Longer visits. More substance. Real continuity.
A conventional annual physical is fifteen minutes. Ours is structured to take as long as it needs to, because the medicine of prevention is information-dense work. We review history, we review labs, we review lifestyle, we review what changed since last year, and we plan what should be different next year.
Primary care at the practice is also where the rest of the practice gets coordinated. Your primary-care provider knows what's on Dr. Sadeghi's GI calendar, what the cardiologist found at the most recent assessment, what the dietitian is working on. The annual physical is the operating-system upgrade for the rest of the year.
Included in the annual exam
- — Comprehensive history and review of systems
- — Full physical exam
- — Biometric assessment (BMI, body composition, blood pressure, resting HR)
- — Annual labs — a comprehensive baseline panel reviewed with you in the room
- — Cardiovascular and metabolic risk stratification
- — Mental health screening
- — Lifestyle medicine consultation — diet, sleep, stress, movement
- — Coordination plan with specialists for any flagged concerns
What primary care here addresses.
Cardiovascular risk
Lipids, blood pressure, and metabolic syndrome reviewed alongside dietary pattern and movement. Coordinated with cardiology when indicated.
Metabolic health
Pre-diabetes, type 2 diabetes, weight management. Plant-based dietary intervention as a first-line lever, GLP-1 medications when appropriate.
Hormonal health
Symptom screening at every annual. Referred to the HRT specialist within the practice when optimization is indicated.
Digestive health
Screening for GI red flags, age-appropriate colonoscopy timing, IBS triage. Direct referral to Dr. Sadeghi or Dr. Kalra when indicated.
Mental health
Screening as part of every annual. Coordinated with the practice's psychotherapy and psychiatric service when ongoing care is appropriate.
Prevention & longevity
The medicine that doesn't make the news because the patient never got sick. Cancer screening timing, vaccination updates, sleep, stress.
What "lifestyle medicine" means here.
Lifestyle medicine is not a wellness add-on. It is the recognition that diet, movement, sleep, and stress are clinical interventions with outcome data behind them. We treat them with the same seriousness as a medication.
For our primary care members, that means lifestyle counseling is part of the visit, not a separate appointment. It means dietitian referrals are seamless. It means when we talk about a patient's risk of cardiovascular disease, we talk about their actual diet, not a generic "eat healthy" line item.
Plant-based dietary patterns are the foundation we work from because the evidence is unambiguous on cardiovascular and metabolic outcomes. Patients are not required to adopt the diet to be members. They are simply offered a clinical orientation that takes nutrition seriously.
Primary care is the conductor.
Members can have eight specialists working on different parts of their care. The risk of that complexity is fragmentation — eight providers each doing their own thing without context. Primary care is what prevents that. The primary-care anchor owns the longitudinal picture, ensures specialists know what each other found, and makes sure the patient's overall trajectory is moving in a coordinated direction.
For members, the practical experience is: you don't have to be your own care coordinator. You don't have to hand-carry your records between specialists. You don't have to tell your story over and over. The practice does that. Membership is what makes that possible.
Related.
Schedule a primary care consultation.
Begin with a 15-minute orientation call.
or call our office line · (949) 404-4444