Frequently Asked Questions

Joining Arivale

It costs $999 to join Arivale. This includes your genetic and blood data, three coaching calls with your Arivale Coach (a licensed healthcare provider), a personalized action plan, and text and email communication with your coach between calls.

You must be 18 or over, a US resident*, and not currently pregnant. *Arivale is available in all US states except New York.

Arivale is currently available in all US states except New York.

When you’re pregnant, it’s very common for many of your data points to shift from your baseline. For this reason, should you become pregnant, your membership will be put on hold. If you are currently pregnant and thinking of joining, we ask you wait until you are no longer pregnant.

We will expand to more locations soon. To be notified when Arivale launches in your area, fill out this form.

Unfortunately, no. Arivale does not provide medical care, treatment or diagnosis of disease, and is currently not covered by insurance. We are currently participating in a study that could help demonstrate the economic value of this kind of preventive care, which is necessary to pave the way for possible insurance coverage in the future.

After your three coaching calls, you will have a clear action plan for starting to tackle your goals. If you’d like to keep up the momentum and continue working with your Arivale Coach, you can join our membership program.

Yes. You will still have access to your dashboard (where all of your data is stored) and the Arivale app, but you will not be able to contact your Arivale Coach unless you join our membership program.

No. After you get your genetics, blood data, and have three coaching calls, you can join our membership program for $125 a month to continue your coach relationship, refresh your bloodwork consistently, and unlock gut microbiome and stress hormone insights.

Monthly Membership

Wellness is a lifetime journey and significant change takes time. By continuing your journey with our membership program, you’ll gain long-term tracking and support to build lasting habits. You’ll work with your coach as your goals evolve, and with continuous data refreshes, we’ll be able to flag issues that require medical follow up. You’ll also add gut microbiome and stress hormone data to your dashboard and integrate these results with your blood and genetic data. Your stress levels and gut diversity can impact many areas of your wellness, and these insights will help create a more nuanced view of your body. Learn more about our membership program.

After your three coaching calls, you can join our membership program for $125 a month. This monthly cost includes unlimited coaching, a stress hormone test (at month three), your gut microbiome test (at month seven), new insights from our research team, blood draws every six months, and a stress hormone or gut test data every twelve months.

After you’ve joined Arivale, you can log into your dashboard and navigate to your membership page. Simply click the Activate My Membership button. You will be asked to reconfirm your address and payment information.

No. It’s entirely up to you.

Yes. We understand that life happens, and we designed this to be as flexible as possible.

Contact Concierge at 206-981-5834 or concierge@arivale.com, and they’ll make it happen. You can choose to pause for a set amount of time (for example, if you’re traveling for a few months) or for an indefinite period of time.

You must hold for a month, at minimum. But, you can stay on hold for as long as you need. There is no fee to reactivate your membership.

Not necessarily. When you’re on hold, you will not be able to contact your coach. When you reactivate, you will be prompted to select a coach again. If your past coach still has availability, they will be an option. If they do not have availability, you will have to select a new coach.

As a member, you can get your blood drawn once for every six full months your program is active. So, if you have four full months left before your next blood draw and you pause for two months, when you reactivate, you’ll still have four months left until you can schedule your blood draw.

When you’re on hold, you will still have access to your dashboard and the Arivale app, but you will not be able to contact your Arivale Coach. Your dashboard will not update with any new insights until you reactivate your account.

We’re sorry to see you go. Contact Concierge at 206-981-5834 or concierge@arivale.com, and they’ll process your request. There is no fee to reactivate your membership, so you can easily rejoin at any time by visiting your dashboard.

No, if you joined when the program was billed annually, you are already a member and do not need to make this payment. You can continue at the monthly rate as soon as your year is up.

You’re already a member! At the end of your 12 months, you can opt to continue with monthly membership. You can set this up at any time on your Arivale Dashboard, though you won’t be charged until your 12-month program concludes.

Technology

Visit https://wellness.arivale.com, and log in with your email and password. Click “Forgot Password?” if you need to reset your password.

Once you have joined Arivale, download the Arivale app on the App Store on your iPhone. You can use your Arivale Dashboard username and password to login.

