Cenegenics - Fayetteville

Cenegenics North Carolina is the group's only centre in the state, at 2413 Robeson St, Suite 5, Fayetteville. Its own site says it serves the greater Fayetteville area, including Fort Bragg, Hope Mills and Spring Lake.

The clinic puts itself 5.5 miles from Fayetteville Regional Airport and 80 miles from Raleigh/Durham International, so from Raleigh or Durham this is a drive rather than a local appointment.

Care runs in two stages. A Performance Health Assessment comes first, a round of blood testing and diagnostics, and those results feed an ongoing Performance Health Program. It is an annual paid membership, not a one-off appointment, so this is not somewhere you drop in for a single test. No prices are published, and our directory puts the centre in the $$$ band.

Beyond the diagnostics run at every Cenegenics centre, the North Carolina page lists:

• VO2 max, the most oxygen your body can use while exercising hard
• a DEXA scan, a low-dose X-ray measuring the strength of your bones and how much of your body is muscle rather than fat
• advanced CCTA, a CT scan of the arteries feeding the heart, read with software from Cleerly
• CIMT, an ultrasound measuring the thickness of the neck artery wall
• a CNS scan, which the clinic describes as non-invasive testing of brain and nervous-system function
• genetics, nutrigenomic and micronutrient testing, nutrigenomic testing being a look at how your genes affect the way you process nutrients
• exercise physiology testing, and cardiovascular screening with advanced cholesterol testing

Hormone replacement therapy is listed first among the services here, in bioidentical and pellet forms, pellets being small implants that release hormones slowly. Shockwave therapy is offered for erectile dysfunction. Hormones are prescription decisions made with a doctor, so that is the thing to press on: which ones, and how they are monitored.

The centre physician is Rolf Wallin, MD. He took his medical degree at the University of North Carolina at Chapel Hill and is a Diplomate of the American Board of Anesthesiology, so the board certification his page names is in anaesthesia rather than preventive medicine. He spent more than three decades in cardiothoracic anaesthesia and outpatient medicine, helped launch a cardiac surgery programme in Fayetteville in 1988, moved into age-management medicine in 2014 and became a Cenegenics partner physician in 2017. His longevity credentials are a fellowship with the Cenegenics Medical Institute and certification through age-management organisations the site does not name.

A performance health coach, Anna Mullane, and a member experience coordinator, Rachel Mower, are also listed. Parking is free, the clinic recommends two nearby hotels, and a free 10-minute call comes before an assessment is booked.