Alicorn comments on Living Forever is Hard, or, The Gompertz Curve - Less Wrong
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This isn't an anti-aging strategy, but it is an anti-death strategy: low-dose aspirin. As explained in this New York Times article on December 6, 2010, "researchers examined the cancer death rates of 25,570 patients who had participated in eight different randomized controlled trials of aspirin that ended up to 20 years earlier".
Eight. Different. Randomized. Controlled. Trials. Twenty-five thousand people.
They found (read the article) that low-dose aspirin dramatically decreased the risk of death from solid tumor cancers. Again, this ("risk of death") is the gold standard - many studies measure outcomes indirectly (e.g. tumor size, cholesterol level, etc.) which leads to unpleasant surprises (X shrinks tumors but doesn't keep people alive, Y lowers cholesterol levels but doesn't keep people alive, etc.). Best of all is this behavior: "the participants in the longest lasting trials had the most drastic reductions in cancer death years later."
Not mentioned in the article is the fact that aspirin is an ancient drug, in use for over a century with side effects that, while they certainly exist, are very well understood. This isn't like the people taking "life-extension regimens" or "nootropic stacks", who are, as far as I'm concerned, finding innovative ways to poison themselves.
Yet the article went on to say this:
I'm a programmer, not a doctor - but after looking around, I concluded that the risks of GI bleeding were not guaranteed fatal, and the risks of hemorrhagic strokes were low in absolute terms. Also, aspirin is famously effective against ischemic strokes. According to Wikipedia: "Although aspirin also raises the risk of hemorrhagic stroke and other major bleeds by about twofold, these events are rare, and the balance of aspirin's effects is positive. Thus, in secondary prevention trials, aspirin reduced the overall mortality by about a tenth."
So unless aspirin's risks are far more grave than I've currently been led to believe, as far as I'm concerned, people saying "hey, even if you're not subject to aspirin's well-known contraindications, you shouldn't start low-dose aspirin just yet" are literally statistically killing people. Cancer is pretty lethal and we're not really good at fixing it yet, so when we find something that can really reduce the risk (and there aren't many - the only other ones I can think of are the magical substances known as not-smoking and avoiding-massive-doses-of-ionizing radiation), we should be all over that like cats on yarn.
I make damn sure to take my low-dose aspirin every day. I started it before reading this article on the advice of my doctor who thought my cholesterol was a little high - I'm almost 28, so it'll have many years in which to work its currently poorly understood magic.
That said, this reduces the risk of one common cause of death (two or three if you throw in heart attacks and ischemic strokes). There are lots of others out there. Even if you could avoid all of them (including the scariest one, Alzheimer's - it's insanely common, we have no fucking clue what causes it or how to stop it, and it annihilates your very self - even if cryonics is ultimately successful, advanced Alzheimer's is probably the true death), humans pretty clearly wear out with an upper bound of 120 years. Maybe caloric restriction can adjust that somewhat. But I think I'll sign up for cryonics sooner rather than later - I'm in favor of upgrading probability from "definitely boned" to "probably boned but maybe not".
Is a regular dose of low aspirin something that my doctor should be informed about in case she wants to prescribe contraindicative medications at some point in the future (are there any?) or is it so harmless that I don't even need to update her? What low dose is indicated?
I didn't mean to imply that "you should do this now without telling your doctor". You should certainly tell your doctor about all the medications you're taking! I would even say that "ask your doctor immediately whether this is a good idea" is a reasonable approach(1), in contrast to the inexplicably indifferent tone of the article - although I'm sure the writer and editors have processed a zillion "observational study on a limited number of people for a limited amount of time indicates that X may have some influence on Y which ultimately leads to Z" articles, where the correct action in response really is to say "yes, that's nice, tell me when you know more".
The most significant caveat mentioned in the article was: "While Dr. Jacobs said the study design was valid, relatively few women were included in the trials, making it difficult to generalize the results to women." I'm male, so that one didn't apply to me. But look down a few paragraphs in the article: "who did an observational study several years ago reporting that women who had taken aspirin regularly had a lower risk of ovarian cancer". Even if I were female (it must be frustrating to have studies commonly ignore the half of the population that you're a member of(2)), I'd take the sum of this evidence as arguing in favor of starting low-dose aspirin.
"The specific dose of aspirin taken did not seem to matter — most trials gave out low doses of 75 to 100 milligrams"
As I recall from looking around the Internet, full-strength aspirin sizes vary around the world - in the US, Bayer sells 325mg pills, while I remember seeing that 300mg was common elsewhere. The low-dose aspirins also seem to vary as a consequence: 325/4 = 81.25, 300/4=75.
Although I would say that if you explain the study to your doctor, and they tell you that you shouldn't do it, and they can't explain why other than vague and unspecified risks, in the face of damn solid evidence - that you should get a new doctor.
On the other hand, it must be nice to have 5.2 additional years of life expectancy at birth. On the third hand, wow, I had forgotten that the difference was that large. On the fourth hand, some of that is due to men more commonly doing stupid things (like smoking) that I don't do.