Optimé
  • Home
  • Services
  • Pricing
  • About
  • Schedule Now

Performance for Life
Medicine 3.0

Goal Driven
Optimal Physical Strength
Optimal Cognitive Strength
Longevity
Leadership
Optimé
Latin (op-tuh-mae) adj.
Unsurpassed  ·  Ultimate  ·  Optimal
Accepting New Clients in SF
At 40, everything changes...
  • Energy that used to be abundant is gone
  • Recovery takes longer
  • Mental Sharpness has dulled
  • Body composition changing despite same routine
  • You know something is off but you can’t pinpoint why

These aren’t signs of aging. They’re signals — and we know how to read them.

What We Do

Precision Programming & Accountability

We measure everything that matters, build a protocol around your biomarkers, and coach you to execute it — so your performance matches your ambition.

01
Diagnostics
Understand your body at the cellular level: Full biomarkers, VO₂ Max and Body Composition.
275+
Biomarkers tracked
02
Athletic Performance
Optimization: Power to Weight, Aerobic Capacity, Mobility, Strength and Speed.
5
Program tiers
03
Integration Equates to Longevity
Diagnostics, Nutrition, Strength, Sleep and Mobility Optimization promotes health span and life span.
30
Years of expertise

Biological Age Calculator

What’s Your Biological Age?

To calculate, choose your health quality. If your biological age is greater than your chronological age, it’s time to take action.

Your Age
42yrs
Exercise Frequency
Sleep Quality
Daily Stress Level
Diet Quality
Alcohol Consumption
Grip Strength
Lean Muscle Mass

Your Estimated Result

42
Chronological
vs
45
Biological
⚠
Your body is aging slightly faster than your calendar.
Stress and recovery are the biggest drivers — and they respond quickly to the right intervention.

*Estimate only. Clinical assessment provides your true biological age.

From Our Clients

Results That Speak

“My HMO prescribed pills, injections, and a laminectomy. Joel did a functional assessment, assigned isometrics, light exercises, and programmed an anti-inflammation diet. Within two weeks the pain, sciatica, and numbness were gone. My doctors were stunned. Six months later I am pain free, stronger than I’ve ever been, and resuming an active lifestyle.”

Tom H.  ·  Age 47  ·  April 2023

“At 54, I needed hip replacement surgery. Joel’s holistic approach — strength, flexibility, nutrition, and endurance — took me from 80% fitness to 110%. I now beat my cycling friends up the mountain and play singles tennis twice a week.”

Scott R.  ·  Age 55  ·  September 2016

“I came in 50 pounds overweight, recovering from a broken spine, four herniated discs, and serious nerve compression. Joel worked with my doctors and PT to get me in shape. In six months I lost 50 pounds and I’m in the best shape of my life. Turned my life around.”

Jayson Y.  ·  Age 43  ·  December 2014

Investment

Choose Your Level of Commitment

All packages include the baseline assessment, biomarker coaching, and biological age analysis. Packages are discounted from individual session rates.

*Discounted off individual session rate(s). Packages and Subscription include use of our training center & unlimited VO₂ testing, sauna, and red light therapy.

Limited Availability

I Want to Optimize My Healthspan.

Book your 3–4 hour comprehensive assessment and let us design your longevity roadmap.

Accepting New Clients in SF
Optimé
ServicesPricingAboutScheduleadmin@optimesf.com
© 2026 Optimé SF · Performance for Life

What We Offer

Our Services

An integrated menu of diagnostics, coaching, and therapeutic modalities — consolidated into one performance ecosystem.

Step 1

Baseline Assessment

Included in all packages

3–4 hour comprehensive evaluation

Your foundation. Every Optimé journey begins with a rigorous baseline across 6 critical domains, giving our coaches the data to design a fully personalized plan.

  • Health history & lifestyle assessment
  • Cardiovascular capacity & VO₂ Max testing
  • Movement analysis & proprioception
  • Strength, flexibility & mobility benchmarks
  • Body composition & power-to-weight ratio
  • 275+ biomarker blood panel

Core Training

Strength & Performance

From $120/session

Included in all subscriptions

Periodized, data-driven strength programming that evolves with your biomarkers. Every session is calibrated to your recovery state, goals, and schedule.

  • 1-on-1 strength coaching
  • FTP & watt/kg tracking
  • VO₂ Max & aerobic threshold testing (unlimited)
  • Power-to-weight optimization
  • Circuit & mobility classes
  • Sauna & red light therapy access

Diagnostics

Longevity Checkup

From $849

5 tiers — 1 to 8 weeks

Medicine 3.0 in practice. Tiered Longevity Checkup packages combine diagnostics, nutrition, sleep optimization, and coaching into multi-week transformation programs.

  • DEXA body composition scan
  • Biological age calculation
  • Metabolic reset protocol
  • Nutrition programming
  • Sleep & stress hygiene coaching
  • Chiropractic & neurological therapies

Recovery

Rehab & Movement

Included in select tiers

Pre/post-surgical & ongoing

Injury prevention, recovery acceleration, and functional movement restoration through an integrated team of coaches and chiropractic specialists.

