Bryan Johnson's HBOT Protocol: Chamber, Routine & Results

Bryan Johnson calls HBOT the most effective longevity therapy he's done. Here's his exact chamber, protocol, biomarker results, and what it means for you.

Bryan Johnson, the man spending millions to reverse his biological age, calls hyperbaric oxygen therapy “the most efficacious longevity therapy I’ve done since starting this endeavor.”

That’s a massive statement from someone whose Blueprint protocol includes hundreds of supplements, strict diet, exercise, red light therapy, and dozens of other interventions. So what exactly is he doing, what chamber does he use, and what results did he get?

Bryan’s HBOT Chamber: HPO Tech ZEUGMA

Bryan uses the ZEUGMA monoplace hyperbaric chamber made by HPO Tech Hyperbaric Solutions, a Turkish manufacturer with 15+ years in hyperbaric chamber design.

It’s a medical-grade hard-shell unit installed in his home.

ZEUGMA Specs

SpecDetail
TypeHard-shell monoplace (seated)
Pressure2.0 ATA
Oxygen deliveryBIBS mask (100% O2) + free-flow option
ControlsExternal 21" + internal 16" touchscreen
WindowsOversized acrylic side and front panels
Weight capacity225 kg
DesignModular (3 sections, each under 80 cm, fits through standard doorways)
CertificationsCE, ISO, PVHO, PED, ASME, UKCA, NFPA
Price~$132,595

Bryan chose a home setup because at 5 sessions per week, 90 minutes each, commuting to a clinic would be impractical. He effectively moved his office into the chamber, working on his laptop during sessions.

Why HPO Tech?

HPO Tech manufactures all key components in-house at their Istanbul facility. The ZEUGMA features custom automation protocols, entertainment integration, and a Tesla-style touchscreen interface. Their chambers range from 1.5 to 6.0 ATA across monoplace and multiplace models.

Worth noting: HPO Tech is an official partner and sponsor of Bryan’s Don’t Die Summit, attending all three 2025 events (Los Angeles, New York, Miami). This commercial relationship is worth keeping in mind when evaluating his endorsement.

Bryan’s Exact HBOT Protocol

The 90-Day Experiment (November 2024 – January 2025)

Bryan started his HBOT experiment in November 2024 and completed it in January 2025:

ParameterDetail
Total sessions60
Frequency5 sessions per week
Session length90 minutes
Pressure2.0 ATA (equivalent to 33 feet underwater)
Total time in chamber4,580 minutes / 76 hours
Duration~90 days

Oxygen Cycling Protocol

Bryan doesn’t just sit in a pressurized chamber breathing ambient air. He uses an oxygen cycling method:

  1. 20 minutes breathing 100% oxygen via BIBS mask
  2. 5-minute air break breathing regular ambient air
  3. Repeat throughout the 90-minute session

The chamber itself fills with ambient air (21% oxygen). The 100% oxygen is delivered only through the face mask. This approach reduces oxidative stress risk, particularly the risk of cataracts associated with prolonged pure oxygen exposure.

Technical Challenge He Ran Into

The initial oxygen concentrator only reached 92% purity. Bryan needed 100%, so he retrofitted the entire system with medical-grade oxygen canisters. A reminder that equipment quality matters at this level.

Current Routine (2025)

After the initial experiment, Bryan made HBOT a daily practice. As of mid-2025, he reported completing 93 sessions over 200 days, totaling 8,723 minutes (145 hours).

HBOT is now the final step in his 4:30 AM – 10:00 AM morning routine, slotted after breakfast, which follows red light therapy, sauna, and showering. He’s described it as the “biggest new addition” to his protocol.

His proposed maintenance plan going forward: 20 sessions every three months to sustain benefits without diminishing returns.

Results & Biomarker Data

This is where it gets interesting. After 60 sessions, Bryan shared detailed biomarker data. His own team tracks everything obsessively, so these aren’t vague claims. They’re specific measurements.

Inflammation

MarkerResult
hs-CRP (systemic inflammation)Dropped to undetectable levels (lowest 1%)

Bryan called this “wild.” High-sensitivity C-reactive protein is one of the most important markers for chronic disease risk. Getting it to undetectable is exceptional.

Telomeres & Aging

MarkerResult
Telomere lengthExtended 2.6% (10.3 → 11.4 kb)
Telomere growth+300 base pairs (~equivalent to 10 years of reversal)
Telomerase activityComparable to a 12-year-old

Telomeres are the protective caps on chromosomes that shorten with age. Lengthening them is one of the holy grails of longevity research. A 300-base-pair increase is significant.

Vascular Health

MarkerResult
VEGF (vascular endothelial growth factor)300% increase
Blood vessel count in skin+40.9%
Muscle oxygenationImproved during exercise

VEGF drives angiogenesis, the creation of new blood vessels. A 300% increase means significantly improved blood flow and oxygen delivery throughout the body.

Gut Health

MarkerResult
Short-chain fatty acids250% increase
n-Butyrate290% increase
Akkermansia (beneficial bacteria)1,000% increase
Gut metabolic imbalanceCompletely eliminated

This was unexpected. HBOT appears to have dramatically improved Bryan’s gut microbiome composition. Akkermansia is associated with metabolic health, reduced inflammation, and healthy weight maintenance.

