Cardiometabolic risk reduction
Finding and lowering the risk that compounds quietly for decades: advanced lipids and particle testing, insulin resistance, inflammation, and metabolic health.
Precision Longevity Medicine · Miami & Telehealth
The annual physical that says you're fine is missing the years that matter.
Concierge, data driven longevity care from a Columbia and Cornell trained physician. We find the risks your standard checkup overlooks, from advanced cardiometabolic testing to hormones and metabolic health, and build a plan around your physiology, not the average.
Apply for Your Wellness Assessment
A physician led health audit, not a sales call.
Limited new patients each month.
Limited new patients each month.
- Columbia & Cornell Trained
- Board Certified in Emergency Medicine
- Precision Preventive Care
- 14+ Years of Clinical Experience
The gap in standard care
You are not fine.
You are not fine.
You are unmeasured.
Standard medicine waits for a number to break before it acts. By then the damage has a decades long head start. You feel it before the chart shows it. The afternoon crash, the lighter sleep, the weight that won't move, the recovery that takes longer than it used to.
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Brain fog and afternoon crashes are not just getting older.
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Stubborn weight is not a willpower problem. It is a metabolic signal.
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A normal cholesterol panel can look fine while the markers that predict real risk, and the hormones that drive how you feel, go unmeasured.
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Energy, sleep and mood are data you can read, and change.
Most programs hand you more to do. We start with a complete, measured picture of where your physiology actually stands today.
Limited to 10 new patients each month
This is not a sales call.
This is not a sales call.
It's a physician led health audit.
Healthspan by Design is a concierge practice. To protect the depth of care every patient receives, Dr. Joel takes on no more than ten new patients each month. The first step is a private call to see whether the Premier Wellness Assessment is right for you.
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Clarify your goal
The specific way you want to feel and function over the next ten, twenty, thirty years.
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Audit where you are now
Your history, current markers and the physiological bottlenecks quietly slowing you down.
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Map the path
If we're a fit, the exact assessment and plan that gets you there.
The call is the risk reversal. Even if we decide we're not a fit, you'll leave with a clear, honest read on where your health actually stands. No pressure, no obligation.
Apply for Your Wellness Assessment
A private, physician led call. Limited spots each month.
Your physician
Meet Dr. Joel Wussow
Columbia
Cornell
Board Certified · Emergency Medicine
Precision Preventive Care
Dr. Joel Wussow built Healthspan by Design on a simple conviction: the most powerful medicine is the kind that acts before you're sick. Trained at Columbia and Cornell and board certified, he practices precision, prevention first longevity medicine, reading the full picture of your physiology and translating it into decisions that compound over decades. He doesn't treat averages. He treats you: your data, your goals, your life.
He didn't build this practice out of theory. He built it out of his own bloodline. His grandfather had his first heart attack at 38, and went on to become one of the oldest heart transplant recipients in the country. For more than thirty years Dr. Joel did everything right: clean diet, ideal body weight, consistent training. His cholesterol stayed high anyway. The real driver was his ApoB, the particle count that actually pushes plaque into your arteries, and no standard checkup had ever flagged it. That's the gap he built Healthspan by Design to close: finding the risk that compounds quietly for years, long before it would ever surface.
Today the practice rests on lifestyle optimization, cardiometabolic risk reduction, and hormone optimization, delivered with physician oversight at every step.
Prevention is not the cautious choice. It is the most ambitious thing you can do for your health.Dr. Joel Wussow, MD
A named, sequenced framework
The Healthspan by Design Method
Four steps that turn scattered health data into a plan you can actually live, and sustain for decades.
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Measure
Your real baseline, not a guess.
The Premier Wellness Assessment. Comprehensive bloodwork across advanced cardiovascular and metabolic testing, hormone panels, inflammation and micronutrients, plus a full history.
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Map
A plan built by your physician.
Dr. Joel personally reviews every result and builds a prioritized, evidence based plan around your goals, never a generic protocol.
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Optimize
Move the markers that matter.
Targeted care across the five pillars of healthspan: Sleep, Nutrition, Movement, Stress & Mindfulness, and Medical Optimization. Physician oversight at every step.
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Sustain
Progress that becomes permanent.
Longitudinal care that adapts as your life and data change, so the gains hold for decades.
What's included
Inside the Premier Wellness Assessment
Your required first step, and the most complete picture of your health you've ever had.
Everything in your Assessment
Required first step- Comprehensive diagnostic bloodwork: over 100 biomarkers, including ApoB, Lp(a), full insulin resistance markers, a complete hormone panel, inflammatory markers, and micronutrient status.
- Your bloodwork is drawn at home. Our mobile phlebotomy service comes to you, so there is nothing to schedule around and no lab to sit in.
- Full medical history and lifestyle evaluation.
- A physician led review of every result, with Dr. Joel, not a portal.
- A personalized, prioritized optimization plan.
