30-minute call. No obligation. Concierge 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.
“I take very complex sets of data and weave them together into an actionable and realistic plan that is going to change your life”
Dr. Meredith Sweeney, MD, FACS, FASMBS
The two tiers exist because not every member needs the same depth of implementation support. Gold is the full foundation: the assessment, the quarterly physician appointments, the labs, the body composition retesting, concierge access, and medication monitoring including testosterone therapy at the physician’s discretion. Elite layers in monthly 1:1 coaching, bi-annual dietitian sessions, bi-annual VO2 max and metabolic retesting, the annual strength and mobility assessment, and a bone density scan.
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 Program is the practice she built after more than a decade watching what happens when patients get a 12-minute primary care visit and no plan for the next 30 years. It is structured the way it is because she has seen the cost of skipping it.
Dr. Meredith Sweeney
The Longevity Program is the bottom. Fix it, and almost every other longevity marker on the panel improves alongside it.
A marker not checked by traditional medicine and not reimbused by insurance companies. However it is the #1 biomarker of Longevity.
Visceral fat is the most dangerous and life-shortening body composition marker we have
These two findings alone are why the Longevity Program exists. The 46-marker longevity lab 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.
“The results compound over time. Small changes in the first quarter become measurable shifts by the second. Measurable shifts become real outcomes by the end of the year. The patients who stay the longest see the most.”
Sano Longevity
The membership runs in 12-month blocks because that is how long real change takes. Year one captures the baseline data and builds the habits. Year two and beyond are where the compounding happens.
First visit is fasted and in-office. VO2 max test, InBody 580 body composition, resting metabolic rate on the PNOĒ platform, and a 46-marker longevity lab panel through Quest Diagnostics.
Approximately one month after the first visit, Dr. Sweeney walks you through every result and presents your individualized longevity roadmap.
With Dr. Sweeney throughout the year.
At the start of every 12 month engagement an extensive longevity lab panel is drawn. Since the science of longevity medicine is rapidly evolving, the contents of this panel are subject to change.
InBody 580 scans whenever you want them. Most members retest every quarter.
Dr. Sweeney reviews everything you are currently taking and adjusts based on your blood work and your protocol.
Between your first and second physician appointments, with weekly assignments.
Throughout the year.
When available.
At the end of year one.
“Most healthcare follows averages. We focus on you. Sano Longevity uses advanced testing and data-driven insights to deliver truly personalized care.”
Dr. Meredith Sweeney
Every tier includes the full foundation above. The differences are in what gets layered on top.
Gold$299/mo | MOST TRANSFORMATIONALElite$499/mo | |
|---|---|---|
| Comprehensive longevity assessment | ✓ | ✓ |
| Quarterly physician appointments with Dr. Sweeney | ✓ | ✓ |
| Annual longevity biomarker panel | ✓ | ✓ |
| Unlimited InBody body composition scans | ✓ | ✓ |
| Supplement evaluation and recommendations | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ |
| Medication prescribing and monitoring (GLP-1s, peptides, testosterone if indicated) | ✓ | ✓ |
| 1 month of CGM for new patients | ✓ | ✓ |
| Monthly 1:1 coaching sessions (30 min) | — | ✓ |
| Bi-annual registered dietitian meetings | — | ✓ |
| Bi-annual metabolic and VO2 max retesting | — | ✓ |
| Annual strength, mobility, and injury assessment at Sargent Wellness | — | ✓ |
| Bone density scan | — | ✓ |
One-time onboarding and comprehensive assessment: $350. Onboarding fee waived for returning clients with no lapse in monthly payments. Add-ons available to any tier: personal training, Alzheimer’s genetic testing, advanced cancer screening via EpiSeek.
You complete the Sano intake questionnaire. It is more in-depth than anything you have seen from a physician. Be ready for it.
Fasted and in-office. VO2 max test under 15 minutes on bike or treadmill. InBody 580 body composition scan. Resting metabolic rate testing on PNOĒ. Quest Diagnostics blood draw. Total time on-site: approximately 90 minutes
Dr. Sweeney spends 60 to 90 minutes walking you through every result. Your individualized longevity roadmap is presented here. If you are clinically appropriate for testosterone therapy (Gold tier and above) or another medication protocol, it is introduced here. If you are on the Elite tier, your introductions to the longevity coach (Melissa) and registered dietitian (Emily Coles, RD) happen after this appointment.
You wear a continuous glucose monitor for 30 days. Weekly assignments build your personal data on how your body responds to food, timing, and exercise. Body composition retesting on demand.
Physician appointments with Dr. Sweeney. Body composition retesting. Concierge support between visits by text, email, and phone.
Repeat 46-marker longevity lab panel. Body composition retest. Dr. Sweeney walks you through everything that moved over the year. Year two planning happens here.
The Longevity Program is for anyone who wants to optimize their health from the ground up and live a longer, healthier life.
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
Six questions we hear most often about the 12-month commitment, the two tiers, and what is included.
The Longevity Program 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 an Annual Comprehensive Longevity Evaluation at the end of year one. Two tiers are available: Gold ($299/mo) and Elite ($499/mo). See current pricing.
Sano Longevity is a membership practice, not a single-visit clinic. 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. The patients who stay the longest see the most.
The Gold tier ($299/mo) includes the comprehensive longevity assessment (VO2 max, resting metabolic rate, InBody 580 body composition, 46-marker longevity lab panel), quarterly physician appointments with Dr. Sweeney, an annual longevity biomarker panel, supplement evaluation and recommendations, unlimited InBody scans, concierge access by text, email, and phone, 20% off IV and IM therapies, and medication prescribing and monitoring when clinically indicated. This includes GLP-1s, hormones, peptides, and testosterone therapy at the Gold level if indicated. New patients also receive 1 month of continuous glucose monitoring with remote monitoring by Dr. Sweeney. A one-time $350 onboarding and comprehensive assessment fee applies.
Yes, with a routing distinction. Testosterone therapy is included in the Longevity Program Gold tier ($299/mo) at the physician’s discretion when clinically indicated, alongside GLP-1s, peptides, and other medications. Menopause and perimenopause-specific programming is in development. For estrogen/progesterone hormone replacement questions, please book a free consultation with Dr. Sweeney. If you are unsure which program fits, book a free consultation and Dr. Sweeney will help you choose.
The Elite tier ($499/mo) includes everything in the Gold tier plus monthly 30-minute 1:1 coaching sessions with a longevity coach, bi-annual registered dietitian meetings, bi-annual metabolic and VO2 max retesting, annual mobility and strength assessement with physical therapist, and a bone density scan. Meet the team for more on each practitioner.
Sano Longevity is a membership-based practice. 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 and Elite, and we will help you pick the tier that matches your goals and your starting point. Same physician at every visit. Concierge 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
