Adults 40–65ABIM Board-Certified PhysicianALL SERVICES INCLUDED
Text2MD Healthspan 40+ Membership
You Can’t Change Your Age.But You Can Improve Your Metabolic Health.
Personalized physician-led care to identify metabolic risk factors, improve measurable health markers, and support healthier aging. Your $350 annual membership also includes access to eligible Text2MD telemedicine consultation categories.
Know your numbers. Improve your health. Track your progress. Begin with a personalized 90-day metabolic health plan, then continue with ongoing physician guidance. Your annual membership includes 3 scheduled video consultations (baseline, 6 months and 12 months), plus appropriate nonurgent secure messaging.
- All Text2MD consultation categories included within membership scope
- Secure text messaging for nonemergency medical concerns
- 3 scheduled physician video consultations per membership year
- Metabolic Health Baseline + personalized first-90-days plan
- Same physician for continuity across different health concerns
$350 billed annually (equivalent to $29.17/month). Medications, laboratory testing, imaging, supplements, procedures, pharmacy charges and other third-party costs are separate. Membership is not for emergencies or 24/7 immediate-response care.
$350 / YearOne annual membership
All Service LinesWithin defined membership scope
3 Video VisitsBaseline, 6 months & 12 months
1 PhysicianContinuity across your care
Patient Experience
Real physician care starts with trust.
Read patient feedback about Text2MD care and communication.
What $350 A Year Includes
ONE MEMBERSHIP
Metabolic health and ongoing care in one membership.
Instead of paying for a separate consultation every time a different health concern comes up, Healthspan 40+ gives members access to the Text2MD consultation categories below throughout the membership year, when telemedicine is medically appropriate.
Your membership covers physician consultation access across:
Use secure messaging for appropriate nonurgent follow-up throughout the year. Your membership includes 3 scheduled physician video consultations: at the starting point, 6 months, and 12 months.
$350ONE ANNUAL MEMBERSHIP
Secure text-based careConvenient physician communication for appropriate nonurgent concerns, follow-up questions and care coordination.
3 scheduled video consultationsVideo Visit 1 at the starting point, Video Visit 2 at 6 months, and Video Visit 3 at 12 months. Additional video visits, if needed, may require a separate consultation.
Important: “All Text2MD services included” refers to physician consultation access within the defined membership and telemedicine scope. The membership includes 3 scheduled video consultations per year; additional video visits may require a separate consultation. Medications, compounded or brand-name products, laboratory testing, imaging, supplements, procedures, pharmacy costs and outside services are not included in the $350 membership fee. Emergency care is not included.
A Different Approach To Prevention
Not just “normal” lab results. A clearer picture of your health.
A routine appointment may focus on today’s concern. Healthspan 40+ gives you a structured opportunity to review the bigger picture: your risk factors, health trends, prevention priorities, and realistic next steps.
Understand your cardiovascular risk
Review blood pressure, cholesterol, family history and other risk factors. Discuss additional testing only when indicated.
Protect strength as you age
Review weight and waist trends, activity, nutrition, muscle-preservation goals and metabolic health.
Connect the dots
Address sleep, energy, medications, menopause-related concerns and other relevant midlife changes.
Your Signature Membership Benefit
Your Personalized Metabolic Health & Healthspan Report.
A physician-reviewed written summary that helps you understand what matters most—not a generic score or an automated list of supplements.
What we review
- Relevant medical and family history
- Available lab results and risk trends
- Recommended age-appropriate screenings
- Medication and supplement considerations
What you receive
- Personalized health priorities
- 90-day lifestyle and prevention goals
- Recommended follow-up and monitoring
- A written plan you can revisit
The report is prepared using information available through telemedicine and does not replace physical examinations or in-person screening procedures.
Evidence-Based Metabolic Assessment
What could Text2MD measure?
Your personalized assessment focuses on clinically interpretable and actionable measures. Testing depends on medical history, existing results, risk factors, and physician judgment—not every member needs every marker.
| Biomarker / measure | Why it matters |
|---|---|
| HbA1c & fasting glucose | Glycemic control; diabetes and prediabetes assessment |
| Triglycerides & HDL-C | Cardiometabolic risk and metabolic syndrome |
| ApoB & LDL-C | Atherogenic lipoprotein burden and cardiovascular risk |
| Waist circumference | Central adiposity and body-fat distribution |
| Blood pressure | Cardiovascular and metabolic risk |
| Liver enzymes & FIB-4, when appropriate | Potential liver injury and assessment of fibrosis risk; FIB-4 uses age, AST, ALT and platelets and requires appropriate clinical interpretation |
| Body composition & muscle strength | Adiposity, physical function and muscle preservation |
| Sleep, exercise, nutrition & nicotine exposure | Modifiable long-term risk factors and recovery behaviors |
Fasting insulin/HOMA-IR and hs-CRP may be discussed selectively; they are not universal screening tests or validated individual age-reversal measures. Testing and laboratory costs are separate.
