Cut through the noise in modern healthcare.
A physician-guided approach to improving your health through thoughtful dialogue, personalized treatment, and measurable outcomes.
Limited patient panel. Coming soon. Based in Ojai, California
Philosophy
Modern healthcare is often fragmented—focused on isolated problems and brief visits.
This practice is built around a more deliberate approach—one that prioritizes time, thoughtful dialogue, and careful interpretation of each patient’s unique context.
The goal is not simply to address individual concerns, but to develop a clear, structured understanding of health over time, focused on meaningful, measurable progress.
In practice, this means longer, more focused visits, direct communication, and an ongoing, structured approach to care. Evaluation is comprehensive, but decisions are selective—prioritizing interventions that are most likely to meaningfully improve outcomes. Care is iterative, with regular reassessment and adjustment over time, rather than a series of isolated encounters.
Areas of Focus
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Management of cardiovascular risk through lipid optimization, metabolic health, and prevention-focused care. Assessment may include advanced lipid markers (such as ApoB and lipoprotein(a)), inflammatory markers, and glucose monitoring when appropriate. Imaging tools—including coronary artery calcium scoring and, in select cases, coronary CT angiography—are used selectively to refine risk. Treatment is individualized, including management of statin intolerance and the use of non-statin therapies when indