Longevity Medicine in Chicago, Built Around Your Biology
Measure what matters. Understand what is changing. Act before “normal” becomes a problem.
Refine Longevity Club is an ongoing, physician-led health optimization membership for people who want more than an annual physical. We connect your symptoms, health history, advanced biomarkers, hormones, metabolism, body composition and goals into one evolving plan—then measure how your body responds.
- Advanced Biomarkers
- Hormone & Metabolic Health
- Body Composition
- Personalized Plan
- Ongoing Tracking
What is longevity medicine?
Longevity medicine is proactive, data-informed care focused on extending healthspan—the years you remain healthy, capable and independent. It evaluates trends across metabolic health, cardiovascular risk, hormones, inflammation, body composition, sleep, recovery and lifestyle. At Refine by Tulsi, longevity care is personalized and physician-led; it complements, but does not replace, primary care or health insurance.
Your annual physical asks whether you are sick. Longevity care asks how well you are aging.
A reference range can hide important trends. Refine evaluates how your markers interact, how they relate to symptoms and whether your health is moving in the direction you want.
See the full pattern
Fatigue, poor sleep, weight gain, brain fog and reduced performance rarely belong to one isolated system.
- Symptoms and health history
- Metabolic and cardiovascular markers
- Hormones, nutrients and inflammation
Build a prioritized plan
More data is not automatically better. Your physician translates findings into a practical sequence of changes.
- Foundational lifestyle priorities
- Nutrition and body-composition strategy
- Therapies only when appropriate
Measure the response
A good plan changes as your body changes. Follow-up data helps distinguish progress from guesswork.
- Repeat biomarkers when appropriate
- Body-composition trends
- Symptom and goal reassessment
From scattered health data to one connected strategy
The membership follows a continuous cycle: establish your baseline, identify priorities, intervene thoughtfully and measure what changes.
Baseline
Health history, symptoms, goals, body composition and clinically appropriate testing.
Interpretation
Individual results, marker relationships, symptom alignment and changes over time.
Personalized Plan
Prioritized lifestyle, nutrition, exercise and medical options when appropriate.
Track & Refine
Follow-up symptoms, biomarkers and body composition guide each next decision.
The systems that shape how you feel now—and how you may age later
Metabolic health
Glucose regulation, insulin resistance, weight trajectory, appetite, liver health and visceral-fat risk.
Hormone health
Clinically appropriate assessment of thyroid and sex hormones alongside symptoms affecting energy, sleep, mood, libido and body composition.
Cardiovascular risk
Blood pressure, lipid patterns, family history and other risk factors interpreted in context.
Body composition
Muscle, body fat and visceral-fat trends—because scale weight alone does not show metabolic strength.
Recovery & resilience
Sleep, stress, exercise recovery, fatigue and the behaviors that determine whether a plan is sustainable.
Healthy aging strategy
A practical roadmap for preserving function, muscle, cognition, independence and quality of life—not a promise to reverse aging.
Visible aging
How aging shows on the outside—skin quality, laxity, facial volume and body contour—connected to the same plan and addressed with Refine's non-surgical body & skin tightening and regenerative medicine.
Don't wonder if it's working — watch it work.
Every membership includes Refine OS, the platform behind your plan. It turns your bloodwork, body composition, wearable data and how you actually feel into one Longevity Score and a biological age — read alongside your physicians, across the systems that drive how you age.
What it reads
- Bloodwork
- InBody
- DEXA
- Oura ring
- Symptoms
Refine OS surfaces patterns for physician review — it is not a diagnosis and does not replace medical evaluation.
Where most longevity care falls short
Two common alternatives, and how the Refine Longevity Club is built differently. It complements—not replaces—your primary care.
Physician-led longevity medicine that connects everything. Two physicians own your diagnostics, hormones, metabolic health, peptides, body composition and how you visibly age — in one ongoing membership, tracked with Refine OS. Longevity-specialized, coordinated, and honest about its limits: it works alongside your primary care and does not replace it.
Two physicians, one connected plan
Dr. Tulsi Kotecha, MD
Board-certified in Internal Medicine and Aesthetic Medicine and trained at University College London and the University of Bristol, Dr. Kotecha built Refine around regenerative and longevity medicine — connecting internal health with how you visibly age, using aesthetic and regenerative tools alongside the data.
Dr. Laura Ruof
Dr. Ruof leads Refine longevity and hormone-optimization programs, specializing in menopause, metabolic health and whole-body vitality. Her care model integrates advanced diagnostic testing with evidence-based longevity strategies to support energy, clarity, sleep and long-term health.
One ongoing relationship with your health data
For patients who want structured medical oversight, clearer priorities and a consistent way to measure progress.
Membership may include
- Comprehensive onboarding consultation
- Personalized longevity roadmap
- Ongoing physician follow-up
- Advanced lab interpretation & trend review
- Body-composition testing (DEXA / InBody)
- Hormone & metabolic optimization
- Physician-prescribed peptide therapy
- IV therapy, NAD+ & supplements
- Aesthetic & regenerative options for visible aging
- Refine OS Longevity Score
Confirm final inclusions before publishing. Laboratory fees, medications, supplements, peptides, hormone therapy, imaging, procedures and outside services may be billed separately. Membership is not insurance and does not replace primary or emergency care.
Questions about Refine Longevity Club
What is Refine Longevity Club?
Refine Longevity Club is a physician-led health optimization membership in Chicago. It combines comprehensive assessment, clinically appropriate testing, body-composition data, symptom review and ongoing follow-up to create and refine a personalized healthspan strategy.
Is longevity medicine the same as primary care?
No. Longevity medicine focuses on health optimization, risk awareness and longitudinal trends. Refine Longevity Club does not replace your primary care physician, health insurance, urgent care or emergency care.
What does a longevity doctor evaluate?
A longevity-focused physician may evaluate metabolic health, cardiovascular risk, hormone-related symptoms, body composition, sleep, recovery, nutrition, exercise, medications and supplements based on individual clinical needs.
Does the Longevity Club include peptide therapy?
Peptide therapy is not automatically appropriate for every member. When legally available and clinically appropriate, a physician may discuss peptide or other treatment options, expected benefits, limitations, monitoring and separate costs.
Does the program include hormone replacement therapy?
Hormone therapy may be considered when symptoms, history and laboratory findings support it and no contraindication is identified. It is not prescribed solely for “anti-aging” and requires individualized monitoring.
Can longevity medicine help with weight loss?
Metabolic health and body composition are important parts of healthy aging. A plan may address nutrition, muscle preservation, insulin resistance, behavior and medically appropriate weight-management options.
Where is Refine Longevity Club located?
Refine by Tulsi has Chicago locations in Lincoln Park and Logan Square. Availability of specific consultations or services may vary by location.
Does longevity medicine guarantee a longer life?
No. No responsible medical program can guarantee lifespan extension, reverse aging or prevent every disease. The goal is to identify modifiable risks, improve current health and preserve function.
Who leads Refine Longevity Club?
The Club is led by two physicians: Dr. Tulsi Kotecha, MD, Refine's founder and medical director, and Dr. Laura Ruof, Head of Longevity and Optimization. Your plan is built, supervised and adjusted by them, so care stays physician-led throughout.
Is Refine OS included in the membership?
Yes. Every membership includes Refine OS, the platform that turns your bloodwork, body composition, wearable data and symptoms into a single Longevity Score and a biological age, tracked over time. It surfaces patterns for physician review and is not a diagnosis.
Your health data should lead somewhere.
Meet with a Refine physician to review your goals, determine whether the Longevity Club is the right fit and define what should be measured first.
(618) 298-8574Chicago, IL 60614
Chicago, IL 60647
Medical disclaimer: This page is for general educational purposes and is not medical advice, diagnosis or a promise of outcome. Refine Longevity Club is not health insurance and does not replace primary care, specialist care, urgent care or emergency services. Testing and treatment are individualized and subject to medical appropriateness, contraindications, availability and applicable law. Medications, supplements, laboratory testing, imaging and procedures may involve separate fees. No therapy can guarantee lifespan extension or prevention of disease.