Dr. Hany Demian

Dr. Hany Demian: The Physician-Entrepreneur Redefining Aging and Pain

Search for leaders in regenerative medicine and chronic pain, and you will keep running into one name: Dr. Hany Demian. He is a chronic pain specialist, regenerative medicine doctor, and healthcare entrepreneur who has built a cross-border network of clinics and surgery centers around one core belief:

You do not have to accept pain and decline as “normal aging.”

Dr. Hany Demian is the founder and CEO of Praesentia Healthcare, which includes Pain Care Clinics in Canada, the BioSpine Institute in Florida, and diagnostic centers such as Alfa Scan in Egypt. From trauma surgery and emergency medicine to micro spine surgery and peptide therapy, he has rebuilt his career around one goal:

Follow the patient from injury to full recovery and beyond, instead of trapping them in “maintenance mode.”

From Business School Applicant to Trauma Doctor in One Day

Before he ever stepped into an operating room, Dr. Hany Demian planned a life in business.

• He wanted to study business.
• He did not want a boss.
• He loved entrepreneurship and independence.

Then everything changed in a single day in Egypt.

A terrorist bombing hit the business school where he planned to apply. Instead of running away, he spent the entire day helping victims:

• Carrying the injured.
• Helping get people to hospitals.
• Doing whatever he could with no formal medical training yet.

He went home covered in blood. He looked at his business school application. He ripped it up.

That day forced one clear decision:

“I want to spend my life helping people in their worst moments.”

That decision led him into medicine, surgery, emergency care, and eventually regenerative and anti-aging medicine across three continents.

Why Trauma Surgery Was Not Enough

As a trauma doctor, Dr. Hany Demian loved:

• The urgency.
• The critical decisions.
• The rush of saving a life in minutes.

There was one problem.

He almost never saw his patients again.

Trauma work is “one and done.” You stabilize the patient. You send them upstairs or to another hospital. In most cases:

• The patient hopes they never see you again.
• The doctor never knows how the story ends.

That did not sit well with him.

He started calling patients. Hunting down charts. Asking nurses for updates. He wanted to know:

• Did they walk again?
• Did their chest heal?
• Did the head injury change their life?

He still felt disconnected from the full journey. That frustration pushed him toward a new path:

Chronic pain, spine care, and regenerative medicine, where he could walk with patients for months and years and see the complete transformation, not only the rescue.

Building Praesentia Healthcare and BioSpine Institute

Over time, Dr. Hany Demian moved from employee to founder and CEO.

Through Praesentia Healthcare, he now leads:

• Pain Care Clinics in Canada, a growing network focused on chronic pain and spine care.
• BioSpine Institute in Florida, a micro spine surgery center built around 5 mm incisions and short recovery times.
• Alfa Scan and related diagnostic centers in Egypt, giving patients access to precise imaging close to home.

Clinical work is one part of his mission. The other part is structural:

• Bridge the gaps between different health systems.
• Bring advanced care to mainstream patients, not only people with private jets.
• Integrate pain clinics, imaging, and surgery so patients are not bounced between disconnected providers.

His vision is simple.

A patient should not feel “lost in the system.” They should have one team, one plan, and one path from pain to full function.

One Mission: From Injury to Recovery and Beyond

Across Canada, Florida, and Egypt, one mission links all of Dr. Hany Demian’s companies:

Follow the patient “from the day of injury all the way through to recovery and beyond.”

That means:

• No random one-off injections with no plan.
• No “see you every three months forever” with no end in sight.
• No sending patients to surgery as the first move.

His model brings together:

• Conservative care.
• Regenerative therapies like PRP, stem cells, and peptides.
• Micro spine surgery when needed.

Patients get a roadmap with clear branches, not a guess-and-hope approach.

Back Pain Is Not “Just Aging”

Many people believe one of these lines:

• “My back hurts because I am getting old.”
• “Everyone in my family has bad backs, so I am doomed.”
• “If I avoid surgery, I just have to suffer forever.”

Dr. Hany Demian rejects all of that.

He sees back pain as a mix of:

• Habits and lifestyle.
• Neglected hormone health.
• Unaddressed movement patterns and strength loss.
• Genetic risk that can be managed, not a life sentence.

He also calls out a major mistake from past decades:

• Women were scared away from hormone replacement therapy due to fear of cancer.
• Men were warned about testosterone even when they had clear symptoms.
• Many patients aged faster, developed osteoporosis, and accelerated disc degeneration as a result.