The app is a communication device and does not contain any personal health information. With the app, you can connect more easily with your coach, check off your action items while on the go, and track your progress towards your short and long term goals. The app also allows you to send pictures to your coach, which can be useful for meal tracking. Your dashboard hosts all of your data and resources from your coach. From your dashboard you can schedule your blood draws and check the dates for any scheduled appointments or calls. Like the app, you can also check off your action items from your dashboard.

Currently the Arivale app is only available for Apple iOS users. We are currently building a version of the app for Android phones. If you are an Arivale member and want to be notified when new versions come out, please send an email to concierge@arivale.com with your phone type.

Yes. While you’ll still be able to download the Arivale app without becoming a member, you cannot log in without an Arivale account.

If you have a Fitbit tracker or a Fitbit Aria scale, you can link it to your Arivale Dashboard to automatically sync your weight each time you use it. First, make sure your device is properly linked to your Fitbit account. View Fitbit setup instructions here and Aria scale setup instructions here. Now, if you haven't already, sync your Fitbit account to your Arivale Dashboard.

  1. Log into your dashboard and navigate to your profile settings.
  2. Scroll down until you see the section called “Devices.”
  3. Click on the button to connect a new device and follow the prompts to log into your Fitbit account. This will sync your Fitbit account to your Arivale Dashboard.
NOTE: If your computer web browser is already logged into someone else's Fitbit account, you will need to log out of their account first and then log in to your account. If you have any problems, please call Arivale Concierge at 206-981-5834 or send an email to concierge@arivale.com.

Currently, our dashboard is setup to sync only to Fitbit activity trackers; however, we are working on integrating with more devices.

Coaching

All of our coaches must be either Registered Dietitians, Certified Nutritionists, or Registered Nurses. Furthermore, each coach undergoes 200+ hours of in-house training with our genetic scientists and clinical experts.

One. You will have a dedicated coach who you will connect with over the phone, email, and text message. Your coach will work with you to set communication expectations that make sense for your lifestyle and your goals for the program.

As soon as you sign up, you’ll be presented with three coach options. You’ll be able to read more about their experience and watch a short video introduction. If you’d like to discuss coach options further, email concierge@arivale.com.

Yes, you can switch your coach if you are in monthly membership. Your relationship with your coach is a key to success. Our Arivale Coaches have different styles and can bring unique accountability and fresh perspective to your wellness journey. If you are interested in a new coach, call Arivale Concierge at 206-981-5834 anytime. We will work with you to find a coach that better meets your needs. While rare, coach switches do happen and your current coach won’t be offended if you decide you need to switch.

Yes. Arivale is about creating lasting behavior change, and your coach is a crucial tool for achieving your goals.

Your coach is your partner for wellness. He or she will be devoted to your success and willing to go the extra mile to build a plan that works for you. It’s important to note that this is a very tailored relationship. If you want someone to text you every day to check in on an action item, your coach will be there. If you want someone to email you once or twice a month, your coach will also be there. Most members have calls at least once a month to discuss new data and refresh their action plan. In addition to your calls, your coach can send you recipes, workout plans, meal plans, shopping lists, recommendations into the healthcare system, recommendations on quality supplements, strategies for habit formation, recommendations for useful programs or apps, and truly, anything that is going to make your goals that much more achievable.

On your first call, your coach will dive deep into your goals and motivations. It’s important to fill out the assessments on your dashboard before this call, as this information will help you and your coach hit the ground running. From this call, you can expect to walk away with clear action items to get started on as we wait for your blood and genetic data to come back. On your second call, you will discuss the lab results from your bloodwork (your results typically come back two weeks after your blood draw). We look at around 80 markers, and your coach will prioritize which ones you should focus on immediately. With this new information, your coach will update your action plan and lay the groundwork for optimization. On your third call, you’ll layer in your genetic data, which typically comes back four weeks after your blood draw. Your genetics can provide valuable context to out-of-range markers and your wellness challenges. With this data, your coach can give highly specific recommendations, making your action plan that much more personalized and tailored to your goals.

Testing

Your first blood draw will be used to create a true baseline. For that reason, it’s important to discontinue any nutritional supplements or vitamins four days before your scheduled draw. Do not discontinue prescription medications.

