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Document 02 · The HBOT Guide

Five depths. One ladder.

Hyperbaric oxygen therapy isn't one thing. It's a calibrated progression — from atmospheric to clinical depth. Begin where you are.

The descent · Step 1 of 5

Normobaric

sea level
1.0ATA
0 ft equivalent

Concentrated oxygen at normal atmospheric pressure. The doorway to the ladder — energy, clarity, the first step on the journey.

Keep scrolling to descend
Depth
Surface · 1.0Clinical · 2.0
Why Respiro matters

Pressure does work, even without supplemental oxygen

Henry's law

Gases in blood compress under pressure — dissolved O₂ rises.

Capillary perfusion

Plasma carries oxygen into tissues red cells can't reach.

HIF-1α signaling

Pressure modulates stem-cell and regenerative pathways.

Respiro runs at ~1.3 ATA on ambient air — no mask, no concentrator. At that depth, every gas in your blood is mildly compressed (Henry's law), dissolved oxygen rises modestly, and the body experiences a true hyperbaric environment without the chemistry of pure oxygen.

This matters because in the major US military and VA trials of HBOT for post-concussion syndrome and PTSD, 1.3 ATA ambient air was used as the placebo arm. The "sham" group improved nearly as much as the high-dose oxygen group. Two honest readings: either HBOT itself doesn't help these conditions, or pressure alone is doing therapeutic work independent of oxygen concentration. Researchers like Harch and Efrati argue the latter, and the basic science — capillary perfusion, HIF-1α modulation, stem-cell signaling — points the same direction.

We don't claim 1.3 ATA ambient air is "better than" normobaric oxygen — no clean head-to-head trial has tested that. We do think it's the gentlest, most honest way to feel what pressure actually does to your body before you decide whether to step up the ladder.

References (5 trials, 2012–2020)

Wolf et al., J Neurotrauma 2012 · Cifu et al., J Head Trauma Rehabil 2014 · Miller et al., JAMA Intern Med 2015 · Harch, Med Gas Res 2015 · Hadanny & Efrati, Aging 2020.

Fortius · 2.0 ATA hard-shell · this week
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Live utilization estimate, refreshed every minute. Hard-shell capacity is finite — protocols and federation blocks reserve first.

A note on dose

Every figure on this page is a target, not an absolute. Depth (ATA) is operated to a target with small natural variation around it — release-valve breathing, room temperature, body load, and operator pacing all move the needle a little, and that's normal for a pressurized environment. Oxygen is a spectrum: concentration (%) and flow (LPM) are titrated to the guest, the goal, and how the body is responding that day. Time-at-depth is a guide, not a stopwatch. This is an art that follows the science — built to make the journey easiest on the guest, never to claim a treatment outcome.

Step 1 · L1

Normobaric

norm-oh-BARE-ik · normal pressure
~1.0 ATA target · variably titrated O₂ (concentration % + LPM dialed in-room) · ~10–30 min

Zero pressure, real benefit. Concentrated oxygen at normal atmospheric pressure — percentage and liters-per-minute are titrated to the guest and the goal. We treat dose as a spectrum, not a fixed number. The foundation step before hyperbaric: energy, mental clarity, and the first step on your oxygen journey.

Best for: First-timers · daily energy · pre-meeting clarity · the way in
Member
Free · unlimited · all membership levels
Guest
$50
Step 2 · L2

Respiro

res-PEE-ro · Italian for 'breath'
~1.3 ATA target · ambient air (no concentrator) · 90 min

Pressurized ambient-air chamber. The body adapts to depth like descending roughly 10 feet underwater — pressure alone increases oxygen absorption and circulation. The gentle entry into hyperbaric.

Best for: General recovery · sleep quality · gentle hyperbaric entry
Member
$99 · L2 4×/mo · 30-day rollover
Guest
$150
Step 3 · L3

Vitaeris

vi-TAY-ris · Latin for 'vitality'
~1.3 ATA target · variably titrated O₂ via mask (% + LPM in-room) · 90 min

Same target depth as Respiro with concentrated oxygen delivered via mask — percentage and flow titrated to the session goal. More O₂ becomes available to plasma and peripheral tissue. Associated in the literature with circulation, recovery, and regenerative support — and the most-published mild HBOT dose in clinical research.

Best for: Serious recovery · circulation · regenerative support
Member
$149 · L3 4×/mo · 60-day rollover
Guest
$225
Step 4 · Add-on

Quamvis

KWAM-vis · Latin for 'as much as possible'
~1.5 ATA target · variably titrated O₂ via mask (% + LPM in-room) · 90 min

Therapeutic depth for recovery and inflammation. Deeper compression for advanced recovery and aesthetic-procedure support. Add-on at all membership levels — never bundled.

Best for: Aesthetic recovery · therapeutic depth · inflammation
Member
$219 · cash add-on
Guest
$300
Step 5 · Add-on

Fortius

FOR-tee-us · Latin for 'stronger'
~2.0 ATA target · variably titrated O₂ via mask (% + LPM in-room) · 90 min · Hard-Shell

Medical-grade monoplace hard-shell at clinical depth. Same protocol the published longevity and recovery research uses — ≈2.0 ATA, 100% O₂ via mask, repeated sessions. Individual response varies.

Best for: Serious longevity · complex post-surgical · age reversal
Member
$295 · cash add-on
Guest
$400 · see Fortius protocols
Safety first — disclose at intake

Contraindications — disclose at intake:

  • Untreated pneumothorax
  • Pregnancy
  • Recent ear or sinus surgery
  • Active upper respiratory infection
  • Certain chemo meds (bleomycin, doxorubicin, cisplatin)
  • Uncontrolled seizure disorders
  • Severe claustrophobia

No electronic devices permitted inside any HBOT chamber (phones, watches, tablets, e-readers). Books and chamber-piped audio welcome. IBUM-certified staff screens using the o2providers.com standard.

Before your first session

Every guest screens. Three paths from $99.

Risk Assessment, Fitness Assessment, or Physician Consultation. The first two are credited in full toward any protocol — IBUM-certified, o2providers.com screening standard.

See the three paths
Multi-session protocols

10, 20, 40, and 60-session packages with Affirm financing. Also accepts PayPal Pay Later, CareCredit, HSA/FSA.

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Membership pricing

HBOT alone covers the cost of The Surge and The Fully Charged at 2×/week.

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For practitioners

Referral protocols for surgeons, chiros, PTs, sports therapists & functional-med providers.

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HBOT FAQ

Common questions

Guest sessions range from $150 (Respiro 1.3 ATA) to $400 (Fortius 2.0 ATA). The Surge ($399/mo) and The Fully Charged ($599/mo) memberships include 4 chamber sessions per month, making the per-session cost dramatically lower. Apex chambers (Quamvis 1.5 ATA, Fortius 2.0 ATA) are always cash add-on at member rates.