The Most Common Regrets Gay Men Have About Their Health in Their 50s

When I meet gay men in their 50s—whether at my clinic, at community events, or in a telemedicine visit—there’s a pattern that appears so consistently it’s almost predictable.
A sense of “I wish I had started sooner.”

Not because they’ve done anything wrong, but because no one ever taught them how their body really works, what longevity actually means, or how gay men’s health differs from the general population.

Based on my clinical work, decades of lived community experience, longevity research, and many of the stories shared directly with me, here are the seven most common health regrets gay men express in their 50s—and more importantly, what you can do about them now.

1. “I wish I had taken my metabolism seriously earlier.”

Many gay men arrive in midlife feeling like their metabolism changed “overnight.”
It didn’t.
It was slowly drifting for decades.

The regret:
Not paying attention to abdominal fat, rising waist size, creeping blood sugar, or declining muscle mass until they suddenly mattered.

What this really reflects:

• Untreated insulin resistance

• Chronically elevated glucose swings

• Loss of metabolic flexibility

• Inconsistent protein intake

• Lack of intentional strength training

What to do now:
A metabolic reset is absolutely possible in your 50s.
The tools are:

• Continuous glucose monitoring (CGM)

• Strength training 3–4 days/week

• High-protein, low-sugar nutrition

• Tracking waist circumference, not just weight

2. “I should have protected my brain earlier.”

Gay men disproportionately face chronic minority stress, sleep disruption, burnout, and cortisol dysregulation.

By the 50s, this shows up as:

• Brain fog

• Forgetfulness

• Poor focus

• Emotional reactivity

• Decreased sleep quality

The regret:
Not treating the brain as a long-term investment.

The truth from modern longevity science:
Brain aging begins in our 40s.
APOE4 risk, sleep quality, metabolic health, and stress load all shape cognitive aging.

What to do now:

• Prioritize sleep as a biological training zone

• Reduce alcohol (and other things)

• Train VO2 max, not just muscles

• Optimize vitamin D, B12, Omega-3

• Address loneliness and social isolation (huge for gay men)

3. “I wish I had kept my strength.”

By 50, most men have lost over 30% of their peak muscle mass unless they actively trained strength.

For gay men specifically:

• Aesthetics often overshadow function in youth

• Cardio is overemphasized

• True strength training is often delayed until too late

The regret:
Not building the “muscle reserve” that determines how well you age after 60.

Medicine 3.0 reality:
Muscle is the most important organ of longevity.

What to do now:

• Heavy strength training 2–3×/week

• Grip, carry, squat, hinge, and pull

• Track your centenarian decathlon movements

• Protein target: 1g per lb of ideal body weight

4. “I wish I had protected my sexual vitality.”

Many gay men in their 50s tell me:
“I thought erectile changes were just part of aging.”

They’re not.

The regret:
Waiting until their 50s to address:

• Erections

• Testosterone changes

• Performance anxiety

• Dopamine-driven exhaustion

• Porn desensitization

• Partner misalignment

• Shame-based avoidance of sexual healthcare

Gay sexual health is both physical and emotional.
Men often suffer silently, believing something is “wrong” with them.

What to do now:

• Assess hormones (don’t guess)

• Address metabolic health (huge for erections)

• Manage performance anxiety and sleep

• Consider Trimix, PDE5 inhibitors, or combination protocols

• Treat sex as part of overall vitality—not a separate topic

5. “I wish I had addressed sleep decades ago.”

Gay men have higher rates of insomnia, inconsistent schedules, nightlife habits, and cortisol shifts related to chronic stress.

By your 50s, poor sleep accelerates:

• Weight gain

• Brain aging

• Hypertension

• Mood instability

• Erectile dysfunction

The regret:
Not understanding that sleep is the most powerful longevity drug we have.

What to do now:

• A consistent bedtime (10 PM is ideal)

• Reduce blue light 2 hours before bed

• Target 90 minutes of slow-wave sleep

• Reduce alcohol and late-night eating

• Prioritize parasympathetic recovery (Downstate)

6. “I wish I had gotten my screenings earlier.”

This one is huge.

