In short
Longevity medicine here means preventive medicine done properly, with the marketing removed.
- Risk is calculated, using a model validated for you, and it puts you in one of four bands with a defined answer.
- Tests are justified before they are ordered, and the ones that would not change anything are named and left out.
- Direct measurement beats prediction. A coronary calcium score outperformed polygenic risk scores in two large population studies.
Growth hormone, unlicensed peptides, IV infusions, compounded hormones and biological age tests are not offered.
Who This Service Is For
Who is this for?
- People in their 30s to 50s who have never had cardiovascular risk formally calculated. Risk assessment should start at 20, and calculators from 30
- People with a family history of early heart disease, high cholesterol or diabetes, where the age at onset changes the plan
- People already on a longevity protocol who want it audited honestly
- Executives whose constraint is calendar time rather than motivation
- People who train seriously and want risk assessed rather than assumed to be fine
Who is it not for?
Anyone looking for growth hormone, unlicensed peptides, stem cell or IV anti ageing treatment. None of these is prescribed here and no version of the request changes that.
It is also not the right appointment if you have an active symptom. Symptoms are investigated on their own terms first, because a screening framework is the wrong tool for a person who is unwell.
What conditions sit under this pillar?
- Cardiometabolic risk: blood pressure, lipids, glucose, weight and kidney function as one picture
- Silent cardiovascular disease, found by calcium scoring where it will change the decision
- Family history and inherited lipid disorders, including familial hypercholesterolaemia at about 1 in 300 people
- Preventive screening, limited to what has evidence for someone your age
- Feeling older than your years, which has a short list of treatable causes
Treatment Programs Under This Pillar
Why Physician-Led Care Matters
What does physician led change here?
Mostly it changes what does not happen. A commercial longevity model makes money from more testing. A medical one is obliged to say when a test is not worth doing.
Three questions before any test
- Does this condition cause real harm, often enough in someone like you?
- Would finding it early lead to a better outcome than finding it later?
- Is the test good enough that it will not cause more trouble than it prevents?
A test that fails any of these is named and left out, with the reason given.
Risks are given in absolute terms
People understand absolute risk better than relative risk, and they consistently overestimate the benefits of interventions and underestimate the harms. So the numbers are given as events per thousand people, not as percentage reductions.
The uncomfortable evidence is stated
General health checks did not reduce mortality in a meta analysis of 14 randomised trials covering over 180,000 people, although they improved blood pressure, cholesterol and BMI. Saying so is part of the job.
What is declined
- Growth hormone for healthy adults, unlicensed peptides and IV anti ageing infusions
- Compounded hormone mixtures, which ranged from 67.5 to 268 per cent of labelled potency when tested
- Whole body scanning as a routine screen
- Biological age tests and consumer genomic longevity panels
- Repeat calcium scoring to monitor treatment, which adds little to the first result
How the Consultation Works
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1
History first, tests second
Activity, sitting time, sleep, alcohol, smoking, medication, and family history with ages attached. This determines which tests are worth doing, because incidence is low for most conditions in most people.
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2
Risk calculated with the right model
A calculator validated for your population, using its own risk thresholds rather than borrowed ones. A 30 year estimate is added between 30 and 59 when the 10 year figure is low or borderline.
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3
A short justified panel
Each test named with the reason and with what an abnormal result would lead to. A calcium score only where it would change the decision, which usually means borderline or intermediate risk.
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4
Decisions and an interval
A named decision on medication either way, named targets, two or three behaviour changes with numbers, and a review interval matched to your risk rather than to a subscription.
Frequently Asked Questions
The parts with evidence are: cardiovascular risk assessment, cancer screening, activity, smoking cessation and treating the conditions you have. The parts sold as anti ageing, growth hormone, infusions and biological age scores, are not.
No. There is no evidence base for their use in healthy adults for this purpose and there are real risks. This does not change on request.
Not offered as a routine screen. It mostly finds things that were never going to matter, each of which then needs excluding, with the risks that come with that.
It depends on your risk band. Not at low risk, where it rarely reclassifies anyone. Often at borderline risk. Reasonable at intermediate risk if you are hesitant about medication. Generally not if your LDL is already 190 or above.
It is the strongest reassuring result available in preventive cardiology, stronger than a normal CRP, carotid scan, ankle brachial index or family history. It does not apply if you have symptoms.
Every three years under 50 without chronic conditions, yearly from 50. Cardiovascular risk every three to five years if low and yearly at borderline or above. More often is not better.
Yes, and it is a common reason to come. Everything is placed into one of three groups: keep, stop, or no evidence either way and your choice.
Dubai Healthcare City. Consultations are in English and German.
Evidence
Where this information comes from
Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.
This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.