This Week In Startups is made possible by: Sentry https://sentry.io/twist Agree https://agree.com Northwest Registered Agent https://northwestregisteredagent.com/twist Today’s show: French ex-martial artist Bilal Kharouni is building his longevity startup from Okinawa, one of the world’s “blue zones.” (These are regions with the most people living long, healthy lives.) In this TWiST taping from Founder University in Tokyo, Jason investigates why a $200K raise in Japan can out-build a $2M raise in San Francisco, and why the best moat for biological AI isn’t the model; it’s the data no one else has. Plus a tactical and practical discussion of product market fit, why Ekei killed a growing side business to maintain focus, Japan’s fast-track for regenerative medicine, and hitting the upper limits for consumer longevity gadgets. Plus a live Q&A with Founder U attendees. Guest: Bilal Kharouni on LinkedIn: https://www.linkedin.com/in/bilal-kharouni/ Ekei Labs: https://www.ekeilabs.com/ Relevant Links: Okinawa Institute of Science and Tech (OIST): ****https://www.oist.jp/ Life Biosciences: https://www.lifebiosciences.com/ NewLimit: https://www.newlimit.com/ Centivax: https://www.centivax.com/ Medical Daily: “First Human Trial to Reverse Aging Gets FDA Clearance”: https://www.medicaldaily.com/first-human-trial-reverse-aging-just-got-fda-clearance-what-epigenetic-reprogramming-actually-476076 Tim Friede snake venom article from Science: https://www.science.org/content/article/he-injected-himself-venom-decades-can-his-antibodies-help-snakebite-victims Micro1: https://www.micro1.ai/ Whoop: https://www.whoop.com/ Station F Paris startup campus: https://stationf.co/ Japan Times: “PM Takaichi sleeps only 2-4 hours a night”: https://www.japantimes.co.jp/news/2025/11/14/japan/politics/takaichi-sleep-overwork/ FDLI: “Japan’s Regenerative Medicine Regulatory Pathways”: https://www.fdli.org/2019/02/global-focus-japans-regenerative-medicine-regulatory-pathways-encouraging-innovation-and-patient-access/ FDA: “Right to Try”: https://www.fda.gov/patients/learn-about-expanded-access-and-other-treatment-options/right-try STAT News: “Are Blue Zones Real?”: https://www.statnews.com/2026/05/04/are-blue-zones-real-new-scrutiny-longevity-hot-spots/ Timestamps: 0:00 Founder University is back in Japan! 3:26 What Ekei Labs does 4:34 Why Japan is a longevity hub 8:13 The AI biological moat 9:26 Sentry - Your team should be focused on shipping features — not chasing down bugs. New users can get $240 in free credits when they go to https://sentry.io/twist and use the code TWIST 15:19 Right to try and the ethics of experimental therapies 21:51 Agree.com - Stop chasing invoices and automate your entire contract-to-cash stack. Go to https://agree.com and tell them Jason sent you to get 50% off for life! 24:10 Japan's fast-track regenerative medicine law 25:24 Raising in Japan vs. the US 30:53 Northwest Registered Agent - Get more when you start your business with Northwest. In 10 clicks and 10 minutes, you can form your company and walk away with a real business identity — Learn more at https://northwestregisteredagent.com/twist 40:05 Why Ekei killed a profitable service to focus 46:32 Have Blue Zones been debunked? 48:17 How socialization may extend lifespan 50:28 Founder Q&A: Booked vs. forecast revenue 55:03 Amazon's "bar raiser" framework 1:02:52 Social robots and loneliness 1:03:50 Jason on health and hustle culture Subscribe to the TWiST500 newsletter: https://ticker.thisweekinstartups.com Check out the TWIST500: https://www.twist500.com Subscribe to This Week in Startups on Apple: https://rb.gy/v19fcp Follow Lon: X: https://x.com/lons Follow Alex: X: https://x.com/alex LinkedIn: https://www.linkedin.com/in/alexwilhelm Follow Jason: X: https://twitter.com/Jason LinkedIn: https://www.linkedin.com/in/jasoncalacanis Check out all our partner offers: https://partners.launch.co/ Great TWIST interviews: Will Guidara, Eoghan McCabe, Steve Huffman, Brian Chesky, Bob Moesta, Aaron Levie, Sophia Amoruso, Reid Hoffman, Frank Slootman, Billy McFarland Check out Jason’s suite of newsletters: https://substack.com/@calacanis Follow TWiST: Twitter: https://twitter.com/TWiStartups YouTube: https://www.youtube.com/thisweekin Instagram: https://www.instagram.com/thisweekinstartups TikTok: https://www.tiktok.com/@thisweekinstartups Substack: https://twistartups.substack.com