Integrative and Longevity Medicine Physician, San Francisco
Alexander Grinberg, M.D.

My Story
The Question Behind My Work
When I was about five years old, I realized for the first time that everyone I loved would one day die. I asked my parents what could be done about it. They told me, gently, that if I cared about such a question, perhaps science would one day find answers. In the way a child decides things, I decided to try.
That question became a lifelong interest in how medicine, biology and emerging science can help people live with greater health, function and agency over time. It drew me to biology, chemistry and physics as a boy, then into medicine at a young age in the former Soviet Union, where I trained in clinical immunology. In the late 1980s, during my research at the Moscow Research Institute of Immunology, I took part in closely monitored clinical use of thymus-derived peptide bioregulators. Professor Vladimir Khavinson became the most influential mentor in my professional life and sparked my enduring interest in peptide medicine. That early work taught me to connect careful laboratory observation with the individual patient in front of me.
When I came to the United States, I became licensed as a physician in California and spent many years moving between the laboratory and the clinic, working with biotechnology companies at the frontier of longevity science. Over more than 35 years I have worked in experimental medicine, peptide therapies, plasmapheresis and regenerative approaches including cell and gene therapy, and I have served as director of clinical trials, board member and medical advisor to organizations advancing this field.
Longevity is the ultimate game, and it is not played in a casino, it is played inside yourself
Over time I came to believe something that still guides me: Real longevity medicine is a medicine of one person. It is not a product or a protocol applied to millions; it is science and clinical judgment brought to bear on a single human being, on one biology, one history, one set of goals. I help individuals and organizations assess complex, emerging and difficult-to-navigate areas of medicine with careful attention to evidence, safety, uncertainty and appropriate clinical boundaries. I also educate physicians and clinical teams through my advisory and clinical supervision work.
Through all of it, one interest never changed: How to help a person live longer, and better, without harm.
How I Think
From Your Question to Your Plan
Your Question
You bring the question. It might be a condition, a goal or a therapy you're weighing
How It Works in the Body
We look at what the therapy does in your body. That shows what it could do for you and what to watch for
Your Plan
We turn what we learn into next steps that fit your history and your goals
Guiding Principles
One Person, One Plan
My advice fits your history and goals. It also has to work with the care you already get and the life you actually live
Mechanism First
I start with how a therapy works in the body. Then I tell you what kind of study backs it, from cell and animal work to human trials
Safety Before Novelty
New doesn't mean better. I weigh what a therapy could do against its risks and your own situation
Honest About Limits
I tell you what we know, what we don't know yet and what new information could change my view
Working Together
Hard decisions go better when everyone shares what they know. I work with you, your doctors and any specialists or researchers involved. Each of us knows our role
Research
The Research I Want to Pursue
Large drug trials draw on data from many people. I want to explore another route to precision for one person. My aim is to test a therapy in that person's living cells and tissues. I would combine those findings with genome data. That could help predict the person's response and flag unwanted effects before treatment. This is where I want to take individualized medicine.
This research isn't part of my consultations today
Record
Career and Credentials
35 or more Years of Experimental & Integrative Medicine
Career
- 2026 to PresentClinical Advisor, SMSbiotech (opens in a new tab)
- 2026 to PresentClinical Advisor, Global Apheresis (opens in a new tab), Mill Valley
- 2026 to PresentIntegrative and Longevity Medicine Consultant, Elysium Institut (opens in a new tab), Zurich
- 2023 to PresentFounder, Infinity Epigenetics, San FranciscoPracticing integrative medicine in San Francisco since 2000; the practice has operated as Infinity Epigenetics since 2023
- 2023 to PresentClinical Advisor, Cellecta Bio (opens in a new tab), Mountain View
- 2005 to 2011President, GMD BioAdvance, San Francisco
- 1998 to 2004Attending Physician, St. Luke's Hospital, San Francisco
Across clinical practice, biotechnology and research leadership, my role has consistently been to translate complex science into questions, decisions and programs that can be evaluated responsibly
More Roles From My CV
- 2024 to PresentDirector of Innovation and Clinical Supervision, Holistic Bio Spa (opens in a new tab), Puerto Vallarta
- 2023 to PresentDirector of Research and Development, Arvax Pty Ltd (opens in a new tab), Australia
- 2013 to 2018Board Member, Agathera
- 2010 to 2022Clinical Advisor, Cureline, Inc. (opens in a new tab)
Featured
GMD BioAdvance, 2005 to 2011
As President, directed development of therapeutic countermeasures for high-threat pathogens under US Project BioShield, partnering directly with the Department of Defense on bioterrorism countermeasures.
Education
- Moscow Research Institute of Immunology, 1988 to 1992, postgraduate research and training in clinical immunology
- Tashkent State Medical Institute, 1982 to 1988, Doctor of Medicine
Credentials
- California Physician, License A56467, active since 1996
- Diplomate, American Board of Anti-Aging and Regenerative Medicine (ABAARM), 2023
- Memberships: International Peptide Society, A4M
Some therapies discussed on this site are investigational, off-label, or not approved by the FDA for the uses described. Discussion does not mean that a therapy is available, appropriate, or recommended for any individual.
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