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®
W
ho We Are
Learn how we became an industry leader
Our Mission
Our Growth Story
At PhysioAge Medical Group, we believe that the goal of health
care ought to be exactly that—care of your health, not only
prevention and treatment of disease. Our mission, therefore, is
to provide the most advanced, scientifically-validated diagnostics and therapeutics available to help women and men feel
and look as healthy as possible as they grow older.
Our Vision
We will be the leading national network of age management
physicians with a focus on quality clinical patient management. Rather than be the biggest, we’ll be the best. Our target
market is decidedly upscale and willing to pay more for the
PhysioAge brand. We will leverage our clinical and operational experience to ensure every Partner meets or exceeds
the highest standards of excellence.
Our Approach
Our approach to HRT can best be described as “Precision
Medicine”: each patient deserves a comprehensive evaluation
and an individually-tailored treatment regimen that must be
continually optimized. We don’t subscribe to the “one size fits
all” philosophy followed by most physicians when treating
hormonal imbalance. Every patient is different and everybody
responds differently to the same dosage. We believe the path
to optimized health consists of balanced bioidentical hormone
replacement, anti-oxidant therapy and proper nutrition &
exercise.
Our next-generation physical exam is able to detect preclinical disease states and measure an individual’s rate of
aging. Every patient gets a comprehensive assessment of the
health of each major physiological system—the PhysioAge
Composite—and then a tailored program of exercise, diet,
nutritional supplements, and bioidentical hormone replacement therapy to slow, and in some cases, reverse the decline
in their physiological age.
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Our History
Our dream - 1994
As primary care internists at Dartmouth Hitchcock Clinic in New Hampshire, we were growing
increasingly frustrated treating sickness instead of
preventing it. We wanted to escape the insurance
maze and be free to practice medicine in the best
interest of the patient, not how the insurance company dictates.
Our opportunity - 1995
Shortly after HGH was approved for the treatment of AGHD, we started conducting research
in a new field called Anti-Aging Medicine. We
quickly developed an intense passion for the field
and became diplomats of the American Academy
of Anti-Aging Medicine. We developed our own
scientifically-based treatment programs after thoroughly researching all of the available literature.
Making it happen - 1997
Once we realized this was the future of medicine,
we left our clinic in NH and moved to NYC to
start our own upscale practice on Central Park
South – the first of its kind on the East Coast.
PhysioAge Medical Group opened its doors in
1997 with a handful of patients and one employee.
We started using our gold-standard clinical protocols
in practice and began the long process of perfecting
them. The first few years were very slow.
Realizing our dream - 2002
Jerry Fortunato joined the practice and put into
place a comprehensive marketing program that
resulted in a rapid expansion of the patient base
from 200 to 800 patients. To accommodate this
rapid growth, Jerry developed a customized technology infrastructure and proprietary workflows,
policies and procedures to manage quality.
Building upon our success - 2009+
Today we are one of the most successful age manage­
ment practices in the nation, with 6 locations nationwide and counting. We have tested and refined our
gold-standard clinical protocols on more than 2,200
patients. We leverage our experience to help other
physi­cians achieve the same level of success, without
the learning curve.
CBS Evening News interview with Dr. Ron Livesey
Our Principals
Ronald V. Livesey, MD
Dr. Livesey received his MD in 1972 from Tufts
University School of Medicine, completed his
residency at St. Elizabeth’s Hospital/Boston,
and was a member of the clinical faculty at
Tufts Medical School. Dr. Livesey has been
featured in The CBS Evening News, The New
York Times, USA Today, Elle, and the 2002
Award Winning BBC Documentary: How To
Build A Human: Part IV: Forever Young.
Joseph M. Raffaele, MD
Dr. Raffaele received his MD from Hahnemann
University Medical School in 1989, completed
his residency at The New York Hospital/
Cornell University Medical Center, and was a
clinical assistant professor of medicine at Dartmouth Medical School. Dr. Raffaele is board
certified in internal medicine and is a diplomat
of A4M. Dr. Raffaele has been featured in
Newsday, ABC World News Tonight, NPR,
The Today Show and The New York Times.
Jerry Fortunato, COO
Since joining PhysioAge in 2002, Jerry has been
responsible for managing all business operations: business strategy, marketing & branding,
finance, product management, patient relationship management, systems design & development and information technology support. Jerry
received his MBA from Rutgers Business School
and his BS in Finance from Rutgers College.
Jochen Kumm, PhD
Designed and developed the PhysioAge Systems
software platform as well as the algorithms used
to calculate physiological ages and the overall
PhysioAge®. Dr. Kumm holds a Physicum in
Medicine from Heidelberg University, a BA in
Biology from Harvard University and a PhD in
Biological Sciences from Stanford University.
Dr. Kumm is the Director of Biomathematics
at the Stanford Genome Technology Center in
Palo Alto, CA.