Skin & Collagen

MarkerResult
Skin UV damageImproved >10%
Collagen fiber density+12.8%
Elastic fiber length+144%

Bryan posted a dedicated thread calling HBOT a “glow-up” for “whole-body skin rejuvenation,” describing his skin as “stronger, firmer, bouncier, and glowing.”

Brain Health

MarkerResult
Alzheimer’s marker (PTAL127)28.6% decline

A decrease in this dementia-related marker is a promising sign for long-term cognitive health.

Full Results Summary

CategoryMarkerChange
Inflammationhs-CRPUndetectable
AgingTelomere length+2.6% (+300 bp)
AgingTelomerase activityAge-equivalent of 12
VascularVEGF+300%
VascularSkin blood vessels+40.9%
GutAkkermansia+1,000%
GutShort-chain fatty acids+250%
Gutn-Butyrate+290%
GutMetabolic imbalanceEliminated
SkinCollagen density+12.8%
SkinElastic fiber length+144%
SkinUV damage>10% improvement
BrainAlzheimer’s marker-28.6%

The Backstory: From Skeptic to Believer

Here’s what makes this more interesting: Bryan’s own Blueprint team initially reviewed the HBOT scientific literature and concluded the evidence didn’t meet their implementation threshold. The research on telomere elongation and senescent cell reduction wasn’t strong enough for them to recommend it.

Bryan decided to run his own experiment anyway. After seeing his personal results, he reversed course entirely, calling HBOT the most effective therapy he’s ever done.

This pattern (establishment skepticism followed by dramatic personal results) is exactly why his endorsement carries weight in the biohacking community. He didn’t start as a believer.

Important Caveats

Before you rush to buy a hyperbaric chamber, some context:

This is a self-experiment (n=1) with an extraordinary baseline health regimen. The results haven’t been peer-reviewed, and Bryan’s outcomes may differ from what the average person would experience.

Commercial relationship. HPO Tech sponsors Bryan’s Don’t Die Summit and provides his equipment. Worth acknowledging as a financial relationship.

Bryan’s baseline is unusual. He already follows one of the most extreme health optimization protocols on the planet. His body may respond differently to HBOT than the average person’s.

Medical risks exist. HBOT can cause ear pain from pressure changes, temporary vision changes, rare oxygen toxicity, fatigue, headaches, and sinus pressure. Bryan himself said: “Before you do HBOT, consult your doctor as treatments may be unique to your conditions.”

The science is early. HBOT is FDA-approved for 14 specific medical conditions like wound healing and decompression sickness. The longevity research is promising but still being established.

What This Means for You

Bryan’s ZEUGMA chamber costs ~$132,595. That’s out of reach for most people. But the core therapy, breathing concentrated oxygen at elevated pressure, is available at a range of price points.

More Accessible Options

Clinic sessions are the easiest entry point. Independent clinics charge $100–$400 per session, and many offer package discounts for 20–40 sessions.

Home soft-shell chambers start at $4,495 for a Newtowne A4-27. These operate at 1.3–1.5 ATA (lower than Bryan’s 2.0 ATA) but are the most practical option for regular home use.

Hard-shell home chambers like the OxyRevo Quest30 at ~$25,500 reach 2.0 ATA, the same pressure Bryan uses, at a fraction of the ZEUGMA’s price.

Key Differences from Bryan’s Setup

FactorBryan’s SetupAccessible Alternative
ChamberHPO Tech ZEUGMA ($132,595)OxyRevo Quest30 (~$25,500) or clinic visits
Pressure2.0 ATA1.3–2.0 ATA depending on chamber
Oxygen100% medical-grade via BIBS mask24–95% via concentrator or clinic supply
FrequencyDaily, 90 minutes2–5x/week based on budget and availability
MonitoringFull biomarker panel trackingBasic wellness monitoring

The research Bryan cited (particularly the Tel Aviv University telomere study) used similar protocols to his: 2.0 ATA, 90 minutes, 5 days per week. If you want to replicate his approach as closely as possible, a hard-shell chamber at 2.0 ATA is the minimum.

For general wellness and recovery benefits, soft-shell chambers at 1.3–1.5 ATA still offer meaningful results at a much lower cost and commitment level.

Break-Even: Clinic vs. Buying

If you’re inspired to try Bryan’s frequency (5 sessions per week), buying makes financial sense fast. At $200/session, you’d spend $4,000/month at a clinic. A $10,000 soft-shell chamber pays for itself in under 3 months.

Bottom Line

Bryan Johnson’s HBOT results are the most detailed public dataset we have from a serious self-experimenter. The biomarker improvements, particularly in inflammation, telomere length, and gut health, are striking.

Whether these results translate to the average person remains to be seen. But his experiment has put HBOT on the map as a longevity therapy worth watching.

The good news: you don’t need $132,595 to try it. Start with clinic sessions to see how your body responds, then consider a home chamber if you’re committed to regular use.

Disclaimer: This information is for educational purposes only. HBOT should be administered under proper medical supervision. Consult healthcare professionals before starting any HBOT protocol.