Dr. Alec Weir

I'm Dr. Alec Weir, a longevity and performance physician. My work focuses on optimizing how the body functions and helping people reach goals they once thought were out of reach. What matters most to me is that those goals are built on a real health foundation, one that carries people well beyond this finish line to the next one, and the one after that. On Project Unreasonable, I'm the integrated medical lead, which means I'm responsible for all the medical pieces that affect how John trains, recovers, and stays healthy throughout this process. That covers everything from his labs and cardiovascular health to his sleep and medication management.

What I'm working on right now

The first big win was John's sleep. His sleep apnea was being treated, but his CPAP settings weren't optimized for what his body actually needed. Once we dialed that in, his recovery between sessions improved, his energy stabilized, and his body composition started moving in the right direction. Sleep drives everything else, so getting that right early mattered a lot.

The second win was getting John completely off his blood pressure medication. Consistent training, lifestyle changes, and careful monitoring made that possible. And this one matters well beyond Project Unreasonable. Coming off a blood pressure medication is a life win, reducing cardiovascular risk, preserving kidney health, and improving long-term quality of life in ways that compound over decades. It matters athletically too because BP medications limit how high the heart rate can climb during hard efforts, which is a real performance ceiling.

The third piece is ongoing lab monitoring. Hard training creates physiological stress and we track John's markers regularly so we can optimize when there is opportunity and pull back when something needs attention.

Looking ahead

The thing that derails more Boston qualifier attempts than anything else is overtraining. As John gets fitter, the instinct is to do more. But adaptation happens during recovery, not during the run itself. My role going forward is to read the objective data, labs, recovery markers, hormonal patterns, and give a clear clinical picture of when to push and when to protect. Coaches track effort. I track what is happening underneath it. As we get closer to the qualifying window, the focus shifts from building John up to making sure he arrives at the start line healthy, rested, and ready.