The Sano Longevity Program: A 12-Month Membership Built Around Your Data

Quarterly appointments with the same board-certified surgeon every visit. Annual labs. Unlimited body composition retesting. VO2 max, resting metabolic rate, and a 46-marker longevity lab panel (subject to change) that includes the markers traditional healthcare does not include.

30-minute call. No obligation. Concierge practice, HSA and FSA eligible.

Reviewed by Dr. Meredith Sweeney MD, FACS

Board-certified bariatric surgeon, A4M member, founder of Sano Longevity in Middletown. Last updated July 2026.

Sano Longevity Program Quick Facts

The Longevity Program Is Not a Single Visit. It Is the Plan for the Next 30 Years.

The Sano Longevity Program 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 program 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.

"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

Two membership 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.

The Sano Longevity Program Was Designed by a Surgeon Who Spent Over a Decade Operating on the Downstream Consequences of the Standard American Lifestyle.

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.

"In the operating room I would see the ravaging effects of metabolic dysfunction on the body. And what’s sad is that with proper education and proactive medical care we could have avoided ending up here."

Dr. Meredith Sweeney, MD, FACS

"Longevity medicine is not only about adding years to someone's life, it's about adding more life to their years."

Dr. Meredith Sweeney

Fasting insulin is the bottom. Fix it, and almost every other longevity marker on the panel improves alongside it.

What Dr. Sweeney found in her first 200+ Sano patients:

~80% of patients have excess visceral fat

Visceral fat is the most dangerous and life-shortening body composition marker we have

~90% of new patients have elevated fasting insulin

A marker not checked by traditional medicine and not reimbursed by insurance companies. However, it is the #1 biomarker of Longevity.

These two findings alone are why the Longevity Program exists. The 46-marker longevity lab panel (subject to change) 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 Longevity Program Is a Compounding Game.

Sano Longevity is a membership practice, not a single-visit clinic. The results compound over time. 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. By month six, body composition shifts begin showing up on scans. By month twelve, lab markers have moved and the patient has a year of data to refine the plan against. The patients who stay the longest see the most.

The 46-marker longevity lab panel (subject to change), repeat VO2 max testing, repeat body composition scans, and quarterly appointments are all designed around a 12-month rhythm. That is also why the membership runs in 12-month blocks.

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 2 and ongoing care ensure that metrics remain aligned with the goal of living your longest, healthiest life, because aging is not a static process and longevity science keeps evolving.

The Foundation: What Every Longevity Program Member Gets, Regardless of Tier

Comprehensive longevity assessment.

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 (subject to change) through Quest Diagnostics.

60 to 90 minutes roadmap appointment.

Approximately one month after the first visit, Dr. Sweeney walks you through every result and presents your individualized longevity roadmap.

Annual lab panel.

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.

Supplement evaluation

Dr. Sweeney reviews everything you are currently taking and adjusts based on your blood work and your protocol.

One month of continuous glucose monitoring.

Between your first and second physician appointments, with weekly assignments.

Unlimited body composition retesting.

InBody 580 scans whenever you want them. Most members retest every quarter.

Quarterly physician appointments.

With Dr. Sweeney throughout the year.

Concierge access by text, email, and phone.

Throughout the year.

Annual Comprehensive Longevity Evaluation.

At the end of year one.

20% off IV and IM therapies.

When available.

"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

Two Tiers. Built Around What Each Patient Actually Needs.

Every tier includes the full foundation above. The differences are in what gets layered on top.

Gold $349/mo Most Transformational Elite $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.

What Your First Year on the Longevity Program Looks Like.

Week 0

Intake

You complete the Sano intake questionnaire. It is more in-depth than anything you have seen from a physician. Be ready for it.

Week 1 to 2

First appointment

Fasted and in-office. Physician consultation. 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

Week 5 to 6

Roadmap appointment

Dr. Sweeney spends 60 to 90 minutes walking you through every result. Your individualized longevity roadmap is presented here. Medication protocols (if applicable) are 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.

Months 2 to 3

Implementation and CGM

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.

Months 3, 6, 9

Quarterly check-ins

Physician appointments with Dr. Sweeney. Body composition retesting. Concierge support between visits by text, email, and phone.

Month 11 to 12

Annual labs and Annual Comprehensive Longevity Evaluation

Repeat 46-marker longevity lab panel (subject to change). Body composition retest. Dr. Sweeney walks you through everything that moved over the year. Year two planning happens here.

Who Joins the Longevity Optimization Program

The Longevity Program is for anyone who wants to optimize their health from the ground up and live a longer, healthier life

Frequently Asked Questions
About the Longevity Program

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 ($349/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 ($349/mo) includes the comprehensive longevity assessment (VO2 max, resting metabolic rate, InBody 580 body composition, 46-marker longevity lab panel (subject to change)), 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, testosterone therapy is included for men and women in either longevity tier. Menopausal hormone replacement is part of our Menopause 3.0 program.

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 assessment with physical therapist, and a bone density scan.

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.

Real Patients. Real Numbers.

Case Study 1

The Healthcare Worker

Female, 50, nurse practitioner

  • Down 16 lbs (12 lbs of pure fat)
  • Visceral fat down 26 sq cm
  • VO2 max from 18 to 24, a 33% increase
  • Fat-burning efficiency up 24%

A 33% VO2 max improvement corresponds to a 30 to 45% reduction in all-cause mortality risk per American Heart Association data.

Case Study 2

The Night Shift Worker

Male, 51, third shift

  • Down 21 lbs (18 lbs of pure fat)
  • Muscle mass UP 3 lbs while losing fat
  • Body fat from 30% to 22%
  • Visceral fat down 26 sq cm
  • Biological age 60 to 58
  • Resting metabolic rate increased 100 calories per day

When most people lose weight, their resting metabolic rate slows down. His sped up. That is the strength training protocol working.

H
HIPAA Compliant
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HSA / FSA Eligible
MD
Board-certified FACS
A4M
A4M member Anti-aging medicine

Pick the Tier That Fits Your Year. Or Let Us Help You Pick.

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 Dr. Meredith Sweeney MD, FACS

Founder, Sano Longevity in Middletown, Louisville. Board-certified bariatric surgeon. Fellow of the American College of Surgeons (FACS) and formerly 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