12 MONTH PHYSICIAN PARTNERSHIP
COMPREHENSIVE
LONGEVITY MEMBERSHIP
An ongoing clinical partnership designed for high-performing men who are done guessing — and ready for a physician-led strategy built to optimize their healthspan for decades.
⸺ THE VALUE OF THE MEMBERSHIP
A YEARLONG LONGEVITY
PARTNERSHIP
An assessment tells you where you stand. The Membership is what happens next — a 12-month relationship in which Dr. Rich understands your full health picture, implements a strategy built around it, and stays engaged as your body responds and your circumstances change.
The difference isn't just more services. It's continuity. A physician who has reviewed your prior records, ordered your baseline testing, interpreted your results, designed your protocol, and watched how you've responded to it — brings a fundamentally different level of clinical judgment to every subsequent interaction. That accumulated context is what makes the advice precise rather than generic.
Repeat testing — labs, DEXA, and VO2 max — is the most concrete expression of this. It answers the question that an assessment alone cannot: is what we're doing actually working? If yes, we build on it. If not, we course-correct. That feedback loop, managed by a physician who knows your history, is what separates optimization from guesswork.
⏺ DIAGNOSTICS + EXECUTION
The Baseline Assessment ends with a report. The Membership includes the strategy, the implementation support, and the ongoing clinical oversight to actually execute it — and monitor the results.
⏺ REPEAT TESTING TO ASSESS PROGRESS
Repeat testing, wearables, CGM, body metrics create a stream of actionable data that feeds back into your protocol throughout the year — not just at the starting line.
⏺ ACCESS WHEN IT MATTERS
Unlimited follow-up appointments and direct physician messaging mean your care is never on hold between scheduled visits. Questions get answered. Results get contextualized. Protocols get adjusted in real time.
⸺ A PHYSICIAN IN YOUR CORNER ALL YEAR
DR. RICH IS
ACCESSIBLE WHEN YOU NEED HIM
INCLUDED
UNLIMITED FOLLOW-UP
APPOINTMENTS
Results come in, questions arise, circumstances change. Unlimited video and phone consultations ensure you never wait for your next scheduled appointment to get clarity or adjust your protocol.
INCLUDED
PRIORITY DIRECT
MESSAGING
Direct access to Dr. Rich via the patient portal — not a general inbox routed through administrative staff. Questions answered promptly, between appointments.
INCLUDED
COACHING & ACCOUNTABILITY
Knowledge alone doesn't drive change — consistent execution does. Ongoing support to translate recommendations into lasting behavioral change, with regular check-ins to maintain momentum and surface obstacles early.
⸺ INCLUDED PRECISION DIAGNOSTICS & TESTING
WHAT WE MEASURE
AND WHY IT MATTERS
Most men have never had a truly comprehensive health evaluation. This one goes far beyond standard care — measuring the biomarkers, fitness metrics, and body composition data that actually predict long-term health outcomes. Key markers are repeated during the year. Not to check a box, but to answer the question that matters most: is what we're doing actually working?
COMPREHENSIVE
LAB PANEL
Repeated at 6 Months
100+ biomarkers covering lipid metabolism, inflammatory markers, metabolic function, hormones, organ health, immune function, Omega-3 levels, and essential minerals — drawn at your home or office.
DEXA SCAN
Repeated at 6 Months
Not all body fat is created equal — and standard measures like BMI or scale weight tell us little about what is actually happening inside your body. A DEXA scan changes that. Widely regarded as the gold standard for body composition assessment, it provides a precise, segmental breakdown of bone density, lean muscle mass, and total body fat.
Of particular clinical significance is its ability to quantify visceral adipose tissue — the metabolically active fat stored deep within the abdominal cavity that surrounds your organs. Unlike subcutaneous fat, which sits just beneath the skin, visceral fat is a potent driver of systemic inflammation, insulin resistance, and cardiovascular disease risk. It is also fat that standard weight measurements routinely fail to detect.
Beyond fat, DEXA gives us a detailed picture of your musculoskeletal health — tracking lean muscle mass and bone density over time to identify early signs of sarcopenia or osteopenia long before they become clinical concerns. Together, these data points form a precise baseline from which we track meaningful change, ensuring that your program is shifting your body composition in the directions that matter most for longevity and long-term physical resilience.
VO2 MAX TESTING
Repeated at 6 Months
VO2 max — the maximum rate at which your body can consume oxygen during exercise — is one of the most powerful predictors of long-term health and longevity. Research consistently shows that cardiorespiratory fitness ranks among the strongest indicators of both lifespan and healthspan, outperforming many traditional risk factors including blood pressure, blood sugar, and BMI. Despite this, it is rarely measured in standard clinical care.
A precise VO2 max test gives us a clear, objective benchmark of where your cardiovascular fitness stands today — and what it will take to meaningfully improve it. From there, we establish personalized heart rate training zones that remove the guesswork from your exercise program, ensuring every workout is purposeful and calibrated to drive real physiological adaptation rather than simply logging miles.
