Testing Programs
The Next Health Executive Physical
The most comprehensive longevity assessment available — and the one designed to reveal what's actually happening inside your biology.
One day in clinic. Over 1,000 data points across imaging, labs, genetics, toxin testing, cellular aging, and a full in-clinic physical biomarker battery. Not a screening. A complete map of your biology — interpreted by a Functional Medicine Provider through the lens of Medicine 4.0.
PRICE
$15,000
DURATION
3–4 hours in clinic
LOCATIONS
All Next Health locations
INCLUDES
Full-Body MRI · Cardiac CT · 500+ biomarkers · Genetics · Cancer screening · Apex optional
Why This Matters
The annual physical was designed in 1947. Your biology deserves better.
Most people leave their annual physical with a handshake, a few normal-range labs, and the false comfort that everything is fine. The problem: the standard physical was designed to find disease, not to prevent it. By the time something shows up on a basic blood panel, the underlying dysfunction has often been building for years — and in some cases, decades.
The Next Health Executive Physical is built on a different premise. We don't wait for disease to declare itself. We measure what matters at every layer of your biology — vascular, metabolic, hormonal, genetic, cellular — and we synthesize the findings through Medicine 4.0, the framework developed by Dr. Darshan Shah for proactive, root-cause, longevity-focused care.
The result is the most complete picture of your health you have ever had. Not a screening. A map.
35% of our Executive Physical patients discover a finding that changes the trajectory of their life — aneurysms, early-stage cancers, cardiac plaque, hormonal collapse, mitochondrial dysfunction. Most of them had no idea anything was wrong.
What We Measure
Built on the four pillars of Medicine 4.0.
Most executive physicals measure one thing well: imaging or labs. The Next Health Executive Physical measures every layer of your biology, organized into the four pillars Dr. Shah uses to practice Medicine 4.0 — Lifestyle, Functional, Hyper-Preventive, and Longevity Medicine. This is what makes it the most comprehensive longevity assessment available.
Pillar 1
Lifestyle MedicineThe In-Clinic Physical Biomarker Battery
This is what no other executive physical measures. While most clinics rely on a stethoscope and a blood pressure cuff, your Executive Physical includes a full in-clinic physical biomarker battery — a structured assessment of your strength, vascular health, lung function, balance, mobility, body composition, and lifestyle integration. Each metric is age-normed and scored against published references. These are some of the most powerful predictors of how long, and how well, you will live.
Vascular Health
Conneqt central blood pressure, augmentation pressure, SEVR. iHeart Pulse Wave Velocity for arterial stiffness — a stronger predictor of cardiovascular risk than cuff blood pressure alone.
Grip Strength
Grip dynamometry — one of the most validated single-marker predictors of all-cause mortality and biological vitality.
Lung Function
Digital spirometry measuring Peak Expiratory Flow (PEF) and FEV1, screening for early airway obstruction, COPD risk, and reduced cardiorespiratory reserve.
Balance
One-leg stand assessment, eyes open and eyes closed. A direct measure of neurological function and fall-risk over time.
Mobility
Floor sit-to-stand assessment plus the Apley scratch test for shoulder range of motion. Predicts longevity potential and injury risk.
Body Composition
Bioimpedance scan: body fat percentage, skeletal muscle mass, visceral fat level, waist-to-hip ratio.
Cardiorespiratory Fitness
Estimated VO₂ max from your wearable device — the single strongest predictor of longevity.
Lifestyle Integration
30-day averages from Apple Health or your wearable: steps, HRV, sleep score, resting heart rate.
Every metric is age-normed and scored against published references. As an Apex member, the full battery is repeated quarterly, allowing you to track real change — not just a snapshot in time.
Pillar 2
Functional MedicineThe Root-Cause Bloodwork
Standard executive physicals run a basic blood panel — typically 10–20 markers. We run over 500. Functional medicine asks why your biology is doing what it's doing, not just what it's doing. This is the layer where we find food sensitivities driving silent inflammation, micronutrient deficiencies that no standard panel screens for, gut dysfunction at the root of fatigue and mood, and environmental toxins quietly accumulating in your tissue. Your Functional Medicine Provider interprets every result.
Total Baseline Bloodwork
Over 50 core biomarkers: hormones, thyroid, kidney, liver, inflammatory markers, comprehensive metabolic panel, vitamin D, B12, lipid subfractions including ApoB.
