Performance Optimization Medicine in NYC
Where Elite Function Meets Precision Medicine
Peak performance isn’t vanity — it’s strategy. Done right, it enhances healthspan, preserves lifespan, and builds metabolic and cognitive reserve for the decades ahead.
This is performance without guesswork. Your biology, decoded — by a physician who lives it himself.
Data-Driven Human Performance — Tailored to You
Our performance optimization framework merges advanced diagnostics, biometrics, genomics, and systems biology into an integrated protocol that upgrades how you think, move, recover, and lead — for both men and women seeking to elevate function across decades.
Core Elements:
- Metabolomic & Proteomic Assessment: Deep molecular profiling to uncover nutrient flux, cellular signaling states, metabolic efficiency, and aging biomarkers
- VO₂ Max & Metabolic Threshold Testing: Pinpoint aerobic capacity, lactate dynamics, and mitochondrial efficiency
- HRV & Autonomic Recovery Analysis: Integrate wearable data to assess parasympathetic tone, training readiness, and allostatic load
- SECA mBCA Ultra Body Composition: Radiation-free segmentation of muscle mass, visceral fat, hydration, and phase angle
- CGM-Guided Metabolic Precision: Real-time glucose feedback for cognitive clarity, fat oxidation, and energy regulation
- Mitochondrial and Inflammatory Biomarkers: Including NAD⁺ status, oxidative stress, hs-CRP, IL-6, and cellular senescence indicators
- BFR & Neuromuscular Stimulation Protocols: Maximize hormonal signaling and muscle retention using advanced wearable tech
We don’t guess — we measure, model, and enhance.
Genomics-Integrated Optimization
We decode your individual performance genome to inform:
- VO₂ Genetics (PPARGC1A, NRF1, VEGF polymorphisms)
- Recovery & Stress Response (COMT, BDNF, IL-6, SOD2)
- Muscle Fiber Type & Explosiveness (ACTN3, AMPD1)
- Sleep Architecture & Circadian Synchronization (CLOCK, PER3, ADRB1)
- Tendon, Collagen, and Joint Integrity (COL5A1, MMP3)
These variants, alongside methylation status and inflammatory load, allow us to build highly personalized, data-backed plans for elite output.
Executive Cognitive & Resilience Training
For professionals in cognitively demanding roles, we offer neuroscience-informed enhancement protocols:
- Neuroadaptive cognitive training protocols that strengthen speed-of-processing, working memory, and executive function — reinforcing neuroplasticity and preserving mental sharpness over time
- Targeted cognitive speed and auditory processing drills designed to strengthen working memory, divided attention, and verbal fluency — especially effective for age-related cognitive optimization and executive performance
- Immersive neuro-cognitive drills designed to improve reaction time, eye-hand coordination, visual tracking, and anticipatory processing — complete with adaptive difficulty and real-time feedback
- Reaction Speed & Visual Processing via neurovisual training systems
- Neuroacoustic & Audiometric Therapy for central auditory sharpness and tinnitus support
- Cognitive Nootropic Stacks
Including compounds such as Bacopa, Lion’s Mane, methylene blue, sulforaphane, and acetylcholine precursors - HRV-Guided Stress & Cortisol Regulation
Through coherence training, circadian realignment, and photobiomodulation
High-Stakes Resilience for Executives & Travelers
Our proprietary Performance Resilience Protocol™ prepares high performers for demanding environments:
- Jet Lag & Circadian Entrainment Plans
- High-Stakes Presentation Prep using cognitive and physiological entrainment
- Immune Resilience & Neuroprotection pre/post international travel
- Sleep Enhancement and Melatonin Phase Control
You won’t just survive pressure — you’ll adapt and outperform.
Full-Spectrum Diagnostics and Movement Integration
Performance is multidimensional. We partner closely with advanced metabolic laboratories and elite physical therapy specialists whose methodologies align directly with our clinical model. Together, we operationalize performance at every level:
- Resting metabolic rate (RMR) and respiratory exchange ratio (RER) testing for energy efficiency and fat oxidation profiling
- Fat-max crossover analysis to guide endurance and fueling strategies
- Wearable-integrated biometrics for real-time HRV, VO₂, glucose variability, and sleep architecture
- Force plate movement mapping to assess neuromuscular activation, asymmetries, and load dynamics
- Proprioception and balance testing to quantify control and prevent injury
- Functional strength screening and return-to-performance therapy for high-stakes professionals
- Neuroscience-based rehab and movement reeducation to accelerate adaptation, avoid reinjury, and retrain movement efficiency
Every insight — from mitochondrial biomarkers to force plate asymmetries — is translated into a personalized performance protocol under continuous physician supervision. Our goal isn’t just output. It’s resilience, adaptability, and true metabolic flexibility — so your body performs at its best under pressure, across environments, and over time.
Who We Serve
- Founders, executives, and elite decision-makers
- Creatives, performers, and athletes
- Physicians, first responders, and tactical professionals
- Longevity-focused men and women tracking performance over time
From the boardroom to the recovery room, your edge is engineered.
Why Choose Dr. Primas?
- Triple board-certified concierge physician
- 30+ years of experience in elite internal medicine, prevention, and performance care
- Integrated partnerships with top-tier diagnostics and performance therapy providers
- Wearable-synced dashboards for VO₂, glucose, HRV, PWV, sleep, and stress
- Protocols that build strength, recovery, and flexible metabolism — not fragility
- Dr. Primas personally lives the performance lifestyle, applying the same metabolic, training, and recovery principles in his own life that he prescribes to patients
- Triple board-certified concierge physician
- 30+ years of experience in elite internal medicine, prevention, and performance care
- Integrated partnerships with top-tier diagnostics and performance therapy providers
- Wearable-synced dashboards for VO₂, glucose, HRV, PWV, sleep, and stress
- Protocols that build strength, recovery, and flexible metabolism — not fragility
Performance Optimization Enhances Longevity
High-performance living is more than a metric — it’s a multiplier of healthspan and lifespan. Our protocols are built not only to enhance your output today but to preserve your adaptability, metabolic integrity, and resilience into the decades ahead.
We also apply targeted neuroadaptive training to reinforce cognitive longevity. These personalized protocols strengthen speed-of-processing, attention, and working memory — extending cognitive reserve, executive function, and mental sharpness as you age.
Our protocols are built not only to enhance your output today but to preserve your adaptability, metabolic integrity, and resilience into the decades ahead.
Schedule Your Performance Optimization Consultation
Whether you’re optimizing output, building resilience, or preventing burnout, our approach to performance medicine is personalized, strategic, and data-driven.
Book a private consult with Dr. Primas to build your personal performance operating system.