Tier 3 — Executive Longevity Concierge

Your Private
Longevity Physician

A twelve-month partnership built around the most comprehensive diagnostic picture modern medicine can produce — managed monthly, adjusted continuously, and limited by design.

$999/ month
12-month program Limited capacity HSA / FSA accepted

This program is built for
a specific person.

Someone who approaches their biology the way they approach their business. With rigor. With data. With a long time horizon and an unwillingness to accept average outcomes.

Over twelve months, we will map your biology more completely than it has ever been mapped — your risks, your hormones, your metabolism, your cardiovascular health, your gut function, your biological age — simultaneously, systematically, and continuously.

Not sure yet? Start with Mend Access and let the results make the decision for you.

Elite Diagnostics Calendar

Included. Sequenced. Interpreted.

Your diagnostics are planned across the year so each result informs the next. Every major finding includes a written clinician interpretation and specific protocol adjustments.

Comprehensive Labs

Full cardiometabolic panel, hormones, inflammatory markers, advanced thyroid, nutrient status, and track-specific markers. Ordered at baseline, monitored throughout the year, interpreted at every cycle.

Continuous Glucose Monitor

A 2–4 week CGM block mapping your real-world metabolic response to food, exercise, stress, and sleep. Standard labs tell you where you are. CGM tells you how you got there.

Learn about CGM

DUTCH Cortisol & Hormone Metabolites

Measures how your body produces, uses, and metabolizes hormones across an entire day — cortisol patterns, estrogen metabolism pathways, androgen metabolites, and melatonin.

Learn about DUTCH Testing

Stool & GI Testing

Microbiome diversity, pathogenic organisms, digestive enzymes, intestinal permeability, and GI inflammatory markers. If your gut isn't optimized, your protocol has a ceiling.

Learn about Stool Analysis

Organic Acid Testing

Mitochondrial energy production, neurotransmitter metabolism, B-vitamin status, oxidative stress, and detoxification capacity. Answers questions standard blood work doesn't reach.

Learn about OAT

DNA & Genetic Testing

A one-time investment that informs your protocol permanently. Methylation variants, cardiovascular risk, hormone metabolism genetics, nutrient utilization, and detoxification capacity.

Learn about Genomics

TruAge Epigenetic Age

DNA methylation analysis — the gold standard in epigenetic aging science — measuring how old your cells actually are. Gives us a concrete, retestable baseline.

Explore Advanced Diagnostics

DEXA Body Composition

Lean muscle mass by region, fat mass by region, visceral fat volume, and bone mineral density. For members on TRT, GLP-1s, or body composition protocols, DEXA is the only way to know what's actually changing.

Learn about DEXA

Imaging & Screening Coordination

Cardiovascular

CT Coronary Calcium Score

The single most predictive non-invasive test for cardiovascular event risk. Ordered proactively, when clinically appropriate.

Coordinated through local imaging. Fees pass-through at cost.

Cardiovascular

Carotid Intima-Media Thickness (CIMT)

Ultrasound-based measurement of arterial wall thickness — a direct, non-invasive window into subclinical atherosclerosis.

Coordinated through local imaging. Fees pass-through at cost.

Cardiovascular — Advanced Option

CT Coronary Angiogram (CTA)

When your risk profile warrants deeper imaging, a CT angiogram visualizes the coronary arteries directly — identifying soft plaque, stenosis, and vessel anatomy.

Coordinated through local imaging. Fees pass-through at cost.

Cancer Prevention

Personalized Screening Strategy

A proactive cancer screening plan built around your age, sex, family history, genetic findings, and individual risk factors.

Coordinated through partner facilities. Fees pass-through at cost.

Your Concierge Care Model

Built for Depth, Not Volume

Monthly visits, priority access, and a clinician who knows your physiology better than most providers know their own patients.

Monthly 45-Minute Optimization Visits

Twelve visits per year — each a dedicated 45-minute session focused on your protocol, your data, and your next adjustments. By month six, your clinician knows your physiology in a way that takes most providers years to develop.

Priority Scheduling — 24 Hours

When you need an appointment, you get one within 24 business hours. Elite members have reserved capacity. Your time is not something we treat casually.

