Refine by Tulsi
Refine by Tulsi runs the Refine Longevity Club from two Chicago studios in Lincoln Park and Logan Square, led by Dr. Tulsi Kotecha, MD and Dr. Laura Ruof. The membership works from advanced biomarkers, hormones, metabolism and body composition, and Refine OS turns your bloodwork, InBody or DEXA, wearable data and symptoms into a Longevity Score and a biological age.
The care team
Every clinician the operator publishes by name, with their role exactly as the operator states it.

Dr. Tulsi Kotecha, BSc, MD
Her own page lists three certifications: American Academy of Procedural Medicine, Aesthetic Medicine; American Academy of Procedural Medicine, Anti Aging; and the American Board of Internal Medicine. Licensure listed as The Medical Board of Illinois and the General Medical Council, UK.
Published qualificationsStates a bachelor's degree in Medical Physics and Bioengineering from University College London in 2008 and a medical degree from the University of Bristol in 2011, then an internal medicine residency at Presence Saint Joseph Hospital in Chicago after relocating in 2012.

Dr. Laura Ruof
Published as leading the Refine longevity and hormone-optimization programs, specializing in menopause, metabolic health and whole-body vitality.
Everything Refine by Tulsi lists
14 tests and services across 9 kinds of care
Whole-body baseline, Metabolic health & blood sugar, Medical weight loss, Hormones & energy, Genetics & biological age, Strength, fitness & body composition, Skin, hair & aesthetics and Advanced diagnostics & emerging care.
Advanced laboratory testing & biomarkers
Labs & biomarkers- Comprehensive biomarker panel
- Blood testing far beyond an annual physical, 50–160+ markers.
- Hormone panel
- Measures sex hormones, thyroid and adrenals.
Genetics, inherited risk & biological age
Labs & biomarkers- Biological age testing
- Estimates aging pace from epigenetic markers.
Fitness, strength & body-composition assessment
Fitness & tracking- DEXA scan
- Measures bone density, lean mass and visceral fat precisely.
- Bioimpedance body composition
- Estimates body fat and muscle using electrical impedance.
Advanced & emerging care
Advanced therapiesHormone, sexual-health & prescription care
Medical treatmentNamed as a kind of care, without a specific test.
Medical weight programs
Medical treatmentNamed as a kind of care, without a specific test.
IV therapy & injections
Medical treatment- IV vitamin therapy
- Vitamin and fluid infusions marketed for energy and recovery.
- Vitamin & lipotropic injections
- Quick shots of B12, glutathione and fat-metabolism compounds.
Aesthetic & skin care
Recovery & aesthetics- Medical facials & skin treatments
- Clinical-grade facials, microneedling and peels.
- Hair loss treatment
- Prescription and procedural care for hair thinning.
Programs & care formats
Lifestyle & programs- Longevity membership
- Ongoing physician care with labs, reviews and a plan, billed annually/monthly.
In the clinic's own words, not yet matched to a category we can compare across clinics.
The testing panel
As the clinic describes it. Marker counts are not measured the same way from clinic to clinic, so they are not comparable between profiles.
What the clinic publishes
Prices may change. Confirm inclusions and current fees directly with the clinic.
Practical information
Confirm anything time-sensitive directly with the clinic before your visit.
Similar clinics nearby
Selected based on location and overlapping tests and services.
BluePath Longevity
Schaumburg
- BluePath Foundation
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Santé Integrated Health & Wellness
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Led by Dr. Faris Murad, Founder and physician
- Santé 360 Membership
- DEXA Scan (bone density and body composition)

Innovative Vitality
Lincoln Park, Chicago
Led by Rahul Khare, MD, Founder & CEO
- IV Nutrient Therapy
- Peptide Therapy