Four Days Before

Do not discontinue prescription medications.

  • For your first blood draw only, discontinue non-essential medications, including acetaminophen (Tylenol), ibuprofen (Advil) and over-the-counter cold remedies. Please continue taking low-dose aspirin if you do so for your heart health. If you have any concerns about discontinuing nonprescription medications, please consult with your physician prior to discontinuing.
  • For your first blood draw only, discontinue dietary supplements, including vitamins, minerals, amino acids, herbal supplements, fish oil, and vitamin waters.
  • If you are taking nutritional supplements prescribed by a doctor, please consult your doctor to see if it is safe to discontinue use for 4 days.

One Day (24 hours) Before

Avoid vigorous exercise and do not consume:
  • Alcohol
  • Products containing aspartame (e.g. Equal, Sweet n Low)
  • Monosodium glutamate "MSG" (a flavor enhancer found in many processed and restaurant foods)
12 hours Before
  • You must fast (no food or drink, except water) for 12 hours prior to your blood test.
  • This includes chewing gum, mints, cough drops, black coffee, and tea
  • For example, if you are having your blood drawn at 7am, please do not have food or drink (except water) after 7pm the night before

Your appointment shouldn’t take longer than 30 minutes (the draw itself might only take a few minutes). It’s always a good idea to plan on a little extra time though, as some labs are busier than others.

For your first draw, the phlebotomist will collect about 95mL (or one-third of a cup). With 15 collection tubes, it might seem like a lot, but it's actually only one-fifth of the amount of blood collected for donations. Subsequent blood draws will require less blood.

You must complete your blood draw at an approved external partner laboratory. You can look for your closest location and schedule an appointment on your Arivale Dashboard or by calling Concierge at 206-981-5834.

In general, the Arivale blood panel is more comprehensive than what you might get at your doctor’s office. While our panel does include some labs that your physician usually measures—such as cholesterol, blood glucose, blood counts, and clinical chemistry panels—it also includes a lot of independent labs that typically are not measured by physicians. For example, we measure several blood markers of nutritional status—such as minerals, vitamins and fatty acids in the blood—that aren’t generally measured unless someone has symptoms of a disease or overt nutritional deficiency. Even in areas that might be covered by a conventional physical such as diabetes risk, we look at a few rarely tested markers. The blood measurements become even more valuable as they are integrated with your genetic report.

If you join our monthly membership program, we’ll send you everything you need to collect and ship a saliva sample during your first month of membership.

To measure how your cortisol—an important stress hormone secreted by the adrenal gland—fluctuates throughout the day, you’ll collect saliva at four different points in one day. Right after waking, just before lunch, just before dinner, and just before bedtime. It is important not to eat or drink anything (besides water) for two hours before each collection. We’ll send you everything you need to collect and ship your samples back to an external, independent lab. Each tube will have a barcode associated with your Arivale account to ensure your sample is tracked correctly.

When you join our monthly membership program, you’ll submit your stool sample for your gut microbiome analysis during your fifth month of membership.

We’ll send you everything you need to collect a small stool sample and ship it back to an external, independent lab. Your sample tube will have a barcode associated with your Arivale account to ensure your sample is tracked correctly. Your stool sample is buffered with a solution to preserve the DNA molecules. Once your sample gets to the lab, the DNA is extracted from the cells in the solution, and the bacterial DNA is separated from the human DNA. The lab does not sequence the entire pool of DNA from the stool sample, but targets a specific gene (called the 16s ribosomal gene). Then, using a DNA sequencer, the lab sequences all 16s fragments in the sample and sends our research team the sequence files. Because each type of bacteria has a slightly different version of the 16s gene, the research team can use these differences to profile your individual gut microbiome composition. This composition data is then published to your Arivale dashboard, giving you an overview of what types of bacteria are most prevalent in your gut.

