Pipeline Medical Prep | BE A PJ x GYM RX
BE A PJ x GYM RX

Your Body Is Either Ready for Selection or It Isn't

A standard military physical won't tell you which one. Pipeline-specific lab testing and preparation from a former PJ instructor and board-certified clinician.

WHAT YOUR RECRUITER WON'T TELL YOU
Training Hard Is Not Enough
Every year, strong candidates wash out of selection because of things that were fixable before they ever showed up. Not because they weren't tough enough. Because nobody checked.

Ferritin and Endurance

Your hemoglobin can look normal while your iron stores are bottomed out. Ferritin below 80 tanks endurance capacity under sustained aerobic load. You'll gas out in the pool and never know why.

Thyroid Conversion Under Stress

Heavy training volume can spike Reverse T3 as your body downregulates metabolism to conserve energy. A "normal" TSH on your military physical can mask a conversion problem that kills your output.

Adrenal Resilience

Your cortisol-to-DHEA ratio tells you whether your stress response is sustainable or already running on fumes. A candidate who shows up to selection in a catabolic state breaks down faster under sustained pressure.

Immune Resilience

Your CD4:CD8 ratio maps where you sit on the immune spectrum. Candidates with poor immune resilience get sick repeatedly during the highest-attrition phases. That's preventable if you know the number beforehand.

Nitric Oxide Pathway

ADMA/SDMA testing reveals whether your vascular system can efficiently deliver oxygen to working muscles. This directly affects breath-hold performance, cardiovascular output, and recovery between evolutions.

Nutrient and Mitochondrial Status

Amino acid balance, organic acids, fatty acid status, and oxidative stress markers show whether your cells can actually produce energy efficiently. Most guys eating a standard diet are running on empty without knowing it.

PIPELINE MEDICAL PREP
Built by a Former PJ Instructor
Brian Silva spent 17 years in USAF Special Operations, including service as Lead Instructor at the Pararescue Selection pipeline. He's now a board-certified PA running a concierge performance medicine practice. This is the medical side of pipeline preparation that doesn't exist anywhere else.
STEP 1 (IF NEEDED)

Pipeline Baseline Screen

The same labs your PCM would run. If you have insurance or a military doc, get them through them and skip this step.
$149
One-time. 7 markers.
THE DIAGNOSTIC

Pipeline Optimization Panel

13 pipeline-specific markers plus full metabolic profiling. Initial consult, results consult, and a pipeline coaching call with Brian included.
$1,299
One-time. All consultations included.
ONGOING

Pipeline Ready Program

Pipeline-specific programming plus custom supplements built from your lab results. Run it until you ship.
$247/mo
Month-to-month. Cancel anytime.
→ View full pricing breakdown and lab details

Don't Leave Your Shot at Selection Up to Chance

The guys who make it don't just train harder. They show up with their body already optimized for what it's about to endure. This is how you do that.

GET STARTED BOOK FREE CALL
Currently accepting patients in Florida and Utah only. Telehealth available for both states.
Medical services provided by GYM RX LLC. Brian Silva, PA-C, MPAS.
Medical services provided by GYM RX LLC. Brian Silva, PA-C, MPAS, licensed in Florida and Utah. Currently accepting patients in Florida and Utah only. Telehealth available for both states. This page is for informational purposes. It is not medical advice. Individual results vary based on clinical evaluation. All lab orders, prescriptions, and clinical decisions are made through GYM RX under the direction of a licensed provider.