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Living to 150? Medicine 3.0, VO₂ Max, Sleep & the Velocity Health Model
Manage episode 520676977 series 3703011
Dr. Sandeep “Deep” Palakodeti joins Dutch Rojas to unpack Medicine 3.0, a first-principles, physician-led approach to prevention and longevity.
They explore what it takes to live to 150:
- VO₂ max as the most powerful mortality signal you can train
- Why muscle is the ultimate insurance policy against decline
- Sleep as risk management for your brain and lifespan
- Insulin resistance and the decade of missed opportunity before diabetes
- The science and structure of Velocity Health, a precision care model built by physicians for patients
- And a frank discussion of why coverage ≠ care in American healthcare
Dr. Deep also shares his perspective on ACA subsidies, employer-based healthcare, and what it means to design a physician-owned model that restores time, access, and accountability.
Key Takeaways:
- Medicine 3.0 = prevention before pathology
- VO₂ max > smoking in predicting mortality
- Preserve muscle, protect sleep, and measure early
- Personalized care beats procedural volume
- Real access requires physician ownership, not insurance contracts
Guest: Dr. Sandeep “Deep” Palakodeti — Founder, Velocity Health
Website: https://www.velocityhealthclinic.com
Host: Dutch Rojas — The Rojas Report
🎧 Listen, learn, and rethink prevention.
Timestamps
00:00 — Normal people in sensational times
01:31 — “Live to 150”: why it’s not crazy
02:55 — CRISPR, AI, and the biology of human longevity
04:22 — Longevity escape velocity explained
06:11 — What 80–90-year-old high performers have in common
07:08 — VO₂ max: the strongest predictor of mortality
08:01 — The case for building muscle as you age
08:28 — Sleep, stress, and founder burnout
09:57 — Why the 7-minute visit model fails
10:48 — Sandeep’s journey and the birth of Velocity Health
13:18 — What makes the Velocity model different
16:25 — Medicine 3.0 vs. Medicine 2.0
19:25 — How early detection prevents diabetes
20:25 — Why prevention needs its own payment model
21:11 — Policy talk: ACA subsidies and shutdowns
22:38 — Coverage ≠ care: what employers miss
24:36 — Why health systems profit off your premiums
26:32 — The future: catastrophic coverage + HSAs for health inputs
27:59 — The affordability crisis for young adults
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