The Vital Years Physical

A 360 health assessment for thriving 60+
Learn more

Your health has a trajectory.
We will show you what changes it.

Photo Credit: Petter Attia
Standard health services don't gather the data needed for extending your years you spend healthy. That’s why our team of doctors created the Foundational Workup.

Come for the most comprehensive review you’ve ever had of your unique biology, movement patterns, and aging trajectory. Leave with an action plan grounded in your results you can use immediately.
Image your biology
Know more with our
extended lab panel,
DEXA, and strength metrics
Test your current state
Exams of skin, fitness,
and life habits
through a longevity lens
Chart a smart path
We plan for your next tests
and goals based on
your unique results

What is your long term health worth?

What Our Clients Say

If I had to choose just one thing to do for my health this year, this would be it. To have the quality life I want for the next 20 years, to keep playing tennis... This was the information I needed.

Mary Beth, 75

“Before we found Carte, we were struggling with the complexity of our dad’s interlocking health conditions… Carte has enabled [my family] to regain our peace of mind."

Colleen, 37

How You Will Use Our Testing

Uncover risk factors not captured in surface-level workups – and act on them.
1
STAGE 1

Comprehensive Pre-Assessment

We ask the right questions to understand your medical profile, family history, and lifestyle. This informs the suite of testing planned for you.

2
STAGE 2

Longevity Focused Testing Day

Unparalleled preventive health assessment, combining imaging, skin consultation, and proprietary movement evaluation.

3
STAGE 3

Custom Strategy Based on Results

Your 360 evaluation will provide the highest priority health interventions for your unique biology, based on over 130 biomarkers and your in-person tests.

EXCLUSIVE

In-Person Testing

All-in-one comprehensive assessments only available at our center, designed to surface early risks, uncover blind spots, and set a smarter course forward.

Advanced lab panel (130+ biomarkers)
DEXA scan and body composition analysis
VO2 max testing
PT led mobility and strength assessment
Boutique dermatology consultation
Metabolic analysis
Genetic testing
Hormone health check

Appointments are limited.
Request your spot today.

Get On The List

Meet the team

Ashley Alwood, MD
Lead Carte Phsycian
Dr. Alwood is a board-certified emergency physician with a diverse international career. She was born and raised in Seattle, Washington and spent part of her childhood living in London. After completing her medical education at the University of Washington and residency at the University of Chicago, where she also trained as a Flight Physician, Dr. Alwood practiced in Chicago before moving to the Middle East. She contributed to establishing Cleveland Clinic Abu Dhabi and later The View Hospital in Doha, Qatar, in affiliation with Cedars-Sinai Medical Center in Los Angeles, where she served as Head of the Emergency Department and a Clinical Assistant Professor.
Jesse Lewis, DPT, OCS, CSCS
Physical Therapist
Jesse Lewis is a Doctor of Physical Therapy and the founder of District Performance & Physio, a Washington, DC-based clinic dedicated to helping active individuals stay active—without being told to stop doing what they love. His approach blends expert movement analysis, client education, and performance-driven rehab to guide people through injuries instead of sidelining them. At the core of Jesse’s work is a commitment to clear communication, customized planning, and lasting results. He partners with each client to build realistic, sustainable strategies that align with their broader health and fitness goals. Whether someone is recovering from injury, overcoming a plateau, or seeking a higher standard of care, Jesse empowers them with structure, support, and a path forward.
Neelam Khan, MD
Lead Dermatologist
Dr. Neelam Khan is a board-certified dermatologist and the founder of Neely Dermatology and Aesthetics, a boutique practice in Washington, DC specializing in both medical and aesthetic dermatology. She completed her undergraduate studies at Vanderbilt University and earned her medical degree from Georgetown University School of Medicine before completing her dermatology residency at SUNY Downstate in New York City. Prior to founding her own practice, she worked at one of the nation’s premier cosmetic and laser dermatology centers in DC, where she built a strong reputation for clinical excellence and natural aesthetic results. Dr. Khan is a recognized leader in the American Academy of Dermatology, the Women’s Dermatologic Society, and the DC Dermatologic Society, and a former President of the Georgetown Clinical Society. She lives in Washington, DC with her husband and two young sons.
Lisa Durand, Master NASM Trainer/CES/INHC
Movement Specialist and Coach
Lisa Durand is a Health and Movement Specialist with over two decades of experience helping individuals achieve physical resilience and lasting confidence. She is a NASM Certified Master Personal Trainer, NASM Certified Corrective Exercise Specialist, and Integrative Nutrition Health Coach. Lisa takes a holistic approach to health, blending strength training, injury prevention, and mindfulness practices with personalized nutrition coaching. Her method emphasizes science-backed strategies, including detailed fitness assessments and corrective exercise techniques, to optimize movement patterns and promote sustainable well-being. Lisa’s coaching empowers clients not only to move better but to feel stronger, more capable, and in control of their long-term health.
Gina Siddiqui, MD
Lead Carte Physician
Dr. Siddiqui is the Founder and CEO of Carte Clinics. Prior to Carte Clinics, she was the Chief Clinical Officer of Fabric, an AI care enablement platform that has scaled to cover over 100 million lives. During the COVID pandemic, she helped design systems managing care for medically complex patients at New York City Health and Hospitals. Dr. Siddiqui has written and presented on modernizing health care delivery for The New York Times, TIME, Scientific American, Quartz, and the Rhode Island School of Design.

Dr. Siddiqui is on the Scientific Advisory Board for the Alliance for Longevity Initiatives and is adjunct faculty at the UVA School of Medicine and the George Washington University School of Medicine. She completed medical school at The University of Pennsylvania, residency training in Emergency Medicine at Yale, and dropped out of Harvard Business School.

Booking Your Longevity Foundational Workup

Start with deep insights from our expert team and see where the journey takes you.

Included for $2,000

1-on-1 pre-meeting and preparation
130+ biomarker lab panel
DEXA body composition analysis
PT mobility and strength assessment
Boutique dermatology consultation
Multi-physician review of your case
Comprehensive report across domains
3 meetings with your Carte physician


Who it's perfect for:

Adults 60+ who want clarity, direction, and a proactive approach to long-term health.


Also available

VO2 max testing
Targeted genetic sequencing
MRI and Coronary CTA imaging
Cognitive baseline evaluation
Cardiorespiratory metabolic analysis
Multicancer early detection testing
Comprehensive report across domains
Vestibular and balance testing


Who it's perfect for:
Adults 60+ who want more specialized testing custom-built for their goals and history.

GET DETAILS

Prioritize your long-term health.

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