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A DNA-methylation test that estimates biological age and your current pace of aging. It is an estimate, and it is most useful repeated over time, as a trend.

Evidence

Across large groups, an older epigenetic age is linked to a higher risk of death; links to specific diseases are less consistent. A single result can vary because of technical noise, and it is not yet an established clinical marker, so read it as a trend. Sources: Fransquet 2019, Higgins-Chen 2022

Worth knowing

Included with Journey membership; available to Foundation members as an optional add-on.

Heart disease builds silently for decades. This assessment looks directly at your coronary arteries. It suits members with a family history, metabolic risk factors, or a wish to act early.

Includes

• Coronary CT angiography (CTA) to measure total plaque and to distinguish stable calcified plaque from the softer plaque linked to heart attacks
• Consultation with a board-certified cardiologist
• A written summary of your risk, with prioritized recommendations

Evidence

In patients with chest pain, care guided by this scan lowered heart attacks in a randomized trial, a benefit that held at ten years. A large trial is now testing it in people without symptoms. Today it gives you a direct look at your plaque, which can sharpen decisions about prevention. Sources: SCOT-HEART 2018, Williams 2025, McDermott 2024

Worth knowing

CTA uses contrast dye and X-ray radiation.

A scan of the major organ systems for suspicious findings, with no contrast dye and no radiation, on a wide-bore 3T MRI for sharp images and a comfortable fit. A lung-screening CT is included, because MRI is limited in the chest.

Evidence

Whole-body MRI can flag tumors and other silent problems before symptoms. Whether that helps healthy adults live longer has not been shown, and about one scan in three shows something that needs a closer look. The lung CT is proven to save lives in people with a heavy smoking history, the group guidelines recommend it for. Sources: Kwee 2019, NLST 2011, USPSTF 2021

Worth knowing

The CT uses X-ray radiation. Dedicated spine imaging is not included.

A blood test that looks for a DNA signal shed by many cancers, including some that have no standard screening test.

Evidence

In a randomized trial of about 142,000 adults, Galleri did not meet its main goal of reducing late-stage cancers, and a survival benefit is not yet shown. What it can do is find cancers that have no screening test: about half of positive results proved to be cancer, and the test usually pointed to the right organ. Sources: Neal 2026, Schrag 2023

Worth knowing

A signal is not a diagnosis, and a clear result does not rule cancer out. Galleri does not measure inherited risk. It is under FDA review and is not yet approved.

One-on-one training on site, in partnership with Strength Solutions. Sessions build strength, mobility, balance, and joint health at any fitness level.

Evidence

Exercise programs built on balance and functional training lower the rate of falls in older adults by about a quarter, in a review of 108 randomized trials. Resistance training builds muscle and strength. Sources: Sherrington 2019, Morton 2018

50-minute sessions

Simple, foundational movement patterns from the Original Strength® system, aimed at better stability, coordination, and control. Well suited to chronic pain, stiffness, or balance concerns, and to a return after injury or time away.

Evidence

This system has little published research of its own, but it rests on a proven idea: exercise therapy eases chronic back pain, and balance training lowers falls. It is gentle and low-risk. Sources: Hayden 2021, Sherrington 2019

A structured look at how you stand, walk, and move, and at the daily demands that shape it. You leave with clear direction: movement retraining, targeted therapy, or nothing at all when nothing is needed.

Evidence

Research has not established that posture causes back pain, so we do not chase an ideal posture. The purpose is practical: to see how you move and point training or therapy in the right direction. Sources: Swain 2020

Chef-prepared meals built for protein adequacy, steady blood sugar, and recovery, in step with your clinical plan. Prepared by Chef Mike Maitrel-Burgard, who trained in France and has cooked for professional athletes.

Evidence

In 49 randomized trials, added protein modestly increased the muscle and strength gained from resistance training, up to about 1.6 grams per kilogram a day. The meals make that target easy to hit. Sources: Morton 2018

A baseline of brain structure, function, and risk, established while there is still time to act on it.

Includes

• Brain MRI with diffusion tensor imaging and measured regional brain volumes
• A standardized cognitive battery (NIH Toolbox)
• Blood markers of nerve-cell injury and Alzheimer’s-related change (NfL, GFAP, p-tau/amyloid-beta ratio), and APOE genotyping with your explicit consent
• Physician review, with results added to your Valincare Dossier

Evidence

These tests set a baseline you can track for years. Whether that prevents or delays decline has not been shown, and Alzheimer’s guidelines endorse the blood markers only for people who already have cognitive impairment. The value is knowing where you stand, so change is caught early. Sources: USPSTF 2020, Palmqvist 2025

Worth knowing

Results guide prevention. They are not a diagnosis.

