Add healthy years, not just years.
A 12-month physician-led longevity protocol for adults serious about their next thirty. We measure what matters — biological age, cardiometabolic risk, hormones, body composition, fitness — and we build the protocol around your numbers, not around a brochure.
"We don't sell youth. We extend capacity — for the next thirty years of your actual life."
The longevity industry has a math problem. It promises decades added to lifespan and sells it through 100-biomarker panels generated by software, infrared saunas, and packages priced like luxury cars.
Most of it doesn't move the needle on what actually matters: healthspan — the years you spend strong, sharp, and free of the diseases that take everyone else down in their sixties.
This protocol is built differently. We measure the things the data actually says predict how long and how well you'll live: biological age, ApoB and Lp(a), VO2max, body composition, hormones, and inflammation. Then we intervene where the numbers say to intervene — not where the marketing says to.
It is a serious, year-long commitment. That's the only kind that works.
Four numbers that predict the next thirty years.
If a longevity program isn't measuring these, it isn't a longevity program. It's a wellness package.
Biological age
Your chronological age is fixed. Your biological age — how fast your cells are actually aging — isn't. We use TruDiagnostic TruAge PACE to measure your rate of aging and track it over time.
The headline number patients want, with the science to defend it.
ApoB, Lp(a), hs-CRP
Standard cholesterol panels miss roughly half of what predicts heart attack and stroke. ApoB counts every atherogenic particle. Lp(a) is genetic and tested once for life. hs-CRP measures the inflammation behind the plaque.
These are the labs cardiology now considers minimum standard. Most primary care still doesn't order them.
VO2max
VO2max is the single strongest predictor of all-cause mortality we have. Doubling VO2max moves your risk-of-dying-this-decade by more than almost any drug.
We don't run a treadmill in our office. We refer to the best exercise physiology lab in San Antonio, integrate the result, and write a cardio prescription against your baseline.
CAC + DEXA
A coronary artery calcium (CAC) score is a non-invasive 10-minute scan that tells you whether plaque is already there — long before a stress test would catch it. DEXA tells us your true body composition: lean mass, visceral fat, bone density.
Both are imaging-center referrals. We order and integrate every result against your full clinical picture.
A year-long protocol, not a single appointment.
Real change in biological age, lipids, hormones, and body composition takes quarters — not weeks. Here's how the year is structured.
Measure.
Comprehensive baseline. Every number on the table.
- 60+ biomarker workup, drawn in-clinic
- TruAge PACE biological age test
- Hormone panel — full sex, thyroid, adrenal
- VO2max, CAC, DEXA referrals as indicated
- 90-min strategy session — your numbers, your plan
Build.
Protocols start. Adjustments are weekly, not annual.
- Hormone optimization initiated where indicated
- Metabolic and lipid protocol against your ApoB
- Targeted peptide therapy when clinically appropriate
- Cardio prescription written against your VO2max
- Direct physician access — text, not portal tickets
Refine.
Mid-year recheck. We adjust against measured response.
- Quarterly biomarker repeat — what's moving, what isn't
- Hormone titration based on response, not protocol defaults
- Body composition recheck
- Compliance and behavior review — honest, not performative
Reassess.
Twelve-month re-baseline. Did the year move the needle?
- Full biomarker re-draw, side-by-side with year zero
- TruAge PACE retest — did the rate of aging slow?
- VO2max retest at partner lab
- Year-two protocol set — same patient, sharper instrument
Six modalities, ordered by what your numbers require.
No package upsells. Every intervention is justified by a measurement and reviewed at every quarter.
Hormone optimization
Sex hormones, thyroid, adrenal axis. The single highest-leverage intervention for energy, body composition, and cognition through your forties, fifties, and beyond.
Hormone services Modality 02Metabolic & weight
GLP-1s when indicated, but built around a real metabolic workup — insulin, ApoB, visceral fat, muscle mass. The point is composition, not just the scale.
Metabolic services Modality 03Cardiometabolic protocol
ApoB and Lp(a) targeting, inflammation reduction, blood pressure work. The labs cardiology now considers minimum standard — done in-clinic, reviewed by a physician.
