Quarterly appointments with the same board-certified surgeon every visit. Annual labs. Unlimited body composition retesting. VO2 max, resting metabolic rate, and a 25-marker blood panel that includes the markers your primary care will not test.
30-minute call. No obligation. Cash-pay practice, HSA and FSA eligible.
Reviewed by Dr. Meredith Sweeney, MD, FACS, FASMBS | Board-certified bariatric surgeon, A4M member, founder of Sano Longevity in Middletown. Last updated April 2026.
The Sano Longevity Track is a 12-month membership built around the four things that determine how long and how well you live: nutrition, movement, stress, and sleep. Every member gets the same foundation: a full first-visit workup, a 60 to 90 minute roadmap appointment with Dr. Sweeney, quarterly physician check-ins, annual labs, and unlimited body composition retesting throughout the year.
The track is structured this way because longevity medicine is not a single test result. It is a multi-quarter loop of measure, intervene, retest, and adjust. The first three months establish your baseline and the first interventions. The middle of the year shows whether the plan is moving the needle. The last quarter is where the body composition, VO2 max, and metabolic markers shift in measurable ways. Patients who follow the full year see results that compound. Patients who stop at three months see almost nothing.
“I take very complex sets of data and weave them together into an actionable and realistic plan that is going to move the needle.”
Dr. Meredith Sweeney, MD, FACS, FASMBS
The three tiers exist because not every member needs the same depth of implementation support. Gold is the foundation. Platinum adds hormone work for patients who need it. Executive adds the coaching, the dietitian, the strength screen, and the most frequent retesting cycle.
For more than ten years, Dr. Meredith Sweeney was a board-certified bariatric surgeon at Norton Healthcare in Louisville. She spent her days inside the abdomens of patients whose metabolic disease had become a surgical emergency. She saw, with her hands, what happens when nobody catches the precursors in time.
“I had to physically lift up livers that were sometimes so heavy we had to insert two retractors into the abdomen. Purely because of metabolic dysfunction.”
Dr. Meredith Sweeney, MD, FACS, FASMBS
By her own count, Dr. Sweeney spent 90% of her time outside the operating room managing the lifestyle and metabolic health of her bariatric patients. She rewrote the preoperative and postoperative diet protocols at Norton with no formal nutrition credential, because nobody else was going to do it and her patients needed it. She was filling a gap the system was not filling.
The Longevity Track is the practice she built when she finally walked away from the operating room. It is structured the way it is because she has spent more than a decade watching what happens when patients get a 12-minute appointment, a blood pressure reading, and a refill. It is a 12-month membership because she has spent more than a decade watching three-month interventions fail. It is built around real measurements (VO2 max, resting metabolic rate, body composition, fasting insulin, Omega-3 index) because she has spent more than a decade watching primary care miss every one of them.
“I am a fixer. I start at the bottom and fix it there, and then everything upstream is magically better.”
Dr. Meredith Sweeney
The Longevity Track is the bottom. Fix it, and almost every other longevity marker on the panel improves alongside it.
A marker primary care almost never tests because insurance does not reimburse it. Dr. Sweeney considers not testing it close to malpractice.
Most walk in below 3%. Standard labs say 5% is fine. Longevity-grade research says 8% is the floor.
These two findings alone are why the Longevity Track exists. The 25-marker blood panel that runs at the start of every membership year captures both of them, and Dr. Sweeney builds the year-one plan around moving the markers that the rest of the system is not even measuring.
That number is not a marketing line. It is what Sano observed in its first year of operation. Every patient who started a longevity protocol and stopped at the three-month mark failed to maintain results, failed to see the body composition shifts that take a quarter or more to register on a scan, and failed to capture the lab marker changes that take six to twelve months to move.
Longevity is a compounding game. The first three months are where the baseline data is captured, the first protocols are introduced, and the patient builds the habits that the rest of the year is structured around. Real change shows up in months four through six. Lab markers shift in months six through twelve. Year one ends with a State of the Union review where Dr. Sweeney walks the patient through everything that moved and what the second year is going to focus on.
“Patients who quit at three months have a 100% failure rate. The patients who commit see results that compound year over year.”
Dr. Meredith Sweeney
The 12-month commitment is not about locking patients in. It is about being honest with them about how long real change takes.
“Your primary care doctor calculates your metabolic rate from a formula. We measure it.”
