Everything happens on
one floor in Miami.
The clinic is the product. Everything else RETO makes exists to extend the hours you spend on this floor. In a single session of ninety minutes, your blood chemistry, your VO₂ ceiling, your bone density and your metabolic health are measured and read with you by a team of experts in medicine, psychology, training and nutrition, working as one. You leave with a depth of data about your own body that very few people have ever seen.
Three steps.
The clinic runs on one loop: measure everything, treat only what the numbers flag, then measure again. Here is exactly how a RETO protocol is built, from your first blood draw to the retest that proves it moved.
Evaluate
First, we listen. Your protocol begins with an unhurried thirty-minute consultation with a specialist. Then we map the data: the RETO Full Cellular Assessment, a ninety-minute session, reads 100+ biomarkers, body composition and metabolic fitness against the ranges that are optimal for you, not the population average.
- 30-minute specialist consultation
- 100+ biomarker blood panel
- DEXA scan
- VO₂ Max metabolic test
Protocol
Your protocol is built by a team of experts working as one: scientists, biologists, doctors, nutritionists, psychologists and exercise physiologists. Seven pillars, one plan, personalized to your data and delivered across the clinic and beyond.
- Nutrition
- Exercise
- Psychology
- Medicine
- Technology
- Habits
- Sleep
Optimize
Progress is measured, not assumed. Scheduled retests show what moved, and the protocol is adjusted accordingly.
- Scheduled retests
- Protocol adjustment
- Take-home hardware
- Continuous follow-up
Unlimited measurement. Unlimited understanding.
Expand each panel to see the exact markers it measures and why they matter.
Coming soon = validated and being added to the panel, not yet offered (65 markers in validation).
Complete Blood Count (CBC)20
The foundational panel: red cells, white cells and platelets. It reads oxygen-carrying capacity, immune status and clotting cells in one draw, and is often the first place anemia, infection or inflammation shows up.
- White Blood Cell Count
- Red Blood Cell Count
- Hemoglobin
- Hematocrit
- MCV
- MCH
- MCHC
- RDW
- Platelets
- MPV
- Neutrophils %
- Lymphocytes %
- Monocytes %
- Eosinophils %
- Basophils %
- Absolute Neutrophils
- Absolute Lymphocytes
- Absolute Monocytes
- Absolute Eosinophils
- Absolute Basophils
Metabolic panel & organ function24 +3 soon
Electrolytes, kidney and liver chemistry show how the organs that filter and process everything else are actually holding up. Trends here catch kidney and liver stress long before symptoms.
- Serum Glucose
- Sodium
- Potassium
- Chloride
- CO₂
- Calcium
- BUN
- Creatinine
- BUN/Creatinine Ratio
- eGFR
- Anion Gap
- Total Protein
- Albumin
- Globulin
- Albumin/Globulin Ratio
- Total Bilirubin
- Direct Bilirubin
- Alkaline Phosphatase
- ALT (SGPT)
- AST (SGOT)
- GGT
- LDH
- Uric Acid
- Magnesium
- Cystatin CSoon
- MicroalbuminuriaSoon
- Albumin/Creatinine RatioSoon
Glycemic & metabolic3 +5 soon
Insulin resistance is measurable years before a standard glucose test flags it. Fasting insulin, HbA1c and HOMA-IR expose how efficiently you burn fuel, the metabolic engine behind longevity.
- Insulin
- HbA1c
- eAG
- C-PeptideSoon
- HOMA-IR (calculated)Soon
- FructosamineSoon
- LeptinSoon
- AdiponectinSoon
Lipids & cardiovascular8 +9 soon
Cardiovascular disease is the leading cause of death, and the standard cholesterol panel misses most of the risk. ApoB, Lp(a) and LDL particle number count the actual atherogenic particles, decades before symptoms appear.
- Total Cholesterol
- Triglycerides
- HDL
- LDL
- Cholesterol Risk Ratio
- ApoB
- hs-CRP
- Homocysteine
- Lipoprotein(a) [Lp(a)]Soon
- ApoA1Soon
- ApoB/ApoA1 RatioSoon
- LDL-PSoon
- Small Dense LDLSoon
- Oxidized LDLSoon
- Lp-PLA2Soon
- Myeloperoxidase (MPO)Soon
- NT-proBNPSoon
Inflammation & immune signaling2 +5 soon
Chronic, low-grade inflammation quietly drives aging, heart disease and metabolic decline. CRP and the cytokine panel put a number on that fire so it can be cooled before it does structural damage.
- CRP
- ESR
- IL-6Soon
- TNF-αSoon
- IL-1βSoon
- IL-10Soon
- CD4/CD8 RatioSoon
Coagulation2 +1 soon
How readily your blood clots: the balance between bleeding and thrombosis. Baseline clotting times matter before any therapy and flag risk that a lipid panel can't see.
- aPTT
- PT / INR
- FibrinogenSoon
Hormones: sex, adrenal & growth15 +7 soon
Hormones set the tempo for energy, muscle, libido, mood and sleep. Reading the full axis of sex, adrenal and growth hormones together is what separates targeted optimization from guesswork.
- FSH
- LH
- Prolactin
- Progesterone
- Estradiol
- Total Estrogens
- DHEA-S
- SHBG
- Total Testosterone
- Free Testosterone
- Bioavailable Testosterone
- Cortisol
- Growth Hormone
- hGH
- IGF-1
- DHTSoon
- PregnenoloneSoon
- Pregnenolone SulfateSoon
- AndrostenedioneSoon
- ACTHSoon
- ReninSoon
- AldosteroneSoon
Thyroid5 +2 soon
The thyroid governs metabolic rate, temperature and energy. Reading the free hormones and antibodies, not just TSH, catches early autoimmune thyroid disease that a single screening number misses.