Functional medicine Modality 04 · Deep diveTargeted peptide therapy
Peptides used when the data supports them — not because they're trending. We use them for recovery, repair, growth-hormone axis support, and select longevity targets.
See peptide protocols Modality 05Cognition & sleep
Sleep architecture, cognitive performance, and stress-axis work. The most under-treated levers in longevity care, because they don't sell as a package.
Functional services Modality 06Recovery & resilience
Targeted IV therapy, micronutrient repletion, and recovery support — used as adjuncts to protocol, not as the protocol itself.
IV therapyThis protocol is built for some people. Not everyone.
Reading this carefully will save us both a Discovery Call.
This is for you if
- You're 35–65 and want the next thirty years to be your best ones
- You've done the basics — diet, sleep, training — and want a physician who'll actually read the numbers
- You're prepared to commit to a 12-month protocol with quarterly retesting
- You want a single physician who knows your full picture, not a portal of coaches
- You want pricing transparency, including pass-through costs for partner referrals
This is not for you if
- You're looking for a single appointment or a one-time test result
- You want a 100+ biomarker dashboard with no physician interpretation
- You're price-shopping concierge longevity programs against each other
- You want results in weeks — biological age, hormones, and lipids work in quarters
- You'd rather have an AI plan than a real physician relationship
A real longevity protocol at a real longevity price.
Transparent. Capped. Limited by design.
Included in the protocol
- 60+ biomarker comprehensive panel, quarterly
- TruDiagnostic TruAge PACE — annual
- Full hormone panel (sex, thyroid, adrenal)
- ApoB, Lp(a), hs-CRP — quarterly
- 90-minute baseline strategy session
- Direct physician access — text, not portal tickets
- Quarterly review & protocol adjustment
- Year-end re-baseline + year-two protocol
Pass-through costs (paid directly to the lab — we don't mark up)
No one else publishes this. We do.
"I order what we'll act on — not what looks impressive on a printout. A year is the minimum honest timeline for hormonal, metabolic, and biological-age work. Anyone promising you faster is either lucky or lying."
Questions worth asking.
Why is this $799/month when other longevity programs charge less?
Because most of them aren't longevity programs. They're lab-result dashboards with a coach attached. This protocol includes a triple board-certified physician, quarterly comprehensive labs, hormone optimization, peptide therapy when indicated, biological age testing, and direct physician access — for twelve months. You're not paying for a panel of tests. You're paying for a year of the physician relationship most people no longer have.
Why is the panel capped at 20 patients?
Because real longevity work requires depth. A 90-minute strategy session, quarterly retesting, hormone titration, and direct text access can't be done at scale. Concierge cardiologists run panels of 100+ and that's why their patients still wait two weeks for a call back. We cap at 20 so we can actually do the work.
What if I already have a primary care doctor?
You should keep them. We don't replace primary care — we run alongside it. We share results with your PCP at your direction and stay in our lane on acute medical issues. The longevity protocol is additive: it does work most primary care isn't structured to do.
Why do I have to pay the imaging center directly?
Because we refuse to mark up partner services. CAC, VO2max, and DEXA are best done at the centers that specialize in them. We order, integrate, and re-test against your full picture — but you pay the lab directly so the price is transparent and you keep your records portable. Read more on the philosophy here.
Will I lose weight, look younger, sleep better?
Most patients do — measurably, with quarterly evidence. But this isn't an aesthetics program. It's a longevity protocol. The point is to extend the years you spend strong, sharp, and free of cardiometabolic disease. The aesthetics tend to follow the metabolics. If aesthetics is your primary goal, the Wellness Studio is the better fit.
How is peptide therapy used in the protocol?
Carefully. Peptides are tools, not headlines. We use them where the data supports them — for recovery, repair, growth-hormone axis support, and select longevity targets — and we don't use them where they're cosmetic or unproven. The full peptide protocol breakdown is here.
What happens after the first 12 months?
Year two is sharper. We've measured your response to a year of protocol, we know what moved your numbers and what didn't, and we tighten. Most patients continue at the standard membership rate — no second initiation fee. The relationship gets more valuable with time, not less.
If your next thirty years matter, this is the year to start.
Discovery Call is complimentary. Onboarding is by application only. The panel is capped at 20.
Apply for Discovery Call