FORM Life+  Program

FORM Life+ Program

Foundation (3-Month Entry) / Essential
Sale price  $2,877.60 Regular price  $3,597.00
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FORM Life+  Program

FORM Life+ Program

Sale price  $2,877.60 Regular price  $3,597.00
Timeline
Tier

Reliable shipping

Flexible returns

3-Month Entry — Foundation

A complete map of where your health stands today, eleven dimensions of testing paired with three months of restorative therapy.

 

  Your Diagnostic Baseline Your 3 months of care

Comprehensive bloodwork

metabolic, hormonal, vitamin & inflammatory markers

GlycanAge

your biological (inflammatory) age

Lifestyle genetic panel

VO₂ max & resting metabolic rate

InBody body composition

with grip strength

CONNEQT cardiovascular assessment

Lung function testing

spirometry

Cutometer skin elasticity

Vectra 3D skin imaging

Centenarian Consciousness Index

with personal mentoring

PhysioAge dashboard

every result, unified in one age score

Recovery Circuit

PEMF, red light, lymphatic,  & RE:SET

IV therapy

formulated from your bloodwork

Hyperbaric oxygen therapy

GliSODin antioxidant therapy

CO₂ Lift treatment

BelaMD signature facial

A personal navigator

onboarding & guidance throughout

RN functional-medicine intake

Capstone review with Dr. Goldberg

your results, interpreted & planned

 

Choose your wellness tier:

  • Essential: Recovery Circuit 2/mo, IV quarterly, Hyperbaric Oxygen Therapy & CO2 Lift monthly — $999/mo x 3
  • Enhanced: Recovery Circuit weekly, IV monthly, Hyperbaric Oxygen Therapy & CO2 Lift 2/mo — $1,399/mo x 3
  • Comprehensive: Recovery Circuit 2/wk, IV 2/mo, Hyperbaric Oxygen Therapy & CO2 Lift 4/mo — $1,999/mo x 3

 

12-Month Annual — Continuum 

Year-round diagnostics, monthly restorative therapy and a dedicated clinical team for a full year of care.

 Diagnostics retested throughout the year

Bloodwork & V₂O/ metabolic testing

twice through the year

GlycanAge re-test

track your biological age

TruDiagnostic epigenetic age

Gut microbiome analysis

Centenarian Consciousness Index

re-assessment

Continuous PhysioAge tracking

 

Tier 1 Essential wellness, included

Recovery Circuit, IV, Hyperbaric Oxygen Therapy, GliODin & CO₂ Lift

Cornerstone lifestyle program

registered dietitian & kinesiologist — in-clinic & virtual

Quarterly functional-medicine check-ins

Mid-year physician review

with Dr. Goldberg

Year-end capstone & renewal review

with Dr. Goldberg

 

 

You can upgrade your wellness tier anytime

Choose your wellness tier:

  • Essential: Recovery Circuit 2/mo, IV quarterly, Hyperbaric Oxygen Therapy & CO2 Lift monthly 
  • Enhanced: Recovery Circuit weekly, IV monthly, Hyperbaric Oxygen Therapy & CO2 Lift 2/mo 
  • Comprehensive: Recovery Circuit 2/wk, IV 2/mo, Hyperbaric Oxygen Therapy & CO2 Lift 4/mo 


 

 

 

Medical disclaimer

All treatments purchased, added on or won in promotion are provided pending appropriate medical assessment prior to treatment. A full refund is provided in any case where a treatment cannot be provided because of scheduling or medical issues.

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