Sur’s new next-generation testing

Sur patients now have access to exclusive discounted pricing on some of the most advanced early-detection tools available today.

Our new offerings:

• Prenuvo whole-body MRI

• Cleerly CCTA coronary plaque analysis

• Galleri multi-cancer screening test

• ApoE genetic testing for Alzheimer’s risk

These tests can reveal disease at its earliest and most actionable stages, far beyond what standard annual labs or imaging typically capture.

Our clinical team will help you decide which screenings are appropriate for your goals and risk profile, and guide you through the process from ordering to interpretation. If you’ve been considering any of these specialized evaluations, now is the ideal time to take advantage of preferred Sur pricing and personalized physician support.

FDA Updates on Hormone Therapy

The federal government recently signaled broader support for women’s hormone replacement therapy (HRT), including steps to remove outdated FDA warnings—an encouraging move for women’s health.

But despite the headlines, most women will not experience meaningful changes in access anytime soon: commercial insurance coverage remains inconsistent, and the majority of primary care physicians and general gynecologists simply don’t have the specialized training to manage modern, evidence-based HRT. There’s also a shortage of physicians truly comfortable prescribing it—and this is not the type of care that should be delegated to PAs or NPs.

At Sur Health, our physicians are North American Menopause Society–certified experts who provide precise, lab-guided HRT with transparent, all-in pricing and close follow-up. If you want HRT that’s safe, personalized, and managed by specialists—not generalists—we’re here to support you.

The Truth Behind the GLP-1 Price Announcements

The federal government recently announced new agreements intended to lower the cost of certain GLP-1 medications, but these reductions primarily apply to Medicare and Medicaid beneficiaries and only through specific government channels. For most people with employer-sponsored or private insurance, these changes will not translate into lower prices in the near term: commercial plans are not included, eligibility remains tied to strict diabetes or obesity criteria, and off-label use for longevity or metabolic optimization is still not covered. 

Because of these limitations, many patients continue to find Sur’s cash-pay tirzepatide program the most reliable and cost-effective option—we offer competitive pricing across every dose, predictable monthly costs, and clinical support for personalized, off-label use when medically appropriate. If you’re considering GLP-1 therapy or want help comparing options, we’re here to guide you toward the most accessible and consistent path forward.

FSA/HSA funds expire Dec. 31st

As the year wraps up, now is the ideal time to use any remaining HSA/FSA funds before they expire—and Sur Health offers several eligible options to help you start the new year ahead of your health.

Consider applying your benefits toward our Comprehensive Lab Package, Lifestyle & Longevity Coaching, or discounted advanced testing, including DEXA/RMR/VO₂ Max, the Galleri multi-cancer screening test, Cleerly CCTA coronary plaque scan, and Prenuvo whole-body MRI (contact us for preferred pricing).

These services provide deep insight into your metabolic, cardiovascular, hormonal, and overall longevity profile, and many patients choose to use year-end HSA/FSA dollars to proactively invest in their health.

Visit sur-health.com or reach out to schedule any of these services before December 31.

Vitamin D and its Role in Winter Months

As fall and winter arrive, we are exposed to less sunlight, which often leads to lower vitamin D levels. Vitamin D is important because it helps keep our bones strong and our immune system working well. Many people already have low vitamin D and this tends to get worse in the winter. A research team wanted to see if regular cardio exercise (like walking on a treadmill or riding a bike) could help stop vitamin D levels from dropping during the winter.

Normally, our bodies make vitamin D when sunlight hits our skin. In the summer, just a few minutes of sun on part of the body can be enough especially for people with lighter skin. But in winter, the sun is weaker, days are shorter, and we wear more clothes, so we don’t make as much vitamin D. The problem can be worse for people with more body fat, because vitamin D gets stored in fat tissue and is less available in the blood. People with obesity have a much higher risk of vitamin D deficiency.

In a recent study published in Advanced Science, adults with overweight or obesity were split into two groups for 10 winter weeks: an exercise group and a control group. The exercise group did four cardio workouts per week at an indoor gym, while the control group kept their usual lifestyle. No one was allowed to take vitamin D supplements or change their diet or weight much, so the scientists could focus on the effect of exercise alone. By the end of the study, the control group’s levels of active vitamin D had dropped by about 15%, but the exercise group kept their levels about the same.

The results suggest that exercise can help slow or prevent the usual winter drop in vitamin D, especially for the active form that the body uses most. However, exercise did not completely stop all vitamin D from decreasing, and the exact reasons why it helps are still not fully understood. The main takeaway is that exercise should not replace vitamin D supplements or good food sources, especially for people at high risk of deficiency, but it can be a helpful extra tool. Overall, this is one more reason to stay active during the winter—not just for your heart, mood, and metabolism, but also to help protect your vitamin D levels.

JLo’s Thanksgiving Tips

Friends,

Let’s get real, if your lifestyle doesn’t include room for restaurants, happy hour, or social events, it’s not sustainable. This week is about living your life without blowing up your progress.

The goal isn’t to avoid social situations, it’s to upgrade how you show up in them.

Restaurants serve bigger portions, hidden sugar, and poor macro balance. Alcohol messes with your sleep, lowers your standards, and slows down fat loss. But you can navigate all of this if you plan and take ownership.

Thanksgiving is this week. It is your chance to prove that you don’t need perfect conditions to stay consistent. All you need is a plan and the mindset to follow through.

Be social. Be strategic. Be the version of you who makes aligned choices.

Dining Out Strategies:

- Look at the menu ahead of time (decide before you’re hungry)
- Prioritize protein and greens
- Ask for dressings/sauces on the side
- Eat slowly and skip the free bread or chips
- Order one drink, then water or sparkling water

Alcohol Tips:

- Choose dry wine, tequila, or vodka soda — low sugar, fewer additives
- Never drink on an empty stomach — always pair with protein
- Avoid alcohol close to bedtime (4+ hour buffer is best)
- Track it like any other calorie — it counts

This week make it your job is to plan ahead and practice control, not perfection. You can participate and still make aligned choices.  Enjoy the holiday, but better yet, enjoy the amazing feeling you have when you stay true to who you are - a person who thinks and acts with healthy lifestyle habits.