GYM RX. Resilience Blueprint
RESILIENCE BLUEPRINT
Brian Silva, PA-C, MPAS · Concierge Performance Medicine

Your Doctor Says You're Fine.
Your Body Disagrees.

You've been to the doctor. Your labs came back "normal." But you're still tired, still carrying weight you can't lose, still sleeping poorly, still performing at 60% of what you know you're capable of. That's because conventional medicine is designed to detect disease, not optimize performance.
The Resilience Blueprint is a different kind of diagnostic. We don't screen for what's broken. We map what's holding you back across a system we call Resilience Medicine: seven pillars that govern how you think, move, recover, and age, with sleep as the foundation beneath them all and immune resilience as the measurable output.
The Resilience Architecture
THE ROOF: IMMUNE RESILIENCE
The measurable output of everything we build. Your body's dual capacity to fight threats and control chronic inflammation. The pillars are the inputs. Immune resilience is the result.
✓
Purpose
Clear mission driving daily action
✓
Cognition
Mental clarity, focus, stress regulation
✓
Fitness
Capacity, strength, metabolic health
✓
Nutrition
Fuel quality matched to your biology
✓
Social
Connection, tribe, accountability
ADD
Genetics
Your blueprint decoded & applied
ADD
Exposures
Toxin burden & environmental load
THE FOUNDATION: SLEEP
Without quality sleep, no pillar stands. Hormonal reset, immune repair, brain detoxification, memory consolidation. It all happens here.
Covered in base Blueprint ($1,299)
Available as add-on testing
YOUR ANNUAL PHYSICAL
Basic metabolic panel
Total cholesterol
TSH only
Fasting glucose
"Everything looks fine"
10-minute visit
YOUR RESILIENCE BLUEPRINT
Comprehensive blood panel covering hormones, metabolic, CV, and inflammation markers
Advanced nutritional profiling including amino acids, organic acids, and oxidative stress
30 days of continuous glucose data, not a single snapshot
Physical assessment + food diary where lifestyle meets biology
Deep health questionnaires covering cognition, stress, sleep, purpose, and social connection
60-minute consultation with a board-certified clinician
How Every Pillar Builds the Roof
Sleep
Immune cell activation, hormonal repair, brain toxin clearance, and cortisol reset. Everything we prescribe works better when sleep is fixed. That is why we measure it first and address it first.
Purpose
Research links strong sense of purpose to lower all-cause mortality, better immune function, and faster recovery. This isn't a soft metric. It's one of the most validated predictors of long-term health outcomes.
Cognition
Brain fog, poor focus, and mood instability are often driven by thyroid, cortisol, or nutritional deficiencies. The brain-immune axis governs systemic inflammation. Fix cognition and you reduce inflammatory load.
Fitness
Performance is hormonal, metabolic, and structural. We measure all three. This is where conversations about peptides, hormone optimization, and programming begin, driven by data instead of guesses.
Nutrition
Gut health drives immune regulation. Nutritional status determines how your cells produce energy, clear toxins, and build neurotransmitters. We don't guess what you need. Your metabolic profile tells us.
Social
Loneliness is as deadly as smoking 15 cigarettes a day. Social connection and accountability are health metrics, not soft skills. This shapes the structure and support system in your protocol.
Genetics
Your biological age may not match your calendar age. Epigenetic testing reveals how fast your organs are aging and whether interventions are working. Available as a Blueprint add-on.
Exposures
Toxins, heavy metals, mold, and endothelial dysfunction are invisible drags on performance and immune function. Most people have never been tested. Available as a Blueprint add-on.

Each pillar feeds the roof. Remove one and the structure weakens. Fixing sleep improves fitness. Fitness improves cognition. Cognition sharpens purpose. This is why we address all seven.