- Clear next steps and an ongoing care pathway.
- Everything explained in plain language: what your numbers mean, and what to do about them.
Optional add-ons
DEXA body composition
VO₂ max testing
Genetic testing
WHOOP integration
You'll understand not just what your numbers are, but exactly what to do about them, guided by a physician at every step.
Apply for Your Wellness Assessment
What we measure & move
Real markers. Measured. Moved.
The full Premier Wellness Assessment panel, organized by body system, under the three pillars of the practice.
Hormone optimization
Physician supervised evaluation and optimization of the hormones that drive energy, body composition, mood, and recovery, with defined protocols and oversight at every step.
Lifestyle optimization
Sleep, nutrition, movement, and stress, measured and tracked through wearable and body-composition data.
Cardiovascular
Total cholesterolLDL-CHDLTriglyceridesApoBLp(a)LDL particle sizehs-CRPHomocysteineand more
Metabolic health
Fasting glucoseHbA1cFasting insulinLPIR scoreLeptinUric acid
Hormones
Total testosteroneFree testosteroneSHBGDHEA-SEstradiolCortisolIGF-1PSAand more
Thyroid
TSHFree T3Free T4Thyroid antibodies (TPO, TgAb)
Nutrients, vitamins & minerals
Vitamin DVitamin B12FolateMagnesiumZincFerritinIronand more
Liver, kidney & electrolytes
ALTASTALPGGTCreatinineeGFRSodiumPotassiumand more
Blood count (CBC)
WBCRBCHemoglobinHematocritPlateletsFull differentialand more
Heavy metals
LeadMercury
Autoimmunity & inflammation
ANA screenRheumatoid factorhs-CRP
We present the systems we measure and move, never invented averages. Individual results vary.
Real outcomes
Real patients. Real numbers.
Outcomes from the practice, measured before and after. Names are shortened to protect privacy.
Jim W.Plano, TX · 3 months
An estimated 45 to 50% lower 10 year risk of heart attack and stroke.
ApoB120→45
Testosterone380→980free testosterone into the optimal range
Blood pressureOff all medications, normalized
Body composition50 pounds lostwhile maintaining lean mass
“Strength, focus, and drive markedly improved.”
Estimated risk reductions reflect the established relationship between ApoB lowering and cardiovascular event risk, plus blood pressure reduction where applicable. Individual results vary.
His expertise exceeded all expectations. His passion for health and wellness is inspiring, and his personalized approach sets him apart.
He helped me move from good to great in several key areas we identified and continue to monitor.
Within just a few weeks of following Dr. Joel's plan, I began noticing improvements in my energy, sleep, and mood.
Where this leads
The Assessment is step one.
The Assessment is step one.
Here's where it leads.
Premier Wellness Assessment
Your complete baseline and physician built plan. The required first step for every patient.
Annual Concierge Care
Quarterly physician consults, unlimited targeted labs, and prescription oversight throughout the year. Your longevity plan, kept on track.
Flagship Concierge
The highest touch tier. Dr. Joel as your personal physician, year round: direct access to his cell, sick care and travel medicine, the full testing suite (DEXA, VO₂ max, genetics, wearable tracking), and coordination with your other doctors. Optional elite health coaching available.
Most patients begin with the Assessment, then choose the level of ongoing care that fits their goals. We map the right path together on your call.
Limited patient panel
You could be one assessment
You could be one assessment
away from a different decade.
Limited new patients each month. Apply now to see if it's a fit.
Apply for Your Wellness Assessment
A private, physician led call. No pressure, no obligation.
Questions, answered
The friction a physician offer creates, removed.
Dr. Joel is a board certified physician. This is physician led preventive medical care, not coaching.
In person in Miami, and by telehealth in Florida, Texas, New York, and Arizona, where Dr. Joel is licensed.
We measure deeper, act earlier, and build a plan around you, with a physician who has the time to actually know your case.
Healthspan by Design is a cash pay concierge practice and does not bill insurance. This keeps your physician's time and attention on your care, not on coding. Labs can be drawn through our mobile phlebotomy service or brought from your own provider.
Your Assessment runs over your first few weeks: bloodwork, your physician review, and your plan. Ongoing care is then built around your schedule.
Pricing depends on the care level that fits you, which we determine together on your call. The Assessment is the entry point.
Then this is how you stay that way, and find the silent risks before they cost you years.
Yes, fully confidential and HIPAA compliant.
Apply
Apply for your Premier Wellness Assessment
A short application. If it's a fit, we send you a link to book your physician led call. Limited spots each month.
- Your information stays fully private and HIPAA compliant.
- This is an application, not a purchase. There is no charge to apply.
- A private, physician led call. No pressure, no obligation.
Ready to apply?
It takes about a minute. No charge, no obligation. If it's a fit, we send you a link to book your physician led call.
Your information stays fully private. This is an application, not a purchase. There is no charge to apply.