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P
ractice Franchise
Designed by doctors for doctors
Learn how our industry-leading expertise and
proven business model will:
• Launch your cash practice
• Build your patient base
• Run your practice smoothly
• Allow you to spend more time with patients
Without restricting your practice style
You practice medicine as you see fit
The PhysioAge Practice Franchise is your opportunity to join our expanding
team of select physicians nationwide. When you open the next PhysioAge
Medical Group, you’re not just an affiliate – you’re a Partner. As a Partner,
you’ll be able to fully lever­age the clinical and operational expertise we’ve
attained over the past 15 years without reinventing the wheel. Each location
is independently owned and operated, and each Partner retains the liberty to
practice medicine as they wish.
Our turnkey practice franchise is designed to allow you to spend less time setting
up & managing your business, so you can spend more time managing patients.
Our experts will help you get your new practice off the ground with all the forms,
brochures, stationary and other marketing materials you need to get started. We’ll
conduct a market survey to make sure you’re competitively priced. We’ll set up
your IT systems and train your staff on every operational aspect of running your
practice. Our proprietary Next-Generation Physical Exam will demonstrate the
benefits of your treatment while setting you apart from the competition.
By leveraging our brand identity, you’ll project the same professional image
we’ve carefully cultivated over the years. You’ll be listed on our website as a
member of our team, along with a special section dedicated to your practice. We’ll design & manage a targeted local marketing campaign and share
the cost with you. Our call center is staffed with highly-trained professionals
who will take calls for your office and turn prospects into patients. We’ll even
schedule their appointments and manage the patient intake process.
Your site:
www.PhysioAge.com
You’ll learn how to use our clinical guidelines and protocols to deliver the
very best in patient care through a 3-day training course here in our NYC office. While you’re here, you’ll experience what it’s like to become a PhysioAge
patient, including biomarker testing and 2-hour initial consultation. You’ll
gain a deep understanding of the intricacies of managing hormones in diverse patient cases by working directly with our physicians. As you encounter
difficult cases in your clinical practice, you’ll be able to call on our expertise
with ongoing clinical support (available in most states).
“Spend less time managing your business and more time managing your patients”
As a PhysioAge Partner, you’ll have a team of qualified professionals behind
you to help in the day-to-day management of your patients and your practice.
Your success is our success.
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Comprehensive Marketing Support & Campaign Management
One of your greatest challenges is to build your patient base. How do you find more
patients? PhysioAge can help fill your practice by creating and managing a comprehensive
plan that includes all aspects of marketing your practice:
• Advertising strategy: online advertising, SEO, PR, social media, seminars, etc.
• Professional marketing collateral design
• Exclusive use of the PhysioAge.com website for your practice
• Hormone Therapy Seminar presentation
We’ll even contribute to your marketing budget so you can fill your practice quickly.
Clinical Protocols & Support
In addition to one-on-one training with our senior physicians, Partners will receive
a standardized Clinical Treatment Guide that details every aspect of the PhysioAge
Protocols and captures our years of clinical experience. As questions arise in day-to-day
patient management, we’ll be on call to provide treatment advice based on the specifics
of the case at hand.
• One-on-One training on PhysioAge Clinical Protocols
Physician Partner
Requirements
• Board-Certified or Board Eligible in a discipline that involves patient management
• A4M Fellowship for Anti-Aging and Regenerative Medicine - Modules 1&2
-OR WorldLink Medical Parts I, II and III
• Continuing Medical Education related to age management medicine
• Approval by our Medical
Advisory Board
• 3 days face-to-face in our NYC practice
• Full Initial Consultation as a new patient
• Access to our physicians via forum, phone & e-mail
• Clinical case review and recommendations (in most states)
Operational & Administrative Support
Contact Jerry Fortunato,
COO, at 877-888-3210 or
Jerry @PhysioAge.com
for more information.
How do you make it all work flawlessly? You need standardized systems, workflows and
operational protocols that will guide your practice through the patient lifecycle without
a hitch. As a PhysioAge Partner, you’ll be able to take advantage of the same systems
and protocols we developed and refined over the past 15 years while spending less time
answering the phone.
• Call center support – we’ll take some or all of your calls
• Sales support – we’ll convert callers into patients
• Patient intake – we’ll manage all new patient documentation
• Custom-built operational software platform (coming soon)
• New patient enrollment procedures & documentation
• Follow-up management protocols
In addition to providing customized forms and documentation, we’ll train your staff on
how to use them in your practice. Experienced professionals in our call center will take
incoming calls, answer questions, manage the intake process and schedule appointments.
Plus:
• Exclusive discounts on pharmacy, labs, supplements, etc.
• Proprietary Next-Generation Physical Exam (see next page)
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N
ext-Generation Physical Exam
How well are your patients aging?
The first step to aging well is knowing how well
you’re aging
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Increase patient retention
Monitor physiological age over time
Demonstrate the effects of your treatment
Reinforce the value you provide
Save time interpreting results
PhysioAge Systems uses a battery of extensively-tested biomarkers of the health of
important physiological systems. We use them to establish a baseline of where our
patients are in the aging process, a “the PhysioAge Composite”, and then to follow
over time how well their programs are working. This is the crux of the difference
between our approach to managing aging and that of most other practices.
