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CogSpan™ IS THE LIFESPAN
OF YOUR
HEALTHY BRAIN

AND
YOUR PROMISE
TO YOUR FAMILY

We test your memory, executive function, attention, processing speed and reaction time in every CogSpan™ Executive Physical,
in every tier, in every age -
because it matters.

1 in 9

people over age 65 live with Alzheimer's Dementia in the U.S.
Their brains have been sending SOS signals for decades but there has been no way to listen to the signals.

UNTIL NOW

Every father, mother, sister or grandfather with Alzheimer's tells a tragic story that started 10-25 years before their diagnosis. Our founder Dr. Alexis Anvekar calls this 10-25 year gap The Silent Gap. During this gap, there were signals of brain inflammation that traditional healthcare couldn't detect.  By the time their dementia diagnosis was made, 30-60% of neurons were already lost and the treatment window in The Silent Gap  had likely closed. 

Traditional Medicine can't detect the vague, subtle signs of brain aging until the window to act starts closing.

            We can.

Our groundbreaking patent-pending System was built to detect and treat The Silent Gap

Our System for detecting brain aging, the CogSpan  System, specializes in finding the modifiable, treatable signs that may precede a diagnosis of dementia by 10-25 years - The Silent Gap.

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"My patients fear Dementia more than any other diagnosis. CogSpan is the first program dedicated to The Silent Gap."

ALEXIS ANVEKAR MD, THE LIVING METHOD

What we check

Why Get a
Living Method CogSpan™ Physical
even when you don't feel sick?

Tier 1

Measure your health while it is still yours to shape.

Many of the changes that eventually lead to diabetes, cardiovascular disease, cognitive decline, frailty and other age-related conditions begin years or decades before a diagnosis can be made. 

Don’t wait for disease to show up in your health story. Prevent it in the earliest stages.

 

We call this the Silent Gap: the window between feeling healthy and developing recognizable disease. During this time:

  • Laboratory results may remain inside broad “normal” ranges

  • Insulin resistance may begin before glucose becomes abnormal

  • Muscle and cardiovascular fitness may decline before daily function changes

  • Cognitive performance may shift before symptoms become obvious

  • Inflammatory and metabolic patterns may emerge gradually

  • Sleep, stress and recovery may begin influencing multiple body systems

  • Several small changes may matter more together than any one result does alone

 

The goal of the Living Method Physical is not to diagnose disease that is not present. It is to look for patterns, trends and areas moving away from optimal health while there is still time to pay attention.

Normal is not always good enough:

 

A laboratory value may be technically normal while still becoming less favorable over time.

A single result may seem unimportant on its own but become more meaningful when considered alongside sleep, cognition, waist circumference, blood pressure, physical performance, family history and other measurement changes.​  Our model is designed to recognize these relationships.

More than 160 health data points:

  • Your one-day assessment combines information from several areas of health.

  • Detailed health questionnaire

  • More than 100 questionnaire variables explore:

  • Personal and family medical history

  • Cognitive concerns

  • Metabolic health

  • Sleep quality and sleep-disorder risk

  • Cardiovascular risk

  • Physical activity and recovery

  • Nutrition and lifestyle

  • Stress and adverse childhood experiences

  • Hormonal symptoms

  • Energy and cellular health

  • Environmental exposures

  • Purpose, connection and resilience

  • Preventive-health engagement

  • Readiness for change

  • Advanced blood and urine testing

 

Your laboratory assessment evaluates major areas associated with long-term health, including:

  • Glucose and insulin regulation

  • Cholesterol and cardiovascular riskInflammatory patterns

  • Immune-cell balance

  • Kidney and liver health

  • Thyroid function

  • Nutrient status

  • Hormonal factors when clinically appropriateUrine and early kidney-health markers

  • Testing may be individualized according to age, sex, symptoms, medical history and current medications.

  • Tier 2 and Tier 3 testing includes advanced neuroinflammation and environmental toxin assessments.

 

Neurocognitive testing objectively assesses important areas of cognitive performance, including:

  • Memory

  • Attention

  • Processing speed

  • Executive function

  • Cognitive flexibility

  • Anxiety

  • Depression

  • PTSD

This creates a cognitive baseline that can be compared with future results. BrainCheck is a screening and monitoring tool and does not independently diagnose dementia or another neurologic condition.

 

Physical and functional measurements including:

Your assessment evaluates important indicators of cardiovascular and physical reserve.

A Living Method nurse practitioner completes your physical examination, medication and supplement review, and preventive-health review in advance of your results consultation with Dr. Anvekar.  An EKG is performed when clinically indicated.

  • Blood pressure

  • Resting heart rate

  • Oxygen saturation

  • Waist measurement

  • Heart-rate response to standing

  • Strength

  • Walking speed

  • Lower-body endurance

  • Mobility

  • Balance

  • Recovery

The Living Method patent-pending mathematical model precisely calculates every data point and is not available anywhere else:

Most physicals present each result separately and you leave with a stack of labs. 

