By Khoshal Latifzai • February 15, 2026

Ketosis and HBOT: Dom D’Agostino’s Breakthroughs

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Ketosis and HBOT: Dom D’Agostino’s Breakthroughs

Most people have heard of ketosis or seen hyperbaric oxygen chambers online, but very few understand what these therapies actually do inside the body. Dom D’Agostino, PhD, has spent his career studying these metabolic states in some of the most extreme environments imaginable: deep-sea missions, military diving operations, cancer labs, and neuroscience research facilities.

What he has uncovered is a powerful idea:
Your metabolism is not fixed — it can be shifted into different modes that dramatically change how your brain and cells behave.

To make these concepts simple, let’s use a few everyday analogies.


Ketosis: Your Body’s Backup Generator

When the power goes out at home, a good backup generator can run the essential systems effortlessly. Ketosis works the same way. During fasting, low-carb eating, or high energy demand, your body switches to a “generator mode” that produces ketones — a clean, stable fuel that:

  • Keeps the brain running smoothly
  • Reduces inflammation
  • Stabilizes neurons
  • Supports long stretches without food
  • Protects the brain under stress

Ketones are like a cleaner-burning fuel compared to glucose. Glucose is gasoline — quick but messy. Ketones are propane — steady, resilient, and ideal for long-running energy.

Also Check: 3 Powerful Anti-Aging Therapies

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MCTs and Exogenous Ketones: Portable Fuel Tanks

D’Agostino’s research explores not just natural ketosis, but also exogenous ketones — supplements that raise ketone levels even without strict dieting.

These act like portable mini-generators or fuel tanks. A dose of MCT oil, especially C8 (caprylic acid), converts quickly into ketones, while ketone esters can raise ketone levels even higher.

These can sharpen mental clarity, lower glucose, support resilience during stress, and help mimic the metabolic benefits of fasting.


HBOT: Turning Oxygen into a Pressure Washer

Hyperbaric Oxygen Therapy (HBOT) sounds intimidating until you picture how it works.

Imagine trying to rinse dirt out of a cracked sidewalk with a regular garden hose — the water barely penetrates. Now imagine using a pressure washer — suddenly, the water pushes deep into every crevice.

HBOT does that with oxygen: The increased pressure pushes oxygen into areas of the body that normal circulation cannot reach.

This allows oxygen to:

  • Heal injured tissue
  • Reduce inflammation
  • Improve wound recovery
  • Enhance mitochondrial function

But it also uncovers something remarkable…

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Why HBOT Weakens Cancer Cells

 

Cancer cells are like factories with old, faulty wiring. They already run hot, producing huge amounts of reactive oxygen species (sparks). HBOT increases oxygen pressure — more sparks start flying.

Healthy cells have robust circuits and can handle the surge. Cancer cells burn out under the oxidative load.

D’Agostino’s discovered that cancer cells exposed to high oxygen pressure undergo:

  • Oxidative overload
  • Mitochondrial collapse
  • Apoptosis or necrosis

Healthy cells adapt. Cancer cells fail. This is why HBOT is being explored as a metabolic adjunct in certain cancers — especially when paired with ketosis.

Also Check: Rapamycin and Longevity: How Nutrient Sensing Controls Aging


Ketosis + HBOT = Metabolic Armor for Healthy Cells

 

Combining ketosis with HBOT creates metabolic conditions where:

  • Healthy cells thrive
  • Cancer cells become vulnerable
  • The brain becomes more stable
  • Seizures are less likely
  • Metabolic therapies become more effective

Ketones act like insulation, protecting healthy cells during oxidative stress while leaving cancer cells exposed.

This synergy is a foundation of D’Agostino’s work on metabolic cancer therapy.

Also Check: Foundations of Fulfillment: The Science of Becoming Who You Want to Be


The Press-Pulse Strategy: Starve the Fortress, Then Strike

D’Agostino’s and Tom Seyfried describe cancer like a fortress reliant on two major supply lines: glucose and glutamine. These fermentable fuels keep the cancer growing.

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Why These Therapies Matter

These metabolic tools — ketosis, exogenous ketones, HBOT, and Press-Pulse therapy — give patients and clinicians a new way to think about health.

Not as a static state, but as something adaptable. Not as a battlefield controlled by genes alone, but one profoundly shaped by metabolism.


 

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