- TSH
- Total T4
- Free T4
- Free T3
- Thyroid Peroxidase Antibodies (TPO)
- Reverse T3Soon
- Anti-ThyroglobulinSoon
Vitamins, minerals & micronutrients7 +11 soon
The raw materials every system runs on. A single deficiency in vitamin D, B12, iron or magnesium can quietly cap energy, mood, immunity and recovery until it is found and corrected.
- Vitamin D
- Vitamin B12
- Folate
- Ferritin
- Copper
- Selenium
- G6PD
- ZincSoon
- Red Blood Cell MagnesiumSoon
- IodineSoon
- Vitamin ASoon
- Vitamin ESoon
- Vitamin K2Soon
- Vitamin B1Soon
- Vitamin B2Soon
- Vitamin B6Soon
- BiotinSoon
- Omega-3 IndexSoon
Mitochondrial & oxidative stress9 soon
The balance between energy production and cellular rust. Glutathione status and oxidative-damage markers estimate how hard your cells are working to defend themselves, an early signal of aging at the source.
- CoQ10Soon
- Free CarnitineSoon
- Total CarnitineSoon
- Lactate/PyruvateSoon
- Reduced Glutathione (GSH)Soon
- Oxidized Glutathione (GSSG)Soon
- GSH/GSSG RatioSoon
- 8-OHdGSoon
- Malondialdehyde (MDA)Soon
Longevity & biological aging4 soon
Chronological age is a poor predictor; biological age is not. Epigenetic clocks and longevity proteins like Klotho and GDF-15 estimate how fast you are actually aging, and which levers move it.
- GDF-15Soon
- KlothoSoon
- FGF-21Soon
- Epigenetic Age (DNA methylation)Soon
Genetics5 soon
The fixed variants that shape how you respond to nutrients, drugs and disease risk. APOE, MTHFR and COMT let a protocol account for your genotype instead of treating everyone the same.
- APOESoon
- MTHFRSoon
- COMTSoon
- HFESoon
- GSTM1/GSTT1Soon
Gut & digestive health2 +3 soon
The gut barrier and its enzymes shape immunity, inflammation and how well you absorb everything you eat. Markers of leak, inflammation and pancreatic output turn vague 'gut issues' into something measurable.
- Tissue Transglutaminase IgA
- Immunoglobulin A (IgA)
- ZonulinSoon
- Fecal CalprotectinSoon
- Pancreatic ElastaseSoon
Autoimmune & rheumatology3
Screens for the immune system turning on the body itself. A positive ANA or rheumatoid factor, years before joint or tissue symptoms, changes how the whole plan is built.
- Rheumatoid Factor
- ANA Screen
- ANA Pattern / Titer
Infectious disease5 +1 soon
A baseline for the chronic infections that quietly shape long-term health and that we rule in or out before any regenerative or hormonal therapy: HIV, hepatitis B and C, and CMV.
- HIV Ag/Ab (4th Gen)
- Hepatitis B Surface Antibody
- Hepatitis B Surface Antigen
- Hepatitis B Core Antibody
- Hepatitis C Antibody
- CMV IgGSoon
Heavy metals & toxins3
Cumulative exposure you cannot feel. Arsenic, mercury and lead build up silently and blunt energy, cognition and recovery. They are worth measuring precisely because the symptoms are so easy to miss.
- Arsenic
- Mercury
- Lead
Tumor markers & sex-specific screening5
Early-detection screening tuned to your biology: PSA for men, CA-125 for women, plus general tumor markers. Not diagnostic on their own, but a trend line that can surface a problem years early.
- PSA ♂
- CA-125 ♀
- CEA
- CA 19-9
- Alpha-Fetoprotein (AFP)
Blood typing1
Your ABO/Rh type: recorded once, relevant for life. It underpins transfusion safety and is part of a complete baseline record.
- ABO/Rh Blood Type
Two things a blood test can't see
Body composition and aerobic capacity are measured directly, with the same gold-standard instruments used in sports medicine and research.
DEXA scan
The clinical gold standard for body composition. A two-minute, low-dose scan breaks your body into fat, lean muscle and bone by region rather than a single number on the scale, and flags visceral fat around the organs and early bone-density loss long before either becomes a diagnosis.
- Total Mass
- Fat Mass
- Body Fat %
- Fat Free Mass
- Lean Mass
- Bone Mineral Content (BMC)
- Visceral Adipose Tissue (VAT)
- Subcutaneous Adipose Tissue (SAT)
- Android Fat
- Gynoid Fat
- Android/Gynoid Ratio (A/G)
- Segmental Lean Mass
- Muscle Symmetry
- Bone Mineral Density (BMD)
- T-Score
- Z-Score
- Lumbar Spine BMD
- Femoral Neck BMD
- Total Hip BMD
- Total Body BMD
VO₂ Max metabolic test
VO₂ max, the volume of oxygen your body can use at peak effort, is one of the strongest single predictors of lifespan. Breath-by-breath analysis maps how your heart, lungs, muscles and metabolism perform under load, and pinpoints exactly where your ceiling sits and how to raise it.
- Biological Age
- VO₂ Peak
- Ventilation Efficiency
- Breathing Coordination
- High Intensity Performance
- Oxygen Circulation
- Metabolic Rate
- Fat-Burning Efficiency
- Movement Economy
- Recovery Capacity
- Oxygen Score
- Metabolic Flexibility
Book the session that starts it.
One consultation, and every system you own is read by a team of experts who have time for you.