Complimentary consultation 390 Hackensack Ave, Hackensack, NJ · (201) 983-2582

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Longevity precision medicine · Hackensack, NJ

Measure first. Then prescribe.

Most physicals run fifteen markers and a five-minute follow-up. We run sixty-plus, layer in functional, biological-age, and screening imaging where indicated, then synthesize everything into a written longevity roadmap. Bergen County’s most thoughtful diagnostic foundation.

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Answer at a glance

What is longevity precision medicine at Aesura?

Longevity precision medicine at Aesura is the diagnostic foundation of a longevity care plan in Hackensack, NJ. A board-certified physician orders comprehensive blood work (60+ biomarkers), functional testing through Vibrant Wellness, biological age testing, and — when indicated — Galleri multi-cancer screening, coronary CT, or Prenuvo whole-body MRI. We synthesize the data into a written 12-month roadmap with clear interventions and retest cadence. Patients in Bergen County, Manhattan, and across North Jersey use this as the entry point to longevity care.

Foundation

Roadmap protocol + comprehensive blood work

Layered when indicated

Functional, biological age, Galleri, cardiac CT, Prenuvo

Output

A written 12-month plan with quarterly check-ins

Concierge longevity · By application

An invitation, not a checkout.

For a small group of patients who want their longevity care orchestrated end-to-end — not a panel and a printout. The Aesura Membership pairs you directly with Dr. Joseph for one-on-one strategy, a curated diagnostic stack, and continuously refined roadmaps across hormones, regenerative therapy, recovery, metabolic health, cognition, and aesthetics.

From $999 per month

✦ 1:1 strategy and review sessions with Dr. Joseph

✦ Curated diagnostic packages, sequenced and re-run on cadence
✦ Detailed written roadmaps refined as your data evolves
✦ Coordination across HRT, regenerative, lounge, weight-loss, and aesthetics
✦ Priority scheduling and direct-line clinical support
Schedule a fit consultation →
Contact the practice
How it works

"We start with a conversation. The Membership is offered, not sold."

Every prospective member begins with a complimentary fit consultation. Together we review your goals, prior labs, life and travel cadence, and what end-to-end care would actually look like for you. If we’re the right fit, you’re invited in.
If we’re not — if a single roadmap, a one-time diagnostic, or one of our standalone services serves you better — we’ll tell you. Aesura’s Membership is intentionally small.
Membership is selective. Not every patient who applies will be invited to join — and that’s by design.

A different question, each

Each test answers a different question.

"

Where am I, today?

Comprehensive blood work + functional panels. The state of your biology right now.

"

How fast am I aging?

Biological age testing. Pace of cellular aging, separate from your birthday.

"

What might be silent?

Galleri, coronary CT, and Prenuvo. Early signal where standard screens are blind.

Begin here

The Aesura diagnostic stack.

Seven instruments. Seven different questions. We use the right one — never all of them
reflexively.

01 · Foundation

Comprehensive diagnostic stack.

60+ longevity biomarkers · physician-interpreted

Standard physicals run about 15 markers. Aesura’s panel runs 60-plus — advanced lipid particles (ApoB, Lp(a)), full hormone axis, fasting insulin, hsCRP and inflammatory markers, omega index, homocysteine, ferritin, B12 and folate, vitamin D, full thyroid, complete metabolic, and select genomic markers when indicated. We run four times the data, and we read it ourselves.

ApoB, Lp(a), particle counts — beyond the standard lipid panel

Fasting insulin, HOMA-IR, hsCRP, homocysteine

Fasting insulin, HOMA-IR, hsCRP, homocysteine

Re-checked at 90 days, then quarterly while protocols stabilize

$695

Comprehensive panel

Order the panel →

60+

Biomarkers

Included

In Roadmap Protocol

02 · Flagship

The Roadmap Protocol.

Personalized longevity blueprint · 12-month written plan · included with the comprehensive panel

Once your panel is in hand, the Roadmap is how new longevity patients begin care at Aesura. We synthesize your comprehensive blood work, functional panels, biological age, prior records, family history, and stated goals into a written 12-month plan — interventions, retest cadence, decision points, and the order to do them in. The Roadmap is included with your comprehensive panel — no separate fee.

90-minute physician review of every marker, in person

Written report you take home — not a portal screenshot

Quarterly check-ins to recalibrate against new data

Coordination with HRT, peptide, regenerative, and lounge protocols

$695

Comprehensive panel

Begin with the Roadmap →

60+

Biomarkers

Included

In Roadmap Protocol

03 · Functional

Functional Testing — Vibrant Wellness.