Today he uses hormones, peptides, targeted supplements, and regenerative injections to tackle the root issues behind disc breakdown and joint pain, not just numb it.

A Three-Tier Pathway: Conservative, Regenerative, Micro-Invasive

When a patient with back pain meets Dr. Hany Demian, the process follows a clear path, not trial and error.

Step One: Conservative Care With a Time Limit

First comes assessment:

• Detailed history and exam.
• MRI and imaging when needed.

Then he may recommend:

• Nerve blocks.
• Epidural injections.
• Radiofrequency ablation (RFA).
• Targeted rehab and strength work.

Key point: he sets boundaries.

If conventional care does not give enough relief after a set number of attempts, he does not keep repeating it forever. They move on.

Step Two: Regenerative Medicine in the “Middle Zone”

Some patients do not want surgery, yet injections are not enough. They live in the “middle zone.”

For those patients, he uses:

• Platelet-Rich Plasma (PRP) targeted to damaged structures.
• Stem cell therapy for discs, joints, and supporting tissues.
• Peptide protocols that support tissue repair and lower inflammation.

He often combines:

• Radiofrequency ablation to calm pain pathways.
• Stem cells or PRP to rebuild structure.

The goal is simple:

Buy five to ten high-quality years and, in many cases, avoid or delay surgery entirely.

Step Three: Micro-Invasive Spine Surgery When Needed

When surgery is the right move, he sends patients to the BioSpine Institute in Florida, where he also serves as a leader and clinical director.

Traditional spine surgery often means:

• Large incisions.
• Muscle cutting.
• Months of rehab.

BioSpine uses 5 mm incisions and muscle-sparing access:

• Spread between muscles instead of cutting them.
• Decompress nerves by shaving a small portion of bone.
• Add screws or hardware only when necessary.
• Inject stem cells around the area to support healing.

Patients walk out of the surgery center. Most are back to desk work and daily life within about a week, with heavy lifting delayed as healing completes.

Surgery becomes one well-executed step in a larger plan, not a desperate last resort.

How Peptides Changed His Own Body and Practice

During the COVID era, Dr. Hany Demian hit a wall.

• He trained hard.
• He used standard pre-workout and post-workout supplements.
• He still could not recover.

He turned to peptides as a test subject on himself.

He started with:

• BPC-157 for gut and tissue repair.
• TB-500 for systemic healing support.

Within 90 days, his recovery changed:

• He could train the same muscle group within 24 hours.
• He had almost no soreness.
• Energy and drive returned.

Later he added GHK-Cu for a skin and hair test. He stopped all other supplements for 60 days:

• His skin looked smoother and tighter.
• His hair quality improved.
• His wife noticed before he told her what he was doing.

That personal data point pushed him deeper:

• Certifications in peptide therapy.
• Advanced courses and conferences.
• Designing protocols he could use safely with patients after real testing.

GLP-1 Peptides, Weight Loss, and Why Genetics Matter

The world now knows names like Ozempic, Wegovy, Saxenda, and Mounjaro. These GLP-1 and related drugs help with blood sugar and weight loss.

Like many doctors, Dr. Hany Demian used to prescribe them before he built his current genetic-first framework.

Then his own genetic test showed a risk:

• He carries a gene pattern tied to thyroid cancer risk.
• That risk can rise with long-term GLP-1 use.

Now he will only touch these drugs for himself in short runs and only in very specific circumstances.

Lesson for patients:

• Just because a drug is popular does not mean it is safe for your genes.
• Two people can take the same dose. One thrives. The other drifts toward serious side effects.

This is why his programs start with deep testing before anyone gets placed on powerful medications or advanced peptide stacks.

Calling Out “Wild West” Clinics and Unqualified Hormone Shops

Peptides, testosterone, and “anti-aging clinics” are everywhere now. Some are serious. Many are not.

Dr. Hany Demian has seen:

• Clinics that give clients steroids like Deca or Anavar instead of proper testosterone replacement.
• Shops that sell random peptide mixes without blood work or genetic tests.
• So-called medical centers that hire a doctor only to rent their license while non-medical staff push product.

Short term, people may look great:

• Rapid muscle gain.
• Visible fat loss.

Long term, he sees:

• Rising coronary calcium scores.
• Organ stress.
• Shortened life expectancy.

He points to online educators like Gary Brecka, Andrew Huberman, and Dr. Peter Attia as part of a movement that tries to keep longevity and biohacking grounded in data and real physiology.

