On Beyond Longevity, Dr Filippo Ongaro, medical doctor, entrepreneur, and strategic advisor, shares how nearly eight years working with astronauts at the European Space Agency shaped the way he thinks about ageing. In space, the body can lose muscle, bone and resilience at a frightening speed. Stress, sleep disruption, nutrition, movement and circadian misalignment are not lifestyle details. They become central medical issues. For Dr Filippo, space became a kind of accelerated ageing model, showing in fast-forward what happens when the systems that keep us strong begin to break down, and why exercise and nutrition are such powerful countermeasures. After leaving ESA, Dr Filippo opened one of Italy’s early anti-ageing and functional medicine centres. But over time, he came to believe that the biggest obstacle in longevity is not simply knowledge, testing, or more biomarkers. It is the behaviour gap. People often know what they should be doing. The harder question is why they do not follow through. Together with his wife Sonya, he shifted from one-to-one clinical work into education, coaching, professional training and strategic advisory, with a focus on making longevity more accessible, affordable and practical, including through pharmacy-based pathways. In this conversation, he argues that longevity should focus on healthspan, avoid overpromising, build trust, start earlier with younger people, and move beyond fear of death towards purpose, identity and the joy of life links: www.metodo-ongaro.com https://www.linkedin.com/in/dr-filippo-ongaro/ Dr. Filippo Ongaro 00:00 Welcome and Guest Intro 02:53 From ESA to Longevity 05:07 Space as Accelerated Ageing 07:40 Countermeasures and Behaviour Gap 09:53 Mindset Over Biohacking 14:24 Mission Drives Discipline 17:22 Delayed Gratification Science 20:37 Building Anti-Ageing Practice 22:11 Why People Don't Follow Through 24:31 Who Wanted Anti-Ageing Help 28:16 Pivot to Education at Scale 31:53 Training Health Professionals 32:24 Scaling Impact Through Partners 33:27 Broadening the Audience 34:36 Affordable Longevity Access 37:11 Institutions and Mass Market 40:14 Business Advice for Clinicians 43:26 Hype, Trust, and PR 45:07 Fear Versus Joy of Life 47:16 Identity Driven Change 53:24 Future of Longevity Market 56:00 Healthspan Over Lifespan 57:58 Rapid Fire and Wrap Up 01:00:18 Final Episode Takeaways