This is not a lab panel. It's a diagnostic operating system.
GYM RX · Resilience Medicine™
Brian Silva, PA-C, MPAS
YOUR BLUEPRINT PACKAGE
Brian Silva, PA-C, MPAS · Concierge Performance Medicine

Your Personalized
Resilience Blueprint

Five pillars mapped at baseline. Custom supplement formula built from your metabolic profile. A printed protocol document you'll reference for the next 12 months.
$1,299
Complete Blueprint Package. Covers 5 of 7 Pillars
Concierge lab draw · Blood panel · Metabolic profiling · CGM · Assessments · Questionnaires · Blueprint document · 60-minute consultation
Your Blueprint Process
1
DAY 1: YOU'RE IMMEDIATELY ACTIVE
PT Score · Questionnaires · Food Diary Starts
No waiting. You start collecting data the same day. PT score assessment, deep health questionnaires, and food diary begin immediately. Real-time lifestyle data flowing while your labs process.
2
FIRST WEEK: LAB DRAW + KITS SHIP
Concierge Blood Draw · Metabolomix+ Kit · CGM Ships to You
Your concierge phlebotomist comes to you for the fasting blood draw. No labs, no waiting rooms. Metabolomix+ urine collection kit and your CGM both ship to your door. 30 days of continuous glucose data starts as soon as it arrives.
3
WEEKS 2 TO 4: BRIAN BUILDS YOUR BLUEPRINT
Your Results, Reviewed and Connected
Blood panel, metabolic profile, CGM trends, food diary, PT score, and questionnaires. Brian reviews everything together and builds your personalized Resilience Blueprint across the five core pillars.
4
WEEK 4: YOUR BLUEPRINT CONSULTATION
60-Minute Presentation · Custom Supplements · Your Roadmap
Brian presents every finding and recommendation. You leave with your printed Blueprint, your custom vitamin formula ordered from metabolic results, and a clear next step. Whether that's supplements, hormones, peptides, programming, or full Resilience Medicine membership.
Everything Included
✓ Comprehensive Blood Panel (14 markers)
✓ Metabolomix+ Nutritional Profiling (Genova)
✓ CGM: 1 Month Continuous Glucose Monitor
✓ PT Score Physical Assessment
✓ 7-Day Food Diary with Analysis
✓ Deep Health Questionnaires
✓ Personalized Resilience Blueprint (printed)
✓ 60-Minute Consultation with Brian
✓ Custom Supplement Recommendations
✓ Concierge Mobile Lab Draw Included
Unlock the Remaining Pillars
GENETICS PILLAR
TruAge + TruHealth
Epigenetic biological age. 11 organ system ages. DunedinPACE speed of aging. Your before/after anchor at Month 11.
+$700 at-home kit
EXPOSURES PILLAR
Total Tox Burden
90 toxins including heavy metals, mycotoxins, and environmental chemicals. Complete toxic load from a single urine sample.
+$950 at-home kit
EXPOSURES PILLAR
ADMA/SDMA: NO Pathway
Nitric oxide pathway dysfunction. The root of vascular, performance, and erectile issues most providers never test.
+$199 added to blood draw
IMMUNE RESILIENCE
Immune Health Grade (CD4:CD8)
Ahuja IHG, immune resilience validated in 48,500+ patients. Maps your position on the immune spectrum.
+$149 added to blood draw
Custom Vitamin Formula: Built From Your Metabolic Profile
One bottle. Your formula. Every nutrient dosed to what your labs actually show, not a generic multivitamin. Reformulated as levels change. Ships to your door.
$147/mo
3-month supply: $440

The Blueprint is your on-ramp. From here you can stay on custom supplements, add hormone optimization or peptide therapy, layer in workout programming ($100/mo), or upgrade to the full Resilience Medicine membership ($697 to $997/mo) where every pillar is managed across a 12-month clinical calendar. Your Blueprint becomes the foundation for whatever comes next.

Ready to start? Book your free Health Strategy Session at gymrx.fit
GYM RX · Resilience Medicine™
Brian Silva, PA-C, MPAS