Most of this industry sells you more — more tests, more supplements, more things to fix. I'll order the labs that make sense for you, tell you the few things that actually matter, and then stay with you for a year while you do them. Fifty-two weeks. Fifty-two reviews.
Ten-minute application. It's the only way to book a call, and it's free.
Something pulled. Or something that used to take a week took two months and is still there.
So you rested it. That has worked your entire life. You came back, and it went again — or it half-healed and settled into a thing you now work around without mentioning it.
Maybe it wasn't an injury. Maybe it was noticing you're tired in a way sleep doesn't touch, or that the second half of the day belongs to somebody else now. Maybe it's that you're still doing everything right and getting less back for it.
Whatever it was, a year can go by with nobody looking at it. Not because you were careless — because there is no system in your life whose job is to notice.
Nobody actually wants a better testosterone number. They want to get back on the field. They want the trip with their kids to be fun instead of endured. They want to wake up looking forward to the day, do work they care about, and have something left over at 6pm for the people who live in their house.
Health is the entry fee for the life you actually want to be living. That's what this is for. The numbers are how we get there — they are not the point, and any physician who treats them as the point will sell you a great deal of things you don't need.
It starts well. Somebody knows your name, walks you through, explains the equipment. It feels like being taken care of, and that feeling is real — it's the best thing these places do.
Then the labs come back and the answer is a catalogue. A peptide, maybe testosterone, maybe something instead of testosterone. Eight supplements. Fourteen changes to make. It's a lot, and quietly you know you'll do about three of them.
And then you go to book a follow-up, and there isn't a system for it. You have to ask. You have to explain why. That's the moment the feeling of being taken care of ends — right at the point where you raised your hand and said you wanted more.
Or the other ending
Every one of those is a real thing that happened to a real man at a well-reviewed clinic. None of it was malicious. It's just what a business looks like when it's paid per intervention and nobody owns the relationship.
Everyone in this field competes on more. The biomarker count went from fifty to five hundred in about three years. That is a marketing race, not a clinical one, and you are the one who has to carry the resulting to-do list.
I order what your situation actually calls for and skip what it doesn't. You'll understand why each one is there. A bigger panel is easy to sell and mostly gives you more things to worry about.
Not a list. What's going on, ranked by what matters, and what we do first. The order is the part that takes a physician, and it's the part nobody else provides.
You'll always know the single thing you're working on. I'd rather you actually do one change for a year than nod at fourteen and do none — and I'll tell you what to stop, which is usually half the value.
And the plan is built around your goals — not a generic protocol. If what you want is to run again, or to be present at dinner, or to stop dreading Monday, then that is what we're optimizing, and the bloodwork is in service of it.
A short written application — what's going on, what you've already tried, what you want to be doing a year from now. I read it before we speak. If I don't think I can help, I'll tell you, and point you to someone who can.
The right workup for you, read personally by me — not by software, not by a template. A written report in plain language, then sixty to ninety minutes walking through it together. What's going on, what we treat, and in what order.
Twelve months of making it hold. Weekly reviews, scheduled physician time, re-testing what should have moved, and prescribing where it's genuinely warranted.
She's welcome on the intake call, and honestly I'd recommend it. This is a household decision and she'll have reasonable questions — better answered by me directly than relayed second-hand over dinner.
She's also usually the first person to notice whether any of it is working.
Every day you check in on a short list we build together — the few things that actually matter for you, not a standard form everyone gets. A couple of minutes.
Every week you get clear written feedback from a professional, and one thing to focus on. Not a report. Not a dashboard. One thing.
Sometimes that one thing is a change. Just as often it's keep doing exactly what you're doing — which sounds like nothing until you notice that nobody has ever actually confirmed that for you. Most men change course because they had no feedback, not because the course was wrong.
Everyone else in this category checks in quarterly at best, and most don't check in at all once the report is delivered.
A quarter is long enough to lose a year. Three months is plenty of time to drift, get busy, quietly stop, and then feel bad enough about it that you don't want to book the follow-up. Weekly is short enough that drift gets caught while it's still a small correction.
It also means you are never more than six days from someone telling you the truth about how it's actually going.
Then I'll tell you they're clean, and we will not go looking for something to sell you.
This is where the whole industry gets uncomfortable, because a normal result is a commercial problem for a business paid per intervention. So the number at the low end of normal becomes "not optimal for you," and the prescription follows.
Sometimes that reframe is legitimate. Often it is a sales technique with a lab coat on. Telling you that you're fine is a real clinical finding, and it's one you paid me to be willing to say.
And then we keep going, because clean labs don't explain everything.
If the bloodwork is unremarkable and you still aren't recovering, still aren't sleeping, still don't feel like yourself — the answer is upstream. It's load, sleep, recovery, stress physiology, and the patterns underneath those.
That is not a consolation prize. For a lot of men it is the actual diagnosis, and it is the one almost nobody in longevity medicine is equipped to work on.
Almost nothing that determines your health in three years is pharmacology. It's what you do at 9pm, how you sleep, and what you reach for when work goes sideways. And the same patterns that cap your health tend to cap everything else you're reaching for.
