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  • **metformin in Aging: the Search for Longevity Benefits**

    The Science Behind Metformin and Aging


    Metformin, a drug traditionally used to manage type 2 diabetes, has emerged as a beacon of hope in the quest for longevity. Researchers postulate that its benefits extend well beyond glycemic control, potentially influencing the aging process at a cellular level. The key lies in its mechanism of action: Metformin activates AMP-activated protein kinase (AMPK), a crucial energy-sensing enzyme that plays a vital role in metabolic regulation. By enhancing cellular resilience and promoting autophagy, the process that removes damaged cells, Metformin may slow down the aging clock and improve overall health span.

    Emerging studies suggest that Metformin's influence stretches into various biological pathways associated with aging, such as inflammation and oxidative stress. Fascinatingly, populations that have utilized this medication over extended periods display promising signs of increased longevity. As this narrative unfolds, it beckons the scientific community to consider the implications of Metformin as a potential geroprotective agent, opening doors to exciting research avenues and future clinical applications.

    Mechanism of Action Potential Impact on Aging
    Activation of AMPK Regulates metabolism and enhances cellular resilience
    Promotion of Autophagy Removes damaged cells and promotes healing
    Reduction of Inflammation May lower age-related chronic diseases



    Historical Use of Metformin Beyond Diabetes



    Metformin, originally introduced in the 1950s as a treatment for type 2 diabetes, quickly captured attention for its potential benefits beyond glycemic control. Its use in non-diabetic patients, particularly those at risk for metabolic syndrome, opened a new chapter in medical exploration. As researchers began to observe improvements in weight management and cardiovascular health, the drug’s profile expanded significantly.

    Moreover, historical anecdotes and preliminary studies hinted at other beneficial effects, prompting scientists to delve deeper into its mechanisms. These investigations revealed that metformin might influence processes linked to aging, such as inflammation and oxidative stress. This growing body of evidence has fueled interest in repurposing the drug for broader applications in promoting longevity.



    Recent Research Highlighting Longevity Effects


    Scientists are increasingly drawn to metformin, a medication traditionally used to manage diabetes, for its intriguing potential to promote longevity. Recent studies suggest that this compound may do more than regulate blood sugar; it could also enhance lifespan by activating metabolic pathways associated with aging. For instance, researchers have observed that metformin may improve insulin sensitivity and reduce inflammation, core contributors to age-related diseases.

    Several epidemiological studies indicate that metformin users experience a lower incidence of age-related conditions, such as cardiovascular disease and certain cancers, compared to non-users. These findings have prompted a surge in clinical trials exploring the drug's capacity to mitigate the effects of aging in non-diabetic populations. The link between metformin and longevity has become a hot topic in gerontology, as researchers endeavor to unravel the underlying biological mechanisms at play.

    While results are promising, they must be interpreted with caution. The relationship between metformin and extended lifespan is complex and influenced by various factors, including genetic predispositions and lifestyle choices. As ongoing research continues to shed light on this fascinating connection, metformin stands at the forefront of the quest for therapies aimed at promoting healthy aging and longevity.



    Metformin’s Impact on Cellular Aging Mechanisms



    Metformin has gained attention not only for its role in diabetes management but also for its potential effects on cellular aging. Research suggests that it activates AMP-activated protein kinase (AMPK), a crucial regulator of cellular energy homeostasis, which plays a pivotal role in slowing down the aging process at the cellular level. By enhancing the body's ability to utilize glucose for energy, it may reduce cellular stress and improve mitochondrial function, key factors in healthy aging.

    Additionally, metformin influences several signaling pathways associated with aging, including the mTOR and sirtuin pathways. These pathways are vital for maintaining cellular health, and their proper regulation can lead to enhanced longevity. In essence, metformin encourages a shift towards a more resilient cellular environment, fostering the conditions necessary for longevity and overall well-being.

