Metabolic longevity

Medical weight loss designed for long-term health, not just the scale.

Physician-led metabolic care that may include GLP-1 medications, body composition testing, labs, muscle preservation, and ongoing optimization.

Medical weight loss designed for long-term health, not just the scale.
By the decade

Why weight loss gets harder over time.

Hormones, muscle mass, insulin sensitivity, and sleep all shift with age. A real metabolic plan accounts for all of them — and protects the lean mass that determines how well you age.
30s

Identify insulin resistance early, before it shows up on a scale.

40s

Body composition shifts. Protecting muscle becomes essential.

50s

Hormones and metabolism move together. Strategy matters more than willpower.

60s+

Maintain function: muscle, mobility, and metabolic resilience.

Who this is for
  • People with significant weight to lose
  • People with metabolic risk
  • People considering GLP-1s
  • People who want physician supervision
  • People who've regained after GLP-1s
What we evaluate
  • Insulin resistance
  • A1C & glucose
  • Lipids
  • Body composition
  • Muscle mass
  • Hormones
  • Inflammation
Our approach
  • Protect muscle
  • Monitor biomarkers
  • Support nutrition
  • Adjust medications when appropriate
  • Build a sustainable maintenance plan
Team-based care

You're not hiring a doctor — you're gaining a team.

Your Personal Longevity Board includes
Physician
Dietitian
Exercise Physiologist
Strength Coach
Care Coordinator

One coordinated team. Weekly notes shared between your physician and coaches. One plan that evolves with your data.

The difference

GLP-1s deserve a better care model.

Most GLP-1 programs ship a medication and disappear. Decades treats GLP-1 care as a metabolic protocol — with labs, body composition tracking, muscle preservation, and a physician who adjusts the plan as your data evolves.

Programs

A long-term partner in your health.

Ongoing care

Decades Membership

$899/month billed annually · $10,788/year

Ongoing physician-led health optimization for people who want a long-term partner in their health.

Optional upgrade

Need primary care access too? Ask about Concierge Longevity during your consultation — a higher-touch option that combines longevity care with personalized primary care support.

Metabolic care that protects the body you're going to need.