919-925-5910

FOR EXECUTIVES

Performing on the outside. Running on fumes underneath.

Most executives I see don't need a wellness app. They need labs, hormone data, sleep architecture, and a plan that actually fits their calendar.

Book the Executive Vitality Spotlight →

FOR EXECUTIVES

Performing on the outside. Running on fumes underneath.

Most executives I see don't need a wellness app. They need labs, hormone data, sleep architecture, and a plan that actually fits their calendar.

Book the Executive Vitality Spotlight →

The signals you've been overriding

Sound familiar?

  • → Wired at night, exhausted in the morning, double espresso to start
  • → Workouts that used to recharge you now wreck you
  • → Memory blips in meetings you used to dominate
  • → Belly fat that won't budge no matter what you do
  • → A libido that has quietly left the building
  • → "Normal" labs — but you don't feel anywhere close to normal

These aren't aging. They're data.

The signals you've been overriding

Sound familiar?

  • → Wired at night, exhausted in the morning, double espresso to start
  • → Workouts that used to recharge you now wreck you
  • → Memory blips in meetings you used to dominate
  • → Belly fat that won't budge no matter what you do
  • → A libido that has quietly left the building
  • → "Normal" labs — but you don't feel anywhere close to normal

These aren't aging. They're data.

THE FRAMEWORK

The Executive Vitality Framework™

Most "executive health" programmes are concierge medicine with a nicer waiting room — same playbook, more marble. The Executive Vitality Framework™ is built around four pillars. We test what matters, drop what doesn't, and build a plan around your actual life.

Hormones Energy Systems Sleep & Nervous System Body Composition

THE FRAMEWORK

The Executive Vitality Framework™

Most "executive health" programmes are concierge medicine with a nicer waiting room — same playbook, more marble. The Executive Vitality Framework™ is built around four pillars. We test what matters, drop what doesn't, and build a plan around your actual life.

Hormones Energy Systems Sleep & Nervous System Body Composition

HOW TO START

Two ways in.

FIRST STEP INTO 1:1

Executive Vitality Spotlight™

A focused short engagement: targeted testing, a 1:1 evaluation, a personalised 14-day plan, and tracking through the first two weeks. The lowest-friction way to work with Dr. Susan directly.

Book the Spotlight →

FULL DATA PICTURE

Executive Vitality Programme

Comprehensive labs (hormones, metabolic, inflammatory, micronutrient), full intake, extended 1:1 partnership — hormone optimisation (incl. BHRT when indicated), nervous-system regulation, sleep, body composition. NC + PA telehealth.

Apply for the programme →

What makes this different.

Most executive health programmes


  • â—Ź Generic optimisation protocols
  • â—Ź "VIP" insurance medicine, same playbook
  • â—Ź Apps and wearables, no MD partnership
  • â—Ź Treats symptoms one at a time
  • â—Ź Annual physical, then radio silence

What I actually do


  • â—ŹTest-first, never guess
  • â—ŹCash-pay, MD-led, 1:1 partnership
  • â—ŹReal labs, real hormones, real plan
  • â—ŹTreats the system, not the symptom
  • â—ŹShort, focused engagements — not yearly check-ins

ABOUT THE PHYSICIAN

About Dr. Susan

Columbia P&S MD. Former plastic surgeon for 25+ years. Then sepsis nearly killed me — three ICU admissions, a doctor who didn't think a fever and confusion warranted antibiotics. That's the gaslighting I now talk about on the TEDx stage.

The recovery is what built this practice. Applied Functional Medicine training. Hormone optimisation. Performance medicine for people who can't afford to be running on fumes.

Read the full story

Common Questions


Do I need to be local to NC?

I see 1:1 clients via telehealth in NC and PA, and run lab work nationally with phlebotomy coordinated locally to you. Outside NC + PA, the Spotlight may still fit; the extended 1:1 programme is currently NC + PA only.


Is this covered by insurance?

No — cash-pay performance medicine. Labs are often covered when ordered through your PCP, and we can coordinate that path. Most clients find the programme less costly than the lost productivity they were absorbing.


How is this different from a concierge MD?

Concierge MDs mostly run the insurance playbook with better access. The Executive Vitality Framework™ is built around hormones, energy systems, and recovery — not annual physicals.


Do you prescribe BHRT?

Yes, when indicated and after appropriate labs and screening. BHRT is one tool, not the whole toolkit.


What if I just want to know if we're a fit?

That's exactly what the Spotlight is for — a short, structured first engagement. Full details on the Spotlight sales page.


Ready to test instead of guess?

Book the Executive Vitality Spotlight →