Progress Is Possible
Can metabolic dysfunction actually be reversed?
Some components can improve considerably, although the terminology matters. Progress is measured through clinical findings and health outcomes—not a guaranteed reduction in “metabolic age.”
| Condition | Potential outcome |
|---|---|
| Prediabetes | Return to normoglycemia is possible |
| Type 2 diabetes | Remission is possible in selected patients, but not guaranteed |
| Insulin resistance | Insulin sensitivity can improve |
| Elevated triglycerides | Often substantially modifiable |
| MASLD (fatty liver disease) | Liver fat and metabolic dysfunction may improve; fibrosis requires separate assessment |
| Visceral adiposity | Can decrease with appropriate interventions |
| Low fitness | Aerobic capacity and strength can improve |
Outcomes vary. Diabetes remission has a specific clinical definition and is not equivalent to cure. Treatment depends on individual clinical indications.
Healthspan Progress Visualizer
See What Can Change. Track the Markers That Matter.
Explore a fictional member dashboard. Adjust baseline markers and select a time frame to visualize hypothetical follow-up changes—not predicted treatment results.
Choose an illustrative time frame
Starting pointYour baseline
→
90 daysEarly changes
→
6 monthsTrend review
→
12 monthsAnnual review
Your Healthspan Snapshot
Illustrative 90-day progress from the baseline values below.
9/9
demo indicators moving in selected direction
Your baseline → illustrative follow-up
Adjust fictional baseline values; follow-up values are simulated.
LDL-Cmg/dL
Baseline
128
→
Illustrative follow-up
120
Cardiovascular marker
ApoBmg/dL
Baseline105
→
Illustrative follow-up99
Atherogenic particle burden
HDL-Cmg/dL
Baseline39
→
Illustrative follow-up40
Part of the lipid profile
Triglyceridesmg/dL
Baseline186
→
Illustrative follow-up167
Metabolic and lipid marker
Hemoglobin A1c%
Baseline5.8
→
Illustrative follow-up5.7
Average glucose exposure over about 3 months
Fasting glucosemg/dL
Baseline108
→
Illustrative follow-up103
Used with fasting insulin for HOMA-IR
Fasting insulinµIU/mL
Baseline18.0
→
Illustrative follow-up15.8
Used with fasting glucose for HOMA-IR
hs-CRPmg/L
Baseline3.2
→
Illustrative follow-up2.9
Inflammation marker; interpretation depends on context
Waist circumferenceinches
Baseline41.0
→
Illustrative follow-up39.8
Body-composition trend
Systolic blood pressuremmHg
Baseline138
→Illustrative follow-up138
Blood pressure and cardiovascular risk
Body fat estimate%
Baseline34
→Illustrative follow-up34
Composition estimate; device methods differ
Grip strengthkg
Baseline27
→Illustrative follow-up27
Physical function; interpret by age and sex
ALT (liver enzyme)U/L
Baseline48
→Illustrative follow-up48
Liver enzyme; not a fibrosis or MASLD diagnosis
HOMA-IR
Calculated automatically
Baseline
4.80
→
Illustrative follow-up
4.02
Calculated as fasting glucose (mg/dL) × fasting insulin (µIU/mL) ÷ 405.
Metabolic age: what is changing?
Illustrative metabolic-health direction—not a calculated age in years
Improving simulated markers0 of 0
Dashboard interpretationExplore the example
A lower “metabolic age” is not established by these data. No validated clinical algorithm translates these markers into years of age. This panel visualizes direction of selected risk markers only, and simulated changes are not outcomes or treatment guarantees.
This is a fictional educational dashboard, not a metabolic-age calculator or a prediction of your results.
The follow-up values are generated from simplified example assumptions to demonstrate how longitudinal
tracking could look inside the Healthspan membership. Individual changes vary and require physician interpretation.
Values are calculated locally in your browser and are not submitted or stored by this code.
How Membership Works
Three video visits, with secure messaging between them.
Video Visit 1
Starting point
Review history, available labs, medications, lifestyle, prevention priorities, and establish your baseline plan.
90 Days
Early changes review by secure messaging
Review progress, questions, early trends, and appropriate plan adjustments through secure nonurgent messaging.
Video Visit 2
6-month trend review
Review progress, available labs or health trends, barriers, and priorities for the second half of the year.
Video Visit 3
12-month annual review
Review the year, update your Healthspan priorities, and define next-step goals.
The membership includes 3 scheduled physician video consultations per year. Secure messaging is available for appropriate nonurgent follow-up under reasonable-use and response-time guidelines. Additional video consultations, if medically needed or requested, may require a separate visit.
Everything Included
More than three visits: a year of Text2MD access.
Healthspan 40+ combines preventive planning with access to Text2MD’s telemedicine consultation services throughout the year.