A physician-led evaluation of whether a hormone problem is present, whether it matters clinically, and whether it should be treated. It includes in-depth hormone testing and a physician consultation. When treatment is indicated, care includes prescriptions and an initial phase of follow-up testing for response, safety, and tolerability.

Evidence

Hormone therapy is the most effective treatment for menopausal symptoms. For men with confirmed low testosterone, a large randomized trial found that replacement did not raise heart attack or stroke risk, though some other risks were higher. Hormones are not recommended to prevent chronic disease, which is why we test before we treat. Sources: Menopause Society 2022, TRAVERSE 2023, USPSTF 2022

90-day program

For members who want a measurable change in body composition on a defined timeline. One plan joins medical oversight, prepared meals, and training, and the result is measured.

Includes

• Physician consultation and ongoing oversight
• 180 chef-prepared, protein-forward meals
• 24 one-on-one training sessions and 90 days of dedicated health coaching
• DEXA body composition scans before and after

Evidence

Programs that combine diet, exercise, and coaching produce meaningful weight loss in adults with obesity in randomized trials, and resistance training with enough protein adds muscle and strength. Keeping weight off takes continued support, so the plan for what follows matters. Sources: USPSTF 2018, Morton 2018

Worth knowing

Medication is not included. A GLP-1 or other prescription, when clinically indicated, is a separate cost. Enrollment is capped.

DEXA scan

Repeat your DEXA before your next visit to see how fat and lean mass have changed, and to adjust nutrition, training, and medication to the numbers.

Evidence

DEXA is the established clinical method for measuring fat and lean mass, and it is highly repeatable: back-to-back scans agreed within about 1% in a precision study. Small shifts can still be noise, so we read the trend. Sources: Shepherd 2017, Hind 2011

90-day program

Sleep regulates heart and metabolic health, thinking, immunity, and recovery. This medical program finds out whether sleep is holding you back, and corrects it when it is. Sleep systems adapt slowly, so we allow 90 days to treat, measure the response, and decide what comes next.

Includes

• Physician review of your sleep history, recovery, and body-clock timing, read alongside your existing Valincare data
• An at-home sleep study, interpreted by a board-certified sleep physician
• A personal plan: body-clock correction, timed melatonin, behavioral treatment, and medication only when clinically justified
• Reassessment near day 90, with a written Sleep & Circadian Assessment Summary

Evidence

Home testing is an accepted way to diagnose sleep apnea in adults whose symptoms point to it, and cognitive behavioral therapy for insomnia carries the sleep academy’s strongest recommendation. Treating sleep apnea relieves symptoms; in ten randomized trials it did not reduce heart attacks or deaths, so we judge success by how you sleep and feel. Sources: Kapur 2017, Edinger 2021, Yu 2017

Worth knowing

Ongoing treatment is not assumed.

90-day program

Three months of physician-led care for sun-damaged or aging skin and for acne scars. Prescription treatment, including tretinoin when appropriate, is paired with monthly microneedling and a regenerative biologic such as platelet-rich plasma (PRP).

Includes

• Physician skin assessment, mapping sun damage, scarring, and inflammation
• Monthly preparation: deep cleansing and barrier support
• Monthly microneedling paired with a regenerative biologic
• Prescription care, including tretinoin when appropriate

Evidence

Proven: tretinoin is the standard prescription for sun-damaged skin, and microneedling improves acne scars in randomized trials; it is FDA-authorized for scars and facial wrinkles. Promising: for aging skin, studies report high satisfaction but are small and measure results in different ways, and the added biologic has less evidence, so expect gradual change that varies by person. Sources: Siddiqui 2024, Shen 2022, Foppiani 2025, FDA, Microneedling Devices

Single session

For members who have completed Skin Renewal. One session to hold your results: a skin review, preparation, and microneedling with a regenerative biologic.

Evidence

The same treatment as Skin Renewal. No fixed maintenance schedule has been established, so your physician sets the interval by how your skin is holding up. Sources: Foppiani 2025

Worth knowing

Booked as needed, typically every four months, with no standing commitment.

90-day program

A structured start for early hair thinning. Prescription therapy is combined with three PRP scalp treatments, 30 days apart, to slow progression and support regrowth.

Includes

• Physician candidacy review with dermatoscopic scalp mapping, standardized photographs, and lab review
• Oral and topical prescriptions, tailored to you
• Three PRP scalp treatments over 90 days

Evidence

Proven: the FDA-approved medicines for hair loss outperform placebo in randomized trials. Promising: in six small randomized trials, adding PRP to minoxidil increased hair density more than either alone. Sources: Adil 2017, Xiao 2024

Worth knowing

Visible change usually appears between three and six months. Ongoing treatment is not assumed.

