Dr Evelyne Bischof is a practising physician in Shanghai working in two fields at once — oncology and longevity medicine — and her argument is that the separation between them is artificial and expensive.
She is a clinician first, and says so: you react to the need when there is illness, that is what she was trained for, and it is her passion rather than merely her job. But there also has to be a frontier. Her framing is that longevity is fuelled by sick care, and that sick care in turn has a great deal to gain from longevity diagnostics and interventions.
The clearest example is already in use. Biological ageing clocks help triage oncological patients into different therapies. Where there is a fine line between which regimen to use, the biological-age assessment helps decide. And it matters most for a group medicine routinely fails: patients above the age cut-off for randomised clinical trials, for whom nobody actually knows whether a therapy will help. A number that describes their biology rather than their birthday is, in that situation, genuinely actionable.
She collaborates on senolytics with Professor James Kirkland, in triple-negative breast cancer and glioblastoma — two entities she believes stand to benefit.
On AI she quotes Peter Diamandis, whom we also met on this quest: there will come a point when not using AI to guide you in medicine is a breach of the Hippocratic oath, because you are doing harm. She thinks longevity medicine has more powerful tools available now than oncology did then — the whole of omics, and a growing understanding of epigenetics — and is frank that what the field needs is money put in the right places, and enough different stakeholders willing to talk to each other.
When we first met her, in Dublin four months earlier, she was opening something she calls a dream: directing the Sheba Longevity Department — by her account the first longevity department inside a hospital, giving longevity medicine to people for free. The reason is not the medicine, it is the doorway. When people think medicine, they think of going to a doctor; put longevity medicine inside that building and it stops being something vague on the outside of healthcare and starts being a discipline. She works across Asia-Pacific for the same reason — the Philippines, and she hopes Indonesia — countries she says are not on the world’s radar and matter enormously.

We met Evelyne first at the Longevity Summit in Dublin, in August 2023, and filmed with her again four months later in Shanghai, in the hospital where she works — and there both of us interviewed her, Marek and Aleksander separately. She opens by explaining why she is there at all: she likes extremes, and Shanghai is one. It is one of the few conversations on the quest that takes place inside working clinical medicine rather than a laboratory, a conference or someone’s home.
“I like extremes. That’s why I’m in Shanghai.”
— Evelyne Bischof, Shanghai




“Longevity is fuelled by sick care — and sick care can really learn a lot, and benefit a lot, from longevity diagnostics and interventions.”
Evelyne Bischof · ShanghaiYou react to the need when there is illness. That’s what I was trained for, and I enjoy it — it’s my passion, not only my work. But there needs to be a frontier.
Evelyne BischofBiological aging clocks help us triage oncological patients into different therapies.
Evelyne BischofThey help a lot with patients above the age — who aren’t included in randomised clinical trials any more, so we don’t know if they really benefit.
Evelyne BischofIn longevity medicine we have much more powerful tools than we had in oncology at that time. We have the whole omics.
Evelyne BischofSomething that I was dreaming about — to democratize longevity medicine, and to bring it into the setting of what most people still associate with medicine.
Evelyne Bischof · DublinLongevity as a domain is extremely inclusive. We are working either hands in hands or shoulder to shoulder.
Evelyne Bischof · DublinFrom our conversations in Dublin and Shanghai — why she works in both fields, what biological age is actually used for in a hospital, and where she thinks AI lands.
She refuses the split between treating illness and extending health. Her position is that longevity research is funded and driven by sick care — and that sick care gets better the moment longevity diagnostics arrive in the clinic.
“One of my passions is really to bring things together.”
Shanghai · from the interviewNot a wellness number. Biological age is used to choose between treatment regimens, and above all to guide care for older patients who sit outside the evidence base because trials excluded them.
“Those biological age assessments can help us a lot.”
Shanghai · from the interviewShe quotes Peter Diamandis: a point is coming where declining to use AI to guide clinical decisions is itself a breach of the Hippocratic oath. Her view is that longevity medicine has stronger tools available now than oncology did at the equivalent moment.
“It will be a breach of your Hippocratic oath. You do harm.”
Shanghai · from the interviewThe video interview is coming. Recorded interviews go live after the launch of the film & series Live Beyond.
Selected passages from our conversations with Dr Evelyne Bischof — at the Longevity Summit in Dublin in August 2023, and in Shanghai in December 2023, where she sat for two interviews, one with Marek and one with Aleksander. Cleaned of hesitation only.
Evelyne Bischof“I like extremes — that’s why I’m in Shanghai. But one of my passions is really to bring things together. Longevity is fuelled by sick care, and sick care can really learn a lot, and benefit a lot, from longevity diagnostics and interventions. And I’m really happy I’m not alone in this quest.”
Evelyne Bischof“You react to the need when there is illness, and that’s what I was trained for, and I enjoy it. It’s my passion, not only my work. But at the same time, there needs to be a frontier. There needs to be longevity medicine.”
