My Approach: Evidence-based Longevity Medicine, Personalized to You

Analysis of 100+ biomarkers spanning lipid metabolism, inflammatory markers, metabolic function, hormone levels, organ health, immune function, Omega 3 fatty acid levels, essential minerals, and more — collected at your home or office by a certified mobile phlebotomist.

Not all body fat is created equal — and standard measures like BMI or scale weight tell us remarkably 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 that no other broadly available tool can match.

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 — 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.

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.

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 and 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.

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.

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.

Meaningful health change does not happen in a clinic — it happens in the hours, days, and weeks between appointments. Withings devices bring clinical-grade measurement into your daily environment, shipping directly to you and integrating seamlessly into your personal health dashboard.

Together, they create a continuous stream of objective data across three of the most clinically significant metrics in longevity medicine: weight, body composition, and blood pressure. Tracked over time, these reveal patterns — subtle shifts in fluid balance, changes in body composition, or early trends in cardiovascular load — that a quarterly lab draw would never detect.

This ongoing visibility keeps your program responsive and your progress visible, ensuring that nothing meaningful goes unnoticed between visits.

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.

Most people accumulate more health data than they realize — scattered across devices, apps, and platforms that never communicate with one another. Heads Up Health changes that by consolidating data from your existing wearables into a single, unified health dashboard alongside your lab results, CGM data and Withings scale and blood pressure metrics. 

Whether you wear an Apple Watch, Oura Ring, WHOOP, or Garmin device, your data — spanning sleep, heart rate variability, activity, recovery, and more — is continuously captured, contextualized, and transformed into a coherent longitudinal picture of your health. This allows us to identify patterns, correlations, and emerging trends that no single device or data point could reveal alone, ensuring the data your body generates every day actively informs and refines your program between visits.

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.