Six-month program

Our most complete non-surgical program, for active thinning or moderate hair loss. Treatments are sequenced over 180 days and timed to the hair growth cycle, so their effects can build.

Includes

• Monthly procedures, alternating PRP scalp injections with microneedling and a physician-selected regenerative biologic
• Scalp cleansing and preparation before every procedure
• An at-home light-therapy device for daily use between visits
• Prescriptions when appropriate, with serial dermatoscopic monitoring

Evidence

Proven: the FDA-approved medicines for hair loss. Promising: PRP and light therapy have each improved hair growth in randomized trials. The full sequence, with microneedling and the added biologic, has not been tested as a whole, so we track your response with serial scalp imaging. Sources: Adil 2017, Xiao 2024

Worth knowing

Ongoing treatment is not assumed.

A private recovery space within the clinic: a sauna with both traditional Finnish heat and red-light infrared, a cold plunge, and a shower to finish. Yours on every visit. Reserve it when you book.

Evidence

In a 20-year Finnish study of 2,315 men, frequent sauna use was linked to fewer deaths from heart disease; an association, not yet proof. Cold-water immersion eased soreness after hard exercise in small randomized trials. The tag rests on the sauna and cold-water research. Sources: Laukkanen 2015, Bleakley 2012

Worth knowing

Complimentary for members on every visit.

90-minute visit

For the days your body is depleted: after long travel, a migraine, a viral illness, dehydration, or lost sleep. Because we know your medical history and your labs, we can treat you safely and specifically.

Includes

• IV fluids and electrolytes
• IV medications and adjuncts, selected by your physician for your symptoms
• A focused 30-minute massage, and time in the Restoration Suite

Evidence

Proven for two uses: IV fluids correct dehydration, which matters most when you cannot keep fluids down, and specific IV medicines relieve migraine. For travel fatigue and lost sleep, the benefit over rest and oral fluids is unknown, and your physician will tell you when it is worth doing. Sources: Shane 2017, Orr 2016

Worth knowing

Intended for occasional use, not as ongoing therapy.

50 or 80 minutes

Manual therapy for mobility, pain, and recovery, from a licensed clinician with advanced training in soft-tissue techniques. Each session is tailored to you and may draw on sports massage and deep-tissue work.

Evidence

In randomized trials, massage eased low-back pain in the short term. The evidence is rated low quality and long-term benefit is uncertain, so we use it as one part of a recovery plan. Sources: Furlan 2015

How you breathe affects exercise tolerance, sleep, and recovery. We assess your breathing mechanics, rhythm, and tolerance, then teach targeted techniques you can use every day.

Evidence

In a meta-analysis of twelve randomized trials, breathing practice lowered stress. The trials were small and of mixed quality; the practice is low-risk, free once learned, and yours to keep. Sources: Fincham 2023

Rapamycin is a prescription medicine, an mTOR inhibitor, now being studied for its effect on the biology of aging. This protocol is a careful evaluation of whether it belongs in your plan: a full consultation, a review of your clinical and laboratory data, and a frank discussion of possible benefits, known risks, and the limits of the evidence. If you begin, care may include the prescription and monitoring labs, including rapamycin levels when indicated.

Evidence

Rapamycin extended lifespan in mice at three independent test sites. In a one-year randomized trial in healthy adults, low weekly doses were about as safe as placebo; the trial’s main measure did not change, and some secondary measures improved in women. Whether it slows aging in people is not yet known, which is why this protocol begins with a careful evaluation. Sources: Harrison 2009, PEARL 2025

Worth knowing

Use for longevity is investigational and off-label. Therapy is never assumed, and it proceeds only under ongoing physician supervision.

Senolytics aim to clear senescent cells: dysfunctional cells that build up with age and contribute to chronic inflammation and tissue decline. Therapy is one brief, defined cycle with structured testing before and after, offered selectively and only after a detailed consultation. For most people a single cycle is considered sufficient.

Evidence

In animal studies, senolytics clear aged cells and delay age-related disease. Human research is early: a small study showed the drugs can reduce these cells, while a randomized trial in 60 women did not change its main measure. This is an area to explore with care, with testing before and after. Sources: Farr 2024, Hickson 2019

Worth knowing

The uncertainty and the risks are real. The aim is insight without harm, and no benefit is an acceptable and expected result. This protocol is optional and is not required for effective longevity care.