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.
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.
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
- ●Short, 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 storyCommon 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.