Reborne COnstant
First, the Foundation
An unhurried assessment with your physician, reviewed by the Medical Director, and then a year of measurement rather than a single morning of it: your complete history read as one account, bloods four times over, the arteries imaged, and capacity, body composition and metabolism tested rather than assumed.
Bloods, four times a year
Metabolic, cardiovascular, hormonal, renal, hepatic, haematological and inflammatory markers, including apolipoprotein B and lipoprotein(a), drawn quarterly so a direction is visible rather than a single point.
Cardiovascular imaging and capacity
Carotid ultrasound, and cardiac CT with coronary calcium score. VO2 max by cardiopulmonary exercise testing, with grip strength and gait tracked across the year.
Physiology, metabolism and a written formulation
Vascular stiffness, resting ECG, lung function, cognitive assessment, a liver scan and DEXA. Fourteen days of continuous glucose monitoring, read with the nutrition team.
Specialist access
Two specialist appointments a year, arranged because a doctor judges you need them rather than chosen from a list. An appointment you pick yourself is worth very little.
Included
Set up for women, or for men
For women
A full hormonal workup: serum oestradiol, FSH, LH, testosterone, SHBG and thyroid, then dried-urine hormone metabolites. Hepatic function and the genetic variants governing oestrogen clearance. Factor V Leiden and prothrombin, tested before the route of therapy is chosen rather than after. A named menopause specialist as clinician of record, across the whole transition. Bone health tracked against your own baseline, with DEXA repeated annually. Breast ultrasound and pelvic imaging.
For men
Total and free testosterone on two separate mornings, with SHBG, LH, FSH and prolactin. Thyroid, iron studies and pituitary assessment, to identify treatable causes before anything is prescribed. PSA, haematocrit and blood pressure recorded before treatment begins, then monitored throughout. The genetic variants governing conversion of testosterone to oestradiol. Sleep testing at home, since apnoea both lowers testosterone and is worsened by treating it. Prostate assessment, including multiparametric MRI where clinically indicated.
Hospital care
Where you need hospital care we refer you to Cleveland Clinic London, where we have a standing agreement. We stay in charge of the medical relationship, you are billed by us rather than by them, and their findings come back into your record.
As medically indicated.
AN INVITATION
One relationship,
held for life
Membership: concierge@rebornelongevity.com
IV Therapy: +44 7950 408185 or ivtherapy@rebornelongevity.com
