A physician-led longevity and performance practice based in Seattle, where the practitioner is medical director. Care begins with an in-person day in the Seattle area for baseline diagnostics, covering over a hundred biomarkers, body composition, cardiorespiratory fitness, continuous glucose monitoring, genomics and multi-cancer screening. It then moves to quarterly labs and structured medical reviews, with follow-ups virtual or in person. A women's track is described for perimenopause, menopause and after, with hormone and metabolic diagnostics and ongoing telehealth support, and physicians provide prescriptions and referrals as clinically appropriate.