Looking for Doctors Like Peter Attia in Maryland?

What to Know About Medicine 3.0

If you're searching for doctors like Peter Attia in Maryland, you've probably read Outlive, listened to The Drive podcast, or at least heard about his approach to what he calls Medicine 3.0. You want a doctor who orders comprehensive lab testing, thinks in decades rather than months, and focuses on preventing disease rather than just managing it after it appears.

I'm Dr. Angelo Falcone, and I practice integrative medicine in Rockville, Maryland, serving the surrounding area. I don't call myself a "longevity doctor," but my approach at Dignity Integrative shares core principles with what attracts people to Attia's work. I’ve especially been tracking his transition to the “3.0,” because it tracks with a lot of my own thinking on healthspan and longevity. 

Peter Attia’s transition from Medicine 2.0 to 3.0

Peter Attia’s move from Medicine 2.0 to Medicine 3.0 represents a fundamental shift from treating disease reactively to preventing it proactively, with the ultimate goal of improving healthspan—the years lived in good health—rather than merely extending lifespan.

Medicine 2.0, according to Attia, excels at treating acute conditions like infections, injuries, and heart attacks, using procedures and drugs to keep patients alive in emergencies. However, it has plateaued in effectively addressing chronic diseases such as diabetes, heart disease, and cancer, which now drive most morbidity and mortality.

Medicine 3.0 seeks to overhaul that reactive paradigm through early prevention, personalization, and continuous monitoring. Attia envisions a system based on evidence-informed rather than purely evidence-based guidelines—meaning medicine that integrates data from large studies with the nuances of individual biology, genetics, and lifestyle.

Core Principles of Medicine 3.0

• Prevention over treatment: Focuses on identifying risks decades before disease onset, akin to “building the ark before it rains”.

• Individualization: Treats each person as unique, tailoring care to genetics, environment, and habits rather than a one-size-fits-all model.

• Lifestyle integration: Relies on exercise, nutrition, sleep, emotional health, and selective use of exogenous molecules (such as hormones or supplements) as core medical tools.

• Technology and data: Incorporates AI, genomics, wearables, and advanced diagnostics for early disease detection and intervention.

• Healthspan focus: Seeks not just longevity but vitality—living longer and better.

In essence, Medicine 3.0 redefines the physician’s role from crisis responder to long-term health strategist, and the patient’s role from passive receiver to active participant in their own longevity journey.

How to find doctors like Peter Attia

Not every doctor who orders extra labs is practicing Medicine 3.0. Here's what to look for when searching for doctors like Peter Attia in Maryland:

Comprehensive Baseline Testing

Medicine 3.0 practitioners order far more extensive lab work than conventional primary care. We're establishing detailed baselines across metabolic health, cardiovascular risk, hormonal balance, inflammatory status, and nutritional deficiencies.

At Dignity Integrative, my standard baseline includes tests most primary care doctors never order: fasting insulin (not just glucose), apolipoprotein B (not just standard cholesterol), comprehensive thyroid panels including antibodies, vitamin and mineral levels, and inflammatory markers. I've written a comprehensive guide to the lab testing I recommend.

This isn't testing for testing's sake. Each marker tells us something about current function and future risk. Elevated fasting insulin predicts diabetes years before blood sugar becomes abnormal. Thyroid antibodies reveal Hashimoto's disease before TSH changes. These early warnings allow intervention when it makes a difference.

Long-Term Time Horizons

When I review labs with patients, we're not discussing whether values are "normal"—we're discussing whether they're optimal for long-term health. We're thinking about what these numbers mean for health in ten, twenty, thirty years. The coronary calcium scan is a perfect example of long-term risk stratification and modification. It’s a tool I use for anyone over 50 (or over 40 with risk factors) to establish a baseline of arterial plaque and long-term cardiovascular risk. 

A patient in her mid-forties might have hemoglobin A1C of 5.7%—technically "normal" but in the prediabetic range. Her conventional doctor said she was fine. But I'm looking at that number thinking: if we don't address this now, she'll be diabetic in her fifties and dealing with cardiovascular complications in her sixties. We have a ten-year window to prevent chronic disease, and we're going to use it. 

Personalized Rather Than Protocol-Driven

Medicine 3.0 recognizes you're not a population average—you're an individual with unique genetics, health history, lifestyle, and goals. Two patients with similar lab abnormalities might receive very different recommendations based on their complete pictures.

