Straight answers, before you come in.

Delos Longevity is a physician-led medical practice in Sterling, Virginia. Dr. Joseph Gurrala treats weight, hormone, gut and brain health problems, using testing to guide care and to track whether it is working. The aim is to improve how well you live as well as how long.

You meet with Dr. Gurrala in person at the clinic in Sterling, talk through your health and your goals, and hear what he would recommend looking at first. There is no charge for this visit and no obligation to continue.

If you decide to go ahead, the next step is usually baseline testing, such as a blood draw, an InBody scan and a VO2 max test. Dr. Gurrala then goes through your results with you and writes a personal plan.

The first consultation is free. After that, Dr. Gurrala builds a program around what you need, so the cost differs from person to person. You will know the price of your testing and your program before anything begins.

No. Care at Delos starts with an in-person visit at our clinic in Sterling, with a physician you will see again. Testing and training happen here too.

Delos Longevity is at 21290 Windmill Parc Dr, Ste 402, Sterling, VA 20166, in Loudoun County. Contact and directions.

Some of the weight lost on a GLP-1 can be muscle. At Delos, Dr. Gurrala measures it with an InBody scan at every check, and Delos Fit strength training and protein-first nutrition protect it. This is medical weight loss at Delos Longevity in Sterling, Virginia. Start with a free consultation.

Your consultation is free. After that, Dr. Gurrala prices each program individually, because the cost depends on your medication, your dose, your testing and how much training you want. You will have the full price before you start.

Brand-name medications such as Wegovy and Zepbound are approved by the FDA, which means the finished product has been reviewed for safety, effectiveness and quality. Compounded versions are prepared by pharmacies and do not go through that review. Dr. Gurrala prescribes brand-name medication only.

Appetite usually returns, and many people regain weight after stopping. That does not mean you can never stop. At Delos, Dr. Gurrala plans the transition with you, while strength training, nutrition and follow-up scans help you hold on to your progress.

Neither is right for everyone. Tirzepatide acts on two hormone pathways and, in a head-to-head trial, produced greater average weight loss than semaglutide. Semaglutide has the longer track record. Dr. Gurrala chooses based on your history, your goals and how you respond.

Both contain semaglutide. Ozempic is approved for type 2 diabetes, and Wegovy is approved for weight management. Similarly, Mounjaro and Zepbound both contain tirzepatide. At Delos in Sterling, Dr. Gurrala prescribes the version that fits your diagnosis.

Perimenopause most often starts in the mid-40s, though it can begin earlier or later, and it commonly lasts several years. Menopause itself arrives at about 51 on average in the US. At Delos Longevity in Sterling, Dr. Gurrala can review your symptoms and tell you whether this is what you are experiencing.

Hot flashes, night sweats, poor sleep, mood changes or vaginal dryness that affect your daily life are the usual reasons to consider it. HRT is a medical decision that depends on your history as well as your symptoms. Dr. Gurrala goes through this with you in person.

HRT is not a weight-loss treatment, and it does not cause weight loss on its own. It may help indirectly by improving sleep and energy, and it may influence where your body stores fat. At Delos, weight is addressed directly through nutrition, strength training and, when appropriate, medical weight loss.

Hot flashes, night sweats, sleep problems or vaginal dryness that interfere with your life are the most common reasons. The decision also depends on your age and your medical history. At Delos Longevity in Sterling, Virginia, Dr. Gurrala reviews both with you and will tell you if he thinks it is not a good idea.

There isn’t one that is best for everyone. The right choice depends on whether you still have a uterus, your symptoms, your health history and your preferences. Patches, creams, pills, injections and pellets all deliver hormones differently, and Dr. Gurrala will explain how they compare for you.

Not automatically. Bioidentical hormones match the structure of hormones your body makes, and some are FDA-approved. Custom-compounded versions are not FDA-approved, and there is no good evidence that they are safer. Dr. Gurrala will walk you through what is known. More about bioidentical hormones.

Only symptoms plus lab tests can tell you. Blood is usually drawn in the morning, and low results are generally confirmed with a repeat test. Dr. Gurrala does this evaluation at Delos Longevity in Sterling, Virginia. Start with a free consultation.

Some men notice changes in energy, mood or libido within several weeks. Changes in muscle and body composition usually take months, and they depend on training and nutrition as well.

The gut and brain communicate constantly through nerves, hormones and immune signals, and gut bacteria play a part too. That is one reason digestive problems often come with changes in mood, stress and sleep. Dr. Gurrala considers both at Delos Longevity in Sterling, Virginia.

Yes. ADHD begins in childhood, but many people aren’t diagnosed until adulthood, often when demands outgrow their coping strategies. Dr. Gurrala evaluates adults in person at Delos Longevity in Sterling, Virginia.

Not necessarily. A prescription depends on your evaluation, your health history and what is safest for you. Some ADHD medications are controlled substances and need careful follow-up.

Common causes include stress, alcohol, sleep apnea, and hormonal changes in perimenopause and menopause. The pattern alone can’t tell you which it is. Dr. Gurrala can help work it out at Delos Longevity in Sterling, Virginia.

No. Dr. Gurrala recommends the tests that fit your concerns. Most patients begin with a blood draw, an InBody scan and a VO2 max test at Delos Longevity in Sterling, Virginia.

InBody and VO2 max results are available right after the test. Lab results are usually back in three to five days. Dr. Gurrala then goes through them with you in person.

An InBody scan is a quick, non-invasive body composition test that uses a small electrical current to estimate fat, muscle and body water. Delos Longevity offers it in Sterling, Virginia, and tracks your results over time. Start with a free consultation.

No. A DEXA scan uses low-dose X-rays and also measures bone density. InBody uses a small electrical current and involves no radiation. It suits frequent, repeat tracking, and readings can shift with hydration, which is why consistent conditions matter.

It is a test of how your body uses oxygen and burns fuel. At Delos Longevity in Sterling, Virginia, we do it with PNOĒ breath analysis, which shows your VO2 max, how many calories you burn at rest, and when your body favors fat or carbohydrate. It can be combined with an InBody scan into one printout.

It estimates how your body is aging, using biological markers rather than your date of birth. Delos Longevity in Sterling, Virginia uses TruDiagnostic’s TruAge test, which measures DNA methylation.