The executive physical,
rebuilt from the evidence up.

A Cochrane review of more than 250,000 participants found that conventional health checks do not reduce mortality. The typical executive physical inherits the same weakness at a higher price: a long day of testing, a thick folder of results, and false reassurance. The problem was never the number of tests. It is what gets measured — and whether anyone converts the findings into a plan.

VO₂ Max by Cardiopulmonary Exercise Testing

Cardiorespiratory fitness is among the strongest predictors of all-cause mortality in the medical literature. We measure it directly, breath by breath, on a research-grade COSMED Quark cardiopulmonary exercise system — the class of instrument used in exercise-physiology laboratories — not an estimate from a questionnaire or a treadmill formula.

Coronary Calcium Score

A low-dose CT that counts calcified plaque in the coronary arteries. In the largest head-to-head comparison of risk markers, it outperformed every other test at reclassifying who is actually at risk — and a score of zero carries real reassurance. A cholesterol panel estimates your risk; this looks at the arteries.

Resting Energy Expenditure

Your metabolic rate, measured by indirect calorimetry on the same research-grade system rather than estimated from a population formula. It is the number every nutrition and body-composition plan should begin from, and almost none do.

DEXA Body Composition

Visceral fat, lean mass, and bone density on a clinical-grade GE Lunar densitometer — quantified, not eyeballed. The anatomy moves before the lab markers do.

Continuous Glucose Monitoring

Two weeks of real-world glucose data — how your body actually responds to your meals, sleep, and stress. Metabolic dysfunction appears here years before a fasting glucose flags it. The sensor goes on at your pre-visit blood draw, so the full two weeks are in hand for your debrief; if your assessment begins the day you arrive, the glucose review follows by video once the sensor comes off.

80+ Biomarkers

A standard physical draws a metabolic panel and a cholesterol screen. We evaluate more than eighty biomarkers and read them as a pattern, not a list of out-of-range flags. Advanced lipids, including ApoB and Lp(a), are part of it — as they should be anywhere by now.

Physician Interpretation

Every result is synthesized by Kendrick Lopez, MD — Diplomate of the American Board of Internal Medicine — into your Valincare Dossier and your Valincare Age, then walked through with you in a dedicated debrief. The output is a plan, not a folder.

You arrive at 8:30 a.m. The morning moves through intake and vitals, a blood draw, a physical exam with your physician, resting energy expenditure by indirect calorimetry, DEXA, EKG and spirometry, and VO₂ max testing on research-grade CPET. Lunch is served. A strength and mobility assessment closes the morning, and you are done by about 1:00 p.m. For members in the San Antonio area, labs can be drawn at your home or office two weeks in advance — making the debrief possible the same day, and the entire engagement a single visit.

Other practices would invent one. We already built the right assessment and called it Foundation — $3,800, published, no insurance games, supplements at cost with zero markup. If what you want after the baseline is ongoing physician management, that is Journey. The comparison is on our Pathways page, line by line.