At Dignity Integrative, this personalization extends to partnering every patient with a health coach for monthly follow-up. Implementing changes to nutrition, movement, sleep, and stress management requires ongoing support—it's not something that happens from a single visit and a handout.

Focus on the Four Pillars

While Attia emphasizes exercise, nutrition, sleep, and emotional health, at Dignity Integrative I frame these as four pillars: nutrition, movement, sleep, and mental resiliency. These aren't peripheral concerns—they're the foundation of health optimization.

Most chronic diseases are, at root, diseases of lifestyle. Type 2 diabetes, cardiovascular disease, many cancers, and cognitive decline are profoundly influenced by how we eat, move, sleep, and manage stress. Medications can help manage conditions once they develop, but addressing underlying lifestyle factors can often prevent them entirely.

Data-Driven Decision Making

Medicine 3.0 doctors don't just order tests once—we track metrics over time. Your baseline labs establish where you are today. Follow-up testing in six months, a year, two years shows whether interventions are working and whether new issues are emerging.

This longitudinal tracking reveals patterns single snapshots miss. At Dignity Integrative, monitoring health trajectories over years is built into how we practice.

Where Integrative Medicine and Medicine 3.0 Align

Peter Attia doesn't call himself an integrative medicine doctor, and not all integrative medicine doctors practice Medicine 3.0. But there's significant overlap in philosophy and approach.

Both frameworks recognize that cardiovascular health, metabolic health, gut health, hormonal balance, and mental well-being are interconnected. Both emphasize prevention over treatment. Both use comprehensive diagnostic testing to understand individual biology. Both recognize that lifestyle interventions are foundational to health in ways pharmaceuticals alone cannot address.

I think where Attia and integrative medicine sometimes diverge is in our relationship with emerging science. Attia is fundamentally a skeptic who wants rigorous evidence before embracing interventions. Integrative medicine practitioners recognize that treating individual patients sometimes requires acting on incomplete but promising evidence.

Take the microbiome as an example. For years, Attia was skeptical of the microbiome's importance, noting lack of definitive research. Integrative medicine doctors were already ordering comprehensive stool testing and using targeted interventions to address gut dysbiosis in patients with chronic symptoms. The science has caught up, as I discussed in my recent post about how Attia's position has evolved.

What Medicine 3.0 Looks Like in Practice

Let me describe what this looks like at Dignity Integrative.

When you first come in, we spend 90 minutes to two hours together discussing your health history in detail—not just current symptoms, but your entire medical history, family history, lifestyle, stressors, goals, and concerns. Based on this conversation and previous diagnostic evaluations, I recommend a comprehensive testing strategy.

Six weeks later, after all the diagnostic data have returned, we meet for 60 minutes to review the results in detail. This is a thorough discussion of what each marker means, how values relate to each other, where you're optimal and where there's room for improvement, and what we're going to do about it.

Treatment recommendations are personalized and might include dietary modifications tailored to your specific metabolic issues, targeted supplementation for identified deficiencies, exercise recommendations, sleep optimization strategies, stress management approaches, and when appropriate, medications.

You begin working with our health coach for monthly sessions to implement recommendations, troubleshoot challenges, and maintain accountability.

We retest in three to six months to see how interventions are working. This iterative process continues—tracking your health trajectory over years, making adjustments as circumstances change, catching new issues early.

Finding the Right Doctor in Maryland

If you’re looking for doctors practicing this way in Rockville, Bethesda, Gaithersburg, or elsewhere in Maryland, ask about testing practices. What lab work do they order for new patients? You want comprehensive baseline testing, including metabolic markers, advanced cardiovascular risk assessment, hormone panels, inflammatory markers, and nutritional status.

Evaluate time and accessibility. If a practice schedules 15-minute new patient appointments, they're not practicing this way. Medicine 3.0 requires time for comprehensive evaluation and ongoing support.

Understand the insurance reality: most doctors practicing Medicine 3.0 don't accept insurance. This isn't greed—insurance reimbursement models make this practice all but impossible. Insurance pays for treating disease, not preventing it.

At Dignity Integrative, we're transparent about costs upfront. 

Moving Forward

If you're in the Rockville, Bethesda, Gaithersburg, or Maryland area, I'd welcome a conversation about whether Dignity Integrative might be right for you. We offer free fifteen-minute phone consultations where we can discuss your health concerns, your goals, and whether our approach aligns with what you're looking for.

The doctor you're looking for exists. Your future self—healthy, vital, and thriving in your seventies and eighties—will thank you for caring enough to search for "doctors like Peter Attia" and not settling until you found the right partner for your health journey.