Our approach

Know yourself first. Then choose your care.

Every journey begins with the same foundation – a complete picture of your biology. From there, you decide how closely you'd like to be cared for.

The first step

Begin with a conversation.


Initial Consultation
60 minutes · one-on-one with Dr. Kouka
$400

A focused conversation to review your medical history, lifestyle, and goals. Dr. Kouka will walk you through anonymized sample reports so you understand exactly what the Executive Comprehensive Exam reveals – before you commit.

Credited toward your Executive Comprehensive Exam if you proceed within 60 days.

Schedule Your Consultation
Step one · The foundation

The Executive Comprehensive Exam.


Your diagnostic foundation. A complete biological, genetic, and metabolic workup – culminating in your Personalized Health Action Plan (PHAP), a 40+page blueprint built for you alone.

Generated by NOÜS IQ – our proprietary clinical AI – and personally reviewed by Dr. Kouka.

Executive Comprehensive Exam

$2,800
  • Complete Quest blood panel physician-curated
  • Cellular Micronutrient Assay (CMA) cellular-level nutrient status
  • Genetic Methyldetox Profile MTHFR, COMT, and related pathways
  • 40+page Personalized Health Action Plan your individualized PHAP – generated by NOÜS IQ, reviewed by Dr. Kouka
  • 60-minute physician consultation Dr. Kouka explains your PHAP, one-on-one
  • Supplement protocol via Fullscript physician-curated · supplements purchased separately
Optional add-ons
  • Epigenetic biological-age test (add-on) – TruAge COMPLETE: biological age, pace of aging, organ-system ages, telomere length · $500
  • Advanced imaging – volumetric brain MRI or full-body screening, arranged when clinically indicated · pricing reviewed at consultation

After receiving your PHAP, Dr. Kouka will discuss next steps. You may visit as needed at $400 per follow-up, or transition into NOÜS Membership for ongoing care – with your first month complimentary if you enroll within 60 days of receiving your PHAP.

How your PHAP is built

Meet NOÜS IQ.

A proprietary clinical AI – designed and supervised by Dr. Kouka – that turns your test results into a single coherent plan.

01

Ingest

Your blood panel, Genetic Methyldetox Profile results, cellular micronutrient assay, epigenetic age data, and, when clinically indicated, advanced imaging findings.

02

Integrate

NOÜS IQ cross-references hundreds of data points against current peer-reviewed reference ranges – weighing nutrient status against genotype, hormones against inflammation, biological age against organ-system age.

03

Interpret

A draft PHAP is generated. Dr. Kouka reads it, edits it, signs it. Nothing reaches you that has not passed through his hands.

The IQ in NOÜS IQ stands for Integrative Quotient – because the value is not in any single test result, but in the integration of all of them. That integration is what no clinic without a dedicated system can offer.

Step two · The partnership

NOÜS Membership.


Ongoing partnership in your brain health and longevity. Every NOÜS member begins with the Executive Comprehensive Exam – it gives Dr. Kouka the diagnostic foundation needed to provide truly personalized ongoing care.

Essential
$500/mo

Quarterly partnership in your brain health – four physician visits a year, secure messaging, and preferred rates on every therapy.

Concierge
$1,250/mo

White-glove care – monthly visits, same-day urgent access, after-hours phone, and your Annual Executive Physical and BHRT included.

Spouse add-on available at all tiers (50% of the member’s monthly rate). First month complimentary if you enroll in NOÜS Membership within 60 days of receiving your PHAP.

Therapies & procedures

Beyond the protocol.


Available to all patients. Members receive preferred rates automatically.

BHRT

Pellet therapy for men and women – bioidentical hormone replacement, clinically titrated.

IV Nutrient Therapy

Customized vitamin and mineral infusions for energy, immunity, and recovery.

NAD+ & Niagen Protocols

Cellular energy and longevity infusions for mitochondrial and cognitive support.

Peptide Protocols

Targeted regenerative therapies – BPC-157, CJC-1295, and individualized peptide programs.

Advanced Imaging

Volumetric brain MRI and full-body screening through trusted imaging partners – arranged when clinically indicated.

Pricing reviewed during your consultation.

For patients abroad

Online Consultations.


Region-specific pricing in Arabic, Russian, and English. Educational guidance for patients outside the United States.

USA & Canada
30-minute / 60-minute
$150 / $250
Gulf States (Kuwait, Qatar, UAE, Saudi Arabia)
30-minute / 60-minute · Arabic or English
$120 / $200
Eastern Mediterranean (Palestine, Jordan, Lebanon, Syria)
30-minute / 60-minute · Arabic
$60 / $100
Russia & Eastern Europe
30-minute / 60-minute · Russian
$70 / $120
View full regional fee structure →

Begin with a conversation.

One hour with Dr. Kouka. No pressure, no commitment beyond the time itself.