Leo offers a comprehensive coaching package for clients, focusing on diet, supplementation, and behavior. These coaching programs are improved when a client has also had her genome analyzed by Leo, but he is also able to advise clients that are unable to afford the genetic analysis programs. Each program is handwritten for each client –
Leo does not recycle advice. Leo charges a standard fee for the first month of coaching, and a reduced fee for subsequent months, as the first month takes the most time from him to learn more about the client.
Feedback from the client comes in three ways. After the initial 1-hour phone interview, clients have 30-minute, bimonthly calls in which Leo tries to discern client’s experiences in detail. The results of blood tests and wearable biomarkers are reported to Leo either in real-time or on a weekly basis. Finally, Leo is available nearly 24/7 on a phone chatting service to answer client questions or concerns.
Leo has been studying human nutrition for over 15 years. While he does not partake in the ‘diet wars’ (mostly fought between high-fat and high-carb proponents on Twitter) or commercially brand his opinion on human diet (e.g. the ‘carnivore,’ ‘Atkins,’ ‘longevity diet,’ ‘lion diet’), he has strong opinions on diet structure and food choice.
For clients who have purchased a genetic analysis package, Leo uses neutrogenomics – that is, nutrition tailored for individual genetics, to design truly custom diet programs. Leo believes that some people handle grains, simple carbohydrates, and even fructose relatively well, whereas others, who may have the ‘hunter-gatherer’ polymorphism, or polymorphisms that predispose them to type 2 diabetes, nonalcoholic fatty liver disease, or fructose intolerance, may find that those food items will lead them facing serious health consequences.
Moreover, Leo considers clients’ risks for cardiovascular disease and individual cancers to make decisions on saturated fat and carbohydrate intake. For example, though ketogenic diets are toted as cancer-preventing generally, they have disparate effects on cancers. They have great effects on certain brain cancers (e.g. glioblastoma), prostate cancers, and colon cancer, while they can tremendously worsen the progression of kidney cancer and melanoma.
For clients who cannot afford a detailed genetic analysis, Leo spends time interviewing the client in order to make predictions on their reactions to certain foods and food types. He is particularly keen on learning detailed family histories, as well as the clients’ impressions of how they have previously reacted to certain foods. Leo then presents a diet and supplementation program that is revised depending on the client’s progress and the results of biomarkers from blood tests and wearable technologies.
Leo has been using supplements since adolescence, having a natural affinity for human physical performance. In the two decades that followed, he made every mistake in the book and learned from his lessons. The supplement world is a murky, mostly unregulated industry that is reminiscent of the snake oil salesmen’s products of yesteryear. Supplement companies do much more than make unsubstantiated claims for their products – they frequently include products that have less than the amount of active ingredient specified (and sometimes none), as well as include products with toxic amounts of heavy metals and other carcinogens.
Leo developed an intentional self-study program of quality academic research on the use of supplements for athletic performance and human health, including those touted to help prevent certain diseases. He is ever-vigilant for new academic or clinical research on the use of supplements to improve mental performance, physical performance, to reduce systemic and cardio-specific inflammation, and to improve lipid health.
As with diets, Leo offers a particularly custom-designed program for clients that have purchased his genetic analysis package. For clients that haven’t, Leo recommends supplements depending on clients' needs and family histories.
All supplements recommended to clients are tested by a third-party laboratory that Leo trusts. Leo specifies individual brands and dosages for all clients.
BIOMARKERS & BLOOD TESTS
Leo offers tailored advice to clients on behaviors that can improve their mental and physical performance, as well as their healthspan and longevity. He offers custom tailored and revised exercise regimens optimized for cardiovascular health, fat loss, and muscular hypertrophy.
For clients with an interest in intellectual performance, he provides mental exercise training programs. Additionally, he recommends certain behavioral regimens, such as hot and cold therapies, sleep hygiene therapies, and mindful meditation programs designed to optimize lifestyles.
For all coaching clients, Leo recommends specific, comprehensive blood tests to be done routinely to measure a client’s lipid health and inflammation broadly, as well as specific blood tests for clients with health conditions. Broadly speaking, Leo recommends Quest Diagnostics as a testing lab, though they produce these more detailed tests at a slower pace.
Leo also recommends tests on the nature of LDL particles in the blood, red blood cell membrane fatty acid composition, tests for telomere length, and a test for the Horvath clock (measuring biological aging through methylation). Not all of these tests are required for coaching, but Leo prefers to have the most detailed biomarkers that have actionable consequences.
Leo also highly recommends certain wearable technologies, such as the Apple Watch, Dexcom 6, and Oura ring to track heart rate, blood glucose level (a correlate of insulin and cortisol levels), and sleep quality.
In the case that Leo believes a client requires prescription drug advice, medical treatment, or detailed scanning, he has a list of medical professionals that he recommends to clients.
For clients who cannot afford to travel to these elite medical professionals, Leo takes the time to analyze doctor’s reputations in clients’ vicinities to help them make a choice. The quality of medical advice depends heavily on the attitude and education of a medical professional, and your choice of doctor may impact your life dramatically.