Longevity clinics in Miami, what is proven and what it costs

What a longevity membership costs in Miami

Evolve Longevity in Miami Beach publishes three yearly memberships. Evolve Elite costs $25,000 and is offered with founding member perks. Premium costs $10,000 and Essential costs $6,000 [1].

NeoMedicine Institute, with clinics in Aventura and Doral, describes a physician-led longevity membership built on advanced diagnostics and biomarker testing, from $20,000 a year [2].

Hall Longevity Clinic in Miami Beach advertises no fixed package fee. It gives each person a written proposal after an introductory assessment, and a video consultation with one of its physicians costs about $500 [3].

What the membership buys

At Evolve, most items on each tier are treatment sessions and a smaller number are measurements. The Elite tier includes a DEXA scan, a VO2 max test and a physician consultation each month, 4 health scans a year and 4 IV sessions a month, alongside hyperbaric oxygen, shockwave, red light and lymphatic drainage sessions [1].

A DEXA scan measures body fat, muscle and bone. A VO2 max test measures how much oxygen your body can use at full effort, a direct measure of fitness. Evolve includes one of each every month on all three tiers [1]. Both are useful when a doctor reads them over time and turns them into a plan you follow.

Ask each clinic to separate the measurements from the treatments on its list. The measurements tell you something about your health. For each treatment, ask what published evidence supports it in healthy adults before you pay for it.

Tests with strong evidence behind them

Fitness is the strongest of them. In 122,007 adults who took a treadmill test, those in the least fit group were about five times as likely to die over a median of 8.4 years as the fittest, a gap larger than the one linked to smoking [4].

A coronary calcium score shows hardened plaque in the arteries of the heart. In 6,722 adults without heart disease, of whom 21.9% were Hispanic, a score above 300 carried close to ten times the risk of a heart attack or other coronary event of a score of zero [5].

An HbA1c shows your average blood sugar over the past few months. In 11,092 adults without diabetes, a level from 6.0% to 6.5% carried more than four times the later risk of diabetes of a level from 5.0% to 5.5% [6]. All three results change what a doctor advises you to do.

What the evidence does not yet support

Testing everything has a weak record. A Cochrane review of 17 trials, 15 of which reported results for 251,891 people, found that general health checks made little or no difference to deaths overall or from cancer [7]. The American College of Radiology does not recommend a total body MRI for people without symptoms, because no study has shown it helps people live longer [8].

Biological age scores need care. When the same blood sample was tested twice, technical noise alone moved six well known epigenetic clocks by up to 9 years [9]. A review in Nature Medicine found no agreement yet on how these measures should be validated before they are used in clinics [10].

Infusions carry their own risks. The FDA has warned that some compounders used food grade NAD+ to make intravenous products, and it has received reports of severe chills, shaking, vomiting and fatigue after NAD+ injections [11].

Five questions to ask a longevity clinic

The answers show how much of the fee goes to measurement and how much to treatment.

• Which tests on your list would change what my doctor advises me to do?
• Is a physician reviewing my results each time, or a coach?
• What evidence supports each treatment you offer to healthy adults?
• Who prepares your infusions, and are they made in a licensed pharmacy?
• Will I keep my results in a form my own doctor can read?

How our longevity care in Miami will work

Our longevity programme in Miami costs from $27,500 for a year. It will start with the measurements that have strong evidence behind them, your fitness, your heart and your blood, read by your own doctor, who will set the plan with you and repeat the tests that show whether it is working.