The Health Review

Longevity, Biological Age & How to Live to 114 in Great Health | Dr Alka Patel

The Health Review

Show Notes

We've all heard of the super agers — centenarians living well into their hundreds in the villages of Sardinia, the islands of Okinawa, regions of the world where reaching 100 in great health is almost the norm. Increasingly, longevity scientists believe that kind of lifespan could be within reach for many more of us — if we can fend off the age-related diseases that currently cut lives short. Nearly half of all UK adults already have at least one longstanding health condition. So the question is — how much of that is inevitable, and how much is actually within our control?

In this episode of The Health Review I sit down with Dr Alka Patel — GP, longevity doctor, TEDx speaker and founder of the Million Hour Club, whose mission is to help one million people live a one million hour life. With over 25 years of clinical experience and a quarter of a million patients, Dr Alka works at the fascinating intersection of cutting-edge biohacking and lifestyle medicine — and she brings a perspective on longevity that is both rigorously evidence-based and deeply personal.

The conversation that stayed with me most was a patient she described — a 29-year-old whose biological age tested at 78. Not because of genetics or illness, but because of stress. The grind, the hustle, the pressure of doing it all. And the fact that nobody had told them what it was doing to their body.

We cover:

Why Dr Alka went from being a GP in conventional medicine to pioneering longevity care

Her own health crisis — the birthday that ended with multiple organ failure and the question it forced her to ask

Health is a verb not a noun — what that TEDx talk with over half a million views actually means in practice

How much of our health is really down to genetics — and why the answer is more hopeful than most people think

The hierarchy of health — why mastering the basics has to come before peptides, IV drips and biological age testing

What biological age testing actually measures and why it's one of the most motivating tests Dr Alka does

The 29-year-old with a biological age of 78 — and what stress is really doing to the body over time

The cortisol curve — why most of her high-performing patients don't have one, and what that means for sleep, energy and burnout

Biohacking for women — why we are not little men and what a female-specific approach to optimisation actually looks like

Biosynchrony — aligning your lifestyle with your biology, your hormones and your circadian rhythm

Perimenopause, cycle tracking and why variety might matter more than routine for women at this life stage

The Blue Zones debate — what the research actually shows even if the specific data is being questioned

Why beauty begins in your biology — and the coffin line that stopped me in my tracks

Cautious curiosity — how to approach peptides, rapamycin and novel longevity interventions safely

What longevity medicine will look like in ten years

This episode is for educational purposes only and does not constitute medical advice. Always consult your own clinician before making changes to your health.

Topics: longevity medicine | biological age testing | biohacking for women | Dr Alka Patel | million hour club | female biohacking | perimenopause health | cortisol testing | stress and ageing | epigenetics | Blue Zones | health is a verb | continuous glucose monitor | Oura Ring | HRV | biosynchrony | circadian rhythm | longevity supplements | peptides | rapamycin | NAD longevity | lifestyle medicine | functional medicine UK | how to live longer | healthy ageing women | burnout and ageing | superagers | centenarians | biological clock

Dr Alka's website: https://www.dralkapatel.com/

Follow The Health Review: https://www.instagram.com/the.health.review Hosted on Acast. See acast.com/privacy for more information.

More from The Health Review

Oct 22, 2026

Our phones are rarely more than a few feet away from us. We wake up to notifications, spend much of the day moving between screens and increasingly turn to AI not only for information, but for advice, decisions and even emotional support. So what is all of this actually doing to our brains?

Oct 14, 2026

What if improving your health isn’t always about adding another supplement, protocol or wellness habit — but removing some of the things getting in the way?

Oct 8, 2026

What can ancient wisdom teach us about living well in the modern world?

Sep 30, 2026

What if feeling better isn’t always about adding more — but about slowing down, paying attention and getting to know yourself again?

Sep 24, 2026

What can therapy teach us about the patterns we keep repeating, the way we speak to ourselves and what happens when old wounds show up in our relationships?

See all episodes →