His own online presence started for one main reason:

He could not stand watching influencers spread myths that would harm people who trusted them.

Genetics, Genomics, and Epigenetics: Data Before Protocols

Dr. Hany Demian does not start with “What supplement do you want?”
He starts with:

• Genetics – the raw DNA code you inherited.
• Genomics – how those genes interact and express as a system.
• Epigenetics – how your habits, food, sleep, and stress are turning genes on or off.

His testing looks for:

• Elevated risk for cancers, including thyroid, colorectal, and others.
• Abnormal lipid handling and inflammatory pathways that drive heart disease.
• Methylation problems that affect detox, brain function, and repair.

He then builds a plan that may include:

• Methylated B vitamins.
• Selenium and other key co-factors.
• Compounds like NAC and CoQ10-related support to improve mitochondrial function.
• Infusion blocks over several days to “kickstart” certain pathways when appropriate.

You do not change your DNA. You change how it behaves.

He has seen families where:

• Most men die of heart disease before 40.
• Every older relative has diabetes and amputations.

With early testing, strict habit change, and smart use of medicine like metformin, some of those patterns are already being broken.

“What If Aging Is Optional?”

Dr. Hany Demian is writing a book built around one central question:

What if aging is optional?

Not optional in the sense that time stops. Optional in the sense that:

• You do not have to lose your spine.
• You do not have to lose your strength early.
• You do not have to accept brain fog and low drive at 40 or 50.

His framework looks at life in stages.

In the teens:

• Build good sleep and movement habits.
• Limit sugar and junk that damage the gut and brain.

In the 20s:

• Start basic lab work and correct deficiencies.
• Pay attention to stress and recovery, not only performance.

In the 30s and 40s:

• Watch hormones and metabolic markers.
• Protect the spine and joints with strength training and collagen support.

In the 50s and beyond:

• Use advanced tests, imaging, and targeted therapies to hold function, not just survive.

Your future self will either thank you or resent you for what you do with your body in the next decade. That is the lens he wants people to use when they think about aging.

Hormones, Mood, and Being Fully Alive

Hormone health is not just about libido or muscles.

Dr. Hany Demian hit a phase where:

• His labs looked “normal” for his age.
• He felt tired, flat, and unmotivated.
• His wife joked about “midlife crisis.”

He did not accept that.

He started testosterone replacement against the cautious advice of some colleagues. He also monitored:

• Estrogen levels.
• Conversion patterns.
• Side effects.

He used tools like DIM to control excess estrogen and protect joints, mood, and body composition.

Result:

• Gym performance felt like his 20s again.
• Energy and ambition came back.
• Marriage and daily life improved because he felt alive, not just “functional.”

He now brings that same focus to male and female patients who have been told “your labs are fine” while they feel anything but fine.

Sleep, Strength, and Wearables: Metrics That Matter

Wearables are everywhere. Rings, watches, bands. They track dozens of things.

Dr. Hany Demian tells his patients to focus on two main outputs:

• Sleep quality and recovery.
• Strength and capacity.

With devices like Whoop, Oura, and Apple Watch, his team tracks:

• Time in deep and REM sleep.
• Heart rate variability trends.
• Resting heart rate and respiratory rate.

Poor sleep drives:

• Inflammation.
• Faster organ aging.
• Worse mood and cravings.

On the strength side, he uses simple tests:

• Can you get off the floor without hands?
• Can you carry groceries without gasping?
• Can you climb stairs without stopping?

If you cannot do those things, you are not aging well, no matter what your lab numbers say.

The White Glove Longevity Membership

For people who want more than a one-off visit, Dr. Hany Demian built a high-touch white glove longevity membership with three tiers: Silver, Gold, and Platinum.

Every level starts with the same core:

• Genomic testing for disease risk, metabolism, and response to hormones and drugs.
• Epigenetic testing to estimate biological age organ by organ.
• DEXA scan to map:
  • Muscle mass.
  • Subcutaneous fat.
  • Visceral fat.
• Microbiome and GI testing to find infections, fungal overgrowth, toxins, and absorption issues.

Then the build-out begins:

• Weekly IVs or injections matched to findings.
• Monthly supplement kits shipped wherever the patient lives.
• Wearables like Whoop linked to his AI system, which reviews sleep, strain, and recovery data.
• Regular check-ins to adjust dosing, training, and lifestyle prescriptions.

