There are two things that set us apart.

First, we operate with a healthcare team of doctors, scientists and nurses. This structure creates time for our doctors to truly listen to patients. The team will review lab results together and tap into their professional networks for additional brain power when necessary, thus ensuring patient cases and concerns are thoroughly addressed. We want to avoid the trap of typical medical clinics, where patients receive poor care because of overworked and uninformed doctors.

Second, we think that medicine can only be practiced scientifically when an evolutionary lens is applied. This means that we operate on the belief that how our ancestors lived and ate hundreds of thousands of years ago, provides important clues as to how we can live and eat healthily today.

The body is a dynamic system who’s function is best captured by following health markers change over time. It beats single point measures.

Furthermore, systematically collecting health data on patients enables our healthcare team to mine it for insights that could help them. Please read more about our data privacy policy.

We believe that when doctors do good by their patients, it’s largely due to the attention and compassion they provide. This cannot be done in 15 minutes which is typical for a medical appointment in Portugal. We budget 45 minutes per consult to make sure we’re up to date on

• your life and family history
• your pharmaceutical and supplement regimen
• your diet
• your exercise routine
• your stress status
• your goals
• your questions and concerns

This format builds rapport and develops trust based on open and honest conversations.

1. International variations in primary care physician consultation time: a systematic review of 67 countries (2017)
2. The importance of physician listening from the patients’ perspective: Enhancing diagnosis, healing, and the doctor–patient relationship (2011)

Medicine is about so much more than yearly visits and lots of pills. In addition to the doctor-patient relationship (see previous section), the magic happens outside the clinic for patients; where small daily wins accumulate over months. Modern communications and medical devices unlock continuous remote care, allowing us to trouble-shoot problems rapidly. For example, by using connected bathroom scales we can catch fat-loss stalls early and offer solutions to get back on track.

1. Telemedicine via Continuous Remote Care: A Proactive, Patient-Centered Approach to Improve Clinical Outcomes (2021)

We acknowledge and celebrate the fact that when properly prescribed, pharmaceutical drugs can save lives and even improve quality of life. We just don’t think this happens nearly as much as it could (see previous FAQ).

‘Diseases of civilization’ like heart disease, diabetes and dementia are in the top 10 of causes of death. And drugs have largely failed to make a dent in patient survival for these conditions. The alternatives are lifestyle interventions such as paleo diets, exercise, sleep hygiene and stress management. They’re remarkably safe and effective but not widely adopted over the long-term. This is partly because your average doctor isn’t properly educated in this matter or is unwilling to risk deviating from the medical guidelines.

Every tool with interesting risk-to-benefit ratios we want to use, whether that’s pharmaceuticals, cognitive therapy, supplements or lifestyle interventions.

1. The top 10 causes of death (2020)
2. Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis (2021)

Fiber is greatly misunderstood. It doesn’t only come from plants, it’s also found in the cartilage and skin of animals. In practice, virtually everyone is getting the vast majority of their fiber from plants.

Fiber is not an essential dietary factor in any strict sense, meaning that removing it doesn’t inherently result in deficiencies or pathologies. Although it was once thought to help lower blood sugars it was later discovered that it in fact didn’t. What it does most notably is increase stool volume and contribute a small amount - maybe as much as ~ 4% - to total caloric needs via bacterial fermentation of fiber into fat in the colon.

Contrary to popular belief, reducing or removing plant fiber actually helps resolve constipation! Plant fiber also commonly contributes to bloating, digestive discomfort more generally, and can act as an antinutrient, reducing the biovailability of micronutrients by binding them in the gut. In sum, plant fiber is optional for two reasons: it’s non-essential and although many people tolerate some amount of it just fine, others need to moderate their consumption or avoid it entirely in order to avoid various symptoms.

1. The evolution of the human trophic level during the Pleistocene (2021)
2. Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms (2012)
3. To what extent does increased dietary fiber improve glucose and lipid metabolism in patients with noninsulin-dependent diabetes mellitus (NIDDM)? (1986)
4. The Role of Dietary Fiber in the Bioaccessibility and Bioavailability of Fruit and Vegetable Antioxidants (2011)

Yes, vegans and vegetarians are totally welcome! Our love for meat breeds no hate towards anyone. We keep science and medicine separate from ideologies, whether religious or dietary. We will work with anyone motivated to improve their health and performance. Our advice is always given out honestly, even if it conflicts with views of our patients.