All Text2MD consultation service linesUrgent care, primary-care concerns, hormone and midlife health, peptides, gut/metabolic health and weight-loss consultations.
Secure physician messagingText-based medical communication for appropriate nonurgent concerns under reasonable-use and response-time guidelines.
Three scheduled physician video consultationsIncluded at the starting point, 6-month review, and 12-month annual review.
Personal Healthspan ReportWritten preventive priorities and a personalized 90-day action plan.
Cardiovascular and metabolic assessmentIndividualized review of risk factors and available health information.
Medication and supplement reviewDiscuss safety, interactions and treatment considerations when appropriate.
Clinically indicated orders and reviewAppropriate lab or imaging orders may be provided; outside testing costs are separate.
Eligible Fullscript supplement savings30% discount where available through the Text2MD dispensary.
One annual fee: $350 covers the defined Text2MD membership and physician consultation access described above. Medication, pharmacy, laboratory, imaging, supplement, procedure and other third-party charges are separate.
Is Healthspan 40+ Right For You?
Built for proactive adults who want one physician across multiple telemedicine needs.
A good fit if you want to…
- Understand your cardiovascular and metabolic risks
- Develop a realistic plan for healthy aging
- Protect muscle and maintain metabolic health after 40
- Discuss midlife health questions with the same physician
- Receive a written roadmap and use Text2MD across multiple consultation categories
Another option may fit better if you need…
- A single focused consultation only
- Hands-on examinations or in-person procedures
- Emergency or 24/7 on-call services
- A replacement for all local primary care
- Intensive chronic disease management beyond defined membership services
Prefer To Start Small?
You can start with a single visit.
Single Physician Consultation
$65
Address one focused concern without joining a membership.
Join Healthspan 40+
$350 / year
Use your membership for weight-loss consultations plus other Text2MD telemedicine service lines throughout the year.
Frequently Asked Questions
Know exactly what the $350 membership includes.
What Text2MD services are included?
Membership includes physician consultation access within Text2MD’s defined telemedicine service lines, including appropriate urgent care, primary-care concerns, hormone and midlife health, peptide consultations, gut and metabolic health, and weight-loss consultations.
How many video consultations are included?
The membership includes 3 scheduled physician video consultations per membership year: the starting-point visit, a 6-month trend review, and a 12-month annual review. At approximately 90 days, early progress is reviewed through secure messaging. Additional video consultations, if needed, may require a separate visit.
Does “consultations included” mean medications and labs are free?
No. The $350 annual fee covers the defined membership and physician consultation access. Prescription medications, compounded or brand-name products, pharmacy charges, laboratory testing, imaging, supplements, procedures and other third-party services are paid separately.
Is urgent care included?
Appropriate nonemergency urgent-care concerns that can be evaluated safely through telemedicine are included within membership scope. Text2MD is not an emergency service and does not replace the emergency department or 911.
Does this replace my local primary care physician?
No. Healthspan 40+ can address many primary-care-type concerns by telemedicine, but it is designed to complement appropriate in-person care. Physical examinations, procedures, vaccinations and other hands-on care still require local services.
Is messaging unlimited or available 24/7?
No. Secure messaging is available for appropriate nonurgent follow-up under reasonable-use and response-time guidelines. It is designed to support care between the 3 scheduled video visits and is not continuous 24/7 monitoring, unlimited on-demand physician visits, or immediate-response coverage. Emergencies require local emergency services.
What is the Personal Healthspan Report?
A physician-reviewed written summary of your health priorities, available risk information, recommended preventive actions and a personalized 90-day plan.
Can this calculator tell me my metabolic age?
No. There is no universally validated metabolic-age formula based on these indicators. The public dashboard uses fictional example values and simulated changes to illustrate tracking. It does not diagnose or predict an individual’s outcome.
Will all these tests be ordered for me?
Not necessarily. Testing is selected according to clinical context, medical necessity, current evidence, and available previous results. Lab fees are separate from membership.
Does membership guarantee prescriptions or specific testing?
No. Prescriptions, laboratory testing, imaging and treatment decisions depend on medical judgment, clinical appropriateness, patient location and applicable law. Controlled substances are not prescribed.
One Membership. More Ways To Use Text2MD.
$350 a year for Text2MD consultation access across your health needs.
Use secure text-based care for appropriate nonurgent follow-up throughout the year, with 3 scheduled physician video consultations at the starting point, 6 months, and 12 months. Your membership spans urgent care, primary-care concerns, hormone and midlife care, peptides, gut/metabolic health, weight-loss consultations and your personalized Healthspan prevention plan.
$350 / yearUrgent carePrimary-care concernsHormone & midlifePeptidesGut & metabolicWeight lossSecure messaging3 scheduled video visits
Membership does not include medication, pharmacy, laboratory, imaging, supplement, procedure or other third-party costs. It does not guarantee treatment, prescriptions or testing and is not for emergencies. Available only where Dr. Antonatos is authorized to provide telemedicine.