Diagnostics
Whole-body 3T MRI. Two-hundred-marker bloodwork. DEXA composition. VO₂ max with lactate threshold. Continuous glucose monitor. Hormone panels at depth. Coronary calcium. Microbiome. Epigenetic age clocks.
Issue 04 · 19 clinics reviewed · May 2026
Find the clinic that earns the price.
Independent reviews of 19 longevity programmes across Europe, the Gulf, North America and Asia. Scored 0–100 against a four-axis editorial rubric. No paid placements. No partnerships. Read first, then book.
- Clinics reviewed
- 19
- Countries covered
- 8
- Tests compared
- 172
- Updated
- Weekly
— Live directory · Drag to rotate
01 The category
Longevity medicine, decoded.
Longevity medicine is the branch of clinical practice that treats *staying well* as the work itself, rather than as the absence of disease. The standard menu is wide and getting wider. The standard answer to what should I actually do is harder to find than the menu.
Treatments
Hormone optimisation. Targeted peptides. NAD+ infusions. Hyperbaric oxygen. IV nutrient infusions. Cryotherapy. Pulsed electromagnetic field. Off-label pharmacology, in clinics willing to prescribe.
Protocols
Sleep architecture. Resistance training prescription. Zone-2 cardio. Nutritional periodisation. Stress and recovery protocols. Continuity care, the part most clinics under-deliver on. The part that decides whether the cheque was worth it.
02 The split
Not all clinics are the same.
The market divides cleanly into three formats with different jobs to do, different cost bases, and different patients they suit. Choose the format before you choose the clinic.
— Format 01
Residential programmes
Multi-day to multi-week stays. Diagnostics, treatments and supervised recovery delivered together, on one campus, with a single clinical team. Switzerland still defines the genre.
- Typical price: CHF 25,000–80,000 per stay
- Typical length: 7–21 days
- Best for: post-fifty, post-event recovery
Outpatient clinics
Single-day diagnostics with structured follow-up. The faster, sharper, cheaper format. Berlin, London and Singapore lead on diagnostic depth. The work happens in the year that follows the day.
- Typical price: €2,000–17,000 per day
- Typical length: 1 day + 12-month follow-up
- Best for: under fifty, already-fit, specific questions
Membership concierge
Annual concierge memberships that bundle diagnostics, longitudinal protocol design and quarterly clinician contact. The dominant US model and the format with the strongest continuity-of-care argument.
- Typical price: USD 14,500–32,500 per year
- Typical length: ongoing, year-on-year
- Best for: data-driven readers committing to a multi-year cadence
03 The flagships
The clinics worth choosing between.
Six programmes that define the upper edge of the field today. Each earns the price for a different patient. None earns it for everyone.
YEARS
Berlin, Germany
96 score
The clearest answer in Europe to the question — what do I actually need? Comprehensive same-day diagnostics, MD-led, no in-house treatment upsell. Our editorial pick for best overall.
Biograph
San Francisco, United States
92 score
Peter Attia's clinical home, opened publicly in 2025. Diagnostic depth on a par with YEARS, a longitudinal membership model, and an editorial leaning towards Medicine 3.0 — risk stratification across cardiovascular, metabolic, brain, cancer and quality-of-life axes.
Early Medical
Austin, United States
90 score
Peter Attia's private clinical practice — small, MD-led, currently closed to new patients. The clinical home from which Medicine 3.0 was authored.
Human Longevity Inc.
San Diego, United States
88 score
Co-founded by Peter Diamandis and J. Craig Venter in 2013 — the institutional pioneer of genome-plus-imaging executive health. Ten-plus years of methodology refinement, AI-augmented MRI reading, and a serious genomics back-end.
Fountain Life
Naples, FL, United States
87 score
Diamandis-Robbins-Hariri's flagship preventive-medicine network. Whole-body MRI plus AI-cardiac imaging plus genome sequencing built around a strong early-detection thesis. Five US locations and growing; the structural conflict is the membership treatment ladder that follows.
