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Clinical practice

The honeymoon phase ends after the first quarter

Every longevity program I've worked with puts most of its energy into the first few weeks: the testing, the long results visit and the new plan. That's the honeymoon phase. Patients leave that first visit more motivated than they'll be at any other point. In my experience, it typically ends somewhere around the end of the first quarter. The supplements are running low, a trip interrupted the training plan, the follow-up labs are still weeks away, and no one has checked in since the big visit. That's the stretch where most people drift, and in a lot of programs nothing is scheduled to catch it. What works is planning for the end of the honeymoon phase instead of being surprised by it. Put a touchpoint right in that window, before anyone expects results, and ask one question: what's been hardest to keep doing? The answer usually says more about where the plan needs to go than the next set of labs will. The patients who get through that stretch tend to stay for years. The ones who don't usually leave without anyone noticing.

Erik Nelson · Views are my own and not medical advice