  • Pre/post-surgical rehabilitation
  • Movement pattern correction
  • Chiropractic & neurological therapy
  • Red light therapy (unlimited with subscription)
  • Sauna recovery sessions
Optimé
HomePricingAboutSchedule
© 2026 Optimé SF

Investment in Yourself

Pricing & Packages

Transparent, tiered pricing. Every package starts with the same rigorous baseline.

All packages include the baseline assessment, biomarker coaching, and biological age analysis. Discounted from individual session rates and include unlimited sauna, red light therapy, and VO₂ testing.

*Discounted off individual session rate(s).   *Packages and Subscription include use of our training center & unlimited VO₂ testing, sauna, red light therapy.

Optimé
HomeServicesAboutSchedule
© 2026 Optimé SF

Who We Are

Built for the Ambitious

Optimé was designed for the high-performer who has mastered their career but wants the same precision applied to their health.

Turbo “tur-bo-charg-er” noun:
Device to integrate engine parts to boost, power & efficiency

Welcome to Optimé Performance. From our HQ in San Francisco’s Financial District, we combine elite athletic conditioning, clinical diagnostics, and longevity medicine into a single integrated system. Combined with accountability, our model helps optimize our clients’ physical and cognitive strength to “boost” athletic and career performance, health span & life span.

Our clients are executives and high-performers in their 40s, 50s and 60s who have learned that it takes a strong body and strong mind to become a strong leader. We offer precision programs, built entirely around your biology, your goals, and your schedule.

We call this “Performance Coaching — Medicine 3.0” and it will change your life!

Our Specialists

JR
Joel Ramirez
Founder & Performance Coach
USAT Multisport Coach · NASM CPT · MAT / PDTR

With over 30 years as an entrepreneur, performance coach, and competitive athlete, Joel founded Breakaway Performance Centers in 2004 after training at the Olympic Training Center. Following a successful exit in 2013, he now leads Optimé — helping executives reset and optimize body, brain, and spirit to increase vitality, healthspan, and lifespan.

SZ
Dr. Sara Zaré
ND, PharmD
Doctorate of Pharmacy, University of Parma · Naturopathic Medicine

Dr. Zaré specializes in functional endocrinology and bioidentical hormone replacement therapies, tailoring natural and pharmaceutical remedies to each client’s individual needs. She believes balance between conventional and naturopathic medicine is the best path to a sustainable, healthy lifestyle.

JL
Jonah Larkin
Executive Coach · MS LAc CFMP
Stanford GSB Executive Coach · Licensed Acupuncturist · Certified Functional Medicine Practitioner

Trusted advisor, CEO group leader, and Interpersonal Dynamics facilitator at Stanford University Graduate School of Business. Also a licensed acupuncturist, certified functional medicine practitioner, and former startup founder. Specialties: male hormone balance, hormone optimization for men and women, and sports acupuncture for injuries and performance.

TS
Tommy Siu
DC, CMT
Doctor of Chiropractic · IASTM Certified · Certified Massage Therapist

Dr. Siu uses a variety of modalities including neurological reprogramming to help patients work past dysfunction for pain-free living. He treats the origin of pain, not just the symptom. His mantra: “Everyone should take full responsibility of their own health by being more proactive.”

LC
Laura Combs
Health & Wellness Coach
Yoga · Functional Nutrition · Fitness Coaching

A 7-time gold medal competitive figure skater turned health coach, Laura binds together yoga, fitness, and functional nutrition into a simple, effective approach to whole-body healing. Her mission: guiding others with empathy, knowledge, and respect toward fulfilling their individual health and lifestyle aspirations.

Optimé
HomeServicesPricingSchedule
© 2026 Optimé SF

Get Started

Schedule Your Assessment

Your 3–4 hour comprehensive baseline — the foundation of everything we build together.

Choose your service, pick a time, and we’ll confirm within 24 hours. All assessments take place at our San Francisco headquarters.

1
Service
2
Date & Time
3
Details & Pay

Select your service

Baseline Assessment
3–4 hours · $849 · Included in all packages
Strength Session
60 min · $120 · 1-on-1 coaching
VO₂ Max Test
90 min · $200 · Cardio diagnostics
Longevity Consultation
60 min · $150 · Protocol planning

Select date & time — June 2026

Available times

Confirm & pay

Service
Date & Time
Duration
Total

Payment method

💳 Credit / Debit
 Apple Pay
Affirm — Pay over time
✓

You’re booked!

Your appointment has been confirmed.



Questions? admin@optimesf.com

Optimé
HomeServicesPricingAbout
© 2026 Optimé SF
Optimè
  • Optime Performance for Life 2026

Optimè

  • Optime Performance for Life 2026/

Optimè

Optime Performance for Life 2026

Optimè

  • Optime Performance for Life 2026/

 

  • Optime Performance for Life 2026/

Optimè

Powered by Squarespace.