The Vitruvian Protocol

De corporis proportione · I–XI

The Vitruvian Protocol

Credible evidence, reduced to what you can actually do. One measured protocol for each of the body’s eleven systems, graded by the strength of the science behind it.

Hover over a system, or tap it, to find it in the figure. Select it to read its protocol.

Foundations

Before the eleven protocols come five levers that act on every system at once. If you do nothing else, do these.

  1. i.

    Sleep

    Seven to nine hours, at regular times. It repairs the brain, steadies hormones and arms the immune system.

  2. ii.

    Move

    150–300 minutes of aerobic activity and two strength sessions a week. No drug acts on more systems at once.

  3. iii.

    Eat plants

    Mostly whole foods and 25–30 g or more of fiber a day. It feeds the microbiome and protects the heart, gut and metabolism.

  4. iv.

    No tobacco

    No smoke and no vapour. It harms every one of the eleven systems, and quitting at any age helps.

  5. v.

    Less alcohol

    Lower is better. There is no level at which drinking improves overall health.

On evidence

Every protocol cites its sources, favoring clinical guidelines, systematic reviews and randomized trials, and is graded by how strong that evidence is.

Grade A · Strong evidence

Strong

Meta-analyses of randomized trials, large randomized trials, or a major clinical guideline. Act on it.

Grade B · Moderate evidence

Moderate

Consistent long-term cohort data with supporting trials, or trials that measure a surrogate such as bone density instead of fractures. Very likely worthwhile.

Grade C · Emerging evidence

Emerging

Promising mechanistic, early or mixed evidence. Reasonable to try, but hold it loosely.