We believe it’s important to measure the effect of our programs on the arteries,
brain, bones, skin, muscle, etc., and adjust therapy to optimize each system’s
function. After all, would you prescribe blood pressure medication without
checking blood pressure?
Biomarkers of Aging
To collect the data needed to develop this system, we conducted an in-depth study
of 120 subjects over the past few years - the first study of its kind. Working with
a top Stanford University statistician, we analyzed correlations among various
biomarkers to develop the algorithms used in the calculation of the physiological age
of important organ systems. Then we developed the “the PhysioAge Composite”
a weighted composite index of all underlying ages. Using the six biomarkers of
aging described below, the PhysioAge Composite is able to explain 84% of the
variance of the aging process. To our knowledge, no other system comes close to
this benchmark in measuring the physiological age of important organ systems.
Our advanced reports will objectively demonstrate the effects of your treatment
protocols on important organ systems in a way patients can easily understand.
Since the results of many of these biomarkers can be improved through the
proper use of age management therapies, your patients can potentially watch
their physiological age stabilize or even decrease over time.
Comprehensive Reports with PhysioAge Composite
Once all data has been entered into our proprietary web-based system, a comprehensive report will be available for downloading. This report will contain the
patient’s individual physiological ages as well as their overall “the PhysioAge
Composite”. Future versions of this report will feature a detailed interpretive
analysis of the data in the context of the patient’s individual medical history.
This “intelligent report” will save you hours of time for each patient.
Access to the PhysioAge Systems Web Portal
Your patients will have ongoing access to our proprietary web portal where
they can fill out questionnaires, browse their results and download reports.
Download our latest report at www.PhysioAgeSystems.com
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Biomarkers of Aging
CardioAge – Arterial Stiffness Testing with SphygmoCor by Atcor Medical
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Measures the suppleness of your arteries using
pulse wave analysis
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Assesses your cardiovascular risk by measuring augmentation pressure
PulmoAge – Pulmonary Function Testing with Midmark Spirometer
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Measures forced expiratory volume (FEV1/FCV), which is highly correlated with age
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Predicts all-cause mortality, not just from
pulmonary disease
NeuroAge – Cognitive Assessment Testing with CNS Vital Signs
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Measures the most highly age-sensitive aspects of cognitive function using a computerized battery of tests
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Functions as an effective screen for mild congnitive impairment and Alzheimer’s disease
CutoAge – Skin Elasticity Testing with C+K Cutometer
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Assesses the elasticity of the skin with the same instrument used in numerous clinical trials of
OTC and pharmaceutical skin care products
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Determines the propensity to develop wrinkles by measuring elasticity, firmness, and resistance to stress
ImmunoAge – Immune Function Testing by
UCLA School of Medicine (blood)
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Measures the health of the immune system using
proprietary algorithms of standard immune subsets
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Utilizes cutting-edge molecular markers for senescent and naïve T-cells
Standard Equipment
SphygmoCor CP by Atcor Medical
• The gold standard in central blood pressure management
• Used in more clinical studies than any other similar device
• Takes a 10-second snapshot of the radial arterial pressure wave and derives the ascending aortic pressure wave
• Adopted by The Mayo Clinic for use in hypertension screening
Cutometer MPA580 by C+K Electronics
• The gold standard in dermatology to
measure skin elasticity
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Uses gentle suction to draw the skin into the aperture of the probe, where penetration
depth is determined by an optical measuring system.
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Displays the resistance of the skin to be sucked up by negative pressure (firmness) and its ability to return into its original
position (elasticity) as curves.
IQspiro by Midmark Diagnostics
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Combines a digital spirometer with
innovative software that makes it fast
and easy to capture, interpret and
retrieve patient information.
• Features real-time feedback and
coaching that ensures you collect
consistent measurements every time.
Biomarker Equipment Setup
We can setup your equipment and
provide training and ongoing
technical support.
TelomerAge – Telomere Length
Measurement by Repeat Diagnostics (blood)
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Measures the ends of the telomeres, the caps at the ends of your chromosomes that act as a
molecular clock by shortening with every cell division
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Telomere shortening is highly correlated in numerous studies with aging and many disease states
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30 Central Park South
New York, NY 10019
For more information, Contact
Jerry Fortunato, COO,
877-888-3210
Jerry @PhysioAge.com
www.PhysioAgeSolutions.com
PhysioAge is a registered trademark of PhysioAge Medical Group P.C.
PhysioAge Systems, PulmoAge, NeuroAge, CutoAge, ImmunoAge and
TelomerAge are trademarks of PhysioAge Systems LLC.
SphygmoCor is a registered trademark of Atcor Medical Pty Ltd
IQspiro is a registered trademark of Midmark Corp.
CNS Vital Signs is a registered trademark of CNS Vital Signs, LLC
Cutometer is a registered trademark of Courage + Khazaka electronic GmbH
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© 2009 - 2012 PhysioAge Practice Solutions LLC