittedly was questions to ask to properly vet that.”
“really kind of going down that rabbit hole.”
Cripps wanted to find someone to fix his knees. In August THE GARM CLINIC sits on the beach, mere minutes from
2023, he visited the GARM Clinic, a regenerative medicine snorkeling and sailing excursions. This idyllic setting, with
center in Roatán, Honduras. He’d take a private boat tour of coral reefs, swaying palm trees, and turquoise-blue waters,
the island, do a bit of snorkeling, and then top it all off with provides a serene backdrop for the medical treatments offered
stem cell treatment. The procedures, travel, and lodging here, notably stem cell injections and gene therapy. In 2024,
would cost a little under $14,000. “My local doctor thought I GARM made headlines when Bryan Johnson, the 46-year-old
was crazy,” Cripps says with a laugh. venture capitalist and longevity lab rat, visited the clinic. In
If Cripps is crazy, he’s certainly not the only one. Pro golfer his pursuit of longer life, Johnson underwent a proprietary
Brandt Snedeker turned to GARM’s stem cell therapy for procedure offered exclusively at GARM: follistatin plasmid
sports injuries, while Joe Rogan treated a torn rotator cuff gene therapy. This $20,000 treatment is based on a study
with a doctor who has been affiliated with the clinic. If there that demonstrated promising results in enhancing muscle
were a dozen stem cell clinics several years ago, now there are growth and extending lifespan in mice. Johnson referred to
a hundred. Americans, especially those with some extra cash, it as “an extreme medical procedure that could change the
lasted much longer. “I didn’t anticipate my knees hurting close to an injectable treatment for arthritis. “The problem is it’s
quite as much as they did,” says Cripps, who likens stem cell not nearly as exciting as saying, ‘I got this stem cell injection.’”
injections to braces that aggressively move all your teeth at Medical experts are open to the possibility that patients
once. Joints expand and swell. “There’s a couple of days where like Cripps might feel better. Stem cell therapy might reduce
it’s hard to walk.” During the next two months, Cripps still inflammation in the knee, offering temporary relief. In that
had knee pain as well as pain at the injection site. “I really sense, it may not be any better than what’s already available,
wondered if I had wasted my money,” he admits. like a steroid injection or over-the-counter anti-inflammato-
ries, says Master. Other experts note the placebo
effect, that arthritis injuries wax and wane, and
that weight loss or physical therapy could also be
“I GO HARDER IN THE GYM THAN responsible.
BEFORE, WITH MORE MOBILITY Heather Terry says there’s “tons of literature” to
back up the clinic’s regenerative treatments, but
THAN I THOUGHT I COULD HAVE.” that’s not yet the official scientific consensus. She
at the museum chairs, beds, tables, and desks make deep squat-
of the Olympic ting unnecessary in most people’s daily lives. Even
Games in central heating helps people “avoid squatting and
Greece in 2024.
crouching for hearth upkeep.” In such a world, the
evolutionary biologists write, properly stimulat-
ing the gluteus maximus often “requires re-creat-
ing unaccustomed conditions, to be found only in
sports and body-building rooms.”
If people don’t seek out such unaccustomed conditions, making spe- deskproofing workout is a lot of work. “The de-
cial efforts to challenge the glutes, these muscles can become so es- gree of volume and intensity that’s required for
tranged from the nervous system that it’s almost as if they are forgotten. these muscles to stay tight—people underesti-
The sorry state of gluteal amnesia—an actual clinical term—can set in. mate that,” he says. “And the amount that has to
“Gluteal amnesia,” Stocking says with a half-chuckle, “is my favorite term in be done on a daily basis—people underestimate
the world.” Even as sarcasm, that’s quite a statement, because within the field that. When we sit all day, the hip flexors get really
of classics, Stocking is a philologist. From the Greek word philo, for “loving,” tight. The quads get really tight. We’re basically
and logos, for “word,” philology concerns how language is structured and how it just in that fetal position. And so the amount of
develops through history. Philology is a discipline of word-loving, and Stocking work you have to do just to be able to sit and not
loves words in seven languages. develop overuse injuries from sitting—it has to be
Stocking’s strategies for avoiding gluteal amnesia include the hip thrust. a lot, on a daily basis, the other way.”
