EVIDENCE BASED LONGEVITY MEDICINE FOR MEN
A DIFFERENT
STANDARD OF CARE
Standard medicine asks whether you're sick. This practice asks what optimal looks like for you — and builds toward it. There is a meaningful gap between those two questions.
⸺ THE PHILOSOPHY
“NOT SICK” IS NOT
THE SAME AS OPTIMAL
Standard medicine is reactive — designed to identify and manage disease once it has already surfaced. My approach is fundamentally different. Rather than waiting for problems to appear, I look for performance gaps and early-stage risk, intervening before they become harder to reverse.
Instead of asking whether your biomarkers fall within a normal range, I ask what optimal looks like for you specifically — and build toward that. This means cultivating genuine biological reserves across your cardiovascular, metabolic, physical, psychological, and cognitive systems, so that your mind and body can meet the demands of your life rather than quietly limiting them.
The goal is not simply to avoid illness. It is to build a foundation of health that is resilient, adaptable, and capable of supporting your highest level of performance — for the decades ahead.
“The conventional medical system is not designed for optimization. It's designed for disease management. And there's a massive gap between "not sick" and "performing at your peak."
— DR. RICH STAGLIANO
⸺ THE FRAMEWORK
SIX DOMAINS.
ONE INTEGRATED STRATEGY.
Longevity is not a single metric — it is the sum of how well each biological system supports the others. My approach addresses all six, simultaneously and in coordination.
01
CARDIOVASCULAR
HEALTH
Heart disease is the number one cause of death worldwide — and for most men, it develops silently over decades, often hidden behind "normal" standard lab results. I move beyond the basics. Every patient receives advanced cardiac biomarkers — ApoB and Lp(a) — alongside genetic markers for cardiovascular disease risk. Where your age and risk profile warrant it, I add advanced cardiac imaging including Coronary Artery Calcium Score (CAC) and CT Angiography (CTA). Together, these tools detect early atherosclerosis, inflammation, and preventable cardiovascular risks before they become irreversible. This ensures your cardiovascular system supports your health goals for the decades ahead.
02
METABOLIC
HEALTH
Modern high-stress lifestyles strain your metabolic health long before symptoms appear. Many men are unaware that they are developing or have already developed insulin resistance, which can increase the risk of developing Type 2 diabetes, cardiovascular disease, cancer, cognitive decline and many other chronic health problems. The good news is that despite the risks, it can often be reversed. Advanced bloodwork, continuous glucose monitoring, and DEXA body composition analysis reveal your glucose control, insulin sensitivity, mitochondrial health, liver function, and visceral fat — giving us a precise metabolic picture years before standard testing would detect a problem. From there, we refine nutrition, activity, and recovery to build sustained energy and long-term metabolic resilience.
03
NEUROLOGIC &
COGNITIVE HEALTH
Your cognitive edge is your most valuable professional asset — and neurodegenerative conditions like Alzheimer's and other forms of cognitive decline often develop silently for decades before symptoms appear. I evaluate the inflammatory, metabolic, and vascular drivers of brain health alongside sleep quality, genetic markers, and objective cognitive testing. By detecting early shifts in function, I implement targeted interventions designed to optimize cerebral blood flow and protect the mental performance that drives your professional and personal life.
04
CANCER
PREVENTION
In longevity medicine, the most effective cancer treatment is prevention. I take a proactive, multi-modal approach to defense. This begins with identifying and eliminating carcinogenic exposures in your diet and environment to meaningfully reduce your baseline risk. And since even with a rigorous prevention strategy, not all cancers can be prevented, I also aim for early detection. The earlier cancer is caught, the better the outcomes. Your individual genetics and family history guide a screening strategy that may include diagnostics beyond standard screening — liquid biopsies, advanced imaging, and other emerging tools.
05
EMOTIONAL HEALTH
& WELLBEING
True longevity rings hollow if your physical health outpaces your psychological wellness. I treat mental health as a physiological system — one that demands the same data-driven precision as your heart or metabolism. Beyond routine screenings, I work to optimize the neurochemical foundations of mood, sleep, and stress resilience. This may involve stabilizing circadian rhythms, refining nutritional support for brain health, or addressing the hormonal and inflammatory drivers that quietly undermine cognitive function. The result is a mind that doesn't just keep pace with your body — it thrives alongside it.
06
STRENGTH
& MOBILITY
Some degree of physical decline with age is inevitable. How much, and how fast, is largely within your control. I treat your strength and mobility as vital assets worth building and protecting throughout your life, focusing on the markers most predictive of a long, high-quality life: VO2 max, lean muscle mass, grip strength and postural stability. Whether your aim is high-altitude trekking, competitive sport, or simply moving through the world with ease and confidence, your program is designed around your specific body, history, and goals. The aim is not merely a longer life, but one lived with the physical capacity to do what matters most to you.
⸺ THE DISTINCTION THAT MATTERS
WITHOUT INTERPRETATION
DATA IS NOISE
Most men who pursue advanced testing end up with a stack of lab values and no clear interpretation. We’re here to change that.
Every piece of data this practice generates is interpreted in the context of your full health picture: your health history, your goals, your genetics, and the downstream implications for how you perform and age are translated into action steps you can take now. That's what separates a longevity medicine physician from a lab report. Numbers without clinical context — and a physician who understands how they interact and what to do about them — don't drive meaningful change.
Whether you're starting with a one-time assessment or a year-long partnership, the starting point is always the same: build a precise picture of where you stand, and let that picture drive every decision that follows.
“The wellness industry has made it easy to order your own labs, your own genetic tests, and more. What it can't give you is a physician who knows how to connect the dots — and tell you what to actually do about what they find."
— DR. RICH STAGLIANO
⸺ 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