The Living Method examines how the results work together.

Each data point moves through a proprietary mathematical process:

  • The measurement or response is evaluated.

  • An evidence-informed coefficient reflects its relative importance to long-term health.

  • The result is standardized against appropriate reference information.

  • It is integrated with the other data contributing to the same health domain.

  • The process repeats with every single data point across the complete assessment.

  • Ten Living Method Domain Scores and one overall score is produced to guide your annual health goals and compare to future Domain Scores to keep your health on track.

 

Your 10 Living Method Domain Scores:

You receive concrete scores across:

  • Brain

  • Metabolic

  • Sleep

  • Cardiovascular

  • Physical Function

  • Inflammation

  • Hormonal Health

  • Mitochondrial and Oxidative Stress

  • Purpose and Reserve

  • Risk and Health Engagement

 

Follow your health—not just your test results

 

A single assessment shows where you stand today. Repeating the Living Method Physical annually allows you to see:

  • Which scores are improving

  • Which scores are stable

  • Which areas are beginning to change

  • Whether your health efforts are producing measurable progress

  • Where additional evaluation may be worth considering

 

Your first assessment creates the baseline.

Each future assessment adds another point to your personal health trajectory.  That makes the Living Method Physical especially valuable for younger, healthy adults: you establish your baseline before age, illness or medication significantly changes it.

 

Your results meeting with Dr. Anvekar will review:

  • Your 10 Living Method Domain Scores

  • Biological-age estimate

  • Cognitive baseline

  • Laboratory patterns

  • Physical-performance results

  • Areas that appear strong

  • Areas that may deserve attention during the coming year

 

This tier provides a comprehensive scorecard and physician review. It does not include a personalized treatment blueprint or ongoing medical-management program.

 

-- THE COGSPAN™ SYSTEM --

Our patent-pending Operating System connects the dots of hundreds of biomarkers that can be treated now when the window to treat is wide open.
Small changes now amount to massive changes in the future.

Tier 1

Living Method

Essentials 

COGSPAN™

Physical

$1,495 for the:

  • Proactive

  • Under age 50

  • No symptoms

  • 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.

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

$3,495 for the:

  • Proactive

  • Over age 45

  • Might be in The Silent Gap

  • Family History of Dementia

  • Increased risk of dementia

  • Includes 20+ page Blueprint with detailed plan of prescribed treatment

 

Go beyond your scores to investigate what may be driving them.

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

 $ varies 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.

-- THE COGSPAN™ SYSTEM --

What to Expect

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Virtually from your own Home

Mailed Assessment Kit containing examination equipment

Zoom Visit Assessment with Clinician - not all Tier 2 Advanced and Tier 3 Premier services can be performed off-site.

Tier 1 - Essentials 

  • 3 weeks ahead:

    • Fasting blood draw 3 weeks prior to vist

  • Day of visit:​

    • come in comfortable clothing ready to move

Tier 2 - Advanced and Tier 3 - Premium Tiers:

  • 4 weeks ahead:

    • 4 days of diet restrictions to prepare for environmental testing suite

    • collect overnight urine sample and mail to lab

  • 3 weeks ahead:​

    • Fasting blood draw 

  • Day of visit:​

    • wear comfortable clothing ready to move

    • testing links will be emailed to you

    • zoom link for your movement tests with our staff will be emailed to you

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In-Person at our Pasadena Facility 

In-Person

Assessment

Tier 1 - Essentials 

  • 3 weeks ahead:

    • Fasting blood draw 3 weeks prior to vist

  • Day of visit:​

    • come in comfortable clothing ready to move

Tier 2 - Advanced and Tier 3 - Premium Tiers:

  • 4 weeks ahead:

    • 4 days of diet restrictions to prepare for environmental testing suite

    • collect overnight urine sample and mail to lab

  • 3 weeks ahead:​

    • Fasting blood draw 

  • Day of visit:​

    • come in comfortable clothing ready to move for testing 

How We
Compare

Let's Compare

This data is from published sources and is subject to change

ARE YOU READY?

 

The best time to start was ten years ago. The second best time is now.

Join our next Assessment Date

Book your Consultation

HSA/FSA eligible

Financing available

Insurance billing where applicable

Letter of Medical Necessity provided

Disclaimer: This page is provided for general educational purposes only and is not medical advice. It does not establish a provider-patient relationship and should not be used to diagnose or treat any condition. No guarantees or promises about treatment outcomes are made about any service or product. Results are individual and may vary. We make every attempt to offer the best treatment possible to optimize your health, however many factors may affect your outcome that may not be in our control or your control. Many Living Method Services are off-label, and/or not FDA-approved for your indication. Regulatory status described here may have changed since website publication. Consult a licensed healthcare professional before making any health decision.

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