Blood pressure
Your home average and what it means for future heart, brain and kidney risk.
Book a free 10-minute callBringing your risks into the light.
Stay well for the people who matter most.
You want to do all you can to remain fit, capable and fully present—as your children, and one day your grandchildren, grow and thrive.
This online Proactive Longevity consultation gives you clarity on what genuinely matters, what to measure and what to do next—with calm, evidence-based guidance from an experienced Consultant Physician.
Secure online consultation UK Consultant Physician Evidence-led, not trend-led
Your physicianDr Nikhil SharmaMBChB · Consultant Physician
Stroke and longevity medicine
Stroke and longevity medicine
Most health checks give you more numbers. We help you understand which risks genuinely matter, what can realistically be changed and where your effort is most likely to make the greatest difference.
The Longevity 16
Sixteen evidence-led domains. One coherent view of your health.
Longevity is not one blood test or one score. The Longevity 16 brings together the modifiable factors that shape disease risk, energy and independence—then shows which are already protective and which offer your clearest next gains.
Atherogenic lipids
LDL cholesterol, ApoB and Lp(a), interpreted in the context of your overall risk.
Glucose control
Blood glucose and HbA1c, with attention to diabetes and metabolic risk.
Body composition
Waist-to-height ratio, weight and muscle—not weight alone.
Activity
Aerobic activity, daily movement, steps and the risks of prolonged sitting.
Strength
Resistance training and practical indicators of strength for healthy ageing.
Fitness
Cardiorespiratory fitness and the opportunity to build greater physiological reserve.
Sleep
Duration, regularity, quality and signs that merit further assessment.
Stress & mood
Stress, mood, recovery and their effect on health and day-to-day energy.
Social connection
Relationships, purpose and connection as genuine health determinants.
Smoking & nicotine
Current and previous exposure, including opportunities to reduce harm.
Alcohol
Your intake in context—without judgement and without pretending lower-risk means no-risk.
Heart rhythm
Pulse and rhythm information, with escalation when AF or another issue is suspected.
Kidney health
Kidney function, urine testing and the links with cardiovascular risk.
Diet quality
Whole foods, fibre, protein and dietary patterns with credible outcome evidence.
Purpose
Meaning, direction and contribution—the things that make a longer, healthier life worth protecting.
Your medical history, family history, symptoms, goals and personal circumstances sit across all sixteen domains. The aim is not to make every marker “perfect”—it is to find the few changes most likely to matter for you.
A report you can actually use
See what is protective, what needs attention and what to do next.
Your personalised output turns the Longevity 16 into a clear executive dashboard. It distinguishes measured facts from assumptions, explains the strength of the evidence and prioritises action—without inventing false precision.
- A simple red, amber, green and “not yet measured” overview
- Your most important evidence-backed opportunities
- Clear next steps, useful targets and quick wins
- A written record to revisit at review
PROACTIVE LONGEVITYPERSONALISED REPORT
YOUR LONGEVITY 16Executive dashboard
IllustrativeYour overall picture
Strong foundations with three high-value opportunities to improve future health and energy.
Protective8
Opportunity5
Priority1
Measure2
Priority opportunityNowNext step
Atherogenic lipids ClarifyComplete ApoB + Lp(a)
Blood pressure Confirm7-day home average
Sleep & recovery Improve15-minute opportunity
QUICK WIN 01Pair your BP check with your morning coffee.QUICK WIN 02Add a short walk immediately after lunch.
Understand · Measure · Act · Review
A clear route from uncertainty to action.
Your assessment is designed around senior medical judgement—not a larger pile of test results.
Start with your story
Understand
Before the consultation, you complete a focused questionnaire covering your health, family history, lifestyle, priorities and the future you want to protect.
Build the right baseline
Measure
We recommend completing relevant blood tests and a home blood-pressure check beforehand. We guide you on what is useful, so you avoid testing for testing’s sake.
Turn evidence into priorities
Act
In your doctor-led consultation, the results are interpreted in context and translated into a clear plan focused on the changes most likely to matter for you.
Make progress visible
Review
Health is not static. Repeating the right measurements and reviewing progress allows your plan to evolve—typically every four to six months.
Consultant Physician
Stroke and disease prevention
Stroke and disease prevention
A named doctor, not an algorithm
Prevention grounded in medicine—not hype.
I’m Dr Nik Sharma, a UK Consultant Physician. I have spent much of my career caring for people after strokes and serious illnesses that changed their lives in an instant.
Again and again, I have seen how much suffering might have been avoided if somebody had identified the right risks and helped people act sooner. Proactive Longevity grew from a simple conviction: we should use what medicine already knows to help more people avoid reaching that point.
I do not sell supplements or fashionable protocols. I use peer-reviewed evidence, clinical judgement and a proper conversation to help you make better decisions about your health.
- MBChB · Consultant Physician
- Specialist expertise in stroke prevention
- Senior NHS clinical leadership experience
Is this for me?
For people who want to act early—and wisely.
- You want to stay active and independent for your family
- Stroke, heart disease, dementia or diabetes runs in your family
- You have been told results are ‘normal’ or ‘borderline’ but still lack clarity
- You are broadly well and want to identify important risks before symptoms appear
- You value evidence, but do not have time for an overwhelming programme
Your complete online assessment
A personalised online longevity consultation with Dr Sharma.
Meet securely online from home. The consultation is designed to answer one useful question: what should I focus on now to maximise my chances of a longer, healthier and more independent life?
Longevity 16 assessmentTwo quick winsA plan you can use
Online consultation fee
£299
One-off, doctor-led online consultation- Focused health and lifestyle questionnaire
- Review of relevant blood tests and home blood pressure
- Full Longevity 16, medical and family-history assessment
- Fitness, strength, sleep and lifestyle review
- Written, prioritised personal action plan
- Prescriptions if clinically indicated
Patient feedback
Clear explanations. Thoughtful care. Real confidence.
★★★★★“He spoke to me and my husband in clear, simple English… We went away with greater knowledge and understanding, giving us realistic hope for the future.”
★★★★★“I had a first-class experience. Everything was explained very clearly and I was very happy with my overall experience.”
Common questions
Before we talk.
If you are unsure whether the assessment is right for you, begin with the free 10-minute discovery call. There is no obligation to proceed.
What should I do before the consultation?
You will complete a focused questionnaire. We also recommend having suitable recent blood tests and home blood-pressure readings available. If you do not already have them, we will guide you on what is useful to arrange. Any separate test costs will be explained before you proceed.
Is this only for people who are already unwell?
No. It is designed primarily for people who are broadly well but want a medically robust view of the factors that could influence their future health. It can also complement existing NHS or private care where appropriate.
Do I need a wearable or extensive private testing?
No. Wearable information can be useful, but it is optional. We start with what is relevant to you and recommend further measurements only when they are likely to add meaningful value.
Will I be given an overwhelming programme?
No. Prioritisation is the point. Your plan focuses on the opportunities most likely to make a meaningful difference, including realistic quick wins that fit your life.
Can Dr Sharma prescribe medication?
Where medication is clinically appropriate, recommendations or prescriptions may be considered following a full medical assessment. Benefits, limitations and alternatives will be explained clearly.
What if the assessment identifies something concerning?
Dr Sharma will explain the finding and advise on the appropriate next step. Depending on the issue, that may include further investigation, treatment, referral or discussion with your usual GP.
Your health deserves a clear plan
Give yourself the best chance of more healthy years with the people you love.
Start with a free, no-pressure 10-minute discovery call with Dr Sharma.