Frequently Asked Questions

Testing varies by plan but typically includes:

All plans:

• Comprehensive gut permeability assessment and advanced gut microbiome analysis
• Advanced cardiometabolic panel and healthspan biomarkers
• Epigenetic testing (measures how fast you age at cellular level)
• Advanced biological assessment including micronutrient analysis, and food sensitivity testing
• Personalized protocol development

Higher tiers add:

• Biannual Advanced gut microbiome sequencing
• Comprehensive toxicology, heavy metal and forever chemical screening
• Multicancer blood test
• DEXA body composition scan (muscle, fat, bone density)
• VO2 max cardiopulmonary fitness testing
• Whole body MRI screening (advanced disease detection and cancer screening)
• Continuous remote wearable monitoring

All testing is coordinated by our team. Most can be done locally or via at-home collection kits.

We partner exclusively with top-tier, CLIA-certified laboratories and best-in-class imaging centers meeting the highest clinical standards. Advanced diagnostics like whole body MRI scans are interpreted only by board-certified radiologists. You receive the same quality of testing used by leading academic medical centers and longevity clinics, coordinated conveniently near you. We never compromise on diagnostic quality—accurate results are the foundation of effective protocols.

Initial onboarding includes a comprehensive assessment regardless of plan. Subsequent physician review frequency depends on your plan:

• Foundation: Quarterly review with physician (4 per year)
• Precision: Monthly physician review (12 per year)
• Elite: Biweekly / Fortnightly physician review (24-26 per year)

All plans include secure messaging for questions between consultations, with response times ranging from 72 hours to same-day depending on plan

Consultations are conducted via secure video conferencing, accessible from anywhere you have internet. Testing is coordinated locally—we work with national lab networks and imaging centers, so you can complete testing near your home or while traveling. Some tests (epigenetic, gut permeability) use at-home collection kits shipped directly to you. This virtual model is designed for individuals with demanding schedules, multiple residences, or frequent travel. Your location never limits access to care.

We are currently serving clients residing in Pennsylvania. However, multistate expansion is in the process to serve clients with multiple residences. Our next stage of expansion is expected in Florida, and Texas, and can serve clients in these states. If you reside in another state and are interested in working together, please contact us—we evaluate additional state licensing based on client demand. The virtual nature of the practice allows us to serve clients regardless of where they are within licensed states.

Yes — when clinically appropriate. While much of our work focuses on lifestyle, gut health, and targeted supplementation, we also offer access to therapeutic protocols and prescriptions aligned with longevity science (e.g., statins, metformin etc.) when supported by data.

Annual programs start at $18,000 and are customized based on your optimization goals and the depth of diagnostics you choose. During your complimentary discovery call, we'll discuss which tier aligns best with your goals and provide exact pricing. We offer flexible payment options including annual prepayment (with discount), and quarterly billing.

Annual membership fee includes:

• Personalized consultations — frequency depends on your membership tier
• Comprehensive testing as outlined in your plan
• A bespoke protocol, with ongoing adjustments as needed
• Access to supplements and nutraceuticals at a special member discount (for Elite plan: fully inclusive)
• Secure messaging with direct physician access (priority response time varies by plan)
• Coordination of care with other healthcare providers when required
• Annual program review and adjustment to keep you on track

No. This is a direct-pay, concierge-style program not billed through insurance. You pay directly for the annual program fee. This allows us to provide a truly personalized, comprehensive experience without the limitations of conventional care. Many clients use HSA/FSA funds for eligible expenses.

Potentially, yes. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can typically be used for medically necessary services, diagnostic testing, and treatments. Consult your HSA/FSA administrator to confirm eligibility, as rules vary by plan.

Yes. While most of our clients choose the convenience of annual prepayment at a preferential rate that reflects the value of long-term engagement—we also offer flexible billing options with quarterly payment plans to spread the investment across the year while still maintaining full access to your membership benefits.

For households enrolling multiple members, we provide bespoke family packages with tailored pricing and consolidated billing—designed for seamless administrative ease and collective wellness alignment.

In recognition of the dedicated resources scheduled, bespoke planning initiated, and the exclusive capacity reserved, all membership fees are nonrefundable. 
By confirming your membership, you secure your access to a year of fully engaged service — vested exclusively in your wellbeing, uninterrupted by turnover or reassignment.