Gut, food sensitivity, micronutrients, mycotoxins, heavy metals, hormone metabolomics

When standard blood work doesn’t explain the symptoms, we go deeper. Aesura is a Vibrant Wellness clinical partner — Wheat Zoomer, Gut Zoomer, Micronutrient panels, Heavy Metals, Mycotoxins, Tickborne (Lyme), Food Sensitivity, and DUTCH-style hormone metabolomics. Curated to a focused menu, never the full catalog.

Stool, urine, and blood collection — most done at home or in-clinic

Aesura curates the right panels — we don't sell every test

Physician interpretation built into every result

Integrated into your Roadmap, not delivered as a PDF and forgotten

From $295

Per panel

2–3 weeks

Typical turnaround

~12

Curated panels

See the Vibrant menu →

04 · Pace of aging

Biological Age Testing.

TruDiagnostic TrueAge & TrueHealth · methylation-based DNA age

Your chronological age is fixed. Your biological age is not. We use TruDiagnostic’s TrueAge and TrueHealth methylation panels — Horvath-style clocks that read chemical marks across your DNA to estimate how old your cells actually behave, your pace of aging, immune-cell composition, and (with TrueHealth) organ-system aging. Re-test annually to see whether your interventions are moving the needle.

Simple at-home or in-clinic blood collection, no fasting

TrueAge: biological age, pace of aging, immune cell composition

TrueHealth: organ-system aging plus all TrueAge markers

Annual retest to track intervention impact, integrated against your Roadmap

$699

TrueAge or TrueHealth

4–6 wks

Turnaround

Annual

Recommended cadence

Order TrueAge / TrueHealth →

05 · Early signal

Galleri — Multi-Cancer Detection.

Single blood draw · screens signal across 50+ cancers

Galleri is GRAIL’s multi-cancer early detection blood test. It looks for a methylation signature shared across more than fifty cancers — many of which have no routine screening today. We integrate it into select precision plans for adults at elevated risk, alongside age-appropriate standard screening. Never as a replacement for mammography, colonoscopy, or PSA where indicated.

Single blood draw — performed in our Hackensack office, or by requisition through Quest Diagnostics

Best for adults 50+ or with elevated familial risk

Annual retest is the recommended cadence

Result interpreted in our office and integrated into your roadmap

$1,099

Single test

~2 wks

Turnaround

Annual

Recommended cadence

Order Galleri →

06 · Cardiovascular

Cardiac CT & Coronary Angio.

Calcium scoring + CT coronary angiography

Cardiovascular disease is still the leading cause of death — and the calcium score remains one of the strongest single predictors. Aesura coordinates low-radiation, non-contrast coronary calcium CT for plaque burden, and CT coronary angiography (CCTA) when soft-plaque imaging is indicated. We help you order through vetted imaging partners and interpret the results inside your roadmap — never in isolation.

Ordered through vetted Bergen County and NYC imaging partners

Calcium score for baseline plaque burden

CCTA when soft plaque assessment is clinically indicated

Imaging fees set by the partner facility — we coordinate the order and interpret the report inside your roadmap

Coordinated

Through imaging partners

Interpretation

Built into your plan

Every 3–5 yr

Typical retest cadence

Discuss imaging at consult →

07 · Whole-body imaging

Prenuvo — Whole-Body MRI.

Non-contrast · no radiation · brain, spine, organs, soft tissue

Prenuvo is a non-contrast, no-radiation whole-body MRI screening protocol. It evaluates the brain, spine, organs, and soft tissues for early-stage tumors, aneurysms, and structural disease in a single session. Aesura helps you order through Prenuvo and reviews the report with you alongside your blood, functional, biological-age, and cardiac data — built into your roadmap.

Single ~60-minute scan, no contrast, no radiation

Ordered through the nearest Prenuvo center (Manhattan or partner location)

Report reviewed in our office — never just emailed

Scan fees set by Prenuvo — we coordinate the order and interpret the report inside your roadmap

$2,499

Whole-body MRI

~60 min

Scan time

Every 1–2 yr

Recommended cadence

Coordinate Prenuvo →

Bergen County · North Jersey · Manhattan

Precision medicine, in Bergen County and beyond.

  • Hackensack
  • Alpine
  • Saddle River
  • Englewood
  • Englewood Cliffs
  • Tenafly
  • Cresskill
  • Demarest
  • Ridgewood
  • Paramus
  • Edgewater
  • Fort Lee
  • Teaneck
  • Closter
  • Oradell
  • River Edge

390 Hackensack Ave · 12 minutes from the GWB · free on-site parking

Frequently asked

Precision medicine, answered.

