Longevity Medicine, Built In
Don’t just get seen.Get measurably better.
Measure your biology, fix what’s actually off, and prove it moved. The same method runs through every tier of my practice, whether I am your doctor or you keep the one you have. Never a scan package.
Start here
Aging isn’t one event.It’s a sequence.
Understand this one chain and the rest of the page explains itself. It runs in a single direction, and it runs for years before anyone gives it a name.
Step one · Metabolism
We work hereMetabolism
Hormones drift, nutrients deplete, inflammation smolders. You feel it as fatigue, fog, and weight that will not move. Nothing has a name yet, and a standard panel still reads normal. This is why I use metabolomics.
Step two · Damage
Damage
The drift does structural work: arteries stiffen, muscle and bone thin, mitochondria fall behind, cells stop clearing what they should. Still no diagnosis, and still nothing on a standard panel.
Step three · Pathology
Medicine arrivesPathology
Now it has a name and a billing code: insulin resistance, then diabetes. Plaque, then a heart attack. This is where the rest of the system begins, and where it does its best work.
I’d rather meet you at step one. So the work is simple to state: measure the metabolism, correct what the data shows, and build the nine habits underneath it.
Metabolomics is how we see step one directly. Precision supplementation is how we correct it, dosed from your results, not from a catalogue.
The lever
Why metabolism is the thing to fix.
Almost everything you actually feel runs through your metabolism. Your energy through the afternoon. Whether your head is clear. How much muscle you hold onto. How inflamed you are. How fast you are aging, in the sense that matters.
It is also one of the few things in your biology that is both measurable and movable. That combination is rare, and it is why metabolism is the sanest place to put your effort if the goal is more healthy years.
So metabolomics is my core tool. It reads the small molecules your cells produce as they make and use energy, which is as close to a live readout of how your biology is running as we can currently get. We take a baseline, work the plan, and read it again. The trend is the proof.
Side by side
Where this practice fits.
People ask how I differ from their primary care doctor, from the functional medicine clinic they tried, and from the longevity clinics opening everywhere. Eight dimensions, answered honestly, including where the others are better.
The question it asks
- Conventional
- Are you sick?
- Functional
- What is the root cause of your disease?
- This practice
- How well is your biology functioning?
What it measures
- Conventional
- Standard panels when symptoms or family history warrant. CBC, basic metabolic, lipid panel, TSH.
- Functional
- Expanded panels including hormones, gut, food sensitivities, sometimes mold and heavy metals.
- This practice
- Metabolomics, advanced blood, full hormone panels, gut panel, objective fitness data (DEXA, CPET, CGM).
What it compares to
- Conventional
- Disease cutoffs derived from the broader population.
- Functional
- Reference ranges plus practitioner intuition. Variable across providers.
- This practice
- Optimal ranges derived from healthy 21- to 30-year-olds, not the average of a population that is overweight and inflamed.
When it intervenes
- Conventional
- After a diagnosis crosses the threshold. Often years after the system started drifting.
- Functional
- When symptoms suggest a root-cause pattern. Earlier than conventional, later than optimal.
- This practice
- While you still feel well. Catches drift years before it becomes disease.
Intervention hierarchy
- Conventional
- Pharmaceuticals first. Surgery and procedures second. Lifestyle as an afterthought.
- Functional
- Supplements often first. Diet protocols, sometimes lifestyle. Variable rigor.
- This practice
- Lifestyle first, bioidenticals second, phytoceuticals third, pharmaceuticals as a last resort.
Visit length and depth
- Conventional
- 12 to 15 minutes. Templated by chief complaint. Insurance-driven coding.
- Functional
- Longer initial visit. Variable depth. Often paired with supplement sales.
- This practice
- Long initial visit. Written Precision Health Plan as the deliverable. Direct physician access via async messaging between visits.
Conflict of interest
- Conventional
- Insurance reimbursement drives what is offered.
- Functional
- Practitioner often profits from supplements they recommend.
- This practice
- One published fee. Labs at vendor cost, no markup. No supplement margin.
Best for
- Conventional
- Acute illness, established disease, life-threatening conditions. Essential.
- Functional
- Chronic, multisymptom patients seeking a broader diagnostic frame.
- This practice
- Active adults who want to feel and perform at their best, optimize healthspan, and catch trouble before it becomes disease.
