Services & Expertise

Explanation of Services

Intake Interview

An initial intake interview will be conducted. This usually lasts for 1–2 hours. Its purpose is to review and confirm your information, your medical history, and most importantly, to assess your goals, mindset, value hierarchy, and approach to your health.

At first, this is the most important determinant of how we’ll be able to help you. Some people are highly focused on their health and have a great deal of experience with nutrition, exercise, and a high degree of working knowledge within medicine and life sciences. This individual will have a very different level of detail and starting plan versus someone for whom health has just become an interest and who has none of the above listed experience.

Of course, most people will be in between, but this initial assessment is key for both you and for Dr. Kornweiss to understand how you can best work together to set and achieve your health goals.

Medical Record Analysis

Medical records commonly contain mistakes. Test results are often verbally reported to patients as “normal” as long as specific pathology is not found.

For instance, if you’ve been to the emergency department for abdominal pain or chest pain, it’s likely that you’ve had X-rays, CT scans, labs, and/or electrocardiograms performed. It’s common to be told such results are normal when the culprit pathology is not found.

In reality, a significant portion of these test results are actually abnormal. It’s common for tests to reveal important information about your anatomy and physiology as well as incidental findings. CT scans commonly demonstrate lung nodules, undescended kidney stones, gallstones, or other findings that may not warrant emergent treatment, but which should either be monitored or followed with further evaluation. Lab tests often reveal mild forms of anemia, or subnormal electrolytes, as well as other non-urgent but important findings. Hospital based physicians and physicians in extremely busy practice environments operate under the assumption that these results will be noted and acted upon by your primary physician, but it’s common for such findings to slip through the cracks.

We use professional record collection services to retrieve all of your records in a secure fashion. Dr. Kornweiss personally reviews your records in their entirety by reading all physician notes, reviewing all imaging reports, the images themselves, as well as lab results and EKGs. Dr. Kornweiss will tabulate, graph, and analyze all prior lab results to discover abnormalities and significant trends. He’ll check to ensure there were no mistakes and that all incidental findings are noted, discussed, and followed with appropriate evaluation and treatment.

This service alone can alter the course of your healthcare, and in some cases, reviewing your records carefully can be life changing.

This is an invaluable service that, to our knowledge, is not available anywhere else at any price, except perhaps inside other particularly discerning medical practices.

Medical History

Despite major technological advances in diagnostic medicine, the medical history is still the cornerstone of clinical diagnosis. A skilled and experienced clinician can make many diagnoses rapidly just by listening carefully to the symptoms described by a patient.

When you join the practice, Dr. Kornweiss will take a detailed medical history from you focusing on any ongoing symptoms as well as symptoms related to any significant past diagnoses that are still affecting your health.

Based on this interview, Dr. Kornweiss will summarize your past and ongoing medical conditions and will make recommendations and referrals for any ongoing conditions. As a physician who focuses on preventive care and longevity, Dr. Kornweiss will pay special attention to help you resolve or ameliorate any conditions that might affect your lifespan or healthspan.

In addition to the personal medical history, we’ll also ask you to fill out a detailed family history form. Though it does require significant time on your part to gather and record a detailed family history, this information is valuable in gaining a full picture of your long-term health risks.

Genetic Testing

Included in our initial evaluation of your health is a genetic testing profile that provides genetic information about your risks for metabolic syndrome, insulin resistance, obesity, hypertriglyceridemia and other dyslipidemias, and information about your nutritional genomics. This test also includes an ApoE genotype result which can partially inform us of your lifetime risk for Alzheimer’s disease as well as provide information about your lipid metabolism.

On its own, genetic testing is of limited value, but in combination with your health history, nutrition logs, and lab results, this information can help us fine-tune recommendations for your supplements, medications, and nutrition, as well as set expectations.

You can compare this testing to information you would receive from Inside Tracker, 23andMe, or many of the ancillary services that charge roughly $150. Buying this testing on your own would cost you over $300, but is included with our comprehensive preventive care consultation package.

Nutrition Analysis

One of the most impactful determinants of your longterm health and wellbeing is your nutrition. Most people eat three or more meals per day. We also snack and drink beverages throughout the day. Though the old trope “you are what you eat,” may not be strictly true, it’s definitive that the substances we put into our bodies over the course of decades have profound impacts on our health, not to mention our energy level and appearance.

Given the importance and impact of nutrition, Dr. Kornweiss focuses heavily on proper nutrition for his clients.

A nutrition consultation consists first and foremost of two-weeks of strict tracking of everything you consume - food, drinks, and supplements.

Using an application that provides detailed information including macronutrient and micronutrient content of your diet, Dr. Kornweiss will perform an individualized analysis of your nutrition.

Based on this information, as well as your health goals, fitness goals, lab results, genetic testing results, food preferences, your schedule, and your access to food, Dr. Kornweiss will make personalized nutrition recommendations which will include daily macro and micronutrient targets, supplements, and particular foods. He’ll also help you develop a personal strategy to maintain your nutrition based on your schedule and limitations.