Micronutrient Testing
Vitamins, minerals, amino acids, fatty acids, antioxidants, and metabolic cofactors. Reveals the deficiencies that drive how you actually feel.
Food Sensitivity Testing
IgG-based panel identifying foods that may be silently driving inflammation, gut dysfunction, brain fog, and fatigue.
Wheat Zoomer (Gut Health)
Advanced testing for gluten reactivity, gut permeability ('leaky gut'), and intestinal antibody markers — the gut-immune interface.
Total Tox Burden Panel
Heavy metals, mycotoxins, plasticizers (BPA, phthalates), volatile organic compounds. The toxins your body is carrying that no one else is testing for.
Genetic Blueprint
Functional genomics across nutrition, hormone, detoxification, methylation, and inflammation pathways — your genes interpreted as actionable biology, not just risk scores.
Pillar 3
Hyper-Preventive MedicineImaging & Cancer Detection
This is where the catastrophic finds happen. Aneurysms. Early-stage cancers. Coronary plaque. Tumors. The conditions that quietly develop for years before symptoms — and which traditional medicine, by design, only finds after they declare themselves. Hyper-preventive medicine catches these years earlier, when intervention is straightforward and life-saving. This is the layer that has saved more Executive Physical patients than any other.
Full-Body MRI
High-resolution MRI of the head, neck, chest, abdomen, and pelvis. Screens for solid tumors, aneurysms, organ abnormalities, and structural issues — typically caught only after they cause symptoms.
Cardiac CT + Coronary Calcium Score
Direct visualization of arterial plaque burden. The most accurate way to assess your true heart attack risk — far beyond what cholesterol numbers alone can tell you.
Chest CT (Low-Dose)
High-resolution lung imaging for early lung cancer detection, particularly important for current and former smokers, or for those with environmental exposure.
GRAIL Galleri
Multi-cancer early detection blood test screening for over 50 cancers — including more than 45 cancers that have no routine screening test.
Cancer Genetics Screening
Hereditary cancer panel identifying elevated genetic risk for breast, ovarian, colorectal, prostate, pancreatic, and other cancers — guides personalized screening cadence and prevention strategy.
35% of our Executive Physical patients discover a finding that changes the trajectory of their life.
Pillar 4
Longevity MedicineCellular Aging & The Biology of Time
This is the deepest layer, and the one that turns the Executive Physical from a diagnostic into a longevity intervention. We measure your biological age — how old your body actually is, regardless of what your driver's license says. We measure the function of your mitochondria — the cellular engines that determine your energy, your resilience, and your aging trajectory. And we measure cellular senescence — the burden of aging cells driving systemic inflammation. These are the metrics that predict not just whether you will live longer, but how well you will age.
TruAge Methylation Genetics
DNA methylation analysis at over 900,000 sites to determine your epigenetic biological age — the most accurate predictor of healthspan and lifespan available today.
Mitochondrial Function Testing
Assessment of cellular energy production, mitochondrial efficiency, and metabolic capacity. The root layer of fatigue, recovery, cognitive function, and biological resilience.
Cellular Senescence Testing
Measures the burden of senescent ('zombie') cells and your immune age — quantifying how aging is progressing at the cellular and immune level.
Comprehensive Hormone Panel
Bioidentical and free hormone testing — testosterone, estradiol, progesterone, DHEA, cortisol diurnal rhythm, thyroid panel, IGF-1. The signaling layer of aging.
Functional Medicine Consultation
A 60–90 minute consultation with your Functional Medicine Provider, integrating all 1,000+ data points into a personalized longevity protocol across all four pillars.
Almost no other Executive Physical measures cellular aging at this depth. This is where Medicine 4.0 becomes most distinct from preventive medicine: we are not just looking for disease — we are measuring the rate at which you are aging, and giving you the tools to slow it down.
The Method
1,000+ data points. One coherent picture of you.
Integrated Through Medicine 4.0
Your data isn't returned as 47 separate test results. Every finding is interpreted through the four pillars of Medicine 4.0, with explicit connections drawn across systems — for example, how your gut sensitivity may be driving inflammation that is accelerating your epigenetic age, which is then expressing itself as cardiac plaque. Most physicians never connect these dots. We are built to.
Reviewed by a Functional Medicine Provider
Your results are reviewed in a structured series of consultations by a Functional Medicine Provider — not delivered in a portal, not summarized in a PDF, not handed off to a generalist. You sit with a clinician trained specifically in root-cause analysis who walks you through what the data means and what to do about it.
