Age Management Program Overview
1. Program Philosophy
Midlife health shifts reflect interconnected changes across hormones, metabolism, sleep, vascular function, strength, and stress physiology. Sustainable improvement requires a structured, physician-led, year-long approach. The DESSERT framework guides care: Diet, Exercise, Sleep, Stress, Evaluation of Risk, Restoring Hormones, and Treating Risk Factors.
2. Why a Year-Long Program?
Meaningful physiologic transformation occurs over 12–24 months. Improvements in sleep, metabolic markers, body composition, and emotional resilience require repeated adjustments, behavioural support, and medical oversight. The program is continuous—not a series of isolated visits.
3. What Patients Are Investing In
• Personalized medical oversight across the year
• Advanced biomarker interpretation
• Hormone optimization (if indicated)
• Nutrition and exercise prescriptions
• Sleep and stress strategies
• Coaching-informed follow-up
• Adjustments as physiology changes
4. Program Levels (Summary)
Level 1: Foundational hormone + lifestyle support – $4,890
Level 2: Advanced hormone optimization – $5,650
Level 3: Full DESSERT + metabolic optimization – $5,910
Level 4: Full DESSERT + metabolic + weight management – $7,580
All levels include physician visits (4–6/year), 3–4 lab panels, and personalized care plans.
5. Typical Patient Experiences:
Male, 50, with abdominal weight gain, borderline BP, reduced energy, mild–moderate ED, snoring, high stress, and weekend-only exercise. Interventions included Mediterranean-style nutrition, strength training twice weekly, alcohol reduction, sleep apnea testing, stress modulating breathwork, and metabolic + hormonal evaluation and intervention.
Trajectory:
• 3 months — better sleep, morning energy
• 6–9 months — reduced abdominal fat, better BP, improved erectile function
• 12–24 months — stable vitality, confidence, and cardiometabolic improvement
Patient reflection:
“The changes were subtle but transformative… I’m a stronger, more energized, better version of myself.”
Female, 53, with weight gain, cognitive fog, vasomotor symptoms, disrupted sleep, stress, and early metabolic changes. Interventions included Mediterranean nutrition, bootcamp re-engagement, CBT-I for sleep, breathwork for stress, estradiol + progesterone therapy, and metabolic risk monitoring.
Trajectory:
• 3 months — fewer hot flashes/night sweats, better sleep
• 6 months — improved cognition, glucose normalization
• 12–24 months — improved energy, body composition, and confidence
Patient reflection:
“My menopause was stormy. Hormone therapy and age management changed my life. Today I feel monitored, supported, and able to age beautifully.”
Age Management is not a quick fix—it’s a structured partnership that aligns medical science with your personal goals to create lasting change. If you recognize elements of your own experience in these case studies, or if you’re ready to approach midlife health with clarity, support, and a proven framework, I invite you to take the next step. Schedule a consultation to explore which program level best fits your needs and begin your year of intentional, evidence-based transformation.
Full Male Case Study
Male Case Study: Age 50
Presenting Concerns:
• Borderline blood pressure
• Abdominal weight gain
• Mild–moderate erectile dysfunction
• Snoring (bed partner reports pauses)
• High stress work environment
• Poor diet due to time constraints
• Weekend-only exercise
• Social alcohol use
Family History:
Father (76): hypertension, ischemic heart disease, prostate issues.
Mother (72): obesity, type 2 diabetes.
Lifestyle Summary:
High work demands, late-day fatigue, irregular meals, limited structured exercise, poor sleep continuity, snoring, alcohol several nights/week.
Assessment:
Early metabolic drift: abdominal adiposity, impaired sleep, probable sleep apnea, vascular contributors to ED, diminishing recovery capacity.
Interventions:
• Mediterranean diet focus, 12-hour fast, reduced sodium and alcohol
• Strength training 2x/week, short walks during workdays
• Sleep apnea testing, bedtime routine, alcohol reduction
• Stress management with breathwork and boundaries
• Hormone and metabolic evaluation, targeted supplements
Outcome Trajectory:
3 months—improved sleep, reduced snoring severity
6–9 months—better energy, BP improvement, better erectile function
12–24 months—sustained weight loss, improved labs, improved vitality
Male Patient Quote:
“The changes were subtle but transformative… I am a stronger, more energized, better version of myself.”
Full Female Case Study
Female Case Study: Age 53
Presenting Concerns:
Weight gain, brain fog, hot flashes, night sweats, poor sleep, fatigue, rising BP and glucose, stress, low motivation.
Lifestyle Summary:
Sedentary work, increased alcohol intake, reduced physical activity, disrupted sleep for 5+ years, family stressors.
Assessment:
Menopausal transition with vasomotor symptoms, learned insomnia, increased visceral fat, elevated metabolic risk markers, low motivation due to chronic fatigue and sleep disruption.
Interventions:
• Mediterranean nutrition, reintroduce breakfast, meal prep
• Bootcamp 1–3x/week, lunchtime walks, movement breaks
• CBT-I, consistent bedtime, progesterone HS
• Estradiol patch + progesterone for vasomotor + sleep symptoms
• Stress physiology support with breathwork
• Monitoring of BP, glucose, waist circumference, sleep patterns
Outcome Trajectory:
3 months—improved hot flashes, better sleep
6 months—improved cognition, normalized glucose
6–12 months—body composition improvement, restored motivation
12–24 months—renewed resilience and health confidence
Female Patient Quote:
“My menopause was stormy. HRT and age management changed my life. With careful monitoring, I feel supported and able to age beautifully.”