Precision Health Analysis & Program
A healthspan to match your lifespan. ™
Your journey begins with a Precision Health Analysis™ (also known as PHA) a profound, multifaceted, in-depth, and comprehensive look into thousands of data points, and the trends that make you, you.
Here is an outline of what you can expect during this twelve-week analysis:
Step 1: Precision Health Questionnaire (PHQ)
Your PHA begins with our proprietary PHQ. You will be guided to our secure, online Client Portal to complete this unique Questionnaire that drills deep into your lifestyle, personal and family history.
Your medical records and digital health app data provide keen insight into your health profile and future health trajectory as you age. Our team will curate a portfolio of your lifestyle, personal and family medical history that enables insight and an assessment of your trends over time, incorporating data from your physician and any other clinicians (such as a physical therapist or psychologist) in your network. We include, labs your primary care physician orders annually to test your glucose (sugar) and thyroid. We also encourage clients who have undergone any specialty genetic testing, or who employ digital health apps and tools to measure sleep, food, or exercise on a regular basis to share the data with our team. We will integrate this data into our analysis.
Step 2: Baseline BioMarkers
Our experienced phlebotomists will travel to your home, office, or hotel to collect a blood draw after a 10-12 hour fast. Only water is permitted to stay hydrated while fasting. A urine sample is also requested. Our team alternatively coordinates with the nearest Quest Patient Service Center to ensure convenience. Our customized Precision Health panel screens >300 BioMarkers. The spectrum of tests ranges from comprehensive metabolic screening, sophisticated hormonal measurements, carbohydrate and lipid panels, nutritional, inflammatory, bone, and immunology markers.
Step 3: Comite Exercise Physiologist TeleMed (EPTM)
A Comite Exercise Physiologist (EP) will speak with you during the TeleMed (TM) the same week as your Baseline BioMarkers (Laboratory tests) are drawn. Your EP will speak with you and collect information about your lifestyle to enhance our ability to assess your current health standing as well as to predict and detect your future health trajectory, such as your risk of diabetes, heart disease, and cancer among other diseases of aging.
Our experience with thousands of clients over two decades allows us to connect the bits and bytes of your story. We relate that information to the measured Baseline BioMarkers. Then we peel back the surface to see your emerging future disorders, with the intent to reverse and prevent based on our unique proactive management and interventions.
Step 4: Comite Clinical TeleMed Consultation (TM)
The Comite Clinical Team, led by Florence Comite MD, has collected and reviewed all of your information, your personal medical and family history, as well as your Baseline BioMarker data and EPTM report. Any past diagnostics and data shared by your physicians and clinicians sent to us (with a signed medical release from you) is incorporated into the analysis by the Comite Team.
This proprietary process and the procedures incorporated typically take 12 weeks to perform. We are only able to speed up the timing if there are urgent indicators and/or rationale and/or due to special requests – yet solely determined by Dr. Comite. It is a time-consuming and sensitive task that Dr. Comite approaches seriously, no stone is left unturned in this process. We ask you to recognize and acknowledge that you are unique and deserve essential time for us to deeply excavate and absorb all the variables that make you, you.
The TM will bring it all together for you. Your Physician Associate leads the TM and explains the data so you understand how the Team decodes, illuminates, interprets, and integrates your unique findings. Dr. Comite feels it is paramount for you to feel comfortable understanding what we have interpreted, why we say what we say, how we recognize the relationship within the data, what the differences are between the so-called normal range versus optimal Comite BioMarkers, how Evidence-Based Medicine weighs into the equation, why laboratory values vary tremendously, and how we see your ‘healthspan’ path currently and into the future of your lifespan. We are peeling back the layers that are hidden beneath the surface.
You may not even be experiencing any symptoms, or you may notice that you are slowing down or can’t keep up; energy may be fading or not, sleep may be an issue- whether getting enough, trouble falling asleep, or awakening in the middle of the night. Exercise may be a regular activity or not even part of your life. All these factors and much more are considered.
Overall, this TM is critical for several reasons. Most important is that we give you the insight necessary to learn what we see and what we know, and how that is related to you personally. Next you ‘own’ that understanding. You also have the opportunity to contemplate what we have explained at your own pace. Dr. Comite feels strongly that this is a vital component to our systematic approach for you. You need to be an open minded skeptic about information that is expressed to you. You may want to do your own research, explore thoughtfully, and bring your questions to us when we meet at the Comite Center.
Comite’s favorite testimonial is when a client says: “I feel like myself again!” Typically, we hear this ultimate compliment within weeks of the Comite Program.
You may not even realize how much you give up and that you do not have to age in that fashion. There are unique factors at the cellular level that worsen with age and undermine your healthspan. You do not have to "get used to it, you’re aging!”
You have to assess and adjust with the understanding that your story and your data lead Dr. Comite to present actionable interventions that work uniquely for you! Our premise, the N-of-1, is that you are not an average, as conventional medicine one-size-fits-all protocols are set up. Dr. Comite sets up a profound deep dive into thousands of data points as you proceed along with an analysis of your trends. This critical perspective does not exist anywhere else in the world.
We have exhaustively explored the world and have not found any other academic, clinical center, or practice that offers this deeply personal and precise intel about your current and future health based on longitudinal, clinical research.
