Three principles that drive the practice.
These shape every assessment, every plan, every decision.
One practice. Two starting points.
Most clients start in one of two tracks. Performance is for people who train and want their physiology driving what they do. Longevity is for adults who want a physician thinking about their whole picture, today and over the long arc. Both share the same approach: physician-led care, real measurement, and a relationship that lasts as long as you need it.
Performance Track
For people who train and want real physiology, not formulas or watch estimates, behind the work. Whether you're chasing a PR, training without a race on the calendar, or just want a clear picture of your fitness for the first time, it starts with a Performance Consult or VO₂ Max Test. Continues through Performance Membership for ongoing data and direct physician access.
Longevity Track
For adults who want a physician guiding their whole health: energy, sleep, weight, hormones, cardiovascular risk, the long arc. It starts with a Comprehensive Health Evaluation. Continues through Longevity Core or Longevity Plus, with hormone or GLP-1 management deployed when clinically indicated.
Train for what comes next.
Some of our patients are training for races. Some are working back from years of not moving. Some have always been active and want it to stay that way. What unites them is a physician using real measurement and individualized planning to help them function well for the decades ahead. We meet you where you are. The methods are physiologic. The goal is autonomy.
What this means for you.
Strength declines about 1 to 2 percent per year after age 40. Aerobic capacity — the single best predictor of long-term mortality in the published literature — drops roughly 10 percent per decade after 30. Power, the trait that determines whether you catch yourself when you trip, declines faster than either. That trajectory is not fate. It is the predictable outcome of decades of under-training. Patients who maintain function into their 80s and 90s are not the ones who got lucky genetically. They built reserves earlier and defended them later.
Every TPM evaluation is also a written exercise prescription.
At TPM, every comprehensive evaluation includes a specific, individualized exercise and strength prescription. Not generic recommendations — a written plan built around two questions. What do you want to be able to do in your eighth and ninth decade? And what does your data say about where you stand today? Because age-related decline is unavoidable, the targets we set today carry a margin for safety. We measure where you are. We calculate the gap. The written plan you receive is built to close it.
What we treat.
Beyond performance and longevity testing, our practice covers a focused set of clinical areas, evaluated within an initial physician visit rather than as separate bookings.
Dan Troha, MD
Board-certified physician. Endurance athlete. Performance and health medicine for the way people actually live.
Dr. Troha is a board-certified emergency medicine physician and Director of Clinical Pathways & Integration at Sanger Heart & Vascular Institute's VTE Center of Excellence, where he develops thrombosis clinical pathways and leads ongoing research.
He founded Troha Performance Medicine to address a gap he has seen both professionally and personally: a healthcare system built to detect and treat illness, but not always designed to measure how well someone is actually functioning, identify what is driving their numbers, or stay engaged long enough to create meaningful change.
As both a physician and endurance athlete, Dr. Troha brings a uniquely practical perspective to performance and longevity medicine. He runs the same trails as many of his clients and applies the same level of scrutiny to his own training, recovery, and biomarker data that he brings to every patient he works with.
That standard shapes every service offered at TPM, including VO₂ max and threshold testing, comprehensive lab and biomarker evaluation, hormone management when clinically indicated, and GLP-1 therapy when metabolic dysfunction warrants it. Whether someone is training for a personal best, struggling with stalled energy or weight, returning to exercise after years away, or simply ready to take their health more seriously, the approach is the same: precise measurement, physician interpretation, and a plan that can be acted on.
TPM works with a wide range of patients, from competitive runners chasing new goals to active professionals who want to stay strong, capable, and metabolically healthy for the long term. Wherever a patient is starting, the goal is to define what they want to be able to do in the years ahead, measure what matters, and build a personalized plan to help them get there.
Every assessment at TPM is personally reviewed, interpreted, and delivered by Dr. Troha.
“Having a seasoned physician like Dr. Troha with a passion for running and a deep understanding of performance data has been an invaluable resource for our team.”