Gay men often avoid—or are not guided toward—early screening for:

• Colorectal cancer

• Prostate cancer

• Coronary calcium scores

• ApoB and advanced lipid panels

• Sleep apnea

• Liver health

• STI screening

• HIV PrEP management

• Bone density

The regret:
Assuming that “normal labs” mean optimal health.

What to do now:
Medicine 3.0 means testing early, testing deeply, and acting proactively—not reactively.

7. “I wish I hadn’t waited to build a support system.”

By age 50, many gay men discover an unexpected truth:

Longevity requires other people.

Yet:

• Many lived portions of life in secrecy or shame

• Many avoided forming deep community

• Many lost friends to HIV

• Many struggle with midlife dating or partnership

• Many fear being alone as they age

The regret:
Not investing in emotional well-being and community sooner.

The truth:
Loneliness is as dangerous as smoking 15 cigarettes a day.

What to do now:

• Rebuild chosen family

• Create routine contact—weekly dinners, group chats, meet-ups

• Practice vulnerability

• Build friendships around shared health goals

• Work with a longevity physician trained in mental and emotional health

Why These Regrets Matter—And Why They’re Not Fixed Destiny

Here’s the message I give every man who walks into Torre Prime:

Regret is information.
Not punishment.
Not fate.
Just information.

And when you use regret as data, not shame, you gain something incredibly rare in healthcare:

Control.

You can rewrite your 50s.
You can change your trajectory for your 60s.
And your 70s, 80s, and beyond can look radically different than your parents’ generation.

That’s the entire purpose of longevity medicine.

What Torre Prime Does for Gay Men in Their 40s and 50s

At Torre Prime, we treat gay men’s longevity as its own specialty.

Our framework includes:

• Deep-dive metabolic testing

• CGM-guided nutrition

• Hormone and sexual vitality medicine

• Sleep architecture optimization

• The Centenarian Decathlon

• Advanced labs (apoB, Lp(a), insulin, inflammatory markers)

• Early cancer screening

• Stress load analysis

• Cognitive preservation

• Emotional and relational health

• Community-building strategies

Because gay men deserve health care that gets us—not just “tolerates” us.

You don’t have to wait until you’re 60 to start over.

You can start today.

Sexual Longevity: How Old Do You Want to Be When You Stop Having Sex?

The Question No One Asks

We measure blood pressure, cholesterol, and body fat.
But have you ever measured your desire?

At Torre Prime, we invite every client to reflect on one simple but powerful question:
“How old do you want to be when you stop having sex?”

Because the truth is — you don’t have to.

Sexual Vitality = Whole-Body Health

Your sexual energy is a barometer of your overall biology.
When libido fades or performance changes, it often signals deeper imbalances in:

• Hormones

• Metabolism

• Sleep recovery

• Cardiovascular and nervous system health

The same arteries that support erections also support your brain and heart.
Optimizing one strengthens the others.

The Science of Desire

Modern longevity medicine teaches us that desire isn’t just about testosterone — it’s about energy management.

When your nervous system is balanced, your metabolism is flexible, and your recovery is deep, your body naturally restores the chemistry of attraction and intimacy.

That’s why we approach sexual health through our full Seven Pillars of Vital Longevity, integrating data from labs, sleep trackers, fitness metrics, and cognitive assessments to reveal how well your entire system is performing.

The Torre Prime Perspective

We believe sexuality is not something to be “fixed” — it’s something to be preserved and cultivated.
Our goal isn’t to make you feel young again; it’s to help you stay fully alive through every decade.

At Torre Prime, your sexual health plan may include:

• Advanced hormonal and metabolic panels

• Nitric oxide optimization

• Cognitive and nervous system resilience training

• Strength, mobility, and sleep protocols

• Relationship and purpose-centered coaching

Because the real goal is not more sex — it’s more life in your sex.

The Invitation

So ask yourself:
How old do you want to be when you stop having sex?

If your answer is “never,” you’re in the right place.
Because longevity isn’t about living longer — it’s about living turned on.

Gabriel Felsen MD | Torre Prime | Longevity. Vitality. Connection.