Adults 40–65ABIM Board-Certified PhysicianMETABOLIC LAB PANEL INCLUDED
Text2MD Healthspan 40+ Membership
You Can’t Change Your Age.You Can Improve Your Metabolic Age.
A 6-month, physician-led membership that measures your metabolic health, shows you how you compare with people your age, and gives you a plan to improve it. We retest and track your progress at 3 and 6 months.
Metabolic Foundation Panel included once at enrollment: a full lab workup in one fasting draw
Your metabolic age, heart risk and liver health in one report
One physician video visit per 6-month membership, plus ongoing text messaging
A personalized 90-day plan focused on what moves your numbers
Each membership lasts 6 months and includes one physician video visit and ongoing text messaging. The only difference is whether your lab panel is included.
Standard · most statesLabs included
Healthspan 40+ Standard
$350 / 6 months
Metabolic Foundation Panel included once, at enrollment (one fasting draw at Quest):
Renewal price is confirmed with you before any second-term charge; there is no automatic renewal at an undisclosed price.
Both memberships: 6 months long, with one scheduled video visit and ongoing text messaging; additional and specialty visits from $65. Labs beyond the one included Standard panel are self-pay at Quest discounted pricing or billed to your insurance. Medications, imaging and other third-party charges are separate. Membership is not insurance and is not emergency care. Services depend on clinical appropriateness, state licensure and applicable law.
The Text2MD Metabolic Health Calculator
See your metabolic age come down.
After every lab draw, your results go into our calculator and come back to you as a clear report: metabolic age, heart risk, liver and cancer screening. Here is one example member’s first year. Tap through the visits and sections.
TEXT2MDExample member · man, 52 · 5′9″
Metabolic age
62calendar age 52
10 years older than his age
Healthier than 15% of U.S. men his age
0%50%100%
Metabolic age over time
BaselineFollow-upCalendar age
Weight · BMI247 lbBMI 36.6
Fasting insulin18healthy 6 or lower
HbA1c6.1%prediabetes 5.7–6.4%
Blood pressure138/88stage 1 high
The 5 results behind metabolic age (3 from the lab panel, 2 measured at your visit)
Fasting insulinµIU/mL
18
Waist ÷ heightratio
0.62
Triglycerides ÷ HDLratio
5.5
HbA1c3-month blood sugar
6.1%
Blood pressuremmHg
138/88
BaselineSelected visitEach bar runs from healthy (left) to high risk (right)
Where heart risk shows up
BrainStroke 1.7%
ArteriesApoB 118 BP 138/88
HeartHeart attack 2.7% Heart failure 2.9%
Blue in range · yellow borderline · orange high
Chance of an event in the next 10 years
Any cardiovascular event
5.8%
Heart attack or stroke
4.4%
Heart attack
2.7%
Stroke
1.7%
Heart failure
2.9%
Tap a follow-up visit to compare with baseline.
BaselineSelected visitAHA PREVENT equations
Inside the artery: fewer cholesterol particles
Each yellow dot stands for about 6 mg/dL of apoB, the particles that carry cholesterol into the artery wall. Fewer particles in the blood means fewer entering the wall. Existing plaque shrinks only slightly, but its fatty core gets smaller and its cap thicker, so it is less likely to tear.
Liver fat, illustrated
Baseline liver. Tap a follow-up visit to see the change.
Where the blood scores point
Weight lost and liver benefit
Fatty Liver Index9660+ likely
FIB-4 scarring score1.12under 1.3 = low risk
Screenings up to date
0 of 1due screenings completed
Colorectal Due now
No colonoscopy or stool test on file. Screening starts at 45.
Prostate Not yet
PSA discussion with your physician starts at 55 (in 2029).
Lung Not eligible
Former smoker, 15 pack-years, quit 12 years ago. Yearly CT needs 20+ pack-years.
Screening timeline
Test doneNext dueDue nowSchedules follow USPSTF guidance
Lung cancer risk (PLCOm2012, former smoker): 0.19% over 6 years, below the 1.51% level where CT screening is usually offered. Women also see breast and cervical schedules and the Gail breast-risk model.
Fictional example member, calculated with the same equations our physician uses. Individual results vary with health history, treatment and adherence; this is not a prediction of your results.
01 · SCORE
Five results
Three come from your lab panel (fasting insulin, HbA1c, and triglycerides-to-HDL from the lipid panel) and two from your visit (waist and blood pressure). The rest of the panel powers your heart, liver, kidney and hormone results.
02 · COMPARE
People like you
Your score is ranked against U.S. adults of your sex and age from the CDC’s national NHANES survey (2021–2023).
03 · TRANSLATE
Into years
Typical for your age reads as your age. Healthier reads younger, less healthy reads older, up to 15 years either way.
The Metabolic Foundation Panel
What we test, and why it matters.
One fasting morning draw at any Quest location. Included once, at enrollment, with the Standard membership. Retests at 3 and 6 months are smaller panels, self-pay at Quest discounted pricing or billed to your insurance.
Test
Why we track it
Retest
Drives your metabolic age
Fasting insulin
Shows insulin resistance years before blood sugar rises, and is often the first number to improve.
3 · 6 mo
Hemoglobin A1c
Your average blood sugar over the last three months.
3 · 6 mo
Lipid panel
Triglycerides and HDL (their ratio is a strong insulin-resistance signal), plus total and LDL cholesterol for heart risk.
3 · 6 mo
Heart, liver and kidneys
Comprehensive metabolic panel
Kidney function (important during GLP-1 treatment), liver enzymes, glucose and electrolytes. Used for your heart-risk and liver scores.
