Longevity

At Makena Health, longevity medicine means more than adding years to life — it's about optimizing the quality, clarity, and performance of every decade ahead. Our approach combines advanced medical diagnostics with evidence-based interventions that extend healthspan, delay biological aging, and preserve the vitality that makes life worth living.

This is physician-led, data-driven, deeply personalized medicine. Not a wellness spa. Not a supplement protocol. A comprehensive medical program designed for people who take their health as seriously as every other high-stakes decision in their lives.

Why Maui

Makena Health occupies a unique position — a world-class longevity practice set within one of the most restorative environments on earth. For our members who live on Maui year-round, this is their medical home. For those who visit, it's an opportunity to combine the island's natural recovery environment with a level of medical care that rivals the best longevity clinics anywhere in the country.

We work with executives, athletes, physicians, and high-performers who travel specifically to access this level of care — and leave with a longitudinal plan, a physician who knows them, and a clear roadmap for the decades ahead.

How We Work

Every longevity program at Makena Health begins with a comprehensive diagnostic foundation. We don't guess. We measure.

That foundation includes advanced multi-omic biomarker analysis, genomic profiling, body composition, metabolic analysis, and VO₂ max testing — the single strongest validated predictor of long-term mortality risk. For those seeking deeper imaging, we offer total body MRI protocols, with full availability on Maui arriving Q3 2026, and access across major mainland U.S. cities now.

From that data, we build a personalized longevity roadmap — not a generic wellness plan, but a precision strategy tailored to your biology, your history, and your goals.

What We Address

Longevity medicine at this level goes far beyond standard preventive care. We work across the full spectrum of biological aging:

• Cardiometabolic health — advanced lipid analysis, insulin sensitivity, vascular function, and cardiovascular risk stratification beyond standard cholesterol panels

• Hormonal optimization — comprehensive assessment and precision restoration of testosterone, estrogen, progesterone, thyroid, adrenal, and growth hormone axes

• Cognitive resilience — early detection of neurological risk, brain health optimization, and interventions that preserve clarity and processing speed across decades

• Cellular and metabolic function — mitochondrial efficiency, inflammation burden, oxidative stress, and metabolic flexibility

• Body composition and performance — muscle preservation, fat metabolism, and the physiologic foundation of long-term physical capacity

Our Longevity Therapies

Once the diagnostic foundation is established, we integrate targeted, evidence-based therapies — each selected for your specific biology and goals:

• Peptide therapy — precision signaling molecules to support recovery, cellular repair, body composition, and anti-aging at the molecular level

• Hormone replacement therapy — bioidentical hormone optimization for men and women, managed with precision and monitored longitudinally

• VO₂ max and metabolic testing — clinical-grade cardiopulmonary assessment to guide training, nutrition, and longevity strategy

• Hyperbaric oxygen therapy (HBOT) — our 2.0 ATA hard-shell chamber delivers one of the most researched longevity and recovery interventions available

• Red light and photobiomodulation therapy — FDA-cleared LightStim LED bed for cellular energy, inflammation reduction, and tissue recovery

• EBOO therapy — advanced extracorporeal blood oxygenation and ozonation for circulation, oxidative balance, and systemic wellness

• IV Nutrient Therapy — physician-curated infusion protocols to optimize micronutrient status, energy, and recovery

Who This Is For

Our longevity members share a common orientation: they are proactive, not reactive. They don't wait for symptoms. They want to understand where their health is heading — and intervene early, intelligently, and with the guidance of a physician who knows them well.

They include:

• Executives and entrepreneurs seeking to protect their most valuable asset

• High-performers optimizing cognitive and physical capacity

• Individuals who have watched a parent or partner decline and are determined to write a different story

• Maui residents who want a medical home that matches the standard they apply to every other area of their lives

• Visitors who travel to Maui specifically to access this level of care and leave with a longitudinal plan

Membership

Longevity medicine at this depth requires continuity. A single visit reveals a snapshot. A longitudinal relationship reveals trajectory — and trajectory is what we manage.

Makena Health offers concierge primary care membership as the foundation of our longevity program — providing direct, ongoing access to Dr. Starbuck, comprehensive diagnostics, and a personalized care plan that evolves with your biology over time.

For those new to Makena Health or visiting the islands, our Executive Physical Program is the ideal starting point. It delivers a comprehensive diagnostic baseline — advanced imaging, biomarker analysis, genomics, VO₂ max, and a personalized action plan from Dr. Starbuck. Many of our concierge members began exactly here.

If you're ready to stop guessing and start optimizing — we'd like to meet you.