Longevity isn't a quick fix—it's a long game. I work with you one-on-one in four-week sprints, targeting the easiest wins with the biggest impact. Month after month, we build momentum together.
New Patients
Meet with Dr. Cohen at One Medical—virtual or in-person. He'll work with you to generate your first 4-week longevity sprint.
After your initial consultation, come back every 4 weeks to check in and generate your next sprint. Share your progress with Dr. Cohen for individualized coaching.
Modern healthcare offers you a choice between two extremes—neither of which actually helps you live longer or better.
Mainstream Medicine
A Pill for Every Ill
Reactive, whack-a-mole medicine that treats symptoms downstream instead of causes upstream. Wait until something breaks, then prescribe.
Blood pressure high? Here's a pill.
Cholesterol up? Here's a statin.
Can't sleep? Here's Ambien.
No time to discuss diet, exercise, or stress
15-minute appointments, lifetime medications
Influencer Wellness
Data Dumps & Hidden Agendas
Non-scientific advice from social media personalities earning commissions on every supplement and test they recommend.
Panels of 100+ labs with no guidance
Expensive supplements with no evidence
"Protocols" that change with sponsorships
Conflicts of interest never disclosed
Overwhelm disguised as optimization
A Better Way
Lifestyle First. Evidence Always. Medication When Necessary.
I'm a board-certified Family Physician with no supplement line, no affiliate links, and no hidden agenda. My only goal is helping you live longer and better using what actually works.
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Parsimony Over Panels
We test what matters and skip the noise. No 200-marker panels—just the biomarkers with proven predictive value.
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Top-Tier Evidence Only
Every recommendation is backed by peer-reviewed research—not podcasts, not tweets, not sponsored content.
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Lifestyle Before Prescriptions
We exhaust behavioral interventions first. But when medication is the safest, fastest path to stability—we use it.
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Zero Conflicts of Interest
No affiliate codes. No supplement sales. No kickbacks. Just a physician whose only incentive is your health.
The Method
Triage First. Then Optimize.
We don't fix everything at once. We identify critical issues first, stabilize, then systematically improve—the same way good medicine has always worked. Each gate unlocks only when you're ready.
1
Gate 1: Downstream Effects - Critical
Medical Clearance
Critical roadblocks where medical intervention is necessary. These issues require treatment (Rx, CPAP, cessation programs) before lifestyle changes can be effective.
🚬 Tobacco Use⚖️ Obesity (BMI ≥30)💓 Hypertension🩸 Diabetes🧪 Severe Hyperlipidemia🍷 Heavy Alcohol Use😴 Sleep Apnea🧠 Depression/Anxiety
Fine-tuning with supplements that work, advanced labs, and fitness benchmarks. The "bonus tips" that compound your progress.
💊 Vitamin D & Glucosamine🔬 ApoB, hs-CRP, GGT❤️ VO2 Max & HRV💪 Grip Strength & Balance
🔒 Complete Gate 4 First
6
Gate 6: Upstream Causes - Environment & Spirit
Environment & Connection
The deep work. Factors harder to modify but profoundly impactful—social connection, sense of purpose, and environmental exposures.
👥 Social Connection💭 Loneliness🎯 Sense of Purpose🌬️ Air Pollution
🔒 Complete Gate 5 First
How It Works
4-Week Focused Sprints
Each gate follows the same proven cycle: assess, prescribe, execute, reassess.
1
Quick Screen
Answer 5-8 targeted questions. No data dumps—just what matters for this gate.
2
Get Your Mission
Receive 1-3 specific actions for the next 4 weeks. Clear, achievable, high-impact.
3
Execute
Focus on your mission. Track progress. Schedule follow-up appointments if needed.
4
Reassess
Return in 4 weeks. Clear the gate. Unlock the next level. Build momentum.
Meet Dr. Cohen
Nicholas Cohen, MD
Board-Certified Family & Lifestyle Medicine · New York City
I'm a practicing primary care physician in New York City with over 15 years of experience. I help patients take control of their long-term health with one goal: longevity—not just living longer, but living better. I take a proactive, evidence-based approach to preventing disease, extending healthspan, and improving your day-to-day energy.
Prior to medical school, I served in the U.S. Army with the elite U.S. Army Rangers, stationed at the 82nd Airborne Division. That experience shaped my approach to health: disciplined, systematic, and mission-focused.
In every visit, I take a deep dive into your whole health—diet, sleep, physical activity, mood, habits, and environmental exposures—so we can identify what's working and where we can improve. You'll leave with a personalized lifestyle prescription: clear, practical recommendations to support your vitality now and for the long run.
🎓 MD, NYU School of Medicine🏥 Residency, Case Western Reserve✓ Board Certified, Family Medicine✓ Board Certified, Lifestyle Medicine🎖️ U.S. Army Ranger, 82nd Airborne📅 15+ Years in Practice
Ready to Start?
Begin with Gate 1: Downstream Effects - Critical. In 5 minutes, you'll know if there are any critical issues to address before optimizing everything else.
Medical clearance—checking for issues that need attention first.
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Don't worry if you don't know exact numbers. Answer to the best of your ability—estimates are fine. You can always update your answers later. Skip questions you're unsure about and keep going.
Calculated BMI: --
Depression Screening (PHQ-2)
📋 Additional Depression Questions (PHQ-9)
Anxiety Screening (GAD-2)
📋 Additional Anxiety Questions (GAD-7)
🫀 Coronary Artery Calcium Score (Age 45+)
Elevated CAC Score Detected
Your CAC score indicates elevated cardiovascular risk. Let's check if you're on appropriate preventive therapy.
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Assessment Paused
Critical Priority Identified
NC
Dr. Cohen's Take
Board-Certified Family Physician
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Your 4-Week Mission
📅Return in 30 days to re-take Gate 1 and track your progress.
Gate 1 Score
+0.0 pts
0% of possible for answered questions
Cumulative Total
0.0 / 100
0% of maximum longevity score
Address critical issues first to improve your score.
✓
Gate 1 Cleared!
No Critical Issues Detected
Great news! You've passed the Medical Clearance gate. No urgent interventions are needed—your foundation is stable enough to proceed with lifestyle optimization.
Gate 1 Score
+0.0 pts
0% of possible for answered questions
Cumulative Total
0.0 / 100
0% of maximum longevity score
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Gate 2 Unlocked: The Lifestyle Protocol
You're ready to focus on nutrition, activity, sleep optimization, and metabolic fine-tuning. This is where the real longevity gains happen.