Dr. Kornweiss has experience working with patients who prefer a variety of nutritional strategies - carnivore diets, vegetarian and vegan diets, ketogenic diets, low-carbohydrate diets, high-carbohydrate diets, nutrition for athletes, intermittent fasting, time-restricted eating, and the fasting mimicking diet. Various nutritional strategies are deployed as appropriate.

If you need them, we’ll also make specific supplement recommendations based on our research and results from third-party testing, which we use to ensure the highest quality and safest supplements.

Exercise Analysis

Part of your intake will be an exercise questionnaire which we’ll follow up with a discussion about your exercise.

Based on your fitness goals, experience with various exercise modalities, athletic goals and experience, we’ll formulate an individualized exercise plan to improve your long-term strength, cardiopulmonary fitness, mobility, and stability.

Goal-oriented plans for those with recreational or competitive athletic goals can also be constructed.

Biometric Data Analysis

When you enroll with our practice, you’ll be encouraged to use connected devices like an Apple Watch, FitBit, Whoop or Oura ring to track movement, sleep data, and heart rates. You’ll also be encouraged to use a connected scale and blood pressure cuff from time to time so that we can track your weight and blood pressures.

For those who do not yet have devices, or who would like new ones, you’ll be provided with a premium scale and blood pressure cuff from Withings.

Our connected software offers multiple ways for you to share your data conveniently with the practice where it can be reviewed and assimilated so that we can provide you with feedback on how to improve your biometrics and sleep. For those who choose ongoing memberships within the practice, monitoring this data is an important part of our care.

Continuous Glucose Monitoring

An important aspect of metabolic health that determines risk for many chronic diseases such as cardiovascular disease, stroke, dementia, cancer, fatty liver disease, and more, is glucose sensitivity (insulin resistance).

The best way to understand your ability to dispose of glucose and carbohydrates is to wear a continuous glucose monitor.

Patients undergoing initial consultation will be encouraged to wear a continuous glucose monitor for at least the period during which they are tracking their nutrition. It’s also especially beneficial to wear the sensor after nutrition, supplementation, and/or medication interventions have been made so that you can see the profound difference in your blood sugars between your baseline state and post-intervention state.

In addition to the platform’s analytics, Dr. Kornweiss performs additional analysis of your data and correlates the findings with your nutrition and exercise logs to interpret which interventions may work for your and which may be less useful.

Laboratory Analysis

For most new patients, we obtain extensive blood work to gain the most comprehensive picture of your health.

A common intake panel might include the following tests:

CBC, CMP, Endocrine Biomarkers (e.g. thyroid, parathyroid, sex hormones, adrenal), Vitamin levels (e.g. D, B12, Folate), Magnesium, Lipid Panel with Direct LDL, ApoB, NMR lipids, Lp(a), HgbA1C, Fasting Insulin, Iron Studies, hs-CRP, Lp-PLA2, Ox-LDL, homocysteine, STD screen including HIV, latent TB, Urinalysis, Iron Studies, and other custom lab orders depending on need.

This is nearly double the number of biomarkers that exist within even the most comprehensive direct-to-consumer wellness platforms that offer blood testing. The most well known and successful company that does something similar is Inside Tracker, which offers an Ultimate Plan for $589. This plan includes only a fraction of the detail that we obtain on our intake analysis.

On the flip side, we’re careful to only order testing for which direction action can be taken, keeping your costs as low as possible while maximizing actionable information.

Your lab results will be put into context with all other parts of your evaluation and will be compared to old test results.

Personalized recommendations will be made to improve your results or to treat abnormalities that are found.

Health Plan

Your health plan is a document that assimilates all of the data and information obtained throughout the course of your evaluation.

The document will lay out the short-term, medium-term, and long-term threats to your health. These will be prioritized based on their proximity in time as well as the magnitude of the threat.

Each threat will be explained and action items listed.

You’ll receive copies of all of your records, labs, logs, questionnaires, and a personalized preventive care schedule explaining what you should do with regard to your sleep, nutrition, exercise, supplementation, medications, specialist follow-up, and preventive care testing and exams in order to mitigate the threats to your health and to maximize your healthspan and lifespan.

Exit Interview

At the end of your consultation, Dr. Kornweiss will meet with you for 1–2 hours to review your health analysis and plan and will answer all questions.

Follow-Up

For 4 weeks following your exit interview, Dr. Kornweiss will be available by email to answer any additional questions that arise.

Need Help Executing and Maintaining Your Plan?

Once your initial plan is completed, if you’re interested in hiring me to help you maintain and carry out your plan by prescribing medications, recommending supplements, updating and coaching you through nutrition plans and exercise plans, ordering lab and imaging tests, referring you to specialists, and updating and maintaining your preventive care plan on an ongoing basis, you can sign up for a customized membership which is priced based on your particular needs.