GENETIC TESTING
Your genome is the most permanent data set you will ever produce. Unlike biomarkers that fluctuate with diet, stress, or sleep, your genetic makeup is fixed — and understanding it early provides a decades-long head start on the risks that may otherwise surface silently over time.
Through Invitae's clinically validated genetic analysis, we assess hereditary risk across a broad range of conditions — including cardiovascular disease, certain cancers, metabolic disorders, and neurodegenerative conditions such as Alzheimer's disease. This is not consumer-grade ancestry testing. These are clinically actionable findings, interpreted in the context of your full health picture/family history, and used to meaningfully shape the priorities of your program.
For some, results will confirm a low hereditary burden and provide genuine reassurance. For others, they will reveal elevated risk that warrants earlier or more aggressive screening, targeted lifestyle modifications, or specific preventive interventions. In either case, the value is the same: clarity. Knowing what your biology predisposes you to allows us to act with precision and intention — rather than waiting for risk to declare itself through symptoms.
Genetic data does not determine your destiny. It informs your strategy.
HEARING ASSESSMENT
Like many age-related changes, hearing loss develops gradually and is rarely noticed until it has already meaningfully affected quality of life. Research increasingly links untreated hearing decline to accelerated cognitive aging, social withdrawal, and a significantly elevated risk of dementia — making early detection far more consequential than most people realize.
Shoebox provides a convenient, clinically validated hearing assessment that evaluates acuity across multiple frequencies from the comfort of your home. Results identify potential deficits early — when intervention is most effective — and determine whether further audiologic evaluation is warranted.
COGNITIVE
FUNCTION TESTING
Cognitive decline rarely announces itself — it accumulates quietly over years before surfacing as symptoms that are far harder to reverse. Early, objective measurement is the only reliable way to get ahead of it.
BrainCheck provides a validated digital assessment of the four domains most predictive of long-term cognitive health: memory, attention, processing speed, and executive function. Together, these establish a precise personal baseline — not measured against a population average, but against you. That distinction is what makes subsequent testing meaningful, enabling us to detect subtle shifts in function long before they would register on a standard clinical screen.
For a high-performing individual, this data serves a dual purpose: identifying early neurological risk and protecting the cognitive edge that drives your professional and personal life.
CONTINOUS GLUCOSE
MONITORING
Most people have no idea how their body responds to the food they eat, the sleep they get, or the stress they carry — because standard testing only captures a single moment in time. A CGM changes that. By tracking your glucose continuously, we gain real-time visibility into how your metabolism responds to nutrition, exercise, sleep, and stress. This data reveals patterns that standard bloodwork routinely misses — from hidden glucose spikes after seemingly healthy meals to the metabolic toll of a poor night's sleep. Over time, these insights translate into precise, personalized behavior changes that improve energy, reduce inflammation, and build long-term metabolic resilience.
AT HOME SLEEP
ASSESSMENT
Sleep is not a passive state — it is one of the most metabolically active and restorative processes your body undertakes. Yet poor sleep is among the most underdiagnosed drivers of cognitive decline, cardiovascular risk, metabolic dysfunction, and accelerated aging. A single-night lab study captures too little. A subjective questionnaire captures even less.
This 30-night, FDA-cleared sleep study changes that. Conducted from the comfort of your home and reviewed by a physician board-certified in Sleep Medicine, it builds a comprehensive, clinically accurate picture of your sleep architecture — tracking patterns across an entire month rather than drawing conclusions from a single snapshot. The result is a level of diagnostic precision that a standard overnight lab study simply cannot match.
Where the data reveals disruption — whether that is sleep apnea, fragmented cycles, or poor restorative sleep — findings feed directly into a targeted treatment plan, accelerating the path to real, lasting improvement. Think of it as a CGM for sleep: continuous, contextual, and built to translate raw data into meaningful change.
HEALTH HISTORY
INTEGRATION
Your health history does not begin at your first appointment with me. You have most likely accumulated years of lab work, and the patterns embedded in that data are often as valuable as anything we generate fresh. Reviewing how your biomarkers have trended over time, for instance, can reveal trajectories that a single baseline assessment alone would miss.
All prior records are reviewed and incorporated into your initial assessment, ensuring that your program is built on the most complete picture of your health possible from day one. Nothing is started from scratch that doesn't need to be.
⸺ ADDITIONAL DIAGNOSTICS WHEN CLINICALLY APPROPRIATE
YOUR DIAGNOSTICS CUSTOMIZED
TO YOUR RISK PROFILE
These advanced diagnostics are not included in the assessment but may be recommended based on your individual risk profile. Where available, professional pricing is passed directly to you.
01
CORONARY ARTERY CALCIUM (CAC) SCORE
Atherosclerosis — the gradual buildup of plaque in the arterial walls — is the underlying driver of the majority of heart attacks and strokes, and it develops silently over decades before producing symptoms. The Coronary Artery Calcium (CAC) score is one of the most validated and widely used tools for detecting it early.
