The Roadmap
The Advisory plan: what I found, what matters now, what we are doing next, and what would change the course.
The Method
The system, decisions, and cadence.
Management uses the Meier Management System. Advisory follows the questions and goals you bring.
Meier Management System
A one-time setup feeds an approximately quarterly cycle.
Set up once
Benchmark
Establish baseline
Analyze
Form hypotheses
Engineer
Targets and protocol
Then every quarter
Execute
Act on the protocol
Measure
Update the evidence
Calibrate
Improve the next decision
↑ repeats
Feeding measure
- History and records
- Wearables and function
- Biomarkers: blood, urine, stool, saliva, and epigenetics
- Changing goals
- New concerns
Every system · Every quarter · Against your baseline
The written record
What I write down.
The Current State
The Management baseline after BENCHMARK, ANALYZE, and ENGINEER: your physiological model, priorities, and starting protocol.
Quarterly Healthspan Review
The written close of each Management cycle: what changed, what remains uncertain, and what I recommend next.
How I decide
Drivers, Goals, Targets, Levers: D-GTL.
Your history, records, goals, and results shape the working model.
01
Drivers
The upstream factors and constraints that appear to be shaping the current state.
What is driving this?
02
Goals
The work, family, sport, function, or future capacity that health must support.
What must stay possible?
03
Targets
The measurable result the plan is built to move, with a number and a source.
What result are we targeting?
04
Levers
The interventions most likely to move the target: medications, supplements, nutrition, training, sleep, or testing.
What is most likely to move it?
What arrives, and when
Everything is written down and lives in your portal.
Management
The Current State
after Benchmark, Analyze, and Engineer
Quarterly Healthspan Review
plus a live conversation, each cycle
After setup, every quarter
Advisory
Roadmap
in a dedicated session within 60 days
Quarterly review
plus a written recap and an updated Roadmap
After setup, every quarter
Testing access
Modern tools, selected for the question.
Most of the advanced testing and tools I use are cash-pay and sit outside the usual insurance authorization pathway, so the investigation follows the clinical question rather than an insurer's coverage rules.
01
Management measurement architecture
Each approximately quarterly cycle includes blood, urine, stool, saliva, and epigenetic measurement.
02
Added for the individual question
Genetic testing, imaging, DEXA, VO2 max, continuous glucose monitoring, connected wearables, and other tools are added according to your goals and the working hypotheses.
Reading the evidence
One value never stands alone.
I read a value beside the laboratory range and a target set from current research. I also look at its direction against your own baseline and at the behavior of the system around it. A pattern can matter before any single result leaves the laboratory range.
For example, blood sugar (fasting glucose) can rise for years while every annual report still calls it normal. Fasting insulin measures circulating insulin after an overnight fast. Read with fasting glucose, it can reveal elevated insulin despite normal-range glucose. From the two values, I calculate HOMA-IR and may add continuous glucose monitoring to guide risk reduction.
Risk tied to evidence
When I use a risk score or target, I pin it to the primary literature, state its limits, and separate an observed change from a plausible contribution.
Fit conversation · about 15 minutes
Tell me what you want to protect or improve.I'll tell you whether the Map, Advisory, Management, or none of them is the right fit.