    Moreover, the drug's potential to reduce inflammation and combat oxidative stress highlights its multifaceted role in promoting healthier cellular aging. As we continue to unravel the complexities of aging, the implications of metformin's action on these cellular mechanisms offer a promising frontier in the quest for extended healthspan and longevity.



    Potential Risks and Controversies in Longevity Claims


    As interest in metformin's potential for extending lifespan grows, so do concerns over the validity of its longevity claims. While some studies suggest benefits beyond its primary use for diabetes management, critics argue that the evidence is still inconclusive. Questions arise about the appropriate dosage and long-term effects, which could lead to unforeseen health issues. A balanced view should consider these uncertainties while exploring metformin's role in a broader context of healthy aging.

    | Factor | Consideration | |------------------------------|-------------------------------------| | Efficacy in Longevity | Evidence is mixed and requires further research. | | Side Effects | Potential risks include gastrointestinal issues and rare lactic acidosis. | | Individual Responses | Not everyone may experience the same benefits. | | Comprehensive Aging Strategy | Metformin should not be a standalone solution. |



    Practical Considerations: Who Might Benefit from Metformin?


    As researchers delve deeper into the potential benefits of metformin beyond its use for diabetes, certain groups are emerging as potential beneficiaries. Older adults, particularly those exhibiting early signs of aging-related diseases, may find metformin helpful, as its effects on insulin sensitivity and inflammation could bolster overall health. Furthermore, individuals with metabolic disorders or those predisposed to age-related conditions might explore metformin's protective properties to enhance their longevity.

    However, it's crucial to approach metformin use cautiously and under medical supervision. While some may see promise in its anti-aging potential, others may not experience the same benefits. Patients with kidney issues or other contraindications should avoid it altogether. The decision to use metformin should be personalized, weighing the potential rewards against risks, and always discussed with a healthcare provider to ensure it aligns with individual health goals and conditions.





ARIZONA PSYCHIATRIC SOCIETY 2024-2025 EXECUTIVE Board

President: Nicholas Ahrendt, MD President-Elect: Margaret Balfour, MD, PhDVice President: Brenner Freeman, MDTreasurer: Robert Rymowicz, DOSecretary: Chiranjir "Ravi" Narine, MD Co Resident-Fellow Member Representatives: Nehal Samra, MD Creighton Matthew Mitchell, MD UA-PhoenixGagan Singh, MD UA-Tucson
APA Assembly Representatives: Jason Curry, DO (serves term concluding 2024) Jasleen Chhatwal, MBBS, MD (two-year term concluding 2024)Payam Sadr, MD (one-year term concluding 2024) Past President Gagandeep Singh, MD, DFAPA Stephen "Larry" Mecham, DO The Society thanks these members for their leadership.

Celebrating our members

Chase was born and raised in Phoenix, AZ, and attended ASU for a bachelor’s degree in business then attended KCUMB for medical school in Kansas City. He was excited to return home to AZ when he found out he'd been matched with UACOM – Phoenix for his psychiatry residency.
He was first drawn to the field of psychiatry during his years in medical school as he found the psychiatric subject matter and the patients to be the most engaging and interesting of all his studies. He quickly came to realize that without a healthy mind, one is unable to thoroughly experience life constructive way. He wanted to be the person to help those struggling with mental illness as he found these cases and experiences to be the most rewarding in medicine.
Dr. Crookham said he has been lucky enough to have been matched at a great psychiatric residency program where he gets to learn from great mentors and colleagues every day. He believes his passion for psychiatry along with the relationships he's developed with his colleagues and mentors will carry him to be a lifelong learner and devoted psychiatrist for his future patients.
Meghan is a graduate of Lincoln Memorial University, DeBusk College of Osteopathic Medicine.
She received her Bachelor of Arts from the University of Denver in French and Biology with a concentration in Cognitive Neuroscience.
She is currently a chief resident at UACOM-Tucson in her final year of psychiatry training and will be starting a fellowship in Addiction Medicine at the University of Arizona, Tucson in July.
Her professional interests include physician mental health, adult consult liaison and addiction psychiatry.
In her personal time, she enjoys home design projects, spending time with family, learning about plants, and exploring new places.
Dr. Hintze is currently honeymooning in Japan! Congratulations!!
Danny is originally from Phoenix. Graduated from Brophy, ASU, and UA Tucson Medical School. His background is in economics, philosophy of science, and rational decision-making.
He was drawn to psychiatry because of the conceptual complexity and the profound impact even relatively simple pharmaceutical, medical, and psychotherapeutic interventions can have to empower patients and their families.
As a mentor, he wanted to recognize the many people within the Arizona Medical Community, particularly at UA Tucson, Valleywise, and within organized medicine who have worked to protect and promote medicine as a joyful, compassionate, and healing experience for patients and for all of us who help care for them.

