Should Clinicians Be Agents of Anti-Aging?

Pursuit of longevity has become both a biomedical frontier and a booming consumer enterprise. Popular "anti-aging" products-ranging from dietary supplements to skin care and hormone therapies-are commonly promoted as slowing or even reversing aging. At the same time, scientific advances in geroscience are yielding candidate gerotherapeutics and biomarkers for aging that will increasingly generate questions about their applicability, utility, safety, and ethical integration into care. While geroscience holds promise for extending health span, its impact will depend on how this knowledge is integrated into practice and aligned with individual values and priorities, health equity, and prevention of age-related conditions across the lifespan. This article explores the implications of geroscience, particularly for the care of older adults, by examining clinicians' role in ethical incorporation of gerotherapeutics in practice and concludes by making systems-level recommendations.