3 · 6 mo
Complete blood count
Platelets for the liver-scarring score (FIB-4); hematocrit as a safety check.
3 · 6 mo
GGT
Liver enzyme used to estimate liver fat (Fatty Liver Index).
3 · 6 mo
Apolipoprotein B (apoB)
Counts the particles that carry cholesterol into artery walls, often more telling than LDL.
6 mo 3 mo if starting lipid therapy
hs-CRP
Inflammation in the blood vessels; falls with weight loss. Repeated sooner if drawn during an illness.
6 mo
Urine albumin/creatinine
Early sign of kidney and blood-vessel strain; sharpens the heart-risk estimate. A high result is confirmed with repeat samples.
Yearly at renewal
Lipoprotein(a)
An inherited heart-risk factor that diet doesn’t change.
Once in a lifetime
Hormones
Total testosterone & SHBG
Hormone balance and free testosterone. SHBG often rises as insulin resistance improves.
Yearly sooner if low or on therapy
TSH & free T4
Thyroid function, which can affect weight, energy and cholesterol.
If symptoms or on thyroid medicine
Five of these results make up your metabolic age score: fasting insulin, HbA1c, the triglyceride-to-HDL ratio, plus waist and blood pressure measured at each visit. Also measured every time: weight. Your physician adjusts testing to your history and existing results; not every member needs every test.
StartVideo visit + full panelFull panel included once (Standard). Your report and 90-day plan follow within about two weeks of results.
3 monthsCheck labs + text follow-upSmaller retest panel, self-pay at Quest discounted pricing or billed to insurance. Plan adjusted by text.
6 monthsProgress labs + new reportRetest panel (same billing) and an updated metabolic age at the end of your membership.
If you renewAnother 6 monthsA new video visit, continued texting, and an annual review panel at 12 months.
Patient Experience
Real physician care starts with trust.
Clearly Defined Benefits
What’s included, and what’s separate.
Included in every 6-month membership
One scheduled physician video visit
Personal metabolic health report (PDF) with your metabolic age, heart, liver and kidney scores
Personalized 90-day plan: nutrition, activity, sleep and stress priorities
Medication and supplement review
Ongoing secure text messaging for nonurgent questions
Metabolic Foundation Panel, once at enrollment (Standard membership)
Available separately
Specialty visits from $65: weight loss and GLP-1, hormones and midlife, peptides, gut health, urgent care and primary-care concerns
Additional video visits
Retest labs at 3 and 6 months (both memberships) and all NY/NJ labs: self-pay at Quest discounted pricing or billed to your insurance
Medications, imaging and other third-party costs
Not ready for a membership? Address one concern with a single visit.
Built for adults who want to act before problems start.
A good fit if you want to…
Know where your metabolic, heart and liver health stand
Reverse early insulin resistance, prediabetes or fatty liver
Protect muscle and energy after 40
See measurable progress every few months
Another option may fit better if you need…
A single focused consultation
Hands-on exams or in-person procedures
Emergency or 24/7 on-call care
A full replacement for local primary care
Frequently Asked Questions
Good questions, straight answers.
What is the difference between the two memberships?
Care is identical. The Standard membership ($350 for 6 months) includes the Metabolic Foundation Panel once, at enrollment. The New York and New Jersey membership ($199 for the first 6 months) includes no labs; your physician orders them through Quest, self-pay at Quest discounted pricing or billed to your insurance.
How is metabolic age calculated? Is it a diagnosis?
It is a way to express a ranking, not a diagnosis or a biological-age test. Five results (fasting insulin, HbA1c and the triglyceride-to-HDL ratio from your labs, plus waist-to-height and blood pressure from your visit) form a score that is ranked against U.S. adults of your sex and age in the CDC’s NHANES 2021–2023 survey. If your score is typical for your age, your metabolic age equals your age; it moves up to 15 years younger or older as your rank changes. Your physician reviews it alongside your full results.
Which labs are included, and what do follow-ups cost?
The Standard membership includes the full Metabolic Foundation Panel one time, at enrollment. Retest panels at 3 and 6 months are smaller and are not included: they are self-pay at Quest discounted pricing or billed to your insurance. The same applies to all labs for NY/NJ members. Your physician orders only what is clinically appropriate.
How many video visits are included?
Each 6-month membership includes one scheduled physician video visit, plus ongoing text messaging for the whole 6 months. If you renew, each new 6-month membership includes another video visit, so a member who stays for a year has visits at the start, at 6 months and at 12 months. Additional video visits are billed at the posted rate.
How does text messaging work? Is it 24/7?
You can text your physician throughout your 6-month membership with nonurgent questions about your results and care plan, within reasonable-use and response-time guidelines. It is not monitored 24/7 and is not for emergencies.
What happens after 6 months?
Your membership ends unless you renew. The Standard membership renews at $350 for another 6 months, with a new video visit and continued text messaging but without a second included lab panel. The NY/NJ renewal price is confirmed with you before any second-term charge. The 30% supplement discount applies to both memberships.
Does this replace my primary care doctor?
No. It complements in-person care. Physical exams, procedures, vaccines and other hands-on care still need a local clinician.
Does membership guarantee prescriptions or specific tests?
No. Testing and treatment depend on medical judgment, clinical appropriateness, your location and applicable law. Controlled substances are not prescribed.
Start With Your Numbers
Measure it. Improve it. Watch your metabolic age come down.
Physician-led metabolic care in 6-month memberships: one video visit, ongoing text messaging, and your labs, report and progress in one place.
