A topic that comes up occasionally (especially with journalists covering rapamycin use) is the number of people using rapamycin (in the USA, and worldwide).

Given the calculations below, I think its likely that there are a total of around 18,000 to 20,000 people (in the USA) who have used rapamycin, who periodically use rapamycin, or who are currently using rapamycin regularly, and the number seems to be growing at about 300% per year.

Here is how I came to the estimate on rapamycin users for longevity:

I estimate the total from the bottom up; from the doctors who are prescribing, then extrapolate from there.

Dr. Green said he had 1500+ patients (source: his website) , and has been prescribing since 2017. He was the first to begin prescribing rapamycin off-label for longevity purposes. He was alone for a few years, but then in 2019 we started to see others starting to do it.

Other doctors and practices prescribing rapamycin:

Approx. 25 doctors/practices prescribing rapamycin (that we have on our list), for an average time of 2 to 3 years, most doctors have perhaps 150 to 200 longevity clients on rapamycin per year (from rough estimates talking with doctors).

25*150 = 3000 patients (if the average of the 25 doctors has been prescribing for 1 year) (to 6000 if theyā€™ve been prescribing for 2 years), to 9,000 if prescribing 3 years .

Most of the doctorā€™s weā€™ve identified on our list have been there for two to 3 years, so Iā€™ve used a total of perhaps 6,000 people prescribed by doctors on the list.
Total from Dr. Green and other Longevity Doctors: 7,500

Online Rapamycin Providers: 5,500
GetHealthspan and AgelessRX are online prescription/fufillment services that operate in all the US states. Its been really hard to estimate their numbersā€¦but today Daniel Tawfik said in a Fox News statement that there are 3,500 rapamycin customers for GetHealthspan, and would estimate something like 2,000 for AgelessRX because they started prescribing rapamycin perhaps 6 months to a year after GetHealthspan.

Iā€™m sure Iā€™ve missed doctors who are prescribing - so lets say Iā€™ve missed 10 to 20 lower visibility doctors who prescribe rapamycin occasionally to their established customers but donā€™t advertise it. We do hear from people frequently that theyā€™ve managed to convince their regular doctors to prescribe rapamycin (usually functional medicine doctors).

Since they donā€™t advertise rapamycin prescriptions they probably have fewer patients - say 25 to 50 patients per year taking rapamycin

10*25 = 250 to 500 people per year for 2 years, so add another 500 to 1,000 people. or if there are 20 lower visibility doctors prescribing rapamycin, then 1,000 to 2,000 additional users.
Non-Identified Doctors Prescribing Rapamycin: 1500

Total for USA rapamycin users via prescriptions:

Total: 14,500

Non-Prescription Users of Rapamycin

From my survey from a few years ago, we can estimate that approximately 50% of rapamycin users are biohackers doing it without prescriptions Poll: How do you get your Rapamycin: Doctor Prescription, or Just Buy It? , but more recently the online services have become more prominent, and prices from these vendors is coming down and are now pretty competitive to online / Offshore vendors, so I suspect 75% of people in the USA now get their rapamycin from US-based providers / services, down from 2 to 3 years ago when it was 50% of users.

So this suggests another 3,000 to 4,000 or so people who are US-based biohackers getting their rapamycin directly from off-shore vendors.

Total Non-Prescription Users of Rapamycin: 3,000 to 4,000

Total USA users of Rapamycin: 17,500 to 18,500

I have no way to estimate the number of international users, but probably a few thousands, given that non-USA visitors to this website represent about 30% of the total (but its harder to get rapamycin in many countries like those in the EU).

So, the global total of rapamycin users is likely between 20,000 and 25,000 people right now, and growing quickly.

GROWTH RATE:

We can get a feeling for the growth rate of users, based on our 2022 survey of people using rapamycin, and how long they have been using it (at that time). Most people had adopted it in the past year (in 2022), and so you can look at that increase in people trying rapamycin as a ā€œgrowth rateā€.

User numbers seem to have gone up by 400% or more in 2022 (going from 14% of new users to 72%), but also more than doubled the year prior (going from 6% to 14%), and Iā€™m sure its still growing fast given the coverage of the longevity field. Rapamycin User Survey #2 - Please Respond . I need to do another poll soon.

