1.0Conquering infection.Penicillin and vaccines ended the era when a scratch could end a life at thirty-five. For the first time, most of us lived long enough to grow old.
2.0Reacting to disease.Living longer surfaced a new kind of enemy: slow diseases that build for decades. The system we have now waits for them to arrive, then reacts — twelve-minute visits, prescriptions after the fact.
3.0Getting ahead.The next evolution: medicine that moves first. Proactive. Precise. Personal. This is where KINESIS practices.
02
What we're up against
Four forces decide the length of a life.
IAtherosclerosisHeart attack and stroke — a narrowing that begins silently, decades early.
IIMetabolic diseaseInsulin resistance and visceral fat, quietly driving the other three.
IIICancerThe wild card — a risk that compounds quietly with age, inflammation, and time left unexamined.
IVCognitive declineThe slowest thief — changes that begin decades before the first symptom.
Every one of them starts long before it speaks. That is the opportunity.
03
The Answer
There is a way to get ahead of all four.
It starts with movement.
The body repairs itself in motion. Strength, capacity, recovery — how well you move is the strongest single predictor of how long you live. So before anything else, one job comes first: keep you moving.
KINESIS— Greek for movement.
Movement is the medicine. Everything we do is built on it.
04
Three disciplines · one timeline: yours
Each stage has its own medicine.
The PastRegenerative Sports MedicineInjuries addressed quickly — your doctor comes to you. Rehabilitation that sticks, and regenerative options when they're truly warranted.
The PresentFunctional MedicineRoot-cause diagnostics. Continuous evaluation of every system. Multi-disciplinary intervention.
The FutureLongevity MedicineDeep measurement — VO₂ max, body composition, genetics & epigenetics — all leading to advanced therapies chosen to bend the curve of aging.
One practice carries all three.
05
How it works
Before we move, we measure.
You can't treat what you haven't seen. Care begins with the full picture — advanced biometrics, imaging, and historic analysis — assembled before a single decision is made. From it, one plan: continuous, integrated, entirely yours.
06
Membership
A limited practice. By design.
You manage everything at the highest level; your healthcare shouldn't be the exception. KINESIS accepts a limited number of members each year, and every membership begins with a conversation.
Direct access to your doctor.
Not a portal. Not a call center. A physician who knows your whole story — and answers, especially when you need them.
Dr. Ajami received his medical degree from SUNY Upstate Medical University, earned a Master of Public Health from the University of Miami, and holds a Bachelor of Science in applied physiology and kinesiology from the University of Florida. He trained for three years in both internal medicine and physical medicine and rehabilitation at the University of Miami and Emory University School of Medicine.
He reframes musculoskeletal health and human performance as the foundation of how we age, move, and feel. With a rare background spanning internal medicine, physical medicine and rehabilitation, and over a decade of licensed myofascial practice, Dr. Ajami has worked with professional athletes across the NBA, NFL, and PGA — and brings that same standard of performance medicine to every KINESIS member.
He founded KINESIS on a straightforward premise: most people with musculoskeletal pain never find the source. They are managed, not understood — referred from specialist to specialist without anyone holding the full picture. KINESIS is the answer to that gap.
"Good health isn't the goal. It's what makes the goals possible. Not just longevity. Resilience. Medicine for the Art of Living."
Published work & podium presentations span interventional pain management, sports medicine, and rehabilitation research — AMSSM, Emory Sports Medicine Symposium, and peer-reviewed journals.
Dr. Sam Zand, MD, DABOM
Physician · Longevity Medicine
Dr. Zand is a double board-certified physician specializing in anti-aging, regenerative, and longevity medicine. A former semi-professional soccer player, his work is grounded in a simple principle: decline is not inevitable — it's a variable to be optimized.
With a foundation in biochemistry and cell biology, his clinical background spans family medicine and obesity medicine, and he takes a performance-driven, data-first approach to metabolic health — building precise, individualized protocols that complement every dimension of your KINESIS care plan.
