Virtual · Physician-Led · Data-Driven

A life lived fully — for longer.

Longevity isn't a number on a chart. It's morning runs, deep sleep, sharp thinking, and the energy to keep doing what you love. We build the medical plan that protects all of it.

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Overview

Longevity optimization at Perpetua is a virtual, physician-led planning program. We combine advanced biomarker interpretation, functional testing results, and longitudinal health data to build a personalized roadmap aimed at extending healthspan — the years you live in good health, not just total lifespan.

Testing is ordered through and performed by qualified third-party laboratories and imaging centers; we review every result with you, translate it into a clear prioritized plan with measurable goals, and revisit progress quarterly via telehealth.

Our Process

How we build your personalized longevity plan.

Comprehensive Data Collection

Advanced testing, wearables, labs, imaging, and history.

Physician Analysis & Insight

We identify root causes and opportunities.

Personalized Plan

Evidence-based interventions and treatment optimization.

Implement & Optimize

We guide, adjust, and track your progress.

Measurable Results

Better markers. More energy. Longer, healthier life.

What's Included

Inside the Longevity Optimization program.

01Comprehensive virtual longevity intake and history review
02Personalized healthspan roadmap with quarterly milestones
03Interpretation of advanced biomarkers (metabolic, inflammatory, cardiovascular, hormonal)
04Targeted nutrition, exercise, sleep, and supplement recommendations
05Ongoing physician oversight, prescribing where clinically appropriate, and protocol refinement

Physician-Guided Strategies

The interventions we evaluate, prescribe, and advise on.

Every strategy is matched to your data, risk profile, and goals. Some we prescribe directly; others we discuss as educational topics or coordinate via referral to trusted specialists.

Cellular Energy

NAD⁺ Optimization

NAD⁺ declines with age, limiting mitochondrial output and sirtuin activity. We evaluate candidacy for NAD⁺ precursor protocols and monitor markers of cellular energy.

mTOR Modulation

Low-Dose Sirolimus

An off-label longevity strategy for carefully selected patients. We discuss the evidence, risks, and monitoring required — never as a first-line intervention.

Mitochondrial Support

Methylene Blue

When clinically appropriate, methylene blue may support electron transport and cognitive performance. Reviewed individually based on labs and goals.

Nutritional Medicine

Precision Supplementation

No generic stacks. Supplements are prescribed against your bloodwork, micronutrient status, ApoB, omega-3 index, and symptom profile.

Performance

Exercise & VO₂ Max

VO₂ max is one of the strongest predictors of all-cause mortality. We build zone-based aerobic and resistance plans calibrated to your physiology.

Metabolic Health

Nutrition Optimization

Protein adequacy, glucose stability, lipid targets, and cardiometabolic risk reduction — anchored in continuous glucose data and advanced lipid panels.

Restoration

Sleep Optimization

Sleep architecture drives glymphatic clearance, hormonal balance, and DNA repair. We assess and intervene on the upstream causes of poor sleep.

Educational · Referral

Hyperbaric Oxygen Therapy

HBOT is an area of growing longevity research. We discuss the current evidence and, when clinically appropriate, refer to vetted facilities.

Not performed at Perpetua.

Educational · Referral

Red Light Therapy

Photobiomodulation may support mitochondrial function and recovery. We provide guidance on protocols and reputable devices or providers.

Not performed at Perpetua.

Cardiovascular & Recovery

Sauna Therapy

Regular sauna use is associated with cardiovascular and longevity benefits. We help patients design a sustainable, evidence-based heat protocol.

Recovery & Resilience

Cold Exposure

Cold exposure can support metabolic health, mood, and recovery. We tailor frequency and intensity to your goals, training load, and cardiac profile.

Perpetua is a virtual physician-led practice. We do not perform IV ketamine, hyperbaric oxygen therapy, or red light therapy in-office — these are discussed as educational topics or referred when clinically appropriate.

Next Step

Ready to start with longevity optimization?

Apply for membership and meet with our physician team to build your personalized plan.

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