At 5:30 a.m. in Los Angeles, Cynthia Sakai — founder of personal care brand Evolvetogether — wakes up and begins her day with breathing exercises and meditation in front of an infrared light. She drinks water, takes an omega-rich oil supplement recommended by her osteopathic doctor and, three days a week, works out before starting the rest of her day with her toddler.
But her wellness routine extends beyond a morning ritual. She rotates between hormone specialists, peptide providers and diagnostic testing. She tracks food sensitivities and inflammation, minimizes plastic exposure at home and undergoes biomarker testing roughly every eight months. Recently, she added progesterone and testosterone to her regimen.
“I think that’s probably my highest expense,” Sakai said of her wellness spending. The routine emerged after she became ill with Lyme disease nearly a decade ago. As she worked on her recovery, Sakai began building a wellness regimen around diagnostics, supplements and therapies to improve her quality of life.
“What can I do today to be better in 20 years from now, versus what can I do today to feel better just today and tomorrow?” she said.
The Longevity Clinic Boom
Her experience reflects the growing presence of longevity clinics, concierge health providers and medically oriented wellness spaces across L.A., many of which are built around long-term engagement.
At Next Health, the longevity-focused wellness company founded by Dr. Darshan Shah and Kevin Peake, membership tiers begin with quarterly biomarker testing and extend into recurring IV therapy, diagnostics and recovery treatments. The company has expanded nationally and internationally, with locations in New York, Miami, Nashville and Dubai.
According to Shah, member behavior increasingly revolves around recurring wellness routines. “Members who come in for IV therapy or NAD+ tend to schedule their next session before they leave. That cadence, weekly, biweekly or monthly depending on the protocol, is a rhythm that compounds over time.”
Clients often stack multiple services into a single visit. “Someone comes in for their monthly IV, adds a cryo session and a red light round, and builds a 90-minute optimization visit that they look forward to,” Shah said, describing a growing consumer focus on preventive care and ongoing optimization instead of reactive treatment.
“This is no longer a transactional model,” Shah said. “The new wellness clinic that has longevity, health and wellness together with aesthetics under one roof, that relationship is now relational. It’s longitudinal.”
The Convergence of Wellness and Aesthetics
At The Practice Healthcare in Beverly Hills, the expansion into wellness emerged naturally from patient care, according to Robert Greenspan, the company’s CMO. The practice grew beyond surgery into peptides, hyperbaric therapy, diagnostics, hormone care, supplements and recovery services.
“Once we saw that patients didn’t want to leave our ecosystem, we knew this level of care would be useful for pretty much anyone,” Greenspan said. However, he noted that the accessibility of wellness in L.A. has also fueled a culture of overdoing it, with people stacking treatments with little attention to long-term health.
The convergence of wellness, longevity and aesthetics is reshaping the medical aesthetics industry. “One of the clearest trends is how deeply wellness services have become embedded within medspas, with more than half now offering hormone replacement therapy,” said Erika Sheyn, SVP of aesthetics at Guidepoint Qsight.
The Future of Experiential Wellness
David Schneidman, partner and managing director in Alvarez & Marsal’s consumer and retail group, said wellness has expanded far beyond supplements and beauty products into “experiential wellness,” spanning diagnostics, wearable technology, recovery services and subscription-based care.
“The ability to harness all of that data via electronics has then unlocked a lot of actions,” Schneidman said, pointing to devices like Oura rings and Garmin trackers.
For consumers like Sakai, in the end, the appeal of wellness is fundamentally about prevention. “My mom has early dementia,” she said. “So, for me, I really think about my health, and I think about my brain health.”
Source: WWD – The Rise of Longevity as Lifestyle in Los Angeles
