Wellness & Longevity Clinic | Rajeev Khanna, MD

The approach

Medicine that looks forward, not just back

Conventional care waits for something to break. The Wellness & Longevity Clinic is built to do the opposite — measure precisely, interpret honestly, and optimize continuously.

I.

Measure deeply

A picture of your biology most people never see — biological age, advanced cardiometabolic and hormone markers, brain health, gut health and, where appropriate, multi-cancer early detection.

II.

Interpret intelligently

Ayora Clinical Lab Intelligence scores and trends every biomarker into one longitudinal Ayora Score — reviewed with you by your physician, never left as a PDF.

III.

Optimize continuously

An evidence-graded protocol across nutrition, movement, sleep, hormones and targeted therapies — re-tested and refined at every draw.

Meet Ayora Clinical Lab Intelligence

Your results, understood

A lab integration and interpretation platform built by Dr. Khanna. Every biomarker you test is scored, trended and interpreted at every draw, then reviewed with you by your physician. Never just a PDF in a portal.

Ayora Score

One longitudinal score across eight physiological domains, recalculated with every blood draw and reviewed by your physician.

Ayora Health Passport

A complete record of your current health status, with your personalized exercise, nutrition and supplement plan.

Ayora Confidence Index

We tell you how certain the data is. When verified clinical evidence is unavailable, we say so.

Longevity Clock

An estimate of your biological age against your chronological age, tracked as your plan takes effect. An estimate, not a diagnosis.

89

Sample score

What's YOUR Ayora Score?

Longevity is a choice — guided by insight.

The Precision Panels

120+ biomarkers. Ten physician-designed panels.

From foundational chemistry to brain health, epigenetics and multi-cancer early detection — physician-selected and sequenced to your individual risk profile.

🩸 Foundation Wellness

CBC
CMP
Urinalysis
HbA1c
Microalbumin/Creatinine Ratio
Ferritin
Iron / TIBC
Vitamin D
Vitamin B12 / Folate
Uric Acid

❤️ Advanced Cardiovascular

Lipid Panel
ApoB · ApoA1 · ApoB/A1 Ratio
Lipoprotein(a)
NMR Lipoprotein Profile
Lp-PLA2
Fibrinogen

⚡ Metabolic & Mitochondrial

Fasting Glucose
Insulin
Fructosamine
Leptin
Adiponectin
GGT
CK
CoQ10 (optional)
Lactate · Pyruvate (optional)

🦋 Comprehensive Thyroid

TSH
Free T4
Free T3
Reverse T3
TPO Antibodies
Thyroglobulin Antibodies

🛡️ Inflammation & Immune

hsCRP
ESR
Interleukin-6
TNF-alpha (optional)

🌿 Gut Health

Digestive inflammation markers
Intestinal permeability assessment (optional)
Food-sensitivity (IgG) profiling (optional)

♂ Hormone Optimization: Male

Total & Free Testosterone
SHBG
DHEA-S
Cortisol AM
IGF-1
PSA / Free PSA

♀ Hormone Optimization: Female

Estradiol (Sensitive)
LH · FSH
DHEA-S
Pregnenolone
Cortisol AM
IGF-1

🧠 Brain Health

APOE GenotypeWith genetic counseling; also informs cardiovascular risk
pTau-217 (optional)
pTau-181 (optional)
Beta Amyloid 42/40 Ratio (optional)
Neurofilament Light Chain (optional)

🧬 Cancer, Epigenetics & Genomics

Galleri® Multi-Cancer Early Detection (optional)Not FDA-approved; adds to, never replaces, guideline screening
Tumor markers: CEA · AFP · CA 19-9 · CA-125 (optional)
TruAge® Complete · TruHealth™ (optional)
3X4 Genetics™ (optional)
Invitae® hereditary genetic testingWhen clinical criteria are met

Optional. Emerging evidence, or not recommended for routine screening in people without symptoms. We discuss these with you and order them only when they fit your goals and history.

🔎 Imaging, by referral

Imaging is not a blood panel. It is ordered separately, through an outside imaging center, when it fits your risk profile.

Coronary artery calcium (CAC) score
Low-dose CT lung cancer screening, if guideline-eligible
Cardiac CT angiography, when clinically indicated
Whole-body PET/CT (optional)Involves radiation, and incidental findings can lead to further testing

Foundation Wellness is included with membership. The other panels are physician-selected, sequenced to your risk profile and ordered à la carte.

