Health Under Management
A private physician accountable to you for your whole health picture.
Your businesses have a CFO. Your portfolio has a wealth manager. Your health, the division every other one depends on, runs on an annual physical and a multivitamin.
You
Chairman of the enterprise
The businesses
Chief Financial Officer
Appointed
The portfolio
Wealth Manager
Appointed
Legal exposure
General Counsel
Appointed
Catastrophe
Insurance Broker
Appointed
A chairman appoints accountable officers. You don't run the most technical division yourself.
Short form, no medical records. If there's alignment, we'll schedule a brief introductory call.
Built for a particular kind of person.
- You want a physician to synthesize complex data into clear next moves.
- You want gains compounded and risks reduced.
- You value discretion and structured follow-through.
- You are willing to act on what the data says.
Not a fit if
- You want urgent care or a month-to-month concierge subscription.
- You want a standardized protocol handed to everyone.
- You are looking for the lowest-cost option.
- You want guarantees or biohacking theater.
Oversight benchmark
How complete is your health oversight?
Five questions about your current approach, measured against the standard our practice holds.
About two minutes.
The healthy-years argument
Most lives end with a decade alive, but not well.
Medicine counts lifespan. The years that matter are the healthy ones, and in the United States the gap between the two now averages 12.4 years, the widest in the world. The work is compressing that decade, not just adding years.
Bending that curve for one person is a management problem. The method comes from perioperative medicine: protocol-driven, measured optimization of a whole person toward an outcome. Many small interventions, individually modest, compound over years.
The management layer
The physician-led management layer between the snapshots.
Your physician defines what matters, investigates what is driving it, sets clear targets, and names the few levers worth pulling.
You may already have physicians and testing. What you gain here is continuity: a physician who connects the data across genetics, imaging, labs, wearables, symptoms, and specialists, then keeps adjusting the work until the numbers move.
Goals
You define what matters. Cardiovascular risk reduced. Energy that matches your schedule.
Drivers
Your physician investigates what's producing your current state. Genetic variants, inflammatory load, metabolic patterns, toxin burden.
Targets
Measurable markers tied to each goal: cholesterol particles, inflammation, biological aging. Specific numbers, verified quarterly.
Levers
Named Levers that move those targets. Nutritional changes, supplementation, sleep protocols, exercise prescription. Written down and tracked.
Every 13 weeks: re-test the targets, review what changed, and adjust the protocol for the next cycle. Your Quarterly Healthspan Review shows what moved, what still matters, and what comes next.
From first conversation to a working protocol.
Four steps, one clear handoff.
Request an introduction
You submit a short form so we can understand your goals and whether we're a fit.
Discovery call
15–20 minutes. We confirm fit and explain how we work; clinical guidance begins once you're a client.
Clinical fit + proposal
If there's alignment, you receive a personalized proposal for the entry cycle based on your goals, complexity, and required diagnostics.
The engagement begins
A structured 16-week Foundation Cycle with clear milestones and your physician running it start to finish.
Request an introduction
You submit a short form so we can understand your goals and whether we're a fit.
Discovery call
15–20 minutes. We confirm fit and explain how we work; clinical guidance begins once you're a client.
Clinical fit + proposal
If there's alignment, you receive a personalized proposal for the entry cycle based on your goals, complexity, and required diagnostics.
The engagement begins
A structured 16-week Foundation Cycle with clear milestones and your physician running it start to finish.
What happens after yes
The first 16 weeks.
A structured Foundation Cycle. A defined engagement with clear milestones and measured outcomes.
Onboarding + testing
We ship lab kits and aggregate your prior health records. You do the labs on your schedule.
Deep analysis
Your physician reviews the complete picture: genetics, hormones, gut health, toxins, inflammation, and biological aging. A systems-level investigation.
Your plan, delivered
90-minute consultation with Dillon Meier, MD. You receive a written protocol with named Levers and a staged roadmap.
Execution + support
Protocol implementation with ongoing check-ins. We handle supplement sourcing when The Plan calls for it and adjust nutrition as questions come up. Async-first, minimal disruption to your schedule.
Re-test, recalibrate, repeat
Targeted re-testing to measure what changed. Your physician adjusts the protocol based on results. A Quarterly Healthspan Review that tracks your trajectory over time.
Reviewed every quarter. Managed in between.
Frequently asked questions
The health seat is still vacant.
Short form. We review every inquiry within 48 hours.