Modality Physician required

Hyperbaric Oxygen Therapy

Useful in specific medical indications. Hard to justify as a general longevity tool.

What it does

Clear clinical indications — decompression sickness, non-healing wounds, CO poisoning, radiation injury — but the longevity application is much harder to defend. Multi-session protocols are expensive and time-intensive, and the outcome data outside clinical indications is thin.

Pressurized oxygen raises plasma oxygen beyond what hemoglobin carries, potentially supporting tissue oxygenation in hypoxic regions and triggering hormetic stress responses. The longevity-relevant downstream effects are speculative.

  • tissue oxygenation
  • hormetic stress response

What the evidence shows

Overall evidence strength: Low certainty

Who it's for, who should skip

Established medical indications only have strong evidence. Longevity use is experimental — a small Israeli study showed telomere effects, but replication and outcomes haven't convincingly followed. Requires physician supervision.

Running it

Safety

  • barotrauma (ear, sinus), oxygen toxicity at high pressures, chamber fire risk — low at standard protocols, real at the margins

Access & cost

Prescription or clinician order — typically via hyperbaric medicine provider.

Last reviewed 27 August 2026.