Blood You will not need to discontinue any prescription medications before your blood draws. For your first blood draw, we recommend you discontinue any vitamins or supplements four days before your draw. Gut Microbiome It’s best to wait three months after your last antibiotic dose before you collect your stool specimen, as antibiotics can greatly impact your gut composition. Waiting three months will help us to get the clearest picture of your baseline microbiome data. Saliva If you are taking any of the below medications, please do not undergo the saliva stress hormone test. These medications interfere with the test's ability to accurately assess your true hormonal production:

  • Prednisone, prednisolone or other oral "corticosteroid"
  • Oral hydrocortisone (i.e. Cartel)
  • Steroid inhalers (Albuterol is OK)
If you are taking any of the below medications, it may be possible for you to do the saliva test if your doctor approves of you stopping the medication for a "washout period" prior to the test. Do not stop taking any medication without talking to your doctor. If your doctor agrees to you stopping, avoid taking the medication for four weeks prior to collecting your saliva for the stress hormone measurement:
  • Steroid nasal sprays (i.e. Flonase)
  • Topical hydrocortisone
  • Steroid eye drops and ear drops

Results

From your blood sample, your genetics and health markers typically come back within two to four weeks after your draw. If you continue with membership, your stress hormones results should publish about two weeks after you submit your saliva samples. Your gut microbiome data should publish about four weeks after you submit your stool sample.

On your dashboard, click on your name in the top right corner. From the dropdown menu, click “Documents.” Then, find your most recent blood draw (or stress or gut labs). The links will open a digital PDF of your lab results you can send to your physician or print and bring a copy to your next appointment.

We look at actionable genetic variants related to wellness. That is, we examine behavioral and lifestyle-related genes—namely those that impact heart health, diabetes risk, inflammation, optimal nutrition, healthy aging, and stress. Your coaching calls will be tailored for you to highlight some key behavioral changes based on the genetic findings to optimize health and wellbeing. If you continue with membership, you’ll also consistently receive new genetic insights from our research team, based on the latest research and discoveries.

We do not currently report, interpret, or discuss genetic variants that are correlated with inherited genetic diseases or conditions beyond the scope of wellness. This includes variants that are associated with increased risk of disease, such as the BRCA gene mutation or other genetic variants associated with single-gene, highly heritable forms of cancer.

Privacy and Security

Your security is our top priority, and we have a team dedicated to maintaining the safety of your data. Your data is encrypted in transit and in storage, and we have security controls at multiple levels within our cloud-hosted infrastructure. Furthermore, we perform regular security testing with external partners. Read more about the security and privacy of your data here.

You and your coach. Your data is hosted on a secure dashboard for you and your coach to review. In addition, you can consent to share your de-identified data (meaning all personal identifying information is removed) with our internal research team. They look at your data in aggregate with all customer data, not in isolation. You can also consent to add your de-identified data to a database for external research.

We use your data to deliver personalized, tailored health and lifestyle recommendations to help you optimize your wellness and achieve your wellness goals. On a de-identified, aggregate basis, we may use your data with that of other participants for discovery and to improve the efficacy of our service. By law, we are required to maintain the privacy of your Protected Health Information (“PHI”). PHI is information that identifies you (e.g., your name, contact information) and may relate to your past, present, or future health and your participation in the Arivale program. We cannot disclose your PHI except (1) if we deem it necessary for your health, (2) to Arivale employees, vendors, contractors that we may use to provide you service (all of whom must abide by our privacy policy), (3) for payment processing, (4) if you expressly authorize us, and (5) to the extent we are required to by law (e.g., a court order).

We encourage participants to opt-in and agree to our Authorization for Research and share their data on a de-identified basis, meaning all personal identifying information is removed. We are assembling a unique data set that will help researchers (both commercial and non-commercial) develop a deeper understanding of what makes human beings thrive and ultimately deliver more effective solutions to advance human vitality and longevity. When you consent to share your information your name and contact information are NOT shared and your data is only used in aggregate with that of others who have chosen to do so. Your decision is voluntary.

No. At no time will your employer have the ability to see your personal data.

It’s illegal to use genetic data to determine eligibility for health insurance under a law called the Genetic Information Nondiscrimination Act (GINA). Life, long-term care, and disability insurance are not covered under this law and while we know of no cases where individuals have been denied this type of coverage based on their genetic data, it’s difficult to know how far GINA’s protections will extend.