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.

$2,350 · all-inclusive

0

Days of continuous glucose data

0

Minutes reviewing your results, one-on-one

0

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.

Close-up of empty glass test tubes under purple laboratory lighting

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.

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.

Cardiovascular

Coronary artery calcium
(CAC) score

A score of zero and a score of three hundred lead to very different clinical conversations — this measures plaque directly instead of estimating it from cholesterol.

Metabolic

14-day continuous
glucose monitoring

A single fasted blood draw is a snapshot. Fourteen days of continuous data shows the pattern behind it.

Body & performance

VO2 max

Cardiorespiratory fitness is among the most strongly measured correlates of all-cause mortality identified in the published literature.

Source: Kodama S, et al., JAMA, 2009;301(19):2024–2035.

Body & performance

DEXA body composition
and bone density

Muscle mass and bone density are largely set in midlife — this is the one test that shows you the trend while there's still time to act on it.

Molecular

TruAge biological
age test

A trend metric, not a diagnosis — a number to track over time as you and your practitioner adjust your protocol.

Molecular

Genetic testing

Results are reviewed alongside your labs, imaging, and history — they add context rather than standing alone as a diagnosis.

Illustrative values shown.

Snow-capped San Francisco Peaks reflected in a meadow pond near Flagstaff

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

1

Consultation

Your practitioner reviews your history, goals, and risk profile before anything is ordered.

2

Testing

Advanced lab panel, CAC score, DEXA, and VO2 max at partner facilities — plus fourteen days of continuous glucose data from normal daily life.

3

Your review

Ninety minutes, one-on-one. Every result — labs, imaging, biological age, genetics — read together and in context.

4

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

No. The Advanced Physical is a cash-pay service. It is HSA/FSA eligible.

The Longevity Blueprint is MEND's lab-based deep dive — a longevity lab panel plus a 60-minute review and a written plan. The Advanced Physical is a more complete evaluation built on top of that idea: it adds coronary artery calcium imaging, DEXA body composition and bone density, VO2 max fitness testing, biological age testing, genetic testing, and 14-day continuous glucose monitoring, reviewed together in a 90-minute session. If you want the most complete single-visit evaluation MEND offers, this is it; if you want to start with labs and a written plan first, the Blueprint is the lower-commitment starting point.

No — if anything, earlier is better. ApoB, Lp(a), fasting insulin, VO2 max, and body composition are more actionable in your thirties than in your fifties, because there's more time to change your trajectory before a risk becomes a diagnosis. The Advanced Physical isn't age-gated — it's for anyone who wants a complete, current picture of where they stand.

Yes, with some honesty about what that involves. If you're in Phoenix or Tucson, testing happens at a partner or identified facility in your metro area and your results review is conducted by telehealth. If you're in a smaller Arizona community — Prescott, Sedona, Lake Havasu, Payson, and similar — DEXA, VO2 max, and CAC scoring aren't available locally, so you'd travel to Flagstaff, Phoenix, or Tucson for the testing itself.

A CAC scan involves a low dose of ionizing radiation. Candidacy is determined clinically as part of your initial consultation.

Any finding is reviewed with your practitioner and incorporated directly into your written plan and protocol. If a finding needs follow-up beyond what MEND offers, you'll be referred to the appropriate specialist.

No. The Advanced Physical is a standalone, one-time evaluation with no further commitment required.

Timing depends on scheduling at partner imaging facilities and standard lab turnaround times. Your care team will walk you through the expected sequence and timeline when you book.

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.