Longevity & Cellular Health
Senolytic Protocol
An emerging approach to longevity and regenerative medicine that targets senescent cells — damaged cells that accumulate with age and contribute to chronic inflammation, tissue dysfunction, and age-related disease.
What Is a Senolytic Protocol?
Cellular senescence is a biological process in which cells permanently stop dividing but do not die. Instead, they accumulate in tissues and secrete a mixture of inflammatory cytokines, chemokines, and proteases known as the senescence-associated secretory phenotype (SASP). This chronic inflammatory signaling contributes to age-related diseases, tissue fibrosis, and immune dysfunction.
Senolytic interventions aim to selectively clear these senescent cells, potentially reducing chronic inflammation and supporting tissue regeneration. This is a rapidly evolving area of scientific research with promising preclinical results and early clinical evidence.
Important: Senolytic therapy is an investigational approach. While preclinical and early human studies show promising results, large-scale clinical trials are still ongoing. At St. George Hospital, senolytic protocols are offered within the framework of individualized medicine and with full transparency about the current state of evidence.

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How Does It Work?
Senolytic agents work by targeting the survival mechanisms that keep senescent cells alive despite their damaged state. These cells upregulate anti-apoptotic pathways (BCL-2 family, PI3K/AKT) to avoid programmed cell death. Senolytic compounds selectively inhibit these survival pathways, allowing the damaged cells to undergo apoptosis while sparing healthy cells.
The protocol at St. George Hospital may include a combination of nutraceutical and pharmaceutical agents with senolytic properties, administered in short intermittent courses rather than continuous dosing. The specific compounds and dosing schedule are determined by the attending physician based on the patient’s biomarker profile and clinical status.
Who May Benefit?
Senolytic protocols at St. George Hospital are considered for patients with:
- Age-related functional decline
- Elevated markers of cellular senescence
- Chronic low-grade inflammation without identifiable cause
- Chronic disease with suspected senescent cell burden
- Interest in evidence-informed longevity medicine
This protocol is not presented as a cure for any condition. Treatment goals are discussed openly with each patient, including the limitations of current evidence.
Could this belong in your plan?
That depends on your findings, not on the therapy. Send what you have with a short history; a physician reads it before the video call and tells you whether this treatment belongs in your program.
What the protocol looks like
- Before Biomarker testing first: markers linked to cellular senescence and systemic inflammation. Your plan is built from those results.
- During Senolytic agents are given in short courses of 1–3 days, with rest periods between cycles. The treatment days themselves are undramatic.
- Afterwards Biomarkers are repeated to see how you responded, and the next cycle is adjusted accordingly.
Evidence & Safety
The scientific foundation of senolytics was established by research published in Nature Medicine, Nature Aging, and other leading journals, demonstrating that clearance of senescent cells in animal models extends healthspan and reduces age-related pathology. The first human clinical trials, including the landmark study by Justice et al. (2019) in EBioMedicine, have shown that senolytic compounds are tolerable in humans with preliminary signals of efficacy. Larger randomized controlled trials are underway. St. George Hospital follows the available literature closely and adjusts protocols as new evidence emerges.
Request a consultation
A video consultation in English before you travel. A physician reviews your findings first; we reply by email within one business day (Mon–Fri).
Mon–Thu 08:00–17:00, Fri 08:00–14:00 (CET/CEST)+49 8061 398-0info@clinicum-stgeorg.de
St. George Hospital is a specialist hospital, not an emergency department. In a medical emergency in Germany, dial 112.