Longevity & Preventive Medicine

Before Your First Visit

Is This the Right Starting Point?

Who This Is For

People who want a thoughtful review of their health risks, family history, and preventive care, with a plan built around their priorities.

How We Begin

Dr. Rabkin reviews your history, goals, and existing results. Together, you decide which evaluations are useful and what can be addressed through your ongoing care.

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Experience Behind Your Care

A Physician Who Puts the Results in Context

Ilya Rabkin, MD, MBA

Board-certified in Family Medicine
Former faculty at VCU and UVA

Dr. Rabkin brings more than a decade of clinical experience across academic medicine, global health, and concierge care. As a faculty physician, he taught residents and medical students and helped lead global health work in Honduras, the Dominican Republic, and Haiti.

That experience informs a practical approach: understand the person, weigh the evidence, and decide which findings deserve attention. A test result matters most when it helps answer a question about your care.

Your history, family history, medications, daily routines, and goals all belong in that conversation. Together, you and Dr. Rabkin turn the findings into priorities for your health, independence, and quality of life.

Read more about Dr. Rabkin’s experience

Testing with a Purpose

Testing starts with what we want to understand about your health. The examples below describe areas we may evaluate; they are not a checklist everyone needs. Dr. Rabkin reviews the likely usefulness, limitations, and next steps with you.

Biomarkers can help inform care, but routine lab results do not directly measure biological age or guarantee how you will age.

Cardiovascular risk, beyond cholesterol

ApoB · Lp(a) · full lipid subfractionation

Selected markers can add context to your cholesterol results. We interpret them alongside your personal and family history and discuss whether they change your prevention plan.

Inflammation

hs-CRP · homocysteine · IL-6 · TNF-α

These results need context: a raised marker does not establish a diagnosis on its own. The choice of tests depends on the clinical question and whether the findings would change care.

Metabolic function

Fasting insulin · glucose · HbA1c

We review metabolic findings together with your history, medications, nutrition, and activity, then discuss practical changes and appropriate follow-up.

Nutritional status

Omega-3 index · comprehensive micronutrient panel

Your diet, symptoms, medications, and current supplements guide whether testing is useful. Results can inform that discussion, with attention to the limitations of each test.

Body composition, measured at your home

seca medical body composition analyzer (multi-frequency bioimpedance)

Estimates of body composition add context to weight and can help track trends. Hydration and measurement conditions affect results, so we interpret changes alongside your strength, activity, and health.

Advanced imaging and physiologic testing

Full-body MRI · DEXA · resting metabolic rate · VO₂ max

When appropriate, these evaluations are coordinated through outside facilities. We discuss what each test can answer, its limitations, and how results would inform your care.

Pillars of Care

How ZinovyMed Approaches Longevity

Advanced Diagnostics & Early Detection

Your personal and family history guide cardiovascular, metabolic, and other risk assessments. We select testing to answer useful questions and review results in the context of your overall health.

Body Composition & Metabolic Health

Body composition trends complement weight, strength, and metabolic findings. Together, they help guide conversations about nutrition, exercise, and medical care.

Hormone Optimization

When symptoms and history suggest a hormonal concern, we discuss evaluation and treatment options, including the evidence, expected benefits, and risks for your situation.

Movement, Strength & Preventive PT

Through partnerships with physical therapy professionals, ZinovyMed incorporates preventive movement assessments to identify musculoskeletal imbalances and mobility limitations before they become injuries.

Preventive Cancer Screening

Age- and risk-appropriate cancer screening, coordinated and tracked rather than left to you to remember. We review your personal and family history to determine which screenings apply and when — then arrange them, follow up on results, and keep the schedule current. Optional full-body MRI is a separate discussion. It does not replace recommended screening, and screening healthy people has not been shown to prolong life. Incidental findings can lead to additional testing and expense. We discuss these trade-offs before arranging it. Read the American College of Radiology’s statement.

From Evaluation to Follow-Through

What Your Care Looks Like

01

Start with Your Story

Discuss your concerns, family history, current care, and goals. Review existing results so the next evaluation builds on what you already know.

02

Choose Useful Evaluations

Agree on the questions worth investigating and the tests or assessments that may answer them, including any outside referrals.

03

Turn Results into Priorities

Review what the findings mean, what remains uncertain, and which changes or further evaluations deserve attention first.

04

Plan the Follow-Up

Decide what to track and when to reassess. Ongoing follow-up is shaped by your needs and membership; individual evaluations are also available.

Common Questions

Questions About Longevity Care

What's the difference between this and my annual physical?

Annual physicals already include prevention and screening. This service provides time for a more detailed review of your history, goals, and existing results, with selected additional evaluations when useful and a plan for follow-up.

Do I need all of this testing, or can I start smaller?

You can start smaller. Dr. Rabkin reviews your history, previous results, and goals before recommending testing. The examples on this page describe possible evaluations, not a requirement to order every test. We discuss what is useful now and what may warrant follow-up.

Is any of this covered by insurance?

ZinovyMed is a direct-pay practice and does not bill insurance. Some referred testing may be billable through your own plan depending on indication. HSA and FSA funds are accepted.

How is this different from a longevity clinic?

At ZinovyMed, preventive care is part of a personal relationship with Dr. Rabkin. Home visits and at-home body composition assessment reduce travel, while selected outside testing is coordinated when needed. The physician reviewing your results also knows your history and helps you decide what to do next.

From the Journal

What an executive wellness exam at home involves

Longevity &Preventive Medicine