How it works
Every Oriva Health patient begins in the same place: a complete, physician-led evaluation. What follows is assigned by your physician based on your data — not chosen from a menu, and never sold.
The universal entry point
A structured virtual clinical evaluation of at least two hours — not a physical exam with a lab printout. Your history and available records or outside results are gathered and reviewed beforehand, so the visit concentrates on interpretation and what to change. It examines cardiometabolic and brain-health risk, body composition, lifestyle, performance capacity, sleep, and recovery against your goals, and ends with a written roadmap.
Programs & focus areas
When you apply, you may tell us which area matters most to you. After your evaluation, you and your physician choose one program to lead your care, with focus areas layered in as clinically appropriate. Every program takes a holistic approach, so the full picture of your health stays in view. When no single concern dominates, the Longevity & Prevention program provides a broad, general foundation.
Preventive cardiology for high cholesterol and hypercholesterolemia (including familial hypercholesterolemia), high blood pressure, prediabetes and diabetes, insulin resistance, metabolic syndrome, fatty-liver risk, and elevated Lp(a) or cardiovascular risk. We work toward measurably better ApoB and lipid profiles, blood pressure, and glucose control, using lifestyle and medications from statins to PCSK9 inhibitors when indicated.
A physician-led body-composition program. We interpret outside metabolic or body-composition testing, provide medical care when clinically appropriate, and coordinate nutrition and training support with independent professionals. The goal is to reduce excess fat, preserve or build lean mass, and keep the results sustainable.
Structured, medically rigorous care for men with low testosterone, men on testosterone therapy (TRT), and men recovering after anabolic-androgenic steroid, SARM, or other PED use. This includes help restarting the body's own hormone production — the hypothalamic-pituitary-gonadal (HPG) axis — and restoring your health after cycles, with confidential, nonjudgmental care. We do not initiate steroid cycles, prescribe supraphysiologic regimens, or provide doping-evasion advice.
For recreational athletes, strength-training patients, runners, cyclists, fighters, and high-demand professionals. Virtual medical oversight of training load, conditioning, recovery, injury risk, and performance nutrition, coordinated with independent coaches, dietitians, and local clinicians when needed.
Our general foundation, and the right fit for patients without one dominant diagnosis who want a proactive plan: prevent disease, preserve muscle and function, maintain independence, and improve long-term cardiovascular and metabolic health, guided by biomarkers.
Woven into every program — and a standalone focus when poor sleep, high stress, insomnia symptoms, shift work, suspected sleep apnea, or under-recovery is the main barrier between you and every other outcome.
Currently offered through virtual, physician-led care for adult physique athletes before, during, and after contest preparation. We assess the health effects of prolonged energy restriction, intense training, extreme leanness, disclosed performance-enhancing drug use, and post-show recovery, while coordinating outside testing and referrals with your coach and other independent professionals, with your consent.
Ongoing care
If you continue past the evaluation, care follows a deliberate cycle — reviewed, adjusted, and reassessed against your data.
Every day, our AI systems review a de-identified version of your health information against your goals, roadmap, and recommendations, flagging patterns for your Oriva physician. The AI never receives your name or other direct identifiers and cannot identify you. It also scouts newly published research and updated clinical recommendations across every field Oriva treats, helping keep your care aligned with current evidence. AI adds to — never replaces — manual review and physician judgment. It does not diagnose, prescribe, make final decisions, or provide emergency monitoring.
A focused, lifestyle-oriented physician visit (about 20–30 minutes): how the roadmap is landing, what the early data shows, and what to adjust.
Another short, lifestyle-focused visit (about 20–30 minutes) — adherence, response, and refinements before the full reassessment.
A 60-minute physician reassessment — longer when needed — with review of labs and relevant data, and a revised roadmap. Then the cycle repeats — this is longitudinal medicine, not a program that ends.
Nonurgent questions about your active plan are reviewed during business hours, with responses typically within one business day. When something is not working, your physician reviews the plan between visits and, with your consent, coordinates changes with your independent coach, dietitian, or other clinician.
Membership is month to month, with no minimum commitment, and may be cancelled at any time through the same channels used to enroll. New, urgent, or complex concerns may require a separate visit or local in-person care. A lapse in care longer than 120 days requires a new comprehensive evaluation before membership can resume.
Clinical boundaries
Oriva Health is not a supplement shop, a steroid clinic, or a wellness brand. We do not market hormones as generic performance enhancement. Even when we work alongside bodybuilding coaches and support athletes clinically, we do not design cycles, prescribe cosmetic diuretics, direct dehydration or electrolyte manipulation, or provide doping-evasion advice. Care is evidence-informed, carefully documented, and honest about uncertainty.
Oriva is currently accepting new patients for virtual care only. Physical examinations, laboratory work, imaging, ECGs, procedures, urgent treatment, and specialist care occur through independent outside providers and facilities. When necessary, we refer to cardiology, endocrinology, urology, reproductive endocrinology, sleep medicine, hepatology, mental health, or other local care and say so plainly.
Coordination
Modern care is fragmented — a specialist here, a primary-care visit there, and no one holding the full view. Your Oriva physician becomes that connection: reviewing what your other doctors and outside facilities find, reconciling every medication and supplement across your providers so nothing overlaps, duplicates, or interacts, and keeping one coherent plan year over year. When local or specialist care is needed, we coordinate it and stay the constant thread through it.
Your Oriva care is led by your physician. When nutrition, training, mental-health, or specialty support is needed, we coordinate with your existing professionals or refer you to independent outside providers. With your specific consent, your physician can share relevant information and align the medical plan with your coach or other professionals while keeping clinical decisions independent. Outside providers are not Oriva staff and bill separately.
Membership
The Complete Evaluation is a full clinical service in its own right — history, testing review, risk stratification, and a written roadmap. No membership obligation attached.
One flat monthly membership, month to month, cancel anytime. It covers the 30/60/90-day visit cycle, secure messaging, and continuous refinement of your plan.
Labs, imaging, and medications are ordered through third parties and paid directly to them — no markup. Full fees are reviewed in your introductory call, before any commitment. No clinical outcome is guaranteed; we commit to attention and process, not promises.
Limited availability
A brief application, a short introductory call, and — if we are the right fit — a comprehensive evaluation that ends with your roadmap. No obligation at any point.
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