Four structured programs. One integrated institute.

Who it serves

Members with measurable cardiovascular or metabolic risk who want to address the upstream drivers before — or alongside — pharmacological management. Typical entry profile is an LDL above 130, an A1c in the 5.7 to 6.4 prediabetic range, central adiposity, or a documented family history of premature cardiovascular disease.

What is included

• Initial 60-minute consultation with Dr. Sadeghi covering full history, dietary pattern, and goals
• Advanced lipid panel including ApoB and Lp(a), inflammatory markers, comprehensive metabolic panel
• Registered-dietitian counseling — session count determined per case based on clinical need
• Plant-forward menu protocol with weekly check-ins via secure messaging
• Repeat labs at 90 days and at 180 days with comparison reporting
• Optional pharmacology coordination (statin, GLP-1, or other agents) where indicated

What members can expect

Most members on protocol see measurable lipid improvement at the 90-day repeat and continued improvement at 180 days. The program is not a diet plan; it is a clinical intervention with documented endpoints. Members who prefer dietary change as an adjunct to medication are accommodated; members who want to substitute lifestyle for indicated medication go through informed consent with Dr. Sadeghi about what the evidence does and does not support.

Who it serves

Members in the perimenopausal, menopausal, or andropausal transition seeking structured evaluation and, where appropriate, hormone optimization. The program is built around current evidence on the risks, benefits, and individualization of HRT — not around bioidentical pellet marketing or population-level scare narratives.

What is included

• 60-minute intake with Dr. Sadeghi covering symptom history, prior treatment, and risk factors
• Comprehensive baseline labs — sex hormones, thyroid, fasting metabolic panel, lipids, inflammatory markers
• Cardiovascular risk evaluation as a precondition for estrogen-based protocols
• Individualized HRT protocol — oral, transdermal, or where indicated, injection — with documented rationale
• Follow-up labs at 3 months and 6 months, with protocol adjustment
• Annual re-evaluation as long as the member remains on protocol

What members can expect

The conversation begins with symptoms members actually have — sleep disturbance, cognitive fog, libido change, mood, vasomotor symptoms, body composition shifts — and ends with a protocol Dr. Sadeghi is willing to sign her name to. Members for whom HRT is not the right answer are told that, and offered the alternative interventions the practice supports.

Who it serves

Senior executives, founders, and members with elevated familial cardiovascular risk who want specialist attention on their cardiovascular health. The program is delivered as virtual cardiology care, coordinated with the primary care the practice provides.

What is included

• Virtual cardiology consultations
• Specialist review of cardiovascular history, risk factors, and current labs
• Recommendations for further testing where clinically indicated
• A documented risk-reduction plan, coordinated with your primary care

What members can expect

A clear specialist read on cardiovascular risk, the specific contributors to that risk, and a documented plan, delivered virtually and coordinated with the rest of your care.

Who it serves

Members experiencing the sleep, mood, attention, or cognitive changes that often accompany midlife and which traditional primary care frequently under-addresses. The program also serves members with no acute presentation who want to monitor cognitive health proactively, particularly those with family history of dementia or with vascular risk factors that compound cognitive risk.

What is included

• Initial 60-minute intake with Dr. Sadeghi covering history, sleep, substances, prior treatment
• Validated screening instruments — PHQ-9, GAD-7, AUDIT, sleep questionnaires — at intake and quarterly
• Brief cognitive baseline (MoCA or equivalent) for members 50 and above, repeated annually
• Sleep evaluation and home sleep study where indicated
• Psychological care with an independent licensed psychologist, arranged on a cash pay basis
• Lifestyle interventions — exercise, nutrition, alcohol — integrated with the rest of the program

What members can expect

Mental health work is slower than the metabolic programs. The deliverable is not a number on a chart but a member who is sleeping better, thinking more clearly, and noticing the difference. The program is structured to make that progress visible and to catch the smaller signals that, left alone, become the larger ones.

Payment

Psychological services are provided by an independent licensed psychologist on a cash pay basis. The medical components of this program are provided under Dr. Sadeghi.