Dr. Meredith Sweeney
Every tier includes the full foundation above. The differences are in what gets layered on top.
| Gold | Platinum | Executive | |
|---|---|---|---|
| Comprehensive longevity assessment | ✓ | ✓ | ✓ |
| Quarterly physician appointments | ✓ | ✓ | ✓ |
| Annual lab panel | ✓ | ✓ | ✓ |
| Unlimited body composition scans | ✓ | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ | ✓ |
| 1 month of CGM | ✓ | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ | ✓ |
| Hormone Replacement Program (testosterone, HRT) | — | ✓ | ✓ |
| Peptide protocols (year one for new hormone patients) | — | ✓ | ✓ |
| Quarterly longevity coach sessions | — | — | ✓ |
| Bi-annual registered dietitian meetings | — | — | ✓ |
| Annual strength and mobility screen at Sargent Wellness | — | — | ✓ |
| Bi-annual VO2 max retesting | — | — | ✓ |
| Bi-annual metabolic retesting | — | — | ✓ |
You still see yourself the way you did at 22. The mirror is starting to disagree. You want your body composition back, your energy back, and a strength protocol that does not destroy your knees. The Longevity Track gives you the data and the plan that fits the life you actually live.
You are doing well professionally and you are watching your mother decline. Dementia is the fear. Strength is the answer. The Longevity Track measures the metabolic markers that drive cognitive aging and builds a plan around protecting your brain for the next 30 years.
You finally have the time and the budget to play the long game. You want the next 20 to 30 years to be active, sharp, and on your terms. The Longevity Track builds the roadmap that gets you there, and measures the progress every quarter.
Female, 50, nurse practitioner
A 33% VO2 max improvement corresponds to a 30 to 45% reduction in all-cause mortality risk per American Heart Association data.
Male, 51, third shift
When most people lose weight, their resting metabolic rate slows down. His sped up. That is the strength training protocol working.
Six questions we hear most often about the 12-month commitment, the three tiers, and what is included.
The Longevity Track is Sano Longevity’s 12-month membership for patients who want to add years to their life and life to their years. It is built around quarterly physician appointments with Dr. Meredith Sweeney, an annual lab panel, unlimited body composition retesting, VO2 max testing, resting metabolic rate analysis on the PNOĒ platform, concierge access by text, email, and phone, and a State of the Union review at the end of year one. Three tiers are available: Gold, Platinum, and Executive. See current pricing.
Patients who quit at three months have a 100% failure rate. Longevity protocols compound. The first three months establish baseline data and the first interventions. The next three months show whether the protocol is moving the needle. Months six through twelve are when the body composition, VO2 max, and lab markers shift in measurable ways. Sano structures the membership around the timeline that produces real results, not the timeline that feels easy to commit to.
The Gold tier includes a comprehensive longevity assessment (VO2 max, resting metabolic rate, InBody 580 body composition, 25-marker blood panel), quarterly physician appointments with Dr. Sweeney, an annual lab panel, supplement evaluation, unlimited InBody body composition scans, 1 month of continuous glucose monitoring, concierge access by text, email, and phone, and 20% off IV and IM therapies. A one-time enrollment fee applies.
The Platinum tier includes everything in the Gold tier plus the Hormone Replacement Program. This covers testosterone replacement and menopausal hormone replacement therapy when clinically appropriate, and peptide protocols for new hormone patients in their first year of membership. Hormone protocols at Sano are built on top of the foundational lifestyle and metabolic work, not as a substitute for it.
The Executive tier includes everything in the Platinum tier plus quarterly longevity coach sessions, bi-annual registered dietitian meetings, an annual strength, mobility, and injury screen at Sargent Wellness (Dr. Julie Sargent, DPT), and bi-annual metabolic and VO2 max retesting. Meet the team for more on each practitioner.
Sano Longevity is cash-pay only. Insurance is not accepted. The practice is HSA and FSA eligible. This model exists so Dr. Sweeney can spend 60 to 90 minutes with each patient reviewing data and building an individualized plan, instead of the 12 minutes a typical insurance-billed visit allows.
Book a free consultation. We will walk you through the differences between Gold, Platinum, and Executive, and we will help you pick the tier that matches your goals and your starting point. Same physician at every visit. Cash-pay practice. HSA and FSA eligible.
We respond within 24 hours. No pitch. Just data. Or call (502) 208-6476.
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Reviewed by
Founder, Sano Longevity in Middletown, Louisville. Board-certified bariatric surgeon. Fellow of the American College of Surgeons (FACS) and the American Society for Metabolic and Bariatric Surgery (FASMBS). Member, American Academy of Anti-Aging Medicine (A4M). Speaker, Longevity Fest 2025. More than ten years of metabolic medicine experience at Norton Healthcare before founding Sano Longevity in March 2025.
Sano Longevity
(502) 208-6476