Los Angeles · Longevity Medicine

Don't manage
your health.
Optimize its slope.

Trajectory Medicine: the strategic health advantage for leaders who refuse to leave their longevity to chance.

Lahvie is intentionally small — capped to protect depth, discretion, and precision.

Built for executives, founders, and cultural leaders operating at the highest levels. We identify where your health trajectory is heading — and intervene upstream, before the slope turns against you.

Request Introduction Explore the Framework →

The Problem

Conventional medicine takes a snapshot.
We read the slope.

The standard model of medicine is designed to catch disease after it arrives. It waits. It reacts. It manages. For most people, that's enough. But for high performers who depend on sustained energy, sharp cognition, and physical resilience — waiting for the warning sign is already losing.

Normal labs are not the same as optimal. And optimal today is not optimal in ten years. The question that matters: where is your trajectory heading — and are you accelerating or decelerating?

Conventional Medicine

Disease-first thinking
Snapshot lab values
Reactive intervention
Symptom management
Population averages

Trajectory Medicine

Performance-first thinking
Slope over time
Upstream intervention
Causal optimization
Your individual baseline

The Framework

Trajectory
Medicine

Informed by causal inference principles — particularly the work of Judea Pearl — Trajectory Medicine identifies the six physiological regulators that determine your health arc over decades. We don't just track correlations; we target the upstream levers that actually change trajectory.

Insulin Sensitivity

The metabolic foundation

The master regulator of how your body processes fuel. Declining sensitivity is the earliest upstream signal of metabolic collapse — often invisible in standard labs until the damage is done.

VO₂ Max

The longevity ceiling

The single most predictive biomarker of all-cause mortality and cognitive longevity. We treat cardiovascular capacity as a performance variable — not a fitness metric.

Muscle Mass

Your metabolic reserve

Skeletal muscle is not cosmetic. It is your primary metabolic organ, your insulin buffer, and the architecture of functional independence as you age. We treat it as such.

Sleep Quality

The recovery system

Not duration — architecture. Fragmented sleep compresses the hormonal, immune, and cognitive restoration that high performance requires. We find what's breaking it.

Autonomic Function

The resilience gauge

Your nervous system's ability to regulate stress, recover from demands, and adapt over time. The foundation of sustained performance under pressure — and the first thing to erode silently.

Cognition

The executive asset

Processing speed, executive function, working memory. We protect the organ your career, your leadership, and your legacy depend on most — long before decline becomes visible.

The Process

How it works.

Three phases. Rigorous. Longitudinal.

Baseline

Deep labs, performance metrics, and a comprehensive assessment of your six physiological regulators. We establish where your trajectory actually stands — not where standard screening suggests.

Interpret

We map your upstream drivers — the specific variables pulling your trajectory upward or downward. You receive a clear picture of your health slope and the levers that move it.

Intervene

A precision protocol targeting your specific upstream regulators — metabolic, cardiovascular, sleep, cognitive. With a defined retest cadence to track slope change over time.

Designed for those
building at a high level —
and protecting the engine behind it.

This is not primary care. This is strategic physiological optimization.

Executives & Founders

Leaders whose decisions affect thousands — and who cannot afford cognitive fog, energy crashes, or early decline.

High-Performance Professionals

Attorneys, surgeons, investors, operators — people whose edge depends on sustained mental and physical output.

Cultural Leaders

Artists, athletes, creatives, and public figures who understand that their body is the instrument their work flows through.

Why This Is Different

Medicine for people
who expect more
from their bodies.

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We track direction, not just numbers.

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We focus on upstream physiology, not late-stage disease management.

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We integrate performance medicine with longitudinal data and retesting cadence.

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We operate as a small, elite practice — not a volume clinic.

Dr. Amos

Physician and founder based in Los Angeles, Dr. Amos has spent over two decades focused on metabolic health, performance physiology, and long-horizon cognitive protection. He founded Lahvie on a conviction that medicine had been asking the wrong question — not "what disease do you have?" but "where is your trajectory heading, and what can we change right now to alter its course?"

He developed the Trajectory Medicine framework by applying Judea Pearl's causal inference principles to clinical practice — building a system that identifies the upstream physiological regulators that determine health outcomes long before symptoms emerge. It is predictive medicine, not reactive medicine.

Beyond the clinic, Dr. Amos is a media figure and community builder. He is the host of the Lahvie podcast and the author of a widely-read Substack on performance, longevity, and the intersection of health and culture. He also builds community around training and longevity in Los Angeles — because he believes human connection is one of the most underrated variables in the longevity equation.

Follow the Work

Substack Spotify Podcast Apple Podcast LinkedIn Work With Dr. Amos

Request Introduction

Optimize your
health slope.

If you are building something significant, your physiology must support it.

Discreet. High-touch. Confidential.

Location

Los Angeles, California

hello@lahvie.com

Substack Spotify Podcast Apple Podcast LinkedIn

Don't manageyour health.Optimize its slope.

Conventional medicine takes a snapshot.We read the slope.

What Is Trajectory Medicine?

TrajectoryMedicine