Getting started is straightforward. Contact us to schedule a complimentary 15–20-minute discovery call, during which we'll discuss your health goals, what you've already tried, and whether the program is the right fit for you. If we both agree to move forward, we'll send you a service agreement and invoice. Once the agreement is signed and payment is received, we'll schedule your comprehensive initial assessment, coordinate all necessary testing, and begin building your personalized protocol. The entire process from initial call to starting your program typically takes 1-2 weeks.

The complimentary 15-20-minute discovery call is an opportunity for both of us to determine if this program is the right fit. We will ask you about:

• Your health optimization goals
• What you've already tried (testing, protocols, providers)
• Your current health status and concerns
• Your timeline and expectations

We will explain how the program works, what tier might be best for you, and answer your questions. There's no pressure—this is about finding the right fit.

Most clients begin within 1-2 weeks of the discovery call, depending on scheduling availability. Given the personalized nature of the program and limited client capacity, there may occasionally be a brief waitlist.

If you're ready to prioritize your longevity, we recommend scheduling a discovery call soon to secure your spot.

Because we intentionally limit our practice to very small number of clients to ensure exceptional, personalized service, there may be a waitlist during high-demand periods. Current availability is discussed during your discovery call.

If there is a waitlist, you'll have the option to join it and will be contacted as soon as a spot opens.

Less than you might think. The program is designed for busy, high-achieving individuals.  Your initial assessment takes 45-60 minutes, with ongoing consultations ranging from 20-40 minutes per session depending on your plan and frequency. Testing (lab visits, scans, and at-home collections) totals just 2-4 hours annually. Protocol implementation is designed to be convenient, flexible, and ongoing, fitting seamlessly into your daily routine. Most clients find the program integrates easily into their busy lives, and the virtual format eliminates any commute to appointments.

The virtual-first model is specifically designed for individuals with complex travel schedules or multiple residences. Consultations can be conducted from anywhere you have secure internet access. Testing can be coordinated in multiple locations through national lab networks and imaging centers. Some at-home test kits can be shipped to wherever you're staying.

Many of our clients split time between multiple states or travel internationally—the program adapts to your lifestyle.

Yes. If appropriate, we coordinate with your primary care physician, specialists, or other healthcare providers to ensure comprehensive care. With your permission, we can share relevant test results, protocols, and recommendations.

Many clients find this coordination valuable—we act as the "Chief Longevity Architect" for your longevity strategy while respecting the roles of your other providers.

Longevity optimization is a long-term process, not a quick fix. Most clients begin seeing measurable improvements (improvement in gut flora, enhanced energy and cognition, improvement in body composition, optimized biomarkers) within 6-12 months; however, healthspan and longevity is a lifelong journey with gradual improvement and optimization along the way.

If you're not progressing as expected, we adjust the protocol based on follow-up testing and your feedback. The beauty of advanced diagnostics is we can see exactly what's working and what needs refinement. We are committed to your success—if something isn't working, we figure out why and adjust course.

Absolutely. Many clients enroll with their spouse or adult children. We offer family packages that cover multiple family members at a reduced per-person rate, with simplified billing. Family enrollment is beneficial because household members often share environmental factors, dietary patterns, and lifestyle habits—optimizing together creates better results for everyone.

After years in traditional gastroenterology, I started noticing a recurrent pattern in my patients. In conventional medicine we only intervene after disease had developed. I realized that by the time someone has metabolic syndrome, autoimmune disease, or cognitive decline, we've missed years of opportunity to intervene.

The research is clear: gut health is central to biological aging. But most longevity programs ignore it, and most gastroenterologists focus only on disease treatment.

I created this practice to bridge that gap—offering proactive, evidence-based gut-focused optimization for individuals who want to extend their healthspan, not just treat disease after it appears.

I deliberately maintain a highly selective practice, working with only a small number of clients at any given time. This allows for exceptional personalization, responsiveness, and careful refinement of every protocol—standards that true longevity optimization demands. My focus is not scale, but delivering meaningful, lasting results for individuals deeply committed to long-term health and performance.