None of that is a disorder. It's a pattern — and patterns have reasons, usually good ones that made sense once and have outlived their usefulness.
This is where the psychiatric training stops being a line in a bio and becomes the product. Everyone else in this category sells access and molecules. Finding what's actually in your way takes a clinician trained to do exactly that.
This is not therapy and it is not psychiatric treatment. I'm applying what I know about why people don't do what they intend to do, to a man who is already succeeding and wants more. If something surfaces that belongs in treatment, I'll name it and help you find the right person.
I pulled a hamstring playing Ultimate — a game I love. I rested it, which has worked my whole life. I came back and pulled the other one.
A year later they still aren't right, and the program that's finally helping, I found myself. Somewhere in there I went looking for a physician who would actually take this on. What I found was a very nice facility, a product menu, and no way to book a follow-up.
52 is the thing I wanted and couldn't buy.
You're probably thinking you could figure this out yourself. You might be right — I'm a physician, and I had exactly that thought.
What changed my mind is that the part I couldn't do alone was never the information. It was having someone else in it with me. I pay someone for that, and it has made more difference than any supplement I've ever taken.
No claim is filed, so no diagnosis code enters a payer's file. No prior authorization, no utilization review, nobody outside the room deciding what you're allowed to have.
Your record lives with me. It leaves only if you send it, or a court orders it.
What I won't tell you is that nothing is recorded. A medical record exists, because it must, and it's subpoenable like any other. Life and disability applications ask directly. Any man who's been through underwriting knows that, and I'd rather say it than be caught soft-pedalling it.
for twelve months — paid in full, or in three payments of $5,000.
Laboratory work is billed to you separately, at cost. Medications are billed by the pharmacy. A fixed total price — the installments are a payment convenience, not a monthly charge for monthly service.
The first twenty men hold $15,000 for as long as their enrollment is unbroken, adjusted only by inflation — a term in the agreement you'd sign, not a promise on a call. At member twenty-one the rate goes to $20,000 a year, and the founding twenty stay where they are.
The cap is real and you can verify it. I read every panel personally, write every report personally, and sit in every quarterly review personally. That's a hard ceiling on how many men I can carry, and it's why the number is twenty rather than five hundred.
If $15,000 would strain you, this is the wrong year for it — a perfectly respectable answer. I don't discount, I don't run promotions, and there's no version of this at half the price.
And physically located in California for every appointment, including when you travel. I'm licensed in California, and care has to be delivered while you're in the state.
Any part, including through disability or end-stage renal disease. I'm an enrolled Medicare provider through my psychiatric practice, and the mandatory claim submission rule means I can't take Medicare-enrolled patients into a cash program. It has nothing to do with your ability to pay, and it isn't an age question.
One more, and it's the one that actually decides this: you have to be willing to check in daily. It's the mechanism. Skipping it doesn't make this a cheaper program — it makes it a report in your downloads folder.
No, and you should keep him. 52 is longevity and performance care — it is not primary care, not urgent care, and not a substitute for either. I'll coordinate with your physician when it makes sense, and I'd rather you have both than swap one for the other.
I want to be careful here, because this is exactly the question the industry answers dishonestly. 52 is not a cancer screening program and I won't sell it as one. A thorough workup sometimes surfaces something that needs investigating, and when it does I'll act on it fast — but you should be getting your age-appropriate screening through your primary care physician, and I'll tell you if you're behind on it.
You'll hear back same or next business day, and then you go to the right specialist. Part of what you're paying for is that I know who to send you to, and I make that call rather than handing you a name off a list. If something is outside what I should be managing, I'll say so plainly — that judgment is the job.
Possibly. You'd be starting from a real disadvantage on the labs and the sequencing, but the honest answer is that plenty of disciplined men could assemble most of this. What they can't assemble is someone else being in it with them every week — and in the research that is the variable that separates the men who hold a result from the men who lose it. I'm a physician, and I pay someone for the same reason.
Bring her to the intake call. I'd genuinely recommend it — it's a household decision, she will have fair questions, and they're better answered by me directly than relayed over dinner. If she can't make it, I'll put something in writing for her.
Where it's warranted, yes, dosed and monitored properly. Where it isn't, I'll tell you. There are peptides I won't prescribe at all right now because they can't be legitimately sourced. And if you're on a GLP-1 with nobody managing it, we'll build an exit plan before anything else — the regain when people stop is the whole problem, and it's well documented.
Because at ninety days you have a titration, not a result. Testosterone takes about six months before body composition changes and two years before bone does. Your A1c is a ninety-day average, so at three months I have one number and no trend. Habits take a median of roughly two months to become automatic, and for many men four to eight. A year isn't a bigger package — it's the shortest honest unit of this work.
No insurance, by design. HSA and FSA eligibility depends on your plan and situation — ask your administrator rather than taking my word for it.
Either it's a fit, and we start working together to help you live longer, stronger and happier over the next year — or it isn't, and I'll tell you that plainly and point you at someone better. Both are good outcomes. The application takes about ten minutes, and it's the only way to book a call.
California residents · Men 40+ · Founding 20 at $15,000