Early Medical.
Medicine 3.0, in a small practice.
Membership concierge model. Treatments are managed within a small physician group; the doctors who diagnose also manage the year of care, but the practice is small enough that conflict pressure is structurally lower than at a treatment-product clinic.
Off-label pharmacology and emerging protocols are openly discussed and conservatively prescribed; the practice publishes methodology in long-form podcast and book formats.
Excellent if you can get in. The waitlist is the binding constraint.
What Early Medical actually is
A small, physician-owned concierge practice in Austin, Texas, founded by Peter Attia and operating now as the institutional home of his clinical work. The practice has been the subject of more thoroughly documented public methodology than any other on this list — the book Outlive, several hundred hours of podcast, and a structured longevity programme published in long-form.
Membership is $14,500 per year. The waitlist is currently closed.
The model
Early Medical is genuinely concierge in the older sense of the word: a small panel of patients per physician, ongoing access, longitudinal protocol design, structured quarterly reviews. The work happens across the year, not on the day. The diagnostic intake is comparable in depth to Biograph or YEARS at the cardiometabolic axis; it is meaningfully less imaging-led than either.
Apo B, Lp(a), lipoprotein particle counts, comprehensive metabolic, deep hormonal — these are the markers the practice obsessively tracks. CPET-grade VO₂ max with lactate threshold is run in-house. DEXA, CGM, calcium scoring are integral. Whole-body MRI is referred to external radiology partners.
On supervision and conflict
This is where Early Medical earns its score. Two physicians, well-resourced, low-volume. The doctor who reviews your intake is the doctor managing your year of care. There is no sales team. There are no in-house treatment products generating margin: pharmacology is prescribed at standard rates, infusions and injections are minimal, the financial flywheel is the membership itself.
We rank Early Medical’s conflict freedom marginally below YEARS — because the practice does manage treatments, even if conservatively — and meaningfully above the in-house treatment-revenue clinics that dominate the category.
Where it falls short
Two honest caveats.
The waitlist is the binding constraint. Early Medical has not added new patients regularly since 2024. If you want this clinic, you are signing up for a wait that may resolve in months or quarters, not weeks.
The imaging stack is lighter than the ranking-leading clinics. Whole-body MRI is referred out; the work is cardiometabolic, not imaging-led. For the patient whose primary worry is a missed structural finding, Biograph or YEARS are better matches.
The verdict
If you are on the waitlist and a slot opens, take it. The clinical depth, the documented methodology, the absence of structural conflict, and the small-practice operating model are a combination almost no other clinic in this directory matches.
If you are looking now and want similar depth without the waitlist, Biograph is currently the closest substitute on the US side; YEARS on the European side.
The clinic you can read every methodology decision of in advance is, in this category, an unusual asset.
Biograph
San Francisco, United StatesPeter Attia's clinical home, opened publicly in 2025. Diagnostic depth on a par with YEARS, a longitudinal membership model, and an editorial leaning towards Medicine 3.0 — risk stratification across cardiovascular, metabolic, brain, cancer and quality-of-life axes.
Fountain Life
Naples, FL, United StatesDiamandis-Robbins-Hariri's flagship preventive-medicine network. Whole-body MRI plus AI-cardiac imaging plus genome sequencing built around a strong early-detection thesis. Five US locations and growing; the structural conflict is the membership treatment ladder that follows.
Function Health
Austin, United StatesA consumer-priced lab-testing membership: 100+ blood markers once a year, a 60+ follow-up panel, a results dashboard with reference-range explanation. Cheap, accessible, and explicitly not a clinical practice.