Drop-outs:

We might reasonably subtract at least 13% for dropouts, because of our poll described below. So perhaps the total of current people using may be reduced by 13%, or around 2,000 or 2,500 people.

Note: Our poll of our users suggests that 87% plan to keep using rapamycin, for a 13% dropout rate. You could increase that to be conservative.

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I hear you but if one doctor alone has 3500 patients itā€™s got to be a much, much higher number than 20K. There are about 1Million doctors in USA and I donā€™t think itā€™s hard to imagine few hundreds of them doing the same as this doc. Few people I know are probably doing it because they keep discussing it, but they arenā€™t necessarily admitting that they take it. A lot of people chose not to discuss things they do with meds. I wouldnā€™t talk to [people in my circle either since some are in totally different planets when it comes to certain things. The most I would say, yeah, I find it interesting maybe Iā€™ll try it someday (until it goes mainstream).

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You mean weā€™re like a ā€œsecret societyā€ hmmmā€¦itā€™s not exactly like a penile (or breast) implant.

Hmmm, yeah, Viagra? maybe Iā€™ll take it when I get olderā€¦itā€™s ā€œinterestingā€ā€¦

Well, yeahā€¦suppositoriesā€¦
But, I do agree that rapamycin use is probably underestimated, hell, itā€™s getting almost as famous as Taylor Swiftā€¦maybe we could get her endorsement, might change the course of history.

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There is a case to be made for much higher numbers of users of rapamycin, but as you say it gets more opaque as you get away from known rapamycin prescribersā€¦

The GetHealthspan is focused only on prescribing and selling rapamycin and does so all across the USA, and markets a lot on social media, etc. to get customers. Other than AgelessRX there are no other companies Iā€™m aware of that do this, so it seems unlikely that any other company, doctor, or group of doctors has anywhere near this number of customers because otherwise Iā€™d see their marketing when I search on rapamycin.

But the point that there are hundreds of thousands of doctors and there could easily be hundreds (or thousands) prescribing rapamycin is true, but they would have to market themselves to get customers (the average person who has never heard of rapamycin is unlikely to start taking it just because a doctor decided to offer it). This might happen this year, but until the press started taking notice (which really only happened in the past year) this would have seemed to be unlikely, in my opinion.

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Well, Iā€™ve had people look at me weirdly just because I told them I fast two days per monthā€¦ imagine telling them Iā€™m using RAPA bought from India? But back to subject at hand, so there are literally millions of views in some of the videos where doctors are openly talking about longevity and RAPA and you think just me and you decided to try it? I read somewhere that more than 20% of people are willing to try something new (drug or therapy) that has to do with Healthspan and longevity even if it wasnā€™t approved by FDA, so the number IMO is way higher than in 10ā€™s of thousand.

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What are you saying? Are you attributing all of gethealthspanā€™s patients to one physician?

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So my experience is that Iā€™m going to be totally full with 1000-1250 patients as longevity patients are more work than doing primary care. Appointments are longer, intake is 60-90 minutes, then a followup for 30 minutes in a month, then a 30 minute appointment q3 months.
So a patient who has no other needs for visits apart from this will take up 3.5 hrs first year, and 2 hrs subsequent years, but most will have some additional appointments.

So even if we go with an average of 3 hrs/patient/year, and you find doctors who like working 2400 hrs/year. That puts you to 800 patients to do it right. Iā€™m traversing 200 patients right now, and eager to add more, but it would seem like Iā€™ll be very busy with 800 rather than 3500.

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I donā€™t even know how many patients gethealthspan has. My thinking is that there are a lot of people that would be willing to try something new (drug or therapy) if it had to do with Healthspan and longevity, especially a drug that is known to be pretty safe and has a long history of being prescribed to transplant patients with few effects. In last six months I have had literally three random people talk about RAPA . If so many people are made aware of it, I think it is safe that afew of them are already trying it, but 20,000 in 330 Million population is nothing. When New York times and many other publications have already written about it you must know there is a lot of people already using it. Just the way it works IMO

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Interesting. Iā€™m a physician and Iā€™ve never had anyone bring up Rapamycin with me.

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I saw peter attia talk about it on Joe Rogan maybe 3 or 4 years ago, mentioned it to my doctor and he said sure. Gave me a prescription that day. He has no other patients that take it, he doesnā€™t take it. My family and friends know I take it, donā€™t want to anyway for various reasons.