Direct Messaging — Accelerated Response

Your messages are prioritized. Protocol questions, medication questions, lab questions — answered faster because at this level of clinical complexity, timing matters. Your actual provider, not a triage team.

Wearable Integration — Monthly Review

Sleep architecture, HRV, recovery scores, activity data, and weight trends — pulled together with your labs every month. The difference between owning a wearable and actually using one.

Annual Longevity Deep Dive

A comprehensive 90-minute review of your entire year — every lab trend, every protocol adjustment, every metric. From that review, we build your next year's protocol from the ground up.

Everything in Mend Access

All five clinical programs — Men's Hormones, Women's Hormones, Medical Weight Loss, Peptide Therapy, Longevity Foundations — plus 24-hour messaging, clinician-interpreted labs, supplements, and advanced diagnostic access. All elevated to concierge level.

Full Mend Access Foundation

Everything in the Mend Access tier comes standard with Elite — elevated to concierge delivery.

  • All five clinical protocol tracks — combinable
  • Direct clinician messaging — 24-hour response
  • Labs at wholesale cost with clinician interpretation
  • 20% supplement savings
  • Member pricing on advanced diagnostics
  • Optional wearable data integration

The 12-Month Arc

Why the Commitment Matters

Hormones reach full effect at 3–6 months. Diagnostics build on each other across the year. Your biological age retest requires a full protocol year. A shorter commitment produces incomplete data.

1

Apply & Onboard

Application review. 60-minute deep-dive onboarding. Baseline diagnostics ordered. Multi-track protocol designed.

2

Months 1–3

Foundation labs, CGM block, and early protocol results. Monthly visits begin building your longitudinal picture.

3

Months 4–9

DUTCH, GI, OAT, and genetic testing sequenced in. Protocol adjustments accelerate as the data compounds.

4

Months 10–12

TruAge retest. DEXA scan. Annual Longevity Deep Dive. Next year's protocol built on 12 months of real data.

Flagstaff
Concierge Benefits

Local Elite members receive included in-person concierge care in the greater Flagstaff area.

In-Home Concierge Visits — Included

When you're acutely ill or recovering, your clinician comes to you. No ER. No urgent care staffed by strangers. Your own provider, in your home.

4 IV Therapy Sessions / Year — Included

Clinician-directed IV therapy as part of your protocol — recovery, immune support, nutritional repletion, or performance preparation.

Preferred Pricing on Additional IV Therapy

Our deepest available discount on additional sessions beyond your four included.

Elite Supplement Savings

Our steepest member pricing on clinician-curated supplement protocols. Every recommendation has a clinical rationale.

Before You Apply

Elite Requires Your Engagement

This program works because the diagnostics, the monthly visits, and the data build on each other. It requires wearing a CGM, collecting samples, scheduling scans, and showing up every month ready to discuss your data.

Not ready? Start with Mend Access

This Program Is Not For

  • Patients who want a passive experience — prescribed something and left alone
  • Patients not ready to make real lifestyle changes alongside their protocol
  • Anyone who wants to cherry-pick diagnostics — the calendar is designed as a system
  • Anyone looking for a shortcut — the diagnostics reveal what needs to change, but the work is yours

FAQ

Common Questions

Mend Elite includes a defined annual diagnostics calendar. Some tests may be substituted based on medical appropriateness, vendor availability, and local access. Imaging and screening fees are pass-through at cost, billed directly by the facility. Medications and therapies are billed separately at wholesale cost and reviewed before prescribing. Peptide availability is subject to current FDA guidelines and compounding pharmacy access. Wearable data is reviewed at scheduled monthly visits and is not continuous monitoring. This membership is not a substitute for emergency services — for urgent or life-threatening situations, call 911. Elite capacity is intentionally limited and enrollment may be closed when full.

Commit to the Year.
The Data Will Tell
the Story.

Apply for Mend Elite. We'll walk through the program, the diagnostics calendar, and the commitment — and determine if this is the right level for your goals.

Board-Certified Clinicians Limited Capacity HSA / FSA Accepted