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Diagnostics

Diagnostics

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Longevity & Wellness Assessment

Understand how your body is functioning today—and what that may mean for how you feel in the years ahead.
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Longevity Roadmap

A single set of lab results tells you where you are. A Longevity Roadmap tells you where you are headed—and what to do about it.
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Hormone Testing

Your hormones do not operate in isolation—they function as an interconnected network, and when one system shifts, others often follow.
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Specialty Testing

When standard lab panels have not provided clear answers, the next step is often a more targeted investigation.
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Lyme Literate Functional Medicine

Lyme disease is one of the most common vector-borne infections in the United States, and its clinical presentation can be complex, variable, and...
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Frequently Asked Questions


The Longevity & Wellness Assessment is a comprehensive evaluation that identifies factors affecting your energy, hormones, metabolism, inflammation, cardiovascular risk, and overall aging trajectory. It includes a detailed health history, physical evaluation, and advanced lab testing tailored to your symptoms and goals. Dr. Kosubevsky and the team then build a personalized Longevity Roadmap that may include IV therapies, hormone optimization, nutrition, supplements, and regenerative care. This suits adults with unexplained fatigue, weight changes, low libido, or brain fog, or anyone seeking proactive healthy aging support.


Most patients start with the Longevity & Wellness Assessment, since it establishes a broad baseline and determines which follow-up testing is worth running. If you have a specific concern already identified, such as suspected hormonal imbalance or a known tick exposure, the provider may go directly to Hormone Testing or Lyme-literate evaluation instead. Specialty Testing is usually added second, once initial results point to gut, toxin, or methylation questions. The consultation determines the sequence so you are not paying for panels that will not change your plan.


A standard physical typically screens for disease using a narrow panel and flags results only when they fall outside a broad reference range. Functional testing casts a wider net, looks at optimal rather than merely normal ranges, and adds markers that routine panels omit, such as fasting insulin, hs-CRP, free hormone levels, and nutrient status. The goal is identifying trends before they become diagnoses. It complements rather than replaces your annual physical and age-appropriate screening such as colonoscopy or mammography.


For most therapies, yes. Hormone replacement requires baseline labs before prescribing, and high-dose vitamin C and methylene blue require G6PD screening for safety. Chelation requires kidney function testing. IV nutrient therapy works better when the formula targets a documented deficiency rather than a guess. Some services, such as most aesthetic therapies and basic nutrient support, do not require lab work first. Your provider will tell you which testing is genuinely required versus optional for your plan.


Hormone testing evaluates thyroid, adrenal, sex, and metabolic hormones using blood, saliva, or dried urine depending on which hormones are involved and whether daily rhythm matters. Specialty testing covers everything else outside standard labs, including gut microbiome analysis, food sensitivity panels, toxin and mold screens, methylation profiles, and expanded cardiovascular markers. Some patients need both, and the two are usually interpreted together, since hormonal symptoms often have gut, nutrient, or inflammatory contributors.


Yes, and bringing them is encouraged. Recent conventional labs often cover part of what the provider needs, which avoids duplicating tests and reduces cost. Bring the actual values and collection dates rather than a summary, since reference ranges and timing both matter for interpretation. The provider will identify what is missing and order only the additional panels needed. If your labs are more than six to twelve months old, some may need repeating.


The initial consultation is $175 and applies toward your first therapy, so it is effectively credited back when you proceed with care. Lab review appointments are $99. Testing itself is quoted separately, since panels are customized to your symptoms rather than sold as one fixed package. If cost is a constraint, the provider can prioritize the highest-yield panels or stage testing across several months.


The initial consultation runs 60 minutes. Labs are ordered afterward, with results typically returning within one to three weeks depending on which panels are run, since specialty and metabolite testing takes longer than conventional blood work. A review visit then presents your findings and personalized plan. Most patients go from first visit to a completed roadmap within two to four weeks. Timelines extend if additional or repeat testing is needed based on initial results.


Functional testing can reveal early risk patterns for metabolic, cardiovascular, hormonal, and inflammatory conditions, often before symptoms are obvious. It is not a substitute for diagnostic workup of an acute or urgent problem, and it does not replace age-appropriate cancer screening or imaging. If results suggest something requiring conventional evaluation, the clinic will say so and can coordinate referral. Anyone with severe, sudden, or worsening symptoms should seek appropriate medical care rather than waiting on functional test results.


No. Some patients want expert interpretation and a clear plan they will implement elsewhere or on their own, and the clinic can provide that. You receive copies of your results and an explanation of what they mean either way. If you do proceed, therapy is typically phased so you can start with the highest-impact changes rather than committing to everything at once. The provider will also tell you which recommendations are foundational versus optional.

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