powered by Fulcrum Performance Lab
Measured, not guessed.
Aethera Performance Lab is for people whose work or sport depends on how well their body and brain hold up under load — executives, founders, surgeons, trial lawyers, competitive and masters athletes, and parents carrying a heavy week. It runs as two layers that stay deliberately separate.
What this division is for
The wellness layer is Fulcrum Performance Lab's MB8 platform and the Morris Method, licensed from Fulcrum: a baseline assessment, the Fulcrum Score, the Neurological Twin, adaptive programming, breathing protocols, movement and cognitive screens, and hands-on recovery sessions. Fulcrum does not diagnose or treat, and nothing in that layer is medical care. The medical layer is Aethera: a licensed clinician reviews your labs, your exercise test, your body composition and your history, and treats what is actually wrong — low testosterone, insulin resistance, iron deficiency, untreated sleep apnea, a thyroid problem the performance score cannot see.
You can buy either layer alone. The point of buying both is that the clinician and the coach are reading the same measurements, and the person building your training week knows what your bloodwork says. Online in all fifty states.
Concierge in every state except Massachusetts and New York. Clinics in development in Nashville, Miami and Madison, Wisconsin, with Bogotá planned for early 2027. Cash-pay only, no insurance billing.
HSA and FSA work for some of the medical items and not for the wellness ones, and the site says which is which.
What is different here
- There is a licensed clinician in the loop, and the coach can see what the clinician sees. Fulcrum's own site says plainly that it does not diagnose or treat. Equinox Optimize pairs training with a lab panel but the training staff are not clinicians. This division is the only version of the offer where one record carries both halves.
- The two layers are visibly separate, and that is the selling point rather than a compliance cost. Two consents, two invoices, two scopes, said out loud on the page. A sophisticated buyer reads that as competence; a regulator reads it as a defence.
- An evidence page that grades our own menu, including the items that grade badly. Fulcrum's site publishes no citations at all. Saying that a 1.3 ATA chamber is cleared for acute mountain sickness and nothing else, on our own services page, is a credibility asset no competitor in this category is willing to buy.
- A supply-chain policy instead of a peptide menu. Competitors in the performance space list BPC-157, CJC-1295, ipamorelin and compounded GLP-1s. We publish why we do not, and route the same clinical need to approved products. That is the one position in this market that survives an FDA warning-letter wave.
- The sleep apnea and iron-deficiency path is at the front of the funnel, not the back. The most common fixable cause of poor performance in a 45-year-old executive is untreated sleep-disordered breathing, and almost nobody in this category tests for it first.
- Online in all fifty states with enrolment to the medical team at signup, so there is a clinician already assigned when results land, rather than a dashboard and a prompt to book something.
The menu
Every item is marked with where the evidence actually sits and how it is delivered. 22 services.
Fulcrum Assessment
A 60-minute in-person baseline session that measures how your nervous system responds to stress and whether it resets, then plots the result on your Neurological Twin with a Fulcrum Score. Delivered by Fulcrum Performance Lab.
Who it is for. Anyone starting a program. It is the required entry point for in-studio membership.
$500. Basis: Fulcrum's published assessment price, described on their
Not HSA/FSA eligible
Aethera Medical Baseline and Clinician Review
A licensed clinician takes your history, orders labs, reviews your exercise test and body composition, and writes a plan. This is the medical half of the program and it is separate from the Fulcrum Assessment.
Who it is for. Anyone buying a medical program, and anyone whose Fulcrum results suggest something a coach cannot address.
$350-$600 for the initial consultation and plan. Basis: cash-pay perfo
Usually HSA/FSA eligible
Performance Blood Panel
A physician-ordered blood panel covering hormones, metabolic markers, lipids, inflammation, iron status, thyroid, kidney and liver function, reviewed by a clinician who then tells you what to do about it.
Who it is for. Every medical-layer patient, at baseline and on retest.
$250-$900 depending on panel depth. Basis: Marek Health's published ti
Usually HSA/FSA eligible
Cardiopulmonary Exercise Test with Physician Interpretation
A graded exercise test on a treadmill or bike with gas exchange analysis, producing VO2max, ventilatory thresholds and a cardiopulmonary read by a physician. This is the clinical version, not the fitness-studio version.
Who it is for. Athletes setting training zones, and anyone over 40 starting hard training, where the cardiac read matters.
$300-$600. Basis: published US range of $300-$600+ for clinical CPET w
Usually HSA/FSA eligible
VO2max and Resting Metabolic Rate (Fitness Grade)
Metabolic cart testing for aerobic capacity and resting energy expenditure, used to set training zones and calorie targets. No physician interpretation included.
Who it is for. Wellness-layer members who want training data without a clinical workup.