The foundation
Most of what works,I can’t sell you.
Supplements sit on top of something, and this is the something: nine habits from Dr. Ted Achacoso, who founded Health Optimization Medicine and whose framework I’m certified in.
Sleep
well
Eat
well
Hydrate
well
Move
well
Sun
well
Ground
well
Relate
well
Love
well
Detox
well
Nine things, and I don’t sell a single one of them. Do these and you have done most of the work available to you.
They’re free, which is why they get skipped over for something you can buy. The metabolism is where they show up as numbers, so the data tells us which of the nine your body is actually struggling with, and by how much.
The rhythm
Testing exists to measure the metabolism.
That’s the whole justification for every draw below. A rhythm, not a catalogue, and every test passes through at what I pay.
Once a year
A large blood panel
Up to 84 biomarkers, drawn at a Quest near you, or at home when I handle the logistics. A second draw later in the year if something needs watching.
Set by your metabolism
Metabolomics
The core tool of the practice, and the reason the plan can change before you feel anything change. Usually a few times a year, and the interval follows what we're tracking and what your metabolism is actually doing, not a calendar.
Once a year, everyone
Gut testing
Where a surprising amount of the nine either works or quietly fails. Sometimes paired with food sensitivity testing, sometimes with deeper microbiome sequencing. This is a fast-moving area and I adjust what I run as the science does.
Yearly, if it fits your goals
DEXA and VO₂ max
Body composition and cardiorespiratory fitness. Worth tracking on a schedule if those are the goals you're working toward, or if your cardiovascular risk is genuinely elevated. Otherwise we skip it, and I'll say so.
Between draws, the plan is rebuilt as the numbers move. That is the whole product.
Honestly, not upsold
Where I'll push back.
Most longevity clinics only make money when you say yes. I’d rather have the real conversation first.
The whole-body MRI
I'm not refusing it. But screening MRIs carry real risks and real cost, and they find things that lead somewhere unpleasant more often than people expect. We have that conversation first. If you still want one after, I'll happily order it.
The supplement cabinet
I dose supplements from your testing. Treating a few things we can actually measure beats taking twenty things on a guess, and costs a great deal less.
Scans on a schedule
DEXA and VO₂ are worth tracking if your goals are body composition or fitness. Cardiovascular screening is worth it if your risk is genuinely elevated. Otherwise it is a subscription to reassurance.
Hormones as the first move
Hormones are part of this work, and I prescribe them. They are just rarely the first thing to fix. Sleep, protein, training and stress come first, because hormones prescribed on top of those problems mostly mask them.
The framework behind all of it
North Carolina’s only fully certified HOMe physician.
Health Optimization Medicine is a clinical framework designed around a definition of health instead of a definition of disease. Certification is awarded by the HOMe-Hope faculty after coursework in clinical metabolomics, mitochondrial function, evolutionary medicine, and the seven biological pillars. As of today I am the only fully certified HOMe physician in the state, and it is a credential you can verify with the certifying body.
Three ways in
The method is the same.The question is how far you want to take it.
Everything on this page runs through all three. What changes between them is not the medicine, it is how much of your biology we measure and how long I stay with it.
Consultation
One visit. Your records read in full before we meet, an unhurried conversation at your kitchen table or on screen, and a written plan you keep.
Longevity Baseline
If you came for the measurement, start here
Two visits with the testing between them: metabolism, hormones, nutrients, and gut, read together. I collect the samples, interpret every result myself, and we sit down with your plan and protocol.
The practice
Ongoing. I am your doctor: house calls when you need one across the Charlotte metro, virtual care anywhere in North Carolina, my direct number, and testing at my actual cost.
The measurement does not require the practice, and the practice does not require you to start deep. Every one of them begins the same way, with a free call, and the consultation fee can be applied toward further work together.
Questions
Common questions.
Keep reading
The longer version, in writing.
Essays
What I write about the biology
Metabolism, mitochondria, the gut, sleep and the rest, written for the person living in the body rather than for a journal.
The Precision Health Report
The research, as it lands
What cleared the bar this week across the seven pillars, with the honest limits named. Written for fellow practitioners, open to anyone.
Healthspan is the goal.Longevity is its echo.
Start with the free plan if you’re still learning. Start with a call if you already know.