Ninth

Health

Dr. Evelyn Vance

Clinical Director

EV
Panel Size
60 members
Need Clinician This Week
21
Data Conflicts
13
Upsell Opportunities
11 ~$86K/yr surfaced
Supplement Outreach
59
Avg Member Track
Optimize

Escalations

62 yrs · Elevate Tier

Flag: ApoB 115 mg/dL, up from 70.

Significant lipid elevation post-holiday. Statin adjustment likely needed based on longevity goals.

55 yrs · Optimize Tier

Flag: HbA1c 6.2%, up from 5.8%.

Fasting glucose also trending up. Diet interventions stalling. Metformin initiation recommended.

48 yrs · Baseline Tier

Flag: Estradiol < 15 pg/mL, reporting severe hot flashes.

Symptomatic transition phase confirmed by labs. HRT consult highly recommended to preserve bone/heart health.

Data Conflicts

51 yrs · Elevate Tier

Reports excellent sleep and recovery, but morning stress markers are elevated.

Terra / Oura 92% Readiness 8.5h sleep/night, high HRV.
Lab Data Cortisol 27 µg/dL hs-CRP 3.1 mg/L. Insulin creeping.

60 yrs · Optimize Tier

Wearable shows extreme sedentary behavior, yet cardiometabolic panel shows drastic spontaneous improvement.

Terra / Apple 1,200 steps/day Minimal active calories.
Lab Data Triglycerides 80 Down from 150. HDL increased.
Agent Flag: Verify patient is not taking unprescribed GLP-1 or unlogged statin.

58 yrs · Baseline Tier

Logging high strain and active recovery, but androgen markers are plummeting and muscle breakdown markers elevated.

Terra / Whoop Avg Strain 18.2 Logging 2+ hours intense workout/day.
Lab Data CK 350 U/L Free Test dropping rapidly.

Track Opportunities

Baseline Optimize

+$7,860

Annually

Patient updated intake form with new paternal history of early MI. Requires continuous glucose monitoring and advanced lipidological tracking.

Optimize Elevate

+$12,000

Annually

Directly requested BPC-157/TB-500 peptide therapy and full-body preventative MRI via secure message. Qualifies for top tier.

Baseline Elevate

+$19,860

Annually

Recent TIA event documented by external PCP. Current baseline membership insufficient for intensive post-stroke risk cardiometabolic tracking.

Dispensary

Optimize

5000 IU D3/K2 Complex

Vitamin D dropped to 28 ng/mL over winter months. Needs replenishment protocol.

Baseline

Methylated B-Complex

Homocysteine elevated at 14.2 µmol/L. MTHFR variant noted in chart.

Elevate

Creatine Monohydrate (5g)

Latest DEXA shows slight lean mass decrease over 6mo despite strength training.

Labs via Flexpa (FHIR · LOINC) · Wearables via Terra · Epigenetics & DEXA via specialty labs. Illustrative synthetic data — no PHI.