Evelyne Bischof“Biological aging clocks help us triage oncological patients into different therapies. When there is a fine line between which regimen to use and which not, it helps us a lot. And they help us a lot to navigate patients who are above the age — so they are not included in the randomised clinical trials any more, and we don’t know if they really benefit from the therapies or not. Those biological age assessments can help us a lot.”
Evelyne Bischof“We have great conversations with Professor James Kirkland, who is working a lot right now on triple-negative breast cancer — something I’m super passionate about — and glioblastoma. Both entities will probably benefit a lot from senolytics.”
Evelyne Bischof“Citing Peter Diamandis, whom I respect so much — he said that at some point in medicine in general, not using AI to help guide you…”
Marek Piotrowski“Will be a crime.”
Evelyne Bischof“At least will be a breach of your Hippocratic oath. You do harm. And in longevity medicine, I think we have much more powerful tools than in oncology at that time. We have the whole omics. We have much more of the influence of epigenetics coming in. We didn’t have that, and we still don’t have enough of it, in oncology.”
Evelyne Bischof“We have great science, and I’m certain we will have even more and even better if there are enough resources fuelled into it. So we need monetary resources that are appropriately put into the right places. But besides allocation, what we need a lot is engagement of many stakeholders — in a way that we can talk to each other.”
And from Dublin, four months earlier — the Longevity Summit, August 2023, where we met her for the first time.
Evelyne Bischof“I have one foot still in the so-called sick care, really in the sick care system in university hospital, in internal medicine and oncology, and at the same time in longevity medicine. Now not only having my own longevity patients, which I have had for many years right now, but also directing the Sheba Longevity Department — so really the first department within a hospital that will provide longevity medicine to people for free. So really something that I was dreaming about, to democratize longevity medicine, and to bring it into the setting of what most people still associate with medicine. When you think medicine, you think: I go to a doctor. And that’s fine — you just need to learn more what’s there, how the doctor will be thinking, what the diagnostics will be. So I hope that being in this university hospital will allow to permeate to other specialties, to learn about longevity medicine and to work together.”
Evelyne Bischof“Bring longevity medicine to a position as a discipline in medicine, so that it will stop being something vague and undefined and somehow medicine-related but still outside of the healthcare systems. Being scientific, at the same time in the clinical setting… I think this will now break that. And this is a phenomenon that is now spreading, which I love. And bringing longevity medicine to people through public health and also through governance.”
Evelyne Bischof“You are the marketing person who is bringing this to masses, and I’m just a scientist or a clinician that can do just that much. So we need people like yourself that will bring the message and vocalize it in a correct way… to educate people, to really bring them the knowledge what’s going on, and what are the dos and don’ts, and what the future holds, and why are we doing all this, although we still don’t know so much.”
Evelyne Bischof“Longevity as a domain is extremely inclusive… For myself, in terms of longevity medicine, healthy longevity medicine in a clinical setting, for me that’s really much focused on health span… To have visionaries who want to extend primarily the lifespan, and extend it really significantly — that’s not what we can do in the clinic, that’s not what we are trying to do in our practice. But I think that’s an important part of the community… Me as a clinician, what I always have to say: I only believe in what is proven by RCTs and what is safe. But I’m not a skeptic here.”
Evelyne Bischof“I was following some people who are publishing, and Alex Zhavoronkov, he published a paper in Science around the year 2019 — one of his many, many papers. And I remember it so well. It was Hanukkah, and it was Sunday, and the routine coffee morning, we’re checking the science news. And something that I never did is, I reached out, because I saw on his status that he is in Shanghai. And we met the same day… I knew about aging and aging research, but I was not aware even that much about really the longevity movement. And I was just extremely fortunate to find him and to have him become a mentor for me in that area.”
Evelyne Bischof“Many of my patients come even at that age, or the patients ask me: how about, can you help my child? And many pregnant women or couples who want to become pregnant come to optimize their health before that. The message would be: join the movement. It doesn’t matter which discipline you will go later into… We have a longevity association for teenagers. There are students from age of like 12 to 17… And what they are doing is phenomenal — they’re writing papers. They are so motivated.”
Evelyne Bischof“Feel invited definitely to the Sheba Longevity Department. Would be really nice to have you there. Maybe you can go through the testing with your son, and then we will compare you — and then you can come a year later again.”
Evelyne Bischof“I would definitely wish you to be safe. Come back safe. Safe and healthy, or healthier, hopefully. Number two, I wish you so much that you will get the right messages from everything that you will see. You will be mining information from the maybe lowest levels of something extremely traditional… So I wish you a lot of knowledge mining and inspiration. And third, I wish you a great success at the end of your travel, to produce something that will really speak to even larger masses.”
More passages from the full interview will be published here.
Evelyne works across Biohacking Upgrades and Prevention — longevity tools used inside real clinical decisions, for patients who already have a diagnosis.
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