Every six months, the team repeats:

• Blood work.
• DEXA.
• Key questionnaires.

They do not settle for “I feel better” as the only metric. They want to see:

• More muscle.
• Less visceral fat.
• Better insulin sensitivity.
• Improved markers of inflammation.

One more thing matters to him:

If a patient will not follow the plan, he releases them and frees space for someone who will. This is not a subscription. It is a partnership.

Gut Health and Hidden Energy Killers

For six months, Dr. Hany Demian struggled with energy.
He went to high-end clinics in Dubai. He ran test after test. Nothing explained his fatigue.

The missing piece:

No one had looked deeply at his gut.

Working with a naturopath on his team, he ran full microbiome and GI panels. The tests showed:

• Bacterial and possibly fungal overgrowth.
• Inflammation that blocked nutrient absorption.

He treated it with:

• Targeted antibiotics.
• Peptides such as KPV, BPC-157, and TB-500 to rebuild the gut lining.

Within 45–60 days:

• Energy returned.
• Brain fog lifted.
• Training and work output improved.

Today, every serious longevity plan in his clinics includes gut testing. Skipping it is just throwing money away on supplements your body cannot absorb.

From Residual Income to Real Results

A lot of pain clinics run on a simple model:

• Give cortisone shots.
• Bill insurance.
• Book the next visit in 3 months.

The system rewards repeat visits, not lasting outcomes.

Dr. Hany Demian sees that as a broken deal.

He prefers:

• Clear timelines.
• Escalation steps if things fail.
• Discharging patients when the goal is met.

He loves the moment when he can say:

“You are done. You do not need me anymore. Go live your life.”

That mindset grows his practice faster:

• Former patients send friends and family.
• They tell people, “He actually fixed the problem and let me go.”

Real results beat recurring dependency every time.

Who Dr. Hany Demian Serves

Across Praesentia Healthcare and BioSpine Institute, Dr. Hany Demian works with:

• People with chronic back and neck pain who feel trapped between pills and surgery.
• High performers who want to extend their peak years, not just live longer.
• Younger patients who want prevention and want to avoid the mistakes of their parents’ generation.
• International patients who fly to Canada, Florida, or Egypt for specialized care.

He is not trying to turn them into patients for life. He wants to:

• Fix what is broken.
• Teach them how to stay strong.
• Equip them with tools they can keep using without him.

Simple Daily Levers Before High-Tech Therapies

People often jump straight to peptides, stem cells, and plasma exchange.
Dr. Hany Demian pulls them back to basics first.

He stresses:

• Collagen-rich food like bone broth and bone marrow for joints, discs, and skin.
• Iron-rich food such as liver and spinach when blood work shows need.
• Vitamin D3 and K2 for bones, immunity, and heart health.
• Daily walking and regular resistance training.
• Sleep routines that support deep rest and hormone balance.

He often quotes a simple breakdown:

• Sleep, diet, and exercise deliver most of the longevity upside.
• Supplements, hormones, and peptides can top up the rest.

If someone will not fix sleep, movement, and basic food choices, he is blunt:

No advanced protocol will save them from their daily choices.

How to Work With Dr. Hany Demian

If you want to explore his approach, the first stop is his site: DrDemian.com.
From there you can:

• Request a consultation.
• Learn about chronic pain and spine programs.
• Apply for the white glove longevity membership.

Through Praesentia Healthcare and BioSpine Institute, he offers:

• Non-surgical spine care.
• Regenerative treatments such as PRP, stem cells, and peptides.
• Micro spine surgery in Florida for patients who need it.

Before you reach out, ask yourself:

• What do you want to be able to do at 70, 80, or 90?
• Which injuries and habits will hold you back?
• Are you ready to treat your body like your greatest asset?

That is the mindset he expects from the people who join his care programs.

Aging Is Optional—If You Decide It Is

At the end of the conversation, Dr. Hany Demian left one clear message:

Aging is optional.

You do not have to:

• Give up dreams because of pain.
• Accept slow decline as your fate.
• Let your birth date dictate your performance.

You can:

• Use genetics and epigenetics to see your risks early.
• Rebuild your spine, hormones, and muscle.
• Live with energy, purpose, and strength far beyond what most people consider “normal.”

That is the work of Dr. Hany Demian and his teams across Praesentia Healthcare and BioSpine Institute:

Prove, one patient at a time, that you do not have to grow old the way your parents did.