The numbers we move.
The first panel told a different story than the mirror.
I'm 47, I run, I sleep, I eat reasonably. ApoB came back at 112. LP(a) at 86. HOMA-IR borderline. The framework your physician used: this is a 10-year cardiovascular trajectory problem dressed as 'I feel fine.'
Rosuvastatin 5 mg, not 20.
Half the literature says 'start high.' Your physician started low. We talked through risk reduction per ApoB drop, the muscle-soreness data, and titration. Ezetimibe added at week 8 to cut absorption.
ApoB 73. Down 35%.
Lipid panel done at the local Quest. ApoB dropped from 112 to 73. LDL-P down accordingly. LP(a) is genetic and didn't move (we knew it wouldn't). The discussion shifted to 'what's the long-term plan for that LP(a) of 86?'
Metformin added for HOMA-IR.
Fasting insulin moved the wrong way over 6 months. Your physician added 500 mg ER at dinner. We talked vitamin B12 monitoring (long-term metformin can deplete it) and the cardiovascular signal in the trial data.
VO₂ max 42 → 48. Grip 49 → 56 kg.
Bio-age delta from the Horvath panel: −3.4 years. Not a vanity number. It tracks ApoB, hsCRP, HbA1c, and a cluster of inflammation markers that all moved in the same direction.
We added empagliflozin.
SGLT2 went on for the cardiorenal data even though I'm not diabetic. Your physician walked through the empagliflozin HFrEF data and the tradeoffs. We evaluated experimental molecules together; the ones without sufficient outcomes data stayed off the protocol.
ApoB stable. Trend curves intact.
Compounded ApoB lowering buys you a different curve over time. Individual results vary; your physician reviews the data with you at each step.
Three tiers. Pick what matches your data appetite.
One subscription. Cancel any time. Follow-ups and Clyne Concierge included.
- Quarterly physician review
- Statin / metformin / SGLT2 / antihypertensives included
- Care team available between visits
- Pharmacy ships directly to your door
- Coronary artery calcium scan review (your imaging)
- DNA methylation clock (when available)
- 60-min annual planning call
- Compounded options on request
Real doctors. Not a chatbot in a lab coat.
Every prescription is signed by a physician licensed in your state. They review your intake, medical history, and goals before making the call.
Your physician is licensed in your state, board-certified, and reviews every case personally.
Receipts. Cited.
The drugs we won't sell.
Longevity is the field most likely to be cargo-cult medicine. Here's where we draw the line.
The questions we hear most. Answered in plain terms.
Available treatments in this category. Pick a path.
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