Sheba Longevity Center
Ramat Gan, Israel
86 score
The world's first dedicated longevity center inside a major academic hospital. Strong diagnostic infrastructure, hospital-grade safety net, and an active research programme behind the patient-facing clinic.
04 Frequent questions
The questions readers actually ask.
What this category costs, what it does and doesn't deliver, what we do and don't take a position on.
— 01 What is a longevity clinic?
A longevity clinic is a private medical practice focused on extending healthspan — the years lived in good function — rather than treating disease after the fact. The work centres on three loops: diagnosis (deep imaging, deep bloodwork, functional testing), protocol design (sleep, training, nutrition, supplementation, sometimes pharmacology) and longitudinal review (quarterly bloodwork, six-monthly check-ins). Some clinics deliver everything under one roof. Most don't.
— 02 How much does a longevity programme cost?
European outpatient programmes typically run €4,000–12,000 for a single comprehensive day of diagnostics. Residential Swiss programmes run CHF 25,000–80,000 for a one-to-three-week stay. US membership models, where they exist, run USD 10,000–100,000 per year. Add-ons (genome sequencing, peptide protocols, hyperbaric oxygen courses) are typically priced separately and stack quickly.
— 03 Residential or outpatient — which should I choose?
Residential suits the patient who wants the work *delivered* — diagnostics, treatments and recovery in a single composed week. Outpatient suits the patient who already trains, sleeps and eats well and wants the *diagnostic spread* without the spa overlay. Most readers under fifty are better served by a sharp outpatient day plus a structured twelve-month follow-up than by a single residential week.
— 04 Are these clinics regulated?
In Switzerland, the UK and Germany, all clinics in this directory are regulated by the standard medical authority — Swissmedic, the GMC, the Bundesärztekammer respectively — at the level of the individual practitioner. Some treatments offered (cellular therapy, off-label peptides, certain hormone protocols) sit in less-regulated territory, and we flag this in each profile where it applies.
— 05 What treatments are typically offered?
The current standard menu, in 2026: hormone optimisation (testosterone, oestrogen, thyroid, where indicated), targeted peptides (BPC-157, GLP-1 analogues, growth-hormone secretagogues), NAD+ infusions, hyperbaric oxygen, IV nutrient infusions, cryotherapy, pulsed electromagnetic field therapy. Evidence quality varies sharply across these. We grade each in individual reviews.
— 06 Which diagnostics actually matter?
The 2026 minimum-credible spread: a 200+ marker blood panel (with hormones, inflammation and metabolic depth), DEXA composition, VO₂ max with lactate threshold, whole-body 3T MRI, cardiac assessment (echocardiogram or coronary calcium), continuous glucose monitor for at least 14 days. Genome sequencing is optional below age forty. PET imaging is currently rarely the right answer for an asymptomatic reader.
— 07 How do you choose which clinics to review?
We monitor roughly 150 clinics across Europe, the Gulf, North America and Asia. Our directory currently carries 19 — the ones we believe a serious reader should be choosing between — with new clinics added monthly. Inclusion criteria, clinical depth and methodology are described in detail on our methodology page.
— 08 Are you paid by the clinics?
No. Longevity Clinics receives no payment, gift, hospitality or commission from any clinic, ever. Reviews are reader-funded via subscriptions to our journal and an industry-funded annual benchmarking report (which clinics can purchase but cannot influence). Full disclosure is on our about page.
— 09 How does the 0–100 score work?
Each clinic is scored across four axes, each carrying 25 points: diagnostic depth (range, depth and clinical actionability of the workup), medical supervision (MD-led practice with continuity care), conflict freedom (does the clinic profit from prescribing what it diagnoses?) and evidence base (treatments grounded in evidence; experimental work labelled as such). The composite is the headline number; the breakdown is the reasoning. Read the full rubric on our methodology page.
— 10 Where in the world is the work being done best?
Switzerland leads on residential programmes (a fact of geography, not exceptionalism). London and Berlin currently lead on outpatient diagnostic depth. New York and Los Angeles lead on membership-model continuity care. Dubai and Singapore lead on speed-of-access for international patients. None of these capitals leads on price.
“Compare quietly. Choose well.
— The editorial position, since the first review