Evidence-Based Preventative Medicine

40 Years of Published Research in Therapeutic Plasma Exchange

The pioneer who proved therapeutic plasma exchange can reverse biological age and slow disease progression. Founding member of the American Society for Apheresis (ASFA) and The Journal of Clinical Apheresis, and author of 100+ peer-reviewed publications. His research has established the protocols and trained most physicians practicing therapeutic apheresis today.

Dr. Dobri Kiprov in clinical setting with medical equipment

Dobri Kiprov, M.D., H.P. (ASCP)

Founder, Global Apheresis

The Research That Changed Everything

Landmark Studies: From Discovery to Clinical Application

Four decades of research translating laboratory discoveries into evidence-based clinical treatments.

First human translation of parabiosis research2013 / 2020

Parabiosis to Human Translation

J Clin Apheresis / Aging

Dr. Kiprov hypothesized that intermittent heterochronic plasma exchange could delay cellular senescence, then co-authored the landmark study proving rejuvenation of three germ layer tissues by exchanging old blood plasma with saline-albumin.

Mehdipour M, Skinner C, Wong N, ... Kiprov D, Conboy MJ, Conboy IM

Aging (Albany NY). 12, 8790-8819 (2020)

52-71% slowing of Alzheimer's progression2020

AMBAR Trial: Plasma Exchange for Alzheimer's

Alzheimer's & Dementia

A randomized controlled clinical trial demonstrating 52-71% slowing of Alzheimer's disease progression with plasma exchange and albumin replacement -- superior to any FDA-approved drug at the time.

Boada M, Lopez O, ... Kiprov D, ... Paez A

Alzheimer's and Dementia: June 4, 2020. DOI:10.1002/alz.12137

First proof: TPE reduces biological age by 1-3 years2022

Old Plasma Dilution Reduces Biological Age

GeroScience

The first clinical proof that therapeutic plasma exchange reduces human biological age by 1-3 years, measured by validated epigenetic clocks and biomarker panels.

Kim D, Kiprov DD, Luellen C, et al.

GeroScience 44, 2701-2720 (2022). doi:10.1007/s11357-022-00645-w

Buck Institute partnership - placebo-controlled RCT2025

Multi-Omics Analysis of TPE with Aging Clocks

Aging Cell

A single-blinded, randomized, placebo-controlled study with the Buck Institute analyzing multi-omic biomarkers that contribute to biological age rejuvenation in response to therapeutic plasma exchange.

Fuentealba M, Kiprov D, Schneider K, ... Furman D

Aging Cell. 2025 Aug;24(8):e70103. doi:10.1111/acel.70103

Why This Matters

Decades of Expertise vs. Unproven Claims

The Problem

Most practitioners offering plasma exchange for longevity lack formal training in therapeutic apheresis. The field is increasingly filled with unproven approaches and exaggerated claims.

The Risks of Inadequate Training

  • Practitioners performing procedures without formal apheresis certification
  • Lack of understanding of proper anticoagulation protocols
  • Inadequate patient screening and contraindication knowledge
  • Missing safety monitoring and adverse event management
  • Exaggerated claims not supported by published research

Without decades of clinical experience and published research to guide treatment protocols, patients are essentially participating in uncontrolled experiments—paying premium prices for procedures that may not follow evidence-based guidelines.

The Solution

Dr. Kiprov has worked in the field of Therapeutic Apheresis for more than 40 years and has published extensively on the subject. He completed fellowship training in Clinical Immunology and Immunopathology at Massachusetts General Hospital and Harvard Medical School (NIH-sponsored) and became the first physician in the United States to pass the Hemapheresis Practitioner Exam (ASCP). He serves on the Board of Directors of the International Society for Apheresis and holds the position of Chief of the Division of Immunotherapy, Emeritus at California Pacific Medical Center. He served two terms on the American Society for Apheresis (ASFA) Board of Directors and created the first ASFA educational video program. He is the recipient of three major ASFA honors: the Presidential Award for pioneering work and numerous contributions to the field, the Lecturers Award, and the Francis Morrison Memorial Award.

Building the Infrastructure of Modern Apheresis

1985

Founded Bay Area Mobile Apheresis

First mobile therapeutic apheresis program in the United States

1992

Founded Center for Apheresis and Immunology

Advanced clinical protocols and physician training

2021

Founded Global Apheresis

Evidence-based therapeutic apheresis network

Many of today's practitioners learned therapeutic apheresis in programs Dr. Kiprov created. He and his team represent true expertise in evidence-based therapeutic apheresis—combining decades of clinical practice with rigorous published research.

