You have someone for your money. You have someone for your legal. You have nobody for the thing all of it is for. I'll find out what you actually want out of the next twenty years, tell you the few things that get you there, and then stay with you for a year while you do them. Fifty-two weeks. Fifty-two check-ins.
Ten-minute application. It's the only way to book a call, and it's free.
Something pulled. Or the weight came back. Or something that used to take a week took two months and is still there.
So you rested it, or you started again on Monday. That has worked your entire life. This time 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.
A good financial strategist doesn't do your bookkeeping. He knows what you're building toward, watches the whole picture, tells you what to do next, and pulls in the specialists when it's time.
That job does not exist in medicine. Your primary care physician has twelve minutes and a screening checklist — that's the system he's in, not a failing of his. The specialists each own one organ. The longevity clinic owns a product menu.
Nobody owns the whole picture, and nobody owns whether any of it actually happens.
I don't run the scans or draw the blood — labs and specialists do that, and I make nothing on either. What I do is know your goals, read everything that comes back, decide what matters and in what order, and hold you to it for a year. Body, mind, heart, and spirit — the whole man, not a panel of organs.
On our first call I'm going to ask what you want your health for — ninety days out, a year out, twenty years out. Most men have never said it out loud. They have detailed goals for their business and none at all for the body they plan to run it with.
You'll leave that conversation with your health goals written down and made specific, whether or not you ever become a member. That part isn't the sales pitch. It's the first thing I'd do with you anyway.
There's rarely a bad appointment or a frightening result. There's just a slow slide that nobody is assigned to interrupt — and it runs on a predictable schedule.
And it's not an information problem. You already know most of what you should be doing. You could recite it. Sunday-you knows exactly what the plan is.
The gap is what Wednesday-you does with it — and no amount of additional research closes that gap. More information has never once been the thing that fixed it.
That gap is the actual specialty here. I'm a psychiatrist. My training is in why people don't do what they intend to do — and in a man who's already succeeding at everything else, that's almost always where this is stuck.
To be precise about the boundary: this is not therapy and it is not psychiatric treatment. It's psychiatric training applied to behavior change. If something surfaces that belongs in treatment, I'll name it and help you find the right person.
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.
None of it is malicious. It's what a business looks like when it's paid per intervention and nobody owns the relationship. Notice that not one of them can ever tell you to do less.
Or the other ending
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.
Keeping it off is a completely different problem, and almost nobody in this industry is selling a solution to it — because the twelve weeks where the number drops is the easy part to sell.
There's an entire industry that will put you on a weight-loss medication in about nine minutes with no physician relationship, no plan for what happens after, and no interest in the reason you eat at 9pm. It works, right up until it stops.
What I'm interested in is the part after. The medication is a tool, and I'll prescribe it where it's warranted and monitor it properly. But we build the exit plan in the first month, not the last, and the habits that have to hold get worked on the whole time — because that's the part that decides where you are in three years.
If you're the third one, you're the man this was built for. You already know you can lose it. You're not looking for another twelve-week program.
Weight is usually the entrance, not the whole job. Once we're in there, we're working on sleep, recovery, labs, and the patterns underneath all three — because those are what the weight was sitting on.
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 check-ins, 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.
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.
For what it's worth: plenty of the men I talk to spend more than this in a year on their kids' club sports. Same money, pointed at whether you're on the sideline for those games in twenty years.
The first ten 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. After the founding ten, the rate goes to at least $20,000 a year, and the founding ten 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 at ten, I know every one of your names without looking.
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.
Two more, and they're the ones that actually decide this: you need a primary care physician — I'm not primary care and I'm not your ER, and I'd rather you have both of us than swap one for the other. And 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're required to keep one. 52 is longevity and performance care — it is not primary care, not urgent care, and not a substitute for either. He handles your screening and your emergencies. I'm the strategist on top, making sure there's actually a strategy. I'll coordinate with him when it makes sense.
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 — what happens 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. Ninety days is thirteen check-ins. Fifty-two is where the number actually moves.
No physician who guarantees a medical outcome should be trusted with one. What I guarantee is the structure: every panel read by me, a check-in every week, a full review every quarter, and the truth about how it's going. The men who use the structure get results.
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 10 at $15,000