With the lower edges of his shoulder blades pressed against the side of a bench,
a bed, or a sofa, and with his feet flat on the floor in front of him, his knees bent
and his trunk muscles braced—to keep his spine in neutral position—Stocking HE BALANCE OF mus-
extends his hips and contracts his glutes.
Hip thrusts teach the contractile tissue of the giant complex of muscles in
the rear to pull, faintly and constantly, against the force of the hip flexors, in a
T cular tension that Stocking
strives for is an ancient para-
gon—a central concept of the
balanced tug-of-war. That way, Stocking says, “you can sit for a certain amount only book about athletic train-
of time and not be crippled afterward.” ing that survived antiquity, the
Stocking’s favorite exercise for the upper body is the row. His favorite form Gymnasticus, written by Flavius Philostratus in
of the row is the reverse pullup. Positioning himself beneath a horizontal bar— ancient Rome around 170 A.D. Stocking has spent
like a railing at a playground or a barbell on a rack at the gym—he raises his years studying, translating, and writing about the
arms to grip the bar with his palms at shoulder width. He fully extends his legs, Gymnasticus, which presents athletic training as
with toes pointed up and heels dug into the ground—or, to make the move more “a form of wisdom, inferior to no other expertise.”
challenging, he digs his heels into a raised surface. Then, while stiffening the Philostratus said the whole point of training
muscles of his trunk and contracting his glutes and quads, all to fix the length is to create balance—which, he believed, could
of his body as a kind of lever, he pulls himself up and touches his chest to the bar be seen in an athlete’s symmetrically developed
while pinching his shoulder blades together. physique. Most of the Gymnasticus “is devoted
Stocking tries to do three sets of 20 or so repetitions, approximately every to a description of the athlete’s body,” Stock-
90 minutes or whenever his back starts feeling uncomfortable, each day that ing writes. Ideally, Philostratus said, an athlete
he spends mostly sitting at his desk. Even with a formula so flexible, Stocking’s should look like a sculpture of an athlete. His vi-
BU T
ST Y L E P OW E R HOUSE
B R U N E L L O C U C I N E L L I REVEALS
H IS LONGEV IT Y
AND SERENITY SECRETS.
BY RICHARD DORMENT
PHOTOGR A PHS BY SUSAN WRIGHT
ONE OF THE FIRST THINGS to go when you turn 70 has gotta be your ability to give
a good noogie. Maybe it’s your diminished grip strength, or maybe you no longer have
the bodily stability or the physical leverage to really dig in your knuckles and make your
buddy squirm, but at a certain point in life, noogies are really no longer on the table.
Except if you’re Brunello Cucinelli, the 71-year-old yet seemingly ageless Italian fashion
magnate, who could give one hell of a noogie were he so inclined.
It is a hot September morning in Solomeo, a medieval village less than a three-hour
drive north of Rome, and I’m sitting at the end of a long white table across from Brunello
(which he insists I call him, because everyone, from his longtime assistant Francesco
to his exceedingly cool daughter Carolina, calls him that) in his spacious office at the
company’s headquarters. One of the walls is filled with framed headshots of his personal
heroes and inspirations throughout history (Saint Francis of Assisi, JFK, and Barack
Obama make the cut), and Brunello’s own face—deeply tan and lightly creased from a
lifetime spent in the Mediterranean sun, with an angular profile straight out of a Roman
sculpture gallery—would fit in nicely with the collection.