Dr. Amanda Sheaffer, DCN, MS, RDN
Dietitian
Dr. Sheaffer is one of the few Registered Dietitian Nutritionists in the country to hold a Doctorate in Clinical Nutrition. She brings 15+ years of clinical practice and advanced training in performance nutrition, including work with military special forces.
Her protocols are precise, integrative, and built to complement every dimension of your KINESIS care plan — delivering measurable outcomes for members.
Dr. Evan Motlong, DPT
Physical Therapy · Performance
Dr. Evan Motlong is a Doctor of Physical Therapy and founder of The Premier Athlete, specializing in sports rehabilitation, return-to-sport testing, speed development, and athletic performance. Inspired by his own recovery from two knee surgeries during his basketball career, he believes rehabilitation should go beyond eliminating pain to help athletes return stronger, more confident, and ready to perform.
A graduate of the Medical University of South Carolina and recipient of the South Carolina Physical Therapy Student of the Year Award, Dr. Motlong later trained at EXOS with more than 30 NFL Combine athletes. He has worked with professional, collegiate, and youth athletes and most recently served as the personal physical therapist for international recording artist Shakira during her world tour. At The Premier Athlete, he combines sports physical therapy with strength, speed, plyometrics, and objective performance testing to optimize recovery and long-term performance.
Dr. Melissa Betance, ND, LDN, CNS
Naturopathic Medicine
Dr. Betance is a naturopathic doctor, licensed dietitian nutritionist, and certified nutrition specialist with a Doctorate in Naturopathic Medicine from the National University of Health Sciences. A former competitive athlete, her work is grounded in a simple principle: the body isn't broken — it's responding.
Her clinical background spans naturopathic oncology, metabolic dysfunction, and hormonal balance, and she takes a muscle-centric, root-cause approach to metabolic health — developing precise, individualized protocols that complement every dimension of your KINESIS care plan.
Lizette Castillo, FNP-C, MSN
Director of Clinical Operations
Lizette is a board-certified Family Nurse Practitioner with a decade of experience in emergency and high-acuity medicine, now specializing in longevity, regenerative, and wellness optimization. Her interests include peptide therapy, IV nutrient therapy, and evidence-based strategies for metabolic health and healthy aging.
Fluent in English and Spanish, she brings a warm, individualized approach to every KINESIS care plan — helping members move beyond treating illness to optimize how they feel, function, and age.
Dr. Sarah Nickle, MD
Integrative Women's Health
Dr. Sarah Nickle is an Internal Medicine physician specializing in women's health and integrative medicine, with a focus on hormonal and metabolic optimization, nutrition, aesthetics, and healthy aging. Trained in Internal Medicine–Primary Care at Florida International University, she combines a strong foundation in evidence-based medicine with an integrative approach centered on prevention, longevity, and whole-person health.
A former collegiate soccer player and lifelong athlete, Dr. Nickle brings a personal understanding of the importance of preserving strength, vitality, and performance throughout every stage of life. Her approach places particular emphasis on hormonal health and its role in energy, body composition, resilience, and overall well-being, helping patients not only address disease but optimize how they feel, function, and age.
Paola Merino
Practice Administrator
Behind every seamless member experience is someone who knows how the practice runs from the inside out. Paola manages the operational side of KINESIS — coordinating care, supporting the KINESIS team, and holding every interaction to the standard the practice demands.
Private Consultation · 01
Let's start with your name.
Private Consultation · 02
Where can we reach you?
Private Consultation · 03
What brings you to KINESIS?
Private Consultation · 04
Anything Dr. Ajami should know?
Private Consultation
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Membership
Everything included.
Physician Services
24/7 direct access to your concierge physician
Unlimited consultations/house calls
Structural integration "Tune-Ups"
Peptide therapy
Diagnostic imaging with 1:1 interpretation
Executive physicals
Interprofessional coordination of care
Personalized longevity plans
Quarterly nutrition + sleep evaluations
Hair loss + neurotrophic support
Botox treatments
Deep diagnostics: functional biomarkers, DNA, epigenome, gut microbiome, cancer markers, Prenuvo scans
Advanced regenerative therapies: including stem cell, exosome, and PRP under ultrasound guidance
