Longevity · Advanced Screening
What's actually happening inside your body.
In-depth longevity testing and advanced screening that goes beyond a standard physical — interpreted by a physician, not an algorithm.
Home Visits
Care at home for older adults.
When getting to an appointment has become the hard part, the visit can happen at home instead — in Folsom, Granite Bay and El Dorado Hills.
One doctor holding the whole picture.
Older patients often have several conditions at once, a long medication list, and more than one specialist involved. An unhurried visit at home is where that gets untangled — what the medications are actually doing, what can safely be stopped, how steady things are on the stairs, what memory is really like at home rather than in a ten-minute office slot.
After a hospital stay.
The weeks after discharge are when things come apart — medications changed, instructions half-remembered, follow-up that never got booked. A visit at home after a hospital stay is included at Signature and Executive.
Family kept in the loop.
With your permission, adult children and caregivers get a clear picture of what was found and what happens next — including family who live out of state.
What this is, and what it isn’t.
This is physician care at home — not home nursing, not caregiving, not around-the-clock cover, and not a replacement for 911 or the emergency department. Covered care is billed to Medicare exactly as it would be at any other practice; the membership covers the access and the services Medicare does not pay for. Home visits are included with Executive membership, as clinically appropriate; Signature members can arrange them individually at a separate cost.
The Approach
Your Data. Your Biology. Real Expertise.
Physician-interpreted
Every result reviewed by a board-certified internist — not an algorithm, not a wellness coach.
Top-tier training
Mayo Clinic and University of Minnesota faculty. Two decades of clinical experience.
Evidence-based only
No supplements, no upsells, no “protocols.” Just diagnostic data and clinical interpretation.
Your results, portable
Written report you can share with any physician. Designed to complement your primary care.
What We Look At
Beyond a standard physical.
Cardiometabolic risk — the markers a basic lipid panel misses.
ApoB for atherogenic particle burden, Lp(a) for inherited cardiovascular risk, advanced lipid subfractions, fasting insulin and HOMA-IR for insulin resistance, HbA1c, hs-CRP for vascular inflammation. Optional 2-week continuous glucose monitor (CGM) for prediabetes and metabolic syndrome screening. Biomarkers that predict cardiovascular and metabolic disease years before standard screening flags them.
Hormone and endocrine workup — when symptoms point there.
Full testosterone, estradiol, thyroid, and adrenal panels for men and women. TRT and HRT prescribed and monitored when clinically indicated — as part of primary care, not as a separate program.
Longevity-grade screening — advanced imaging and emerging tests.
Coronary calcium scoring (CAC), coronary CTA with AI plaque quantification (Cleerly), multi-cancer early detection blood tests (Galleri MCED), whole-body MRI (Prenuvo, Ezra), DEXA for body composition, continuous glucose monitoring (CGM — Dexcom, Stelo, FreeStyle Libre, Lingo), pharmacogenomics, and wearable-data integration (Oura, Whoop, Apple Watch). We coordinate the testing and interpret the results. Several of these are emerging or investigational tools (multi-cancer detection, whole-body MRI, genomic risk) that supplement — not replace — guideline-recommended screening such as mammography and colonoscopy. We always tell you which is which, and why it fits your situation. Advanced Cardiac Prevention →
Discuss which testing fits your goals.
The practice is small by design. We begin with a private conversation about your goals and the testing that fits them.
Request an introduction