We map more than 1,000 markers and read every one against optimal, not normal. The picture changes when you can see all of it.
Normal lab ranges were built to catch disease, not to find your best. You can pass every physical for a decade and lose ground the whole time. We measure you against optimal, because normal was never your standard.
A standard physical runs about 19 markers. A high-end specialist might run 100. We map more than 1,000, and read every one against optimal instead of normal. That difference is where the decade hides: in hormones nobody panels, in inflammation nobody trends, in a normal range wide enough to park a truck in.
It also hides between your doctors. Your physician, your trainer, your nutritionist: three smart people who have never been in the same room. Second Prime is one team reading one dataset. Yours.
Anyone can hand you a stack of results. The work is one protocol, built from your data, that survives your calendar.
Six systems, mapped to the marker. About 20 days from first draw to full picture. Most clients learn more about their body in those three weeks than in the previous twenty years.
Nutrition, sleep architecture, training, supplementation, advanced therapies: one integrated plan instead of five competing opinions. Nothing generic survives this step. Every decision is justified by your own numbers or it does not make the page.
A dedicated team manages execution so the protocol holds under a founder's week. The data tells us what is working. We keep what works and cut what does not.
Cadence: quarterly
These are real client records, with the markers that moved. Three of them. You do not need a wall of testimonials to judge whether something works. You need the numbers next to the words.
“Honestly I came in pretty skeptical. I'd done bloodwork a dozen times. Andrew found things in week one that nobody had ever flagged. I don't know whether to be relieved or pissed off that it took this long.”
“I assumed it was testosterone. It was testosterone plus five other things I didn't even know to look for. We addressed all of it. I feel like I got a decade back.”
“My wife actually said something to me about two months in. More present, more patient, actually there on weekends. That's the stuff I couldn't put on a goal sheet but it was really why I signed up.”
The lab sees what the mirror cannot.
I was a biologist. Human physiology was my field. Then an autoimmune condition took my health apart, and the field I trusted offered me management instead of answers.
I refused the new baseline. I spent years on root cause work: testing, adjusting, re-testing, using my own body as the dataset. It worked. The protocol that rebuilt me became the method I run for clients today. I am Case Study 001, and my numbers are below.
Second Prime takes 50 private clients for 2026. The cap is not a tactic. Every client works directly with Andrew, and direct access does not scale past that number.
The program is built for founders, executives, and professional athletes: people whose output depends on the machine that produces it.
Your doctor is paid to find disease and treat it. That work matters, and we do not replace it. But a clean physical is a low bar: it means nothing is wrong enough to treat. Concierge medicine buys faster access to the same model. Second Prime asks a different question: how far is this body from its best, and what closes the gap. We measure 1,000+ markers against optimal ranges, then build and run one integrated protocol with you. The findings are the start. The coaching is the product.
Feeling fine is the most common starting point for our clients. Decline rarely announces itself. It shows up as slightly worse sleep, a shorter temper, an afternoon dip you now plan around. The markers move years before you would call anything a symptom. Measure now and you get a real baseline, and time to work with it. The clients who start while they feel fine get the best results, because we are optimizing instead of repairing.
We discuss the number on the call, because the structure depends on what your assessment finds. It is a serious engagement, priced like one: in the territory of what you already spend on your attorneys, your accountants, or one senior hire. Those advisors protect the business. This protects the person the business depends on. If the math does not feel obvious after the first conversation, you should not sign, and we will say the same.
Less than you expect. The assessment runs about 20 days of calendar time, and most of it happens without you in a chair: blood draws, a handful of structured conversations, data collected while you sleep. After that, the dedicated team carries the execution load. The protocol is built to fit a founder's week, because a plan you cannot keep is not a plan. The point is to hand you back capacity, not to take more of it.
Probably what it found for James, whose record is above: things a dozen prior panels never flagged. Standard bloodwork is not wrong. It is narrow. Nineteen markers, read against ranges built to detect disease. We run more than fifty times that coverage and read it against optimal. Then we connect the systems that are usually tested in isolation: hormonal against metabolic, gut against inflammation, cardiovascular against all of it. Single markers explain little. Patterns across 1,000+ explain a lot. That is usually where the answer has been sitting.
Tell us where you are. Andrew will tell you plainly whether the program fits. If it does not, you will still leave with a clearer read on your health than you walked in with.