Dr. Benjamin H. Krasne, M.D.
Board-certified physicianBoard-certified in anesthesiology, he reads medications and metabolism with a pharmacologist's eye, which shapes how he doses weight loss and longevity care.
Lab-guided longevity care, online
Longevity program online, built on your lab results
Start with a free 5–10 minute call, get a baseline lab panel and receive a written plan from a licensed U.S. clinician that is rechecked against your numbers over time.
- Free 5–10 minute first call
- Baseline labs, then rechecks
- Membership from $99 a month
Free to book. You pay only if you go ahead with treatment.
$99starting price, per month
Licensed U.S. clinician review
Visit: Phone or video, 5–10 minutes
From $99/motransparent price
5–10 minphone or video
No insuranceneeded
LicensedU.S. clinicians
Why get longevity care through My IV Doctors
A lab-based plan
Your clinician orders a baseline panel chosen for your situation, writes a prioritized plan and rechecks it against your numbers around 90 days.
Honest about the evidence
Every suggestion is labeled by evidence tier, from proven basics like blood pressure and sleep to early options such as compounded NAD+, which is not FDA-approved.
Prescriptions when appropriate
If an off-label medicine such as rapamycin, metformin or acarbose fits your plan, your clinician can send it to a licensed U.S. pharmacy.
Simple self-pay membership
Membership starts at $99 a month for clinician visits, lab reviews and plan updates. No insurance or referral is needed; labs and medicines are priced separately.
How to start longevity care online
- 1
Pick a time for your free visit
Choose phone or video when you book. In about 5–10 minutes, a licensed clinician hears your goals, reviews your history and current medicines, and tells you honestly whether the program makes sense.
- 2
Get baseline lab work
Your clinician orders the tests that fit your goals, often lipids including ApoB and Lp(a), HbA1c and fasting insulin, kidney and liver function, thyroid and inflammation markers. You visit a nearby draw site.
- 3
Get your longevity plan
Your clinician explains the results and writes a plan ranked by priority: lifestyle targets, any follow-up testing and prescriptions only where they judge treatment appropriate.
- 4
Recheck labs and adjust
Most members repeat key labs around 90 days, then at longer intervals once things are stable. The plan changes when your numbers or your goals change.
Who a longevity program is for
Healthy adults focused on prevention
Many members have no diagnosis at all. They want to find rising blood sugar, cholesterol or inflammation markers early, while small changes still have room to work.
Family history of heart disease or diabetes
If a parent or sibling developed heart disease, type 2 diabetes or dementia, earlier and more detailed testing can help you and your clinician set priorities.
Curious about longevity drugs
If you have been researching rapamycin, metformin or NAD+, a clinician can walk through what the evidence shows, what it doesn't and whether any of it suits your situation.
People who like tracking lab results
The program runs on repeat lab work. If seeing your ApoB, HbA1c or hs-CRP move over time keeps you motivated, the format fits well.
Not for urgent or specialist care
If you have active cancer, a recent heart attack or stroke or a complex chronic illness, your care belongs with your own doctors and specialists. The program is also not for anyone who is pregnant.
Longevity treatments compared by evidence tier
| Tier | Examples | Evidence |
|---|---|---|
| Tier 1: foundations | Blood pressure, lipids, glucose, activity, sleep and tobacco | Strongest human evidence |
| Tier 2: off-label prescriptions | Rapamycin, metformin and acarbose | Being studied for aging; human data still limited |
| Tier 3: compounded options | NAD+ and glutathione | Not FDA-approved; limited human data for aging |
What is a longevity program?
Healthy aging research asks a practical question: which habits, tests and medicines help people stay strong, clear-headed and free of chronic disease for longer? A few answers are well established, such as lowering high LDL cholesterol and blood pressure, staying active and sleeping enough. Others, including the use of drugs like rapamycin, metformin and acarbose for aging itself, are still being studied and are prescribed off-label, meaning outside the uses the FDA has reviewed.
Our program puts those two groups of evidence in order. A licensed U.S. clinician looks at your history and a baseline lab panel, then writes a plan that starts with the measures most likely to matter for you. Medication is one option among several, never the default, and it is only prescribed if your clinician decides it is appropriate.
We will not promise you extra years. What we can offer is a clear picture of where you stand today, a plan you understand and repeat testing so you and your clinician can see whether anything is actually changing.
Longevity medicine evidence: what's proven and what's early
It helps to sort longevity options into tiers. The strongest human evidence supports managing cardiovascular risk factors, keeping blood sugar in a healthy range, regular exercise including strength work, good sleep and not smoking. These are not glamorous, but they come first in every plan we write.
The next tier includes prescription drugs already approved for other conditions that researchers are studying for aging. In the National Institute on Aging's Interventions Testing Program, rapamycin and acarbose extended lifespan in mice tested at several sites. Mouse results do not prove the same benefit in people. A 48-week trial of low-dose weekly rapamycin in adults aged 50 to 85, called PEARL, found it was relatively well tolerated but did not change its main measure, visceral fat.
A third tier includes compounded products such as NAD+ and glutathione. These are prepared by licensed U.S. compounding pharmacies, are not FDA-approved, and have limited human data for aging. Your clinician will tell you plainly which tier any suggestion falls into.