40+

Years of Research

100+

Publications

17,940+

Procedures Analyzed

2x

ASFA Board Terms

Areas of Expertise

Therapeutic Apheresis

Pioneer of the field with 40+ years of clinical practice, research, and the most comprehensive study of adverse reactions in therapeutic apheresis ever published.

Immunotherapy

Among the first physicians to complete a formal fellowship in Clinical Immunology. Involved in early trials of cell therapies including CAR-T cell therapies and cell vaccines.

Innovation

First to publish on the effect of Therapeutic Plasma Exchange on Aging, Long COVID, and the first placebo-controlled trial of TPE in Alzheimer's disease. He has also been involved in pioneering immunotherapy trials, including early CAR-T cell therapy research.

Global Apheresis

Access Dr. Kiprov's Protocols

Founded by Dr. Kiprov, Global Apheresis is where his 40 years of published research becomes accessible treatment. Every protocol is grounded in peer-reviewed evidence and delivered by physicians trained in his methods.

Biological Age Optimization

TPE protocols proven to reduce biological age by 1-3 years, measured by validated epigenetic clocks.

Alzheimer's Disease

Evidence-based plasma exchange with albumin replacement, proven to slow cognitive decline by 52-71%.

Long COVID

Immunomodulatory therapeutic plasma exchange protocols for managing long COVID symptoms.

Autoimmune Conditions

Comprehensive therapeutic apheresis for a broad range of immunologically-mediated disorders.

655 Redwood Highway, Suite 370, Mill Valley, CA 94941 | Growing affiliate network

Selected Publications

Peer-Reviewed Research

Key publications from over 100 peer-reviewed works spanning four decades of advancing therapeutic apheresis medicine.

1
Buck Institute partnership - placebo-controlled RCT

Fuentealba M, Kiprov D, Schneider K, Mu WC, Kumaar PA, Kasler H, Burton JB, Watson M, Halaweh H, King CD, Yuksel ZS, Roska-Pamaong C, Schilling B, Verdin E, Furman D. Multi-Omics Analysis Reveals Biomarkers That Contribute to Biological Age Rejuvenation in Response to Single-Blinded Randomized Placebo-Controlled Therapeutic Plasma Exchange. Aging Cell. 2025 Aug;24(8):e70103.

DOI: 10.1111/acel.70103
2
First proof TPE reduces biological age

Kim D, Kiprov DD, Luellen C, et al.. Old Plasma Dilution Reduces Human Biological Age: A Clinical Study. GeroScience 44, 2701-2720, 2022.

DOI: 10.1007/s11357-022-00645-w
3

Mehdipour M, Etienne J, Liu C, Mehdipour T, Kato C, Conboy M, Conboy I, Kiprov DD. Attenuation of Age-Elevated Blood Factors by Repositioning Plasmapheresis: A Novel Perspective and Approach. Transfus Apher Sci. 2021 Jun;60(3):103162.

DOI: 10.1016/j.transci.2021.103162
4

Kiprov D. Therapeutic Plasma Exchange (TPE) and Blood Products - Implications for Longevity and Disease. Transfus Apher Sci. 2021 Jun;60(3):103163.

DOI: 10.1016/j.transci.2021.103163
5
Landmark parabiosis-to-human translation

Mehdipour M, Skinner C, Wong N, Lieb M, Liu C, Etienne J, Kato C, Kiprov D, Conboy MJ, Conboy IM. Rejuvenation of Three Germ Layers Tissues by Exchanging Old Blood Plasma with Saline-Albumin. Aging (Albany NY). 12, 8790-8819, 2020.

DOI: 10.18632/aging.103418
6
First hypothesis paper on TPE and aging

Kiprov D. Intermittent Heterochronic Plasma Exchange as a Modality for Delaying Cellular Senescence - A Hypothesis. J Clin Apheresis 28:387-389, 2013.

DOI: 10.1002/jca.21268

For Physicians

Join the Only Evidence-Based Therapeutic Apheresis Network

Partner with Global Apheresis to offer your patients treatment protocols backed by over 100 peer-reviewed publications.

Training from the Pioneer

Comprehensive training directly from Dr. Kiprov, who has trained most physicians currently practicing TPE.

Evidence-Based Protocols

Clinical protocols proven in peer-reviewed research across four decades and thousands of procedures.

Marketing & Operations Support

Complete operational guidance and marketing support to help you build a successful TPE practice.

Professional Network

Join a growing network of physicians delivering evidence-based therapeutic apheresis nationwide.