$149-$319. Basis: DexaFit-type studio pricing, $149 for VO2max alone,
HSA/FSA with a letter of medical necessity
DXA Body Composition and Bone Density
A dual-energy X-ray scan giving lean mass, fat mass by region, visceral fat and bone mineral density.
Who it is for. Anyone on a body-composition or strength goal, and anyone with fracture risk, low hormones or a weight-loss program running.
$99-$250 standalone. Basis: published 2026 US cash pricing from $99 at
Usually HSA/FSA eligible
Functional Movement Screen (Computer Vision)
A smartphone-based screen of squat depth, knee tracking, balance and jump mechanics, scored automatically and fed into your Fulcrum Score.
Who it is for. Remote members and anyone whose programming needs a movement input without a studio visit.
Included in MB8 platform access from $129/mo.
Not HSA/FSA eligible
Cognitive Performance Battery
A 15-minute computerised battery covering focus, working memory, reaction time and processing speed, repeated over time to show trend rather than a single snapshot.
Who it is for. Executives tracking cognitive load, athletes with concussion history, anyone whose main complaint is mental rather than physical.
Included in MB8 platform access. A validated clinical battery as a sta
HSA/FSA with a letter of medical necessity
MB8 Platform Access — Fulcrum Score and Neurological Twin
The software subscription: your composite score across six categories, the Neurological Twin trend view, HRV and readiness tracking, nutrition logging and the protocol library.
Who it is for. Everyone in the division, at every tier. It is the common surface that the coach and the clinician both look at.
$129/mo virtual self-guided. Basis: Fulcrum's published MB8 Virtual pr
Not HSA/FSA eligible
Fulcrum Coached Programming
The MB8 platform plus twice-monthly group coaching, with the Fulcrum Loop adjusting the week's work to your readiness data instead of a fixed calendar.
Who it is for. Remote members who want accountability without one-to-one cost.
$449/mo. Basis: Fulcrum's published MB8 Fulcrum Coached price.
Not HSA/FSA eligible
Fulcrum Personal Coaching
Weekly one-to-one coaching on the MB8 platform, with programming, nutrition and recovery managed directly by a coach.
Who it is for. Members who want a named coach and a weekly call.
$900/mo. Basis: Fulcrum's published MB8 Fulcrum Personal price.
Not HSA/FSA eligible
Nova Breath Protocols
Nine situation-specific guided breathing protocols delivered through the app, for acute stress, sleep onset, pre-performance activation and post-session down-regulation.
Who it is for. Every member. It is the cheapest thing on the menu that people actually use daily.
Included in platform access.
Pulsed Electromagnetic Field Session
A pulsed-field device applied to a region during the recovery block.
Who it is for. Members with localised soreness or stiffness, by protocol.
$40-$100 per session, usually bundled.
Not HSA/FSA eligible
Photobiomodulation (Red and Near-Infrared Light)
Panel or targeted light exposure in the recovery block.
Who it is for. Members with local soreness, and in the skin and hair protocols run through Aethera Aesthetics.
$30-$80 per session, usually bundled.
Not HSA/FSA eligible
HRV and Readiness Monitoring
Continuous heart-rate-variability and sleep data from a wearable, feeding the Fulcrum Score and the Loop's daily load decisions.
Who it is for. Every member. It is the input that makes adaptive programming possible.
Device cost $299-$499 separately, or included in the higher programs.
HSA/FSA with a letter of medical necessity
Nutrition Programming and Medical Nutrition Therapy
Two different things on one line, deliberately. App-based food logging with AI meal plans tied to training load sits on the wellness side. Medical nutrition therapy for a diagnosed condition, delivered by a registered dietitian, sits on the medical side.
Who it is for. Wellness members for the first; patients with insulin resistance, dyslipidaemia, chronic kidney disease or a GLP-1 prescription for the second.
App-based nutrition included in platform access. Registered dietitian
Usually HSA/FSA eligible
Hormone Evaluation and Treatment
Clinician evaluation of testosterone, thyroid, cortisol and related axes, with treatment where a deficiency is confirmed on repeat morning testing, plus the monitoring schedule that has to go with it.
Who it is for. Men and women with symptoms plus confirmed laboratory deficiency. Not a performance enhancer for people with normal levels.
$150-$300/mo for management plus medication at cost. Basis: Marek Heal
Usually HSA/FSA eligible
Metabolic and Weight Medicine
Clinician-managed treatment of insulin resistance, obesity and dyslipidaemia, using FDA-approved medications where indicated, with the training and nutrition work running alongside through Aethera Medical Weight Loss Lab.
Who it is for. Members whose metabolic panel or body composition shows a real problem, not members who want to lean out for an event.