Step 5: Bone Studies & Body Composition
Bone Density (also known as ‘bone thinning’) allows for an analysis of your risk for osteopenia and ultimately osteoporosis, which can lead to shrinking, neck curvature, wrist, hip, and spine fractures. These risks are also exaggerated if there is a positive family history, in your parents, siblings, grandparents, aunts and uncles. Other risk factors we consider are described in the medical literature, such as ethnicity.
Body Composition allows for an analysis of your lean muscle mass and visceral fat mass; both an important vector for current and future health. Comite outcomes are known to reverse visceral fat with significant weight loss, and increase lean muscle mass. “Sarcopenia” (also known as ‘low or poor muscle mass’) is strongly associated with diseases of aging. After 70 years of age it is more common to be thin than fat. The reason? Visceral fat may not be visible (visceral means the fat can be buried in organs, like the liver) and the weight loss is due to loss of lean muscle.
Step 6: Comite Clinical Precision Health Analysis
Internal and Performance Analyses
Your Comite Center Precision Health Analysis journey continues with an in-office visit to our state-of-the-art headquarters located in the uniquely situated Central Park South office between Fifth Avenue and Columbus Circle – facing Central Park.
You are greeted with a warm Comite welcome as you arrive on the 2nd floor. You have already interacted with several members of the Team as we have gathered and reviewed your story and data together and with you directly.
You will undergo a customized Precision Medicine & Health in-depth dive with an advanced body composition analysis, and a series of specialized assessments of your strength, as well as vascular, cardiac, and respiratory health. With the privacy and undivided attention offered during this cornerstone of our personalized approach, the Center offers you a Pod during your stay ~ Presidential, Gold, or Doctor ~ a customized living space with couches, tables, desks, and an ensuite bathroom with a shower. Your team, including the designated Physician Associate, Exercise Physiologist, and Clinical Intern, along with Dr. Florence Comite, and select physicians and/or clinicians will meet with you in your Pod during your stay with us.
We create your personalized and precise health portfolio, focusing on recommendations that arise from our insights with your preferences taken into consideration during our Comite wrap-up. You have a voice at the table too, we want to know how you feel about our suggestions and we ask you to weigh-in along the way.
Step 7: Personalized & Precise Recommendations
Your Precision Health Analysis kicks off with actionable interventions:
- Summary of your current health status and future health trajectory
- Input with respect to your sleep, nutrition, exercise, stress, and anxiety
- Digital health tools for insights that fit your precise makeup and guide you to future progress
- Supplement and medication customization and initiation
- Advanced Precision Diagnostics and Coordination
- Referrals to preferred specialists within our curated physician and clinical network
Continuing the Journey:
You are a Comite client after the program documents are reviewed and you decide to proceed. As such, you are investing in your healthspan to sustain an active and fully participatory lifespan, with vitality and energy, and with a personal ‘Health CEO quarterback and team’, we partner with you for all of your health decisions.
Your Comite team will innovate, intervene, introduce, manage, and tailor recommendations as we continuously assess your health, response to interventions, and your trajectory. The Comite Center and program incorporates:
- Clinically proven biomarker tests, Internal Assessment (InBody, FibroScan, etc.), Bone Studies, and Performance Health calculations (VO2 & Metabolic Equivalent or METs with our digitally designed platform) to objectively measure progress
- Actionable interventions based on your precise data
- Regular Exercise Physiologist check-in to keep on track
- Digital health tools as individually appropriate
- Monitoring medications, including personalized hormones, peptides, and supplements
- Advanced Precision Diagnostics and consultation: whole-genome sequencing (WGS), personalized genomics and personalized microbiome analysis (precise and valid for the individual), telomere assessment, predictive aging, detecting methylated circulating DNA liquid biopsies for pre-stage 0 cancer, etc.
- New tools and interventions curated by Dr. Comite’s unique abilities to investigate and research interventions that are actionable, precise, and measurable
- TeleMed support from your Comite team
- Insider access and referrals to the country’s leading specialists and medical institutions
- Coordinated messaging among your existing physician and clinician network
- Annual PHA with advanced actionable interventions and active anti-aging processes, as appropriate, personal, and precise
- Discounted access to body contouring, esthetics, and IV Infusion packages, all innovative and synergistic clinical protocols unique to Comite Center
- Stay in touch, proactively. Insider referrals, one to one. Record keeping
What can I expect with precision medicine?
At Comite Center for precision medicine, you can benefit from various custom-tailored therapies and treatments, such as:
Comite Center for Precision Medicine provides advanced testing for important biomarkers, such as HbA1C and blood glucose. The team also offers bone studies and assesses your previous medical records and family history. Instead of comparing your parameters to an abstract average of the population, the Comite providers depend on the N-of-1 methodology that uses your individual baseline data to detect possible anomalies and problems, such as disorders of aging like prediabetes and hyperlipidemia.
Comite Center for Precision Medicine also offers precision health analysis (PHA) — a comprehensive assessment of thousands of biomarkers, data points, and patterns over a five- or six-week process. Precision medicine often utilizes the predictive power of AI (artificial intelligence) and involves looking at your sleep, your diet, genetic susceptibility, exercise, and other important factors.