ARIZONA PSYCHIATRIC SOCIETY past presidents

Otto L. Bendheim, M.D. 1960-1961Warren S. Williams, M.D. 1961-1963T. Richard Gregory, M.D. 1963-1964Boris Zemsky, M.D. 1964-1965 Hal J. Breen, M.D. 1965-1966Joseph M. Green, M.D. 1966-1967Irene M. Josselyn, M.D. 1967-1968Hubert R. Estes, M.D. 1968-1969Richard H. Bruner, M.D. 1969-1970Thomas F. Kruchek, M.D. 1970-1971David S. Burgoyne Sr., M.D. 1971-1972Marshall W. Jones, M.D. 1972-1973Harold D. Haeussler, M.D. 1973-1974William B. Haeussler, M.D. 1974-1975Edward S. Gelardin, M.D. 1975-1976Hugo L. Cozzi, M.D. 1976-1977Robert F. Meyer, M.D. 1977-1978James E. Campbell, M.D. 1978-1979Stuart M. Gould, M.D. 1979-1980Elliot M. Heiman, M.D. 1980-1981Stephen V. Shanfield, M.D. 1981-1982Jerry A. Biggs, M.D. 1982-1983Robert C. Shapiro, M.D. 1983-1984Dennis C. Westin, M.D. 1984-1985John H. Jarvis, M.D. 1985-1986James G. Hill, M.D. 1986-1987Robert P. Bevan, M.D. 1987-1988Eugene J. Kinder, M.D. 1988-1989 James M. Campbell, M.D. 1989-1990David S. Burgoyne II, M.D. 1990-1991
Stuart W. Hollingsworth, M.D. 1991-1992Kevin J. Leehey, M.D. 1992-1993Stephen S. Brockway, M.D. 1993-1994Michael H. Stumpf, M.D. 1994-1995Lauro Amezcua-Patino, M.D. 1995-1996David S. Burgoyne II, M.D. 1997-1998Glenn Lippman, M.D. 1998-1999Lisa Jones, M.D. 1999-2000David J. Coons, M.D. 2000-2001James M. Campbell, M.D. 2001-2002Bradley Johnson, M.D. 2002-2003David W. Leicken, M.D. 2003-2004Thomas N. Crumbley, M.D. 2004-2006Jeffrey L. Schwimmer, M.D., M.P.H. 2006-2007Stephen O. Morris, M.D. 2007-2008Jack L. Potts, M.D. 2008-2009Elizabeth A. Kohlhepp, M.D. 2009-2010Michael E. Brennan, M.D. 2010-2011Gretchen Alexander, M.D. 2011-2012Tariq M. Ghafoor, M.D. 2012-2013Joanna K. Kowalik, M.D., M.P.H., 2013-2014Payam M. Sadr, M.D., 2014-2015Roland Segal, M.D., 2015-2016Gurjot Marwah, M.D., 2016-2017Aaron Wilson, M.D., 2017-2018Mona Amini, M.D., 2018-2019 Don J. Fowls, M.D., 2019-2020 Jasleen Chhatwal, M.B.B.S., M.D., 2020-2022 Stephen Larry Mecham, DO, 2022-2023 Gagandeep Singh, MD, DFAPA 2023-2024
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