More Years. More Energy.‍
More of What Matters.

Your primary care doctor is working within a system built for sick-care — managing disease once it appears, in 15-minute appointments, against a panel of thousands of patients. That model has real value for acute illness. It is poorly designed for what you actually need: early detection of cardiovascular, metabolic, neurologic and cancer risk, a clear picture of where your biology stands right now, and a personalized strategy for the next 20 to 40 years.

The difference isn't just the tests we run. It's the standard we're working toward. Primary care asks "Are you sick?" This practice asks "Are you optimized?" — and uses the data to answer that question precisely.

This is a fair question and I'll answer it directly. The interventions we focus on — VO2 max improvement, ApoB reduction, insulin resistance reversal, sleep architecture optimization, muscle mass preservation — are among the most robustly studied areas in medicine. These aren't fringe ideas. They are supported by decades of peer-reviewed research and increasingly adopted by leading academic medical centers.

What is newer is the integration of these interventions into a coherent, proactive clinical strategy rather than treating each in isolation. That is the practice of longevity medicine — and the evidence base for it strengthens every year.

Most services in this practice are not covered by standard insurance plans, as longevity medicine operates outside the conventional sick-care reimbursement model. However, many expenses — including lab work, certain imaging, and physician consultations — may be eligible for reimbursement through a Health Savings Account (HSA) or Flexible Spending Account (FSA). I recommend confirming eligibility with your plan administrator.

The program is specifically engineered around a demanding schedule. Mobile phlebotomy comes to your home or office. At-home diagnostic kits for sleep testing and CGM ship directly to you — setup takes under 10 minutes. All strategy sessions are conducted via telehealth. And wearable integration means your existing devices (Oura, WHOOP, Apple Watch, Garmin) along with the Withings body composition scale and blood pressure monitor I send you feed directly into your health dashboard without additional effort.

The front-loaded investment is in the diagnostic phase — a 90-minute initial consultation and initial diagnostics including mobile lab visit, VO2 max testing, DEXA scan, and online hearing and cognitive screenings. After that, the cadence of appointments is shaped around your data and your schedule, with direct physician access in between.

The men who get the most out of this practice share a few things in common: they are rigorous thinkers who want data, not just opinions; they are willing to act on what the data shows; and they are done treating their health as an afterthought to their career.

If you're looking for a quick fix, a supplement stack, or reassurance that everything is fine — this probably isn't the right fit. If you want to know exactly where you stand biologically and build a precise, evidence-based strategy for the next 30 years, it likely is.

The first step towards becoming a patient is to schedule a free discovery call. On this call, you will have the opportunity to discuss your health and longevity goals with Dr. Rich and decide if becoming a patient is a good fit for you. If you are interested in scheduling, please click here. 

Please note: Dr. Rich is licensed to see patients who reside in California, Colorado, Florida, New York, Oregon or Washington. If you do not live in one of these states, he will not be able to work with you.