- Tier 1: blood pressure, lipids, glucose, activity, sleep, tobacco
- Tier 2: off-label prescriptions such as rapamycin, metformin and acarbose
- Tier 3: compounded options such as NAD+ and glutathione (not FDA-approved)
How much the longevity program costs
Membership starts at $99 per month and covers your clinician's time: visits, reviewing your labs, writing and updating your plan, and handling prescriptions. Lab panels are priced separately, and so is any medication you are prescribed. Your clinician confirms costs before you commit to anything.
Because most longevity care is self-pay, you do not need insurance or a referral. Many members keep their regular primary care doctor and share their results with them.
Longevity medication side effects and safety
Off-label prescribing is legal and common, but it means the FDA has not reviewed the drug for that purpose. Every medication in a longevity plan carries its own risks, and your clinician will go through them with you before you start.
- Rapamycin suppresses parts of the immune system and can raise cholesterol and blood sugar; it needs lab monitoring.
- Metformin can cause stomach upset and, rarely, lactic acidosis; it is generally not used with significant kidney disease.
- Methylene blue can cause serotonin syndrome when combined with many antidepressants and is avoided in G6PD deficiency.
- Compounded products are not FDA-approved, so the FDA has not checked their safety, effectiveness or quality before sale.
- Tell your clinician about every medicine and supplement you take, and any planned surgery, pregnancy or new diagnosis.
Physicians who oversee your care
Independently licensed U.S. physicians supervise every treatment we offer.
Dr. Johnathan Chance Miller, M.D.
PhysicianTrained at Columbia and Washington University, he pairs prescriptions with practical habits around food, training and sleep.
Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.
OB-GYN, board certifiedAn OB-GYN for more than 40 years and a Fellow of ACOG, she leads women's health care, from perimenopause to PCOS.
Longevity care FAQs
Still deciding? The first consultation is free and takes about 5–10 minutes.
Book a free consultationWhat is longevity medicine?
It is preventive care aimed at extending the years you spend in good health, sometimes called healthspan. In practice it means detailed testing, early action on risk factors and, in some cases, off-label medications that researchers are studying for aging. It does not stop or reverse aging.
How much does a longevity program cost?
The program starts at $99 per month for clinician care, plan updates and prescriptions. Lab panels and medications are billed separately, and your clinician confirms those costs before anything is ordered. The first consultation is free.
Do I need insurance for longevity care?
No. The program is self-pay, so you do not need insurance, a referral or prior authorization. You can still share your results with your regular doctor.
What labs does a longevity program check?
It depends on your goals and history. Common choices include a full lipid panel with ApoB and Lp(a), HbA1c and fasting insulin, kidney and liver markers, thyroid tests, vitamin levels and hs-CRP for inflammation. You give blood at a draw site near you.
Will I be prescribed rapamycin or metformin for longevity?
Not necessarily. Many members never take a longevity medication and focus on lifestyle and standard risk factors. A clinician only prescribes when they decide the likely benefit outweighs the risk for you.
Is it legal to prescribe drugs off-label for aging?
Yes. U.S. clinicians may prescribe an FDA-approved drug for a purpose outside its label when they judge it medically appropriate. The FDA has not reviewed that use, which is why the evidence and risks need an honest discussion first.
How long is the first longevity consultation?
About 5–10 minutes by phone or video, whichever you choose when booking. It is enough for your clinician to understand your goals, review your history and decide which labs to order.
How often are longevity labs repeated?
Many members recheck key markers around 90 days after starting a change, then less often once results are stable. Your clinician sets the schedule based on what you are taking and what your numbers show.
Can longevity medicine help you live longer?
No one can promise that. Lowering proven risk factors such as high LDL and high blood pressure reduces the chance of heart disease and stroke. Whether drugs like rapamycin extend human lifespan is not yet known.
Do you sell longevity supplements?
We do not run a supplement store. If your clinician thinks a supplement is worth trying, they will explain why and you can buy it wherever you like.
Can I join a longevity program with a chronic illness?
It depends. People with stable, well-managed conditions can sometimes join with their own doctor's input. Active cancer, recent heart attack or stroke and complex illness need specialist care first.
Are NAD+ and glutathione part of the longevity program?
They are compounded products some members add to their plan. They are prepared by licensed U.S. compounding pharmacies, are not FDA-approved, and have limited human evidence for aging. They are priced separately and only prescribed if your clinician considers them appropriate.
Can I cancel my longevity membership?
Your plan and any ongoing costs are explained before you start. If you want to stop, contact the care team, and your clinician can advise how to come off any medication safely.
Start your longevity plan with a free consultation
Book a free 5–10 minute phone or video call. Membership starts at $99 a month, and your clinician confirms lab and medication costs before you commit.
Related treatments
References
- National Institute on Aging: Interventions Testing Program
- PEARL trial of low-dose rapamycin (PMC)
- FDA: Understanding unapproved use of approved drugs off label
- FDA: Compounding and the FDA, questions and answers
Medically reviewed October 2026. This page is general information and not a substitute for advice from your own clinician. Read our editorial policy.
$99starting price, per month
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