The Trajectory

Essay

2 min read

Decline is a diagnosis we stopped questioning.

Fatigue, the creeping weight, another prescription every year — none of it is as inevitable as you've been told.

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Essay

2 min read

Measure what matters.

The annual physical measures what's easy. Your next decade is decided by what it left out.

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Essay

2 min read

The case for a physician quarterback.

You can assemble the best specialists in the city and still have no one calling the plays.

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Essay

2 min read

Real medicine, or longevity theater?

The longevity boom has produced real marvels and a lot of merchandise. A short field guide to telling them apart.

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Essay

3 min read

Why you're exhausted when your labs say you're fine.

Normal bloodwork and no energy isn't a contradiction. It usually means the right numbers were never measured.

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Essay

2 min read

The five numbers that predict your next decade.

A handful of numbers tell you where your health is headed while there's still time to change it. Most of them aren't on your annual physical.

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Essay

2 min read

Is concierge medicine worth it? An honest answer.

Whatever you call it, the honest answer depends on what you're actually buying.

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Essay

3 min read

The executive physical, and the fifty-one weeks after it.

A day of elite testing produces an impressive report. Whether it changes anything depends on what happens the other fifty-one weeks.

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Inside the Practice

6 min read

The first ninety days.

What actually happens between joining and your first re-measurement. Reserved for members.

Reserved for members

Inside the Practice

7 min read

What we test, and why.

The full measurement architecture, instrument by instrument. Reserved for members.

Reserved for members