Then around 10, I have a small sandwich. At 1 p.m., pasta every be-logo’d) and pound his fists together before he starts working
day. Every single day. Maybe a salad or some vegetables. I’m not the bag, shuffling his feet and stepping into every jab and hook.
a great meat lover. At 4 p.m., a small snack, a piece of fruit or a Afterward he takes a break to practice the Five Tibetan Rites, a
piece of cheese. And then dinner, and I have close to no supper. series of breathing-guided yoga poses that have been around for
When you have four courses and when you’re 70, you don’t sleep centuries. He kneels on the gym’s wooden floor, his posture erect
well. And the morning after, you weigh 300 grams extra.” and breath steady and low: in through the nose, out through the
Brunello knows this for a fact. “I weigh myself four times a day. mouth, his hands at the back of his hips as his chest rises and falls.
Morning, before lunch, after lunch, before bed. When I see I’m Later that day, he delves into his other extracurriculars:
one kilo more, I just eat less. I eat half of a half of a half. It’s the big- He’s helped fund an organization called the Himalayan Regen-
gest sacrifice of my life. If you asked me what my biggest sacrifice erative Fashion Living Lab to support sustainable fash-
would be, it would be to go on a diet.” He has never been on a diet, ion; he delivered a speech at the 2021 G20 assembly that he
and he’s not one for counting macros or overdoing it on supple- called “Humanistic Capitalism and Human Sustainability”;
ments, either—“I am worried that my liver will suffer,” he says. he’s written an essay called “Technology, Humanism and
Four times a year, for one month, he takes three supplements Artificial Intelligence,” available to read on his site; he’s sup-
(ginkgo biloba, zinc, and tribulus) three times a day. “For mem- ported the development of various drugs to treat cancer and
ory, for health, for sex. I follow the Charlie Chaplin treatment. He metabolic conditions.
had a child when he was very old!” He also receives platelet-rich How does he find the time to do all this while remaining a
plasma (PRP) injections, a procedure in which a physician uses hands-on steward of his company and working out for two hours
a patient’s own blood to help heal other parts of the body. “They a day? He keeps the rest of his life very simple. “We need to work a
take the plasma out and they put it in my face and my hair, my fair amount, so we have time left for the body and the soul. Because
hands and my chest,” for two or three hours of my day, I basically lead the same life as a
Cucinelli uses a breathwork
Brunello says, touching monk. When I work out, or after that, I go out and take a stroll in
practice called the Five Tibetan the relevant parts of him- the village, I look up at the stars, I look at a fire, and I get dizzy with
Rites to find calm and clarity. self. “I believe in regener- beautiful thoughts. I wouldn’t call it meditation. I spend time
ative medicine.” with myself. I spend time with my mom and my dad, who passed
O n t he d ay of my away. I want my head to be busy. I want to lead a normal life.”
visit, I watch him work For now that means more swimming and tennis and napping
out in his home gym, a and working closely with his daughters to ensure the company
glass-topped solarium he has built remains healthy for future Cucinellis. “I want to live
with a small lap pool, a as if it’s the last day of my life, but I want to keep planning as if
treadmill and cable ma- I’ll be here forever. I am a temporary guardian of this,” Brunello
chine, some beautiful says, waving at the factories and offices and village he built and
wood-pa neled Nohrd rebuilt. “If you act and feel like an owner, you’ll be scared that
dumbbells, and a white you’ll lose it. But if you’re just a guardian of this factory and the
leather boxing bag em- plant, you’re free.” To live simply, to let go, to look up at the stars
bossed with his compa- in wonder: It works for Brunello. It might even work for you.
ny’s logo. I watch him
put on his boxing gloves richard dorment is the editorial director of Men’s Health
(also white leather, also and Women’s Health.
3. Sony LinkBuds S
These low-profile, lightweight ear-
buds help Brown focus no matter what’s
going on around him. “I use them
whether I am on the plane watching
movies or working out in the gym.”
$160, electronics.sony.com
commercial-grade 6. Uno
rig has everything “Playing a little Uno is one
he needs to lift big. of our favorite ways to kill
$3,461, shop.life downtime at the airport or
fitness.com backstage,” says Brown, who
always has a deck on hand. The
competition escalates with
the occasional side bet: “The
wagering can get pretty intense!”
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