What is included in the Advanced Cardiac Prevention Program?

The program combines advanced lipid testing (ApoB, Lp(a), particle size), AI-quantified coronary plaque imaging via Cleerly, lifestyle medicine (nutrition, exercise, sleep, stress), evidence-based statin and PCSK9 decision-making when indicated, and ongoing monitoring with a former Mayo Clinic faculty internist.

How is this different from a standard physical?

A standard physical typically includes a basic cholesterol panel and a risk calculator based on age and traditional risk factors. Our program adds advanced lipid markers (ApoB and Lp(a), the most predictive of actual cardiovascular risk), and AI-quantified plaque imaging that visualizes whether disease is already present in the coronary arteries — before symptoms.

Who should consider this program?

Adults age 40+ with any of: family history of early cardiovascular disease, elevated LDL or ApoB, abnormal calcium score, metabolic syndrome, prior cardiac event, or simply wanting to know their actual risk before symptoms develop.

What does the Cleerly scan cost?

The Cleerly CT scan with AI plaque analysis is $1,600 at Valley MRI in Lodi and $2,200 at RadNet Sacramento (Scripps Drive location). The Cleerly AI analysis is bundled into the imaging center fee. Physician interpretation and integration into your prevention plan is included with Concierge tier membership.

How does this integrate with my regular doctor?

Private MD serves as your primary care and prevention partner. We coordinate with your cardiologist if you have one, and we are happy to share findings and recommendations with any other physician on your care team. If you don't have a cardiologist and one becomes appropriate, we facilitate the referral.

Board-Certified Internist Former Mayo Clinic Faculty 20+ Years Faculty Experience

Advanced Cardiac Prevention — see your risk before symptoms.

A physician-led prevention program combining AI-quantified coronary plaque imaging, advanced lipid testing (ApoB, Lp(a)), and lifestyle medicine. Serving Folsom, El Dorado Hills, Granite Bay, Roseville, and the greater Sacramento area.

Cleerly AI cross-sectional analysis of a coronary artery showing non-calcified (soft) plaque highlighted in yellow around the patent lumen — the type of plaque that causes most heart attacks but is invisible to a standard calcium score — Non-calcified (soft) plaque, highlighted in yellow, surrounding the artery lumen. This is the type of plaque most likely to rupture and cause a heart attack — and the type a standard coronary calcium score cannot detect. Learn more about Cleerly imaging →

From Dr. Sahni

Heart disease is still the number one killer in the United States — and the standard primary care approach is mostly reactive. We measure your LDL, run a 10-year risk calculator, and either prescribe a statin or watch and wait. That works for some people. For many others, by the time symptoms appear, the disease is already advanced.

I built this program because I wanted patients to have something better. Advanced lipid testing tells us what your LDL number alone can't. AI-quantified plaque imaging shows us whether disease is already there. And a physician who actually reads the imaging in the context of your whole risk profile, not one who just orders the scan and moves on.

What's in the program

Advanced lipid panel — ApoB, Lp(a), particle size and number. The single best predictors of actual cardiovascular risk; rarely covered by routine physicals.
Cleerly AI coronary plaque imaging — a CT scan analyzed by AI to visualize plaque burden, composition (soft vs. calcified), and distribution. See the dedicated Cleerly page for detail.
Lifestyle medicine — practical, evidence-based optimization of diet, exercise, sleep, and stress, anchored to your specific risk profile.
Statin and PCSK9 decision-making — when medication is appropriate, we discuss it openly. When it's not, we say that too.
Ongoing monitoring — repeat advanced lipids, response tracking, recalibration as your numbers (and your life) change.
Coordination with cardiology — if you have a cardiologist, we work with them. If a referral becomes appropriate, we facilitate it.

Who this is for

Adults age 40+ wanting to know their actual cardiovascular risk before symptoms develop
Family history of early heart disease (parent or sibling with MI or stroke before age 60)
Elevated LDL, ApoB, or Lp(a)
Borderline or elevated coronary calcium score
Metabolic syndrome, prediabetes, or type 2 diabetes
Prior cardiac event seeking ongoing prevention partner
Anyone whose primary care has been a 15-minute physical and a basic cholesterol panel

How it works

Enroll at Signature or Executive — the Advanced Cardiac Prevention Program is included. See pricing.
Initial assessment — full history, advanced lipid panel ordered, baseline risk modeling, family history detail.
Imaging if indicated — Cleerly CT scan scheduled at Valley MRI Lodi ($1,600) or RadNet Sacramento ($2,200), both Cleerly-integrated.
Interpretation session — we sit down together (in person or virtually), walk through your imaging and labs, and build your individualized prevention plan.
Ongoing care — repeat labs at intervals appropriate to your risk, medication management if applicable, lifestyle support, recalibration as your data evolves.

Why this is different from your annual physical

A standard physical is built around what insurance pays for: basic cholesterol, blood pressure, glucose, a 10-year risk calculator. It's necessary but rarely sufficient — especially for people whose actual cardiovascular risk is hiding behind a "normal" LDL number.

What we measure instead: ApoB (better than LDL at identifying the particles that cause disease), Lp(a) (genetically determined, missed by every standard physical, identifies the 1-in-5 adults with elevated genetic risk), and when it’s worth doing, a look at the arteries themselves.

The standard physical tells you what your numbers are today. This program tells you what's actually happening in your arteries — and what to do about it.

Pricing

Advanced Cardiac Prevention Program — included with Signature and Executive. See our programs.
Advanced lipid panel — included; wholesale pricing.
Cleerly CT imaging — $1,600 (Valley MRI Lodi) or $2,200 (RadNet Sacramento). Billed by the imaging center; AI analysis is bundled in.
Statin / PCSK9 medications (if prescribed) — typical retail or wholesale pharmacy pricing; we discuss cost openly when selecting.

Additional discounts available for healthcare workers, families, and community partners — ask us.

Want a real answer about your heart?

We’d be glad to talk privately about whether the Advanced Cardiac Prevention Program is right for you.

Request an introduction Call (916) 512-1912

Curious specifically about Cleerly imaging? See the dedicated Cleerly page →