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Interesting but it depends on the doctor-patient relationship. I donā€™t know you but if you are the type of doctor that is very formal a lot of people will feel intimidated to ask things out of the issue at hand. Just saying. One of the three people btw was my sister (she asked me about it out of the blue one day) but I didnā€™t tell her Iā€™m using it because she has some other health issues and was afraid it might negatively affect her. I just told her it is something Iā€™m watching but I need more info before I dive into it.

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I have spoken to pretty my much every doctor I have met about it. None would prescribe it, none had prescribed it. Of my 30 closest friends, I have shared I am taking it, shared info on it, and maybe 5 are taking rapamycin. But it is changing with the increase in news coverage.

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I agree, Iā€™m yet to see a patient in the ER who indicates they are on rapamycin for longevity. I only have seen it in transplant patients, primarily kidney transplants. It should be more common, and there is the factor that Iā€™d not report it if I were checking into the ER unless it was an infectious issue and I was under significant mTORC1 inhibition at the time of being seen. Otherwise, Iā€™d not mention it as it would be irrelevant to my care and evaluation, and would just confuse the physician seeing me to go down stupid rabbit holes based on this, not understanding cyclic use of rapamycin.

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Exactly! I havenā€™t told my physician during the last two years that Iā€™ve been taking it, luckily havenā€™t had to go to the ER either. Actually have only interacted with him 1x during this period, which was to renew my HRT topical estrogen prescription.

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I find it interesting how you can look at interest in rapamycin has grown over time. I was just looking at Google Trends and realized it also is a good way to look that the rapidly growing interest in rapamycin.

You can try yourself: https://trends.google.com/trends/explore?date=today%205-y&geo=US&q=rapamycin,altos%20labs&hl=en

I looked at the growth of interest in rapamycin over the past 5 years, and thought Iā€™d compare it to the biggest news in the longevity field over the past few years, the launch of Altos labs. While Altos has gotten some interest at points in time (like when it was launched), it obviously hasnā€™t captured peoples interest like rapamycin has (at least so far).

The only other compound/chemical that I could think of that has gotten similar levels of interest as rapamycin is likely resveratrol; so I compared it too. I was surprised how high the level of interest in resveratrol is, years after its been debunked. Its amazing the staying power of false information in the publicā€™s mind once it gets out thereā€¦

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Is it really growing? I feel like I see the same users here talking, and if Rapamycin was growing youā€™d see a lot more users here. You even got a backlink from the NYT. It looks like there were about 200 new users (+5%) the past month but barely anyone new is posting. I remember previously there were mostly only activity in the cardiovascular thread, and maybe a bit in the Bryan Johnson thread, so activity has increased for sure. Itā€™s a bit boring honestly, not that much new good content, a lot of opinions and speculation though, maybe itā€™ll change or maybe not. It might be chutzpah, but I feel like I donā€™t learn anything here anymore, outside of many @adssx posts and when @Neo is talking. Itā€™s also so much activity to comb through just to find their posts, and when you click on a new post you just see someoneā€™s random opinion as if someone cares, annoying. It would be cool if they got their chatroom somewhere else. Thereā€™s something bad about sorting about new activity.

Itā€™s more like a place for people to pee and mark their territory rather than share studies and science. I shouldnā€™t complain, it seems people like it. Keep clicking on new posts and reading someoneā€™s opinion! Iā€™m sure itā€™ll get better or maybe some new formatting of threads and postsā€¦

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We canā€™t have more new content here than what is published by academia. And the truth is that you summed up very well what we already know about longevity interventions in this thread: Easy Hacks Guide Targeting Different Biomarkers (BMI, apoB, blood pressure, HbA1c, eGFR, etc) I learned a lot during the last 12 months reading this forum, but at the end of the day what I learned is basically what is in that thread :slight_smile:

The rest is, as you say, just speculations. And n=1 anecdotes (that can still be useful btw). And people arguing. Thatā€™s fine.

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I guess thereā€™s just so much basic stuff, not enough Health, Longevity, and Happiness Acceleration. But I donā€™t know. It is how it is.

sp

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Sometimes we have to wait for the science. It usually comes in bursts. Right now seems like a lull in the research.

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Lustgartenā€™s videos are an example of continously new content. Iā€™ll pay more attention to him and Bryan Johnson I guess, and anyone else in the future who brings a lot of data and studies.

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