Tier 1

Living Method

Essentials 

COGSPAN™

Physical

$1,495     $1,245 ($250 savings)

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for the:​

• Proactive Person under age 50

• No symptoms

• No Family History of concerning disease

• Looking for a baseline health assessment with concrete numbers to follow over time

Tier 1 is our foundational whole-health assessment for proactive adults who want to measure their health while it is still theirs to shape.

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In one coordinated visit, we collect advanced laboratory results, cognitive data, medical and family history, lifestyle information, vital signs and physical-performance measurements. Our patent-pending COGSPAN™ System then weighs and organizes approximately 160 biomarkers and health measurements into your 10 Living Method Domain Scores.

Instead of asking only whether each result is “normal,” we look for small shifts, developing patterns and areas beginning to move away from optimal health.

You receive:

• One coordinated day of medical and performance testing

• Advanced fasting laboratory testing

• BrainCheck neurocognitive assessment

• Strength, balance, gait and mobility testing

• Comprehensive medical, family-history and lifestyle assessment

• Physician examination and preventive-health review

• 10 proprietary Living Method Domain Scores

• Identification of the one to three health domains that may deserve the most attention

• may include a one year subscription to My Living Eats prescribed diet app

Best for:

Healthy, proactive adults who want a comprehensive baseline, clearer priorities and a more meaningful annual physical—even when they have no significant symptoms.

One visit. Approximately 160 measurements. Ten scores that show you where to focus next.

Tier 2

Living Method Advanced 

COGSPAN™

Physical

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$3,495     $2,995 ($500 savings)

​for the:

• Proactive 

• Over age 45

• Might be in The Silent Gap™

• Family History of Dementia

• Personal History of Concussion​

Go beyond your scores to investigate what may be driving them and also receive a 20+ page Blueprint with detailed plan of your prescribed treatment.

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Tier 2 includes everything in the Essentials Physical and adds more than 100 advanced biomarkers, imaging and performance assessments designed to investigate the patterns that a traditional physical can miss.

This is our most comprehensive assessment for adults who may be entering the Silent Gap™—the years when changes are developing beneath the surface but may not yet meet the criteria for a diagnosis.

Tier 2 looks more deeply at cognitive risk, neuroinflammation, environmental exposures, body composition, cardiovascular fitness and early cancer signals. The purpose is not simply to collect more data. It is to help explain why a domain is underperforming and determine what additional medical attention may be appropriate.

Includes everything in Tier 1, plus:

• More than 100 additional advanced environmental testing biomarkers-molds, metals, chemicals, plastics, forever chemicals included

• OAT testing mitochondrial and cellular nutrition assessment included

• Advanced neuroinflammation and cognitive-risk testing billed to insurance

• DEXA total-body muscle, fat and bone assessment

• VO₂ max cardiovascular-fitness testing

• MRI of brain billed to insurance

• Additional physician-selected testing based on medical history and findings may include oral microbiome testing, sleep study, CGM, or additional imaging/labs

• A 20+ page Blueprint summarizing all findings, scores and maps out a detailed plan for treatment.

Best for:

Adults over 45, people with persistent but unexplained symptoms, family history of dementia or chronic disease, and anyone who wants a deeper evaluation 

Tier 1 shows where your health needs attention. Tier 2 helps investigate why.​​

Tier 3

Living Method Premier

COGSPAN™

Physical

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 $ varies   ($500 savings + $210 Living Bucks to spend on treatments, products, services)

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for the:

• Proactive, or

• Over age 50, or

• Chronic disease, or

• In The Silent Gap™

Our deepest assessment—with treatment incorporated into the experience and a full repeat of Tier 1 testing.

Tier 3 includes everything in the Advanced COGSPAN™ Physical and adds physician-selected longevity or regenerative treatment when medically appropriate.

This tier is designed for people who do not want to stop at measurement. After completing the most advanced assessment we offer, Dr. Alexis Anvekar reviews the findings, identifies the domains requiring priority attention and selects an appropriate treatment experience based on the patient’s medical history, goals and results.

Potential options may include additional MD, NP, fitness and nutrition consultations, frequent neuropsych testing to follow up on therapy measures, NAD+ therapy, targeted  peptide therapy, IV therapy, exosome-based products or other regenerative approaches. Treatment is never selected simply because it is included in the tier. Every option is subject to medical evaluation, candidacy and informed consent.

Includes everything in Tiers 1 and 2, plus:

• Our most comprehensive physician review

• VIP coordinator

• Enhanced MD support during the treatment period

• Repeat Tier 1 testing included 

• A physician-selected longevity or regenerative treatment

• A multi-month treatment regiment supervised by MD

Best for:

Adults who want Living Method’s deepest one-day assessment and are ready to move from measuring their health to taking medically guided action.

Measure what is changing. Understand what may be driving it. Begin addressing what matters most in a multi-month physician-guided program.

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