Flagstaff, Arizona · Statewide by arrangement
The Advanced Physical
Advanced labs, cardiac imaging, body composition, and cardiorespiratory testing — synthesized into one written plan for your next twelve months.
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Days of continuous glucose data
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Minutes reviewing your results, one-on-one
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Months of written, prioritized plan
Why this exists
Most physicals are designed to confirm you're not sick today.
A standard annual panel is built to catch acute disease. It is not built to find the slow, silent changes that determine how the next thirty years go — arterial plaque, insulin resistance, declining cardiorespiratory fitness, bone and muscle loss. Those are measurable long before they are diagnosable. The Advanced Physical is the most complete one-time evaluation MEND offers, synthesized by Shawn into a single written plan.

Why now
The decade that decides how you age is the one before anything shows up.
Arterial plaque, insulin resistance, and bone and muscle loss all build for years before a standard panel flags them.
By the time symptoms appear, the window to change course has already narrowed.
What's included
Four categories, one synthesized plan
Cardiovascular
Direct measurement of arterial plaque and particle-level risk, not just a cholesterol number.
- Coronary artery calcium (CAC) score
- ApoB
- Lp(a)
- Advanced lipid panel
- hs-CRP
- Homocysteine
Metabolic
Where metabolic dysfunction actually starts — years before a fasting glucose test would catch it.
- Fasting insulin
- HbA1c
- 14-day continuous glucose monitoring
- Comprehensive metabolic markers
Body & performance
What your body is made of, and how well it performs under load.
- DEXA body composition scan
- DEXA bone density scan
- VO2 max and cardiorespiratory fitness testing
Molecular
A biological baseline beyond what a standard panel captures.
- TruAge biological age test
- Genetic testing
- MEND's most advanced longevity lab panel
What you leave with
- Initial consultation
- 90-minute results review with Shawn
- Full written report
- 12-month plan
- Complete supplement protocol
What we measure
Six tests.
Each one changes
a decision.
Illustrative values shown.

For Phoenix & Scottsdale
Make a weekend of it.
Many patients drive up from Phoenix and Scottsdale — often to a second home they already own here. Testing spans two days, which leaves room for everything Flagstaff is worth coming for: seven thousand feet of pine forest, dark skies, and Sedona forty minutes south. It's a better setting for a health reset than a metro medical park.
Drive time from Phoenix is roughly two hours and fifteen minutes. MEND schedules your labs, imaging, and functional testing to fit a two-day window, and your 90-minute results review can be done in person or by telehealth once you're back home.
Side by side
Not your standard annual physical
Standard
Advanced Physical
Cardiac imaging
Not typically included
Coronary artery calcium (CAC) score
Particle-based lipid analysis (ApoB, Lp(a))
Not standard
Included
Insulin and metabolic depth
Fasting glucose only
Fasting insulin plus 14-day continuous glucose monitoring
Body composition and bone density
Not included
DEXA scan
Cardiorespiratory fitness
Not tested
VO2 max testing
Continuous glucose data
Not included
14 days
Time spent reviewing results
10–15 minutes
90 minutes, one-on-one
Written 12-month plan
Not included
Included
Supplement protocol
Not included
Complete, personalized
Who this is for
Built for a specific kind of patient
A good fit
- Adults 30 and older who want a complete, current baseline — not just what's covered by a standard panel.
- Anyone with a family history of cardiac or metabolic disease who wants to know their own risk directly, not just infer it.
- People who have been told their labs are “normal” but don't feel like it, and want a more complete picture than a standard panel can give.
- People training seriously who want objective performance data, not just how they feel.
- Anyone approaching or in midlife who wants a plan for the next decade, not just reassurance about the last one.
Not the right starting point
- You have an active, acute problem that needs treatment now.
- You're looking for a single test, not a full evaluation.
- You want a prescription without diagnostics.
If you have an active, acute problem right now, book a same-day visit instead.
The process
How it works
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Consultation
Your practitioner reviews your history, goals, and risk profile before anything is ordered.
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Testing
Advanced lab panel, CAC score, DEXA, and VO2 max at partner facilities — plus fourteen days of continuous glucose data from normal daily life.
33
Your review
Ninety minutes, one-on-one. Every result — labs, imaging, biological age, genetics — read together and in context.
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Your plan
A full written report, a prioritized twelve-month plan, and a complete supplement protocol built around what your results actually show.
Afterward, the plan is yours. Take it to your own physician, or continue with MEND to help execute it.
Where testing happens
Flagstaff-based, with honest options statewide
Flagstaff
Imaging and functional testing occur at established local partner facilities, coordinated by MEND.
Phoenix & Tucson
Testing takes place at a partner or identified facility in your metro area, with your results review conducted by telehealth.
Smaller Arizona communities
In communities like Prescott, Sedona, Lake Havasu, and Payson, DEXA, VO2 max, and CAC scoring aren't available locally — you'd travel to Flagstaff, Phoenix, or Tucson for testing.
Not sure what's available where you live? See the full breakdown of areas we serve.
FAQ
Common questions
Find out where you actually stand.Find out where you actually stand.
Not sure the Advanced Physical is the right starting point? The Longevity Blueprint is the lower-commitment option, or start with a conversation with Shawn.