This non-invasive cardiac CT scan quantifies calcium deposits in the coronary arteries, providing a concrete, measurable indicator of atherosclerotic burden that standard blood tests and risk calculators cannot reliably capture. A CAC score of zero carries an overall reassuring prognosis; an elevated score, conversely, can identify significant cardiovascular risk in patients who would otherwise appear low-risk on conventional screening — prompting earlier and more aggressive preventive intervention.
Used in conjunction with advanced biomarkers such as ApoB and Lp(a), the CAC score forms a critical pillar of our cardiovascular risk assessment — helping to build a complete and precise picture of your arterial health long before a cardiac event occurs.
02
CORONARY CT ANGIOGRAPHY
Heart attack risk is not simply a question of whether plaque exists in your coronary arteries — it is a question of what kind, how much, and where. Traditional cardiac imaging, including a Coronary Artery Calcium (CAC) score, often fails to answer these questions with sufficient precision, leaving significant risk undetected or poorly characterized.
While a calcium score provides a useful measure of calcified plaque, coronary CT angiography (CTA) goes further by detecting non-calcified and soft plaque that a calcium score alone would miss. Adding Cleerly's AI-enhanced analysis takes things even further. By applying advanced artificial intelligence to coronary CTA images, Cleerly identifies, characterizes, and quantifies plaque burden with a level of detail that a standard CTA cannot match. Critically, it distinguishes between stable and vulnerable plaque — the latter being the type most associated with sudden, unpredictable cardiac events — enabling a far more precise and personalized assessment of your true heart attack risk.
For patients told their standard cardiac markers look normal or their calcium score is not that concerning, this technology frequently tells a more complete story — and is the most powerful tool I use in my practice for detecting subclinical cardiovascular disease before it becomes a life-altering event.
03
WHOLE BODY MRI
(BY PRENUVO)
A whole-body MRI is capable of visualizing soft tissue, organs, and structural anatomy across the entire body in a single, non-invasive scan. Where standard imaging is ordered reactively to investigate a known concern, this is proactive surveillance: a detailed internal snapshot designed to detect anomalies before they produce symptoms.
Prenuvo's platform screens for hundreds of conditions — including early-stage cancers, vascular abnormalities, and organ-level changes — without radiation exposure. For patients with a strong family history, elevated genetic risk, or simply a commitment to leaving nothing unexamined, it represents one of the most thorough single investments in early detection available today.
04
GALLERI MULTI-CANCER DETECTION
Most cancers are detected only after symptoms appear — at a stage when treatment is significantly more complex and outcomes considerably less certain. For many cancer types, no standard screening protocol even exists. The Galleri test is designed to change that.
A single blood draw simultaneously screens for more than 50 types of cancer using cell-free DNA analysis — detecting molecular signals shed by abnormal cells into the bloodstream before they produce symptoms or become visible on conventional imaging. When a signal is detected, the test is also designed to identify the tissue of origin, helping to guide next steps efficiently and precisely.
This test is particularly valuable for patients with a strong family history of cancer or elevated genetic risk — especially for cancer types that currently lack routine screening options. More broadly, for anyone concerned about their risk of cancer, it represents a meaningful advance in early detection, shifting the window of opportunity toward a stage when intervention is most likely to succeed.
05
OTHER TESTS
Longevity medicine is a rapidly evolving field, and the right diagnostic strategy is always shaped by your individual risk profile, health history, and the findings that emerge from your initial assessment. Depending on what that reveals, I may recommend additional testing such as a microbiome analysis or other emerging diagnostics not yet widely available in conventional medicine.
The goal is always the same: to ensure that no meaningful risk goes unexamined.
⸺ WHERE TO BEGIN
TWO WAYS TO WORK
WITH DR. RICH
Whether you want a comprehensive one-time evaluation or an ongoing physician partnership, there is an entry point built for where you are right now.
LONGEVITY BASELINE ASSESSMENT
A comprehensive, physician-led diagnostic evaluation covering labs, DEXA, VO2 max, genetics, cognitive function, sleep, and hearing — followed by a dedicated results review with Dr. Rich. A precise snapshot of the current state of your health and risk of disease with a clear roadmap. No ongoing commitment required.
Price: $5,000
LONGEVITY MEMBERSHIP (12 Months)
A 12-month physician partnership that goes beyond assessment to action. Where the Assessment tells you what's wrong, the Membership is how you fix it — working with Dr. Rich to address the risks, resolve the conditions, and build toward the health outcomes you want. Includes repeat testing to measure what's actually changed.
Price: $15,000
GET STARTED
THE FIRST STEP IS
A CONVERSATION
Schedule a free 20-minute discovery call with Dr. Rich.
No obligation - just an honest conversation about where you are, what you are looking for, and whether this is the right fit.