The questions Bergen County patients ask before beginning the Roadmap.
What is longevity precision medicine?
Longevity precision medicine is the diagnostic foundation of an Aesura care plan. Comprehensive blood work, functional testing, biological age, Galleri multi-cancer screening, coronary CT, and Prenuvo whole-body MRI — sequenced and synthesized into a written roadmap. We measure where your body actually is, not where age charts say it should be.
The Roadmap Protocol is our flagship onboarding for new longevity patients.. We synthesize your comprehensive blood work, functional panels, biological age, family history, and goals into a written 12-month plan with clear interventions, retest cadence, and decision points. It includes a 90-minute physician review, a written report you take home, and quarterly check-ins.


Aesura’s comprehensive panel runs 60+ longevity-focused biomarkers.Advanced lipids (ApoB, Lp(a), particle counts), full hormone panel, thyroid axis, fasting insulin and HOMA-IR, hsCRP and inflammatory markers, homocysteine, omega index, ferritin, B12/folate, vitamin D, full metabolic, and genomic markers when indicated. Standard physicals run 15. We run 4× as many.

Biological age testing measures how old your cells actually behave, separate from your chronological age. We use TruDiagnostic’s TrueAge ($699) and TrueHealth ($699) — methylation-based DNA panels (Horvath-style clocks) that estimate biological age, pace of aging, immune-cell composition, and (with TrueHealth) organ-system aging. Simple at-home or in-clinic blood collection, results in 4–6 weeks. Patients re-test annually to track whether interventions are moving the needle.

Galleri is a multi-cancer early detection blood test from GRAIL — $1,099 at Aesura. It screens for a signal shared across 50+ cancers, many of which have no routine screen today. We can perform the blood draw in our Hackensack office, or send a requisition to Quest Diagnostics for collection at any Quest patient service center. The result is interpreted in our office and integrated into your roadmap. Appropriate for adults 50+ or with elevated familial risk — alongside age-appropriate standard screening, never as a replacement for mammography, colonoscopy, or PSA where indicated.

Coronary CT calcium scoring is a low-radiation, non-contrast scan that quantifies calcified plaque in the heart’s arteries — one of the strongest predictors of cardiovascular events. CT coronary angiography (CCTA) adds contrast to image both calcified and soft plaque. Aesura coordinates these scans with imaging partners and integrates the results into your cardiometabolic plan.
Prenuvo is a non-contrast, no-radiation whole-body MRI screening protocol — $2,499 per scan. A single ~60-minute session evaluates the brain, spine, organs, and soft tissues for early-stage tumors, aneurysms, and structural disease. Aesura helps you order through Prenuvo’s nearest center (Manhattan or partner) and reviews the report with you alongside your blood, functional, biological-age, and cardiac data — built into your roadmap, never just emailed and forgotten.
No — and this matters. Precision medicine is precise because it’s matched to the patient. Most Aesura patients begin with the comprehensive blood work and the Roadmap Protocol. We layer in functional testing, biological age, Galleri, cardiac CT, or Prenuvo based on family history, prior labs, age, and goals. Nothing is reflexive.
The Roadmap Protocol is included with your comprehensive blood panel — there is no separate roadmap fee. The comprehensive panel covers the labs, the 90-minute physician review, the written 12-month plan, and quarterly check-ins. Add-on tests are priced separately: biological age (TrueAge / TrueHealth) $699 each, Galleri $1,099, Prenuvo $2,499; Vibrant Wellness functional panels run $535–$1,145. We share full pricing transparently before any decision.
Most longevity-focused panels are paid out of pocket because they fall outside what insurance considers medically necessary. Some standard markers and indicated imaging may be billable through insurance — we provide a superbill for self-submission where appropriate. We are transparent about what is and isn’t billable before ordering.
For most markers, 90 days after intervention to confirm direction, then every 6–12 months once stable. Treatments are biomarker-guided — labs, imaging, and outcomes data drive the plan. Aesthetic procedures are administered by our experienced provider; medical and longevity protocols are physician-led. We measure, not guess.
Yes — the Aesura Membership starts at $999 per month. It pairs you directly with Dr. Joseph for 1:1 strategy sessions, curated diagnostic packages, and continuously refined roadmaps across hormones, regenerative therapy, recovery, and metabolic health. Membership is selective: every prospective member begins with a complimentary fit consultation, and not every applicant is invited to join.
Schedule a complimentary fit consultation. We review your goals, prior labs, and what end-to-end care would look like for you. If the Membership is the right fit, you’re invited in. If a single roadmap or one of our standalone services serves you better, we’ll tell you. The Membership is intentionally small — that’s by design.