The first months are the heaviest lift: records review, a thorough baseline (labs and imaging you obtain through your usual channels), a written plan, and the first wave of optimization. After that, care settles into scheduled follow-up, messaging, and course-corrections as results come in.

We expect reasonable use—the kind of engagement a seriously engaged longevity patient actually needs—not unlimited on-demand time.

• Emergency, hospital, or facility-based care
• Care from other physicians or specialists
• Imaging, laboratory testing, and medications (we order and interpret; you or your insurer pay the vendors)
• Services beyond reasonable and customary use of this membership

We help you get labs and imaging done efficiently—insurance when it is sensible, cash-pay when that is cheaper—but those invoices are not part of the membership fee.

Insurance-driven visits are short because the business model is volume. We removed that constraint so we can manage more of your care in one place—lipids and vessels, kidneys, hormones, metabolism, cognition, and the longevity tools that only make sense after those systems are in order. You are not buying a stack of “anti-aging add-ons.” You are buying a physician who will stay with the case.