The Executive Physical

The annual physical you actually deserve

A routine physical covers the essentials. The Executive Physical goes much further: a physician-led first visit and Foundation Wellness bloodwork, included with your membership, plus advanced panels chosen to your risk and a personal results session with Dr. Khanna.

Included with membership

✓Physician-led deep-dive first visit
✓Foundation Wellness bloodwork: your longevity baseline
✓Ayora Score: one longitudinal number, trended year over year
✓One-on-one results review and written optimization plan with Dr. Khanna

As needed, à la carte

Usually not covered by insurance; many are FSA/HSA-eligible.

+Advanced cardiovascular risk: ApoB, Lp(a), NMR lipoproteins; coronary artery calcium score, with CT angiography when clinically indicated
+Hormone, thyroid, metabolic, gut, inflammation and brain-health panels
+Galleri® multi-cancer early detection when appropriate (not FDA-approved; it adds to guideline cancer screening, never replaces it) and hereditary cancer markers
+Epigenetic biological-age testing (TruAge®)

Why It's Different

✦Physician-led, not platform-led: every result is reviewed with you in person, by appointment only
✦Longitudinal: your score is recomputed at every draw — a trajectory, not a snapshot
✦Evidence-graded: guideline-backed tests come first; emerging tests are labeled and discussed before ordering
✦Local and discreet: private Herndon and Sterling clinics; continuity with an established Loudoun Medical Group practice
✦Included with membership — and the foundation of your year-round care

Corporate Packages

Partner, executive, and key-person packages for firms across Northern Virginia — law, government contracting, technology, and finance. Group scheduling, employer summary reporting (aggregate and de-identified), and priority booking windows. Volume pricing available for 5+ executives.

What's YOUR leadership team's Ayora Score?

Membership

One relationship. Your whole trajectory.

The Executive Physical is the foundation; membership is the year-round relationship that keeps your plan alive. By appointment only, and deliberately small.

Wellness Membership

Foundation

Investment shared at consultation

✦First visit & Foundation Wellness bloodwork
✦Ayora Score & Lab Intelligence dashboard
✦One-on-one results review with Dr. Khanna
✦Written, evidence-graded optimization plan
✦Secure messaging between visits

Ask about Foundation

Most chosen

Executive Membership

Executive

Investment shared at consultation

✦Everything in Foundation
✦Priority scheduling & extended, unhurried visits
✦Quarterly biomarker re-testing & score trending
✦Hormone, metabolic & performance optimization protocols
✦Direct physician access — no call centers
✦Imaging coordination when clinically indicated

Ask about Executive

Corporate & Key-Person

Corporate

Volume pricing · 5+ executives

✦Partner, executive & key-person packages
✦Group scheduling & priority booking windows
✦De-identified, aggregate employer summary reporting
✦Law, government contracting, technology & finance
✦Dedicated concierge coordination

Inquire for your firm

Membership is by appointment only. The membership fee includes your first visit and Foundation Wellness bloodwork; follow-up visits are billed to your insurance. Advanced panels are added à la carte as needed and are usually not covered by insurance; many are FSA/HSA-eligible.

What to expect

Your first year with the clinic

From first conversation to an evolving, personal longevity strategy.

01

Discovery Consultation

A private conversation about your goals, history and priorities — and whether membership is the right fit.

02

Executive Physical Baseline

Your first visit and Foundation Wellness bloodwork, with advanced panels added where they fit your risk.

03

Your Optimization Blueprint

A one-on-one results session with Dr. Khanna and a written, evidence-graded plan built for you.

04

Continuous Optimization

Re-testing, score trending and protocol refinement across the year — a trajectory, not a snapshot.

The physician

Physician-founded. Physician-led.

The Wellness & Longevity Clinic at Virginia Medical Arts Clinic is built on a simple conviction: your best years are still ahead, and prevention should be personal.

Founding Physician · Longevity Director

Rajeev Khanna, MD

Board-Certified Internal Medicine · Virginia Medical Arts Clinic — A Loudoun Medical Group Practice

"The goal isn't just to treat what's wrong — it's to build the healthiest possible version of the years ahead."

Dr. Khanna leads the practice's longevity vision through its Wellness & Longevity Clinic, bridging dependable primary care and the emerging science of healthspan — advanced diagnostics, metabolic and hormonal optimization, and proactive, physician-directed medicine for patients who want to invest in their future. Every result is reviewed one-on-one and translated into a personalized, evidence-graded optimization protocol.

Optimize today. Thrive tomorrow.