$150-$300/mo management. Medication billed separately at pharmacy pric
Usually HSA/FSA eligible
Sleep Assessment and Home Sleep Apnea Testing
Structured sleep history, validated questionnaires and a home sleep apnea test where screening is positive, with treatment or referral from there.
Who it is for. Any member whose recovery scores, blood pressure, morning headaches or daytime sleepiness point at sleep-disordered breathing. In this population it is the single most commonly missed fixable cause of poor performance.
$200-$450 for the test with interpretation. Basis: US cash-pay HSAT pr
Usually HSA/FSA eligible
Medical Imaging, Ordered Anywhere in the USA
A clinician orders MRI, CT, ultrasound or echocardiography at a facility near you, and reads the report with you. Delivered through Aethera Diagnostics powered by SelfHealth.
Who it is for. Members with a specific clinical question — a joint that is not responding, a cardiac finding on the exercise test, a suspicious lab result.
$300-$2,500 depending on study and market, billed at facility cash rat
Usually HSA/FSA eligible
Regenerative Medicine Consultation (Candidacy and Referral Only)
A paid clinician consultation about cell and exosome therapies: what is approved, what is in trials, whether you are a candidate for a registered study, and what the product being sold to you elsewhere actually is. No cell or exosome product is sold or administered here.
Who it is for. Members who have been offered a stem cell or exosome treatment somewhere else and want a straight answer, and members considering a clinical trial.
$250-$400 for the consultation. No product price, because no product i
Usually HSA/FSA eligible
Executive Concierge Visit
A clinician and, where available, a performance practitioner come to your home or office for the baseline or a follow-up, instead of you coming to a clinic.
Who it is for. Executives who will not come to a clinic, and members in cities where no clinic exists yet.
$400-$900 per visit on top of the clinical fee, by market. Basis: US c
HSA/FSA with a letter of medical necessity
Programmes
Performance Virtual
$129/mo. This is the wellness layer only. No clinician, no l
- MB8 platform access: Fulcrum Score, Neurological Twin, protocol library
- Functional movement screen by phone
- Cognitive performance battery, repeatable
- Nova Breath, nine protocols
- Nutrition logging and training-load-matched meal plans
- HRV and readiness tracking (bring your own wearable)
Month to month, self-guided
Aethera Performance Online
$229-$299/mo, or $2,400-$3,200 prepaid annually. Medication
- Everything in Performance Virtual
- Enrolment with the Aethera medical team at signup, so a clinician is assigned before your results come back
- At-home blood draw and performance panel
- Clinician review of results and a written plan
- Two clinician consultations a year, more if your results warrant it
- Home sleep apnea test where screening is positive
Monthly, with lab retesting twice a year
Aethera Performance Ultimate
$7,500-$9,500 for three months, or $6,900 prepaid. Built fro
- Fulcrum Assessment, the 60-minute in-person baseline
- Aethera Medical Baseline: history, performance blood panel, clinician plan
- Cardiopulmonary exercise test with a physician read
- DXA body composition and bone density
- Two in-studio performance sessions a week for three months
- MB8 platform throughout, with the Fulcrum Loop adjusting each week to your readiness
Three months, then renew or step down to Online
Executive Concierge Performance
$24,000-$36,000/yr. Concierge availability in every state ex
- Everything in Ultimate, delivered at your home or office where the service does not require a facility
- Named clinician and named performance practitioner
- Quarterly in-person reassessment
- Direct messaging access with a stated response time
- Travel protocols and a reset session on return
- Annual written report you can hand to your own physician
Twelve months
How you are seen
Residents of every U.S. state and the District of Columbia can join the online clinic. A specific test or treatment can still have its own state limits, and we show any limit that applies in your state before you pay for it.
Concierge visits are available in 48 states. We do not offer concierge care in Massachusetts or New York. The online clinic is open in both.
No Aethera clinic is open yet. Three are in development in Nashville, Miami and Madison, Wisconsin, and a fourth is planned for Bogotá in early 2027. We will say so plainly here the day one opens, and not before.
We are cash-pay. We do not bill insurance, and no federal healthcare program money is involved in anything we do. Many of our services can be paid for with an HSA or FSA card, and some cannot. Eligibility is set by IRS rules and decided by your plan administrator, not by us. Cosmetic treatments are specifically excluded. We mark each service with what we understand its status to be, we give you an itemised receipt with the codes your administrator needs, and we will write a Letter of Medical Necessity where one genuinely applies.
Nothing on this site is medical advice, a diagnosis, or a promise of a result. Talk to a licensed clinician about your own situation before starting anything.
Performance Lab is delivered with Fulcrum Performance Lab, which holds its own licences and is responsible for its own services.