Programs and Care

The right starting point depends on what you need now and what kind of relationship you want over time. A person seeking a concentrated review may begin with Executive Health or an executive physical. Someone looking for ongoing prevention, risk reduction, and coordinated follow-up may be better suited to Longevity Medicine or a concierge relationship. A specific concern, such as menopause symptoms or possible testosterone deficiency, still requires a full clinical evaluation rather than a treatment-first pathway.

The consultation process should clarify goals, medical needs, fit, availability, and whether another setting is more appropriate.

These programs may fit executives, business owners, high-responsibility professionals, adults seeking proactive preventive care, and patients who value continuity with a physician. Supporting services may fit women seeking evidence-based menopause or hormone care, men seeking a medically appropriate hormone evaluation, and adults seeking physician-supervised weight and metabolic care.

Executive Health is designed for leaders and other high-responsibility adults who want a deliberate, physician-led assessment.

Explore Executive Health.

An executive physical is a focused evaluation intended to bring history, examination, prevention, and appropriate testing into one coordinated process. Follow-up and continuity are important parts of a responsible program.

See the Executive Physicals page.

Longevity Medicine at Vitruvian Medicine is a long-term medical framework, not an anti-aging promise. It focuses on modifiable risk, preventive care, function, and thoughtful interpretation of health information. Established interventions receive priority. Emerging tests or treatments should be discussed with clear evidence, limitations, cost, and uncertainty.

Explore Longevity Medicine.

Preventive Medicine uses a person's age, history, family history, prior results, exposures, and preferences to guide screening, counseling, vaccination, and risk reduction. A comprehensive approach does not mean ordering every available test. It means choosing interventions likely to provide more benefit than harm.

Learn about Preventive Medicine.

Learn how Diagnostics & Testing are approached.

Hormone symptoms can overlap with sleep problems, medication effects, mental health concerns, metabolic conditions, reproductive transitions, and other medical issues. Evaluation should therefore begin with history, examination, and appropriate testing.

Start with the Hormone Health overview.

Medical Weight Management should address health history, weight trajectory, nutrition, movement, sleep, medications, metabolic risk, and realistic maintenance. Medication may be considered when appropriate, but no medication, compounded product, or outcome is promised.

Explore Medical Weight Management.

Concierge Medicine may provide the time and continuity needed to connect these areas. Membership does not replace emergency care or health insurance.

1. Request a consultation without submitting detailed medical information through a standard form.
2. Confirm the program's scope, availability, costs, and whether it fits the need.
3. Complete intake and provide relevant records through an secure channel.
4. Meet with a physician for evaluation and shared decision-making.
5. Review findings, reasonable options, and limitations.
6. Follow an agreed plan, including monitoring and coordination when needed.

Vitruvian Medicine should use the same clinical standards throughout: physician-led evaluation, evidence proportionate to the claim, clear education, appropriate restraint, informed consent, careful monitoring, and referral when another clinician or setting is better suited to the patient's needs.

No program can guarantee a diagnosis, prevent all disease, reverse aging, extend lifespan, or produce a specific treatment outcome. Tests can create false-positive, false-negative, or incidental findings. Hormone and weight treatments may have contraindications, side effects, interactions, fertility implications, and monitoring needs. Membership does not replace emergency care, insurance, hospitalization, or specialists.

• USPSTF A and B preventive recommendations
• FDA menopause information
• Endocrine Society testosterone guideline resources
• NIDDK choosing a safe and successful weight-loss program

This page is general education. It does not diagnose a condition, recommend a particular test or treatment, or establish a physician-patient relationship. Individual decisions require direct medical evaluation.