Translated into a Personalized Protocol
You leave with a concrete, prioritized longevity plan: lifestyle changes, targeted supplements, peptide therapy if indicated, hormone optimization if indicated, advanced therapies if indicated, and a clear sequence of what to do first, second, and third. Not a stack of recommendations. A protocol you can act on.
Outcomes
The findings that change lives — and the patients whose lives have already changed.
35%
of Executive Physical patients discover a finding that changes the trajectory of their life — aneurysms, early-stage cancers, cardiac plaque, mitochondrial collapse, hormonal disruption.
Cardiac Discovery
57-year-old executive. No symptoms. Cardiac CT revealed extensive soft plaque in his LAD that would not have been caught by any standard screening. Statin started, ApoB normalized, lifestyle intervention initiated. Five years later, his arteries are measurably regressing.
Cancer Discovery
42-year-old founder. No family history of cancer. Full-body MRI revealed an early-stage pancreatic mass — caught at a stage where surgical resection was straightforward. Three years cancer-free. He credits the Executive Physical with saving his life.
Cellular Reversal
49-year-old CEO. Came in feeling exhausted, with an epigenetic age of 58. Total tox burden revealed elevated phthalates from PVC exposure. Mitochondrial testing showed reduced ATP capacity. Eighteen months later, after a personalized protocol: epigenetic age 44, energy restored, ApoB optimized, body composition transformed.
Outcome stories shown are illustrative narratives. Real anonymized patient stories with explicit written consent will replace these prior to launch. Individual results vary; nothing on this page constitutes medical advice.
Health Nexus
Every data point. One living view of your biology.
Your Executive Physical generates over 1,000 data points. Health Nexus — our AI-enabled patient platform — brings every result into one secure dashboard and tracks them longitudinally, so each future test adds context instead of clutter.
All 1,000+ data points in one place
Imaging, labs, genetics, toxin panels, biological age, hormones, and your in-clinic biomarker battery — unified into a single longitudinal record.
Tracked over time, not as snapshots
Every biomarker is plotted against your own history. You see trends, trajectories, and the impact of every protocol change — quarter over quarter, year over year.
AI-powered insights in plain English
Health Nexus flags what's drifting, what's optimized, and what to ask your physician about next — translating complex data into clear next steps.
Your living longevity plan
Every protocol, supplement, peptide, and lifestyle target from your Functional Medicine Provider — updated continuously and accessible 24/7.
Wearable & at-home integration
Connect your wearable, CGM, and at-home labs. Health Nexus becomes the single source of truth for your biology between visits.
Executive Physical Dashboard
Welcome back, James.
Biological Age
42.6
Chronological: 51
Hormones
92
Optimized
Metabolic
78
Tracking
Inflammation
64
Watch
Inflammation Trend
Last 12 months
What Happens Next
The Year After Your Executive Physical.
The diagnostic is the start. The follow-through is what makes it work.
Most patients leave a comprehensive physical with a stack of recommendations and the best of intentions. Six months later, half of those recommendations have quietly slipped. A new hormone protocol started but never adjusted. New supplements taken inconsistently. A statin prescribed but ApoB never re-checked. A cancer screen that flagged something requiring follow-up imaging that never got scheduled.
This is the gap that Apex closes.
Apex is a 12-month concierge program designed specifically to operationalize your Executive Physical findings. You are paired with a Next Health physician who knows your full data, builds your personalized protocol, and stays accountable to your outcomes. Quarterly biomarker re-testing. Quarterly in-clinic Physical Biomarker Evaluation. Protocol adjustments. Concierge access for questions, urgent needs, and changes.
The Executive Physical tells you what is happening inside your biology. Apex makes sure you actually do something about it.
APEX
The 12-Month Concierge Follow-Through
Designed for Executive Physical patients who want their findings to become real change.
Includes
- •Personal Next Health physician who knows your full Executive Physical data
- •Quarterly Physical Biomarker Evaluation and biomarker re-testing
- •Quarterly physician-led protocol adjustments based on real progress data
- •24/7 concierge access for questions, urgent needs, and protocol changes
- •White-glove scheduling across all Next Health locations
- •End-of-year comprehensive review with updated longevity strategy
Apex is invitation-based for Executive Physical patients and select members. Pricing discussed at consultation.
Is This Right For You?
Who the Executive Physical is built for.
The Executive Physical is the right starting point if you fit one of these patterns. Most of our patients fit more than one.
The High-Performing Executive
You run a business, lead a team, or carry responsibility that depends on your physical and cognitive performance. You cannot afford to be surprised by your health, and you have spent your career making decisions on the best available data. You want the same standard for your biology.
The Founder, Athlete, or Performer Whose Body Is Their Asset
Your body is your professional instrument. You demand more from it than the average person — more recovery, more endurance, more resilience. You want to know precisely where your biological vulnerabilities are, and how to engineer them out.
The Proactive Longevity-Seeker
You are entering or in your 40s, 50s, or 60s. You read the longevity science. You understand that the decisions you make now determine whether your seventies and eighties will be vital or compromised. You are looking for the most comprehensive baseline available.
The Person Concerned About a Family History of Disease
You have a family history of cancer, cardiovascular disease, dementia, or autoimmune conditions. You know the textbook risk numbers don't reflect your real risk. You want imaging, genetics, and biomarker depth to understand exactly where you stand — and to act early.
The Person Whose Symptoms Have Been Dismissed
You are struggling with hormonal decline, gut issues, fatigue, brain fog, sleep disruption, or other functional medicine symptoms — and your regular doctor has run a basic panel and told you everything is 'fine.' You know it isn't. You want a clinician trained to find what standard medicine misses, and a complete picture of what is actually driving how you feel.
The Experience
One day in clinic. One year of follow-through.
01
Pre-Visit Preparation
2 weeks before
Your Next Health concierge contacts you to schedule your visit, send pre-visit instructions, and arrange any out-of-clinic specimen collection. You complete a comprehensive online health history. We work with your schedule — most members complete their Executive Physical in a single 3–4 hour visit.
02
The Day In Clinic
3–4 hours
Arrival at your Next Health location. Comprehensive blood draw, urine collection, and toxin specimen collection. Full-body MRI and cardiac CT imaging. The complete in-clinic physical biomarker battery: vascular, strength, lung, balance, mobility, body composition. A relaxed pace — this is not a hospital.
03
The Results Consultations
begin 1 week later
Your results consultations begin approximately one week after your in-clinic visit, as your initial data starts to return. You meet with your Functional Medicine Provider in a structured series of consultations at weekly intervals — labs, imaging, genetics, and toxin panels each arrive on their own timeline, and you are walked through your data in stages rather than handed everything at once. Your personalized longevity protocol is built progressively, with time for every question.
04
The Year After (Apex)
12 months
If you continue with Apex, your Executive Physical is the start of a 12-month concierge program — quarterly biomarker re-testing, quarterly Physical Biomarker Evaluations, protocol adjustments, and 24/7 physician access. Your data evolves. Your protocol evolves with it.
Pricing
Transparent pricing. No hidden costs.
The Next Health Executive Physical
$15,000
Includes everything detailed above:
- ·Full in-clinic physical biomarker battery
- ·500+ functional medicine biomarkers
- ·Total tox burden panel
- ·Genetic profiling (cancer genetics included)
- ·Full-Body MRI · Cardiac CT · Chest CT
- ·GRAIL Galleri multi-cancer detection
- ·TruAge methylation epigenetic age
- ·Mitochondrial function testing
- ·Cellular senescence testing
- ·Comprehensive hormone panel
- ·Functional Medicine Provider consultations across the data return cycle
- ·Personalized Medicine 4.0 protocol
Many members use HSA/FSA funds toward their Executive Physical. Speak with your benefits administrator. Our concierge team can provide invoicing on request. The Apex 12-month follow-through program is priced separately and discussed at your results consultation.
Frequently Asked
The questions our patients actually ask.
Related Programs
The programs your Executive Physical may lead to.
Apex
Apex 12-Month Follow-Through
The concierge follow-through program designed specifically for Executive Physical patients.
Learn MoreHormones
Hormone & Peptide Therapy
If your hormone panel reveals optimization opportunities, the Hormones & Peptide Therapy program is the most common next step.
Learn MoreTPE
Therapeutic Plasma Exchange (TPE)
If your tox burden panel reveals significant accumulated toxins, TPE is one of the most powerful therapeutic interventions available.
Learn MoreYour biology is the most expensive thing you have ever owned. Treat it accordingly.
The Next Health Executive Physical is the most comprehensive longevity assessment available. One day. Over 1,000 data points. The four pillars of Medicine 4.0. The clarity to act for the next thirty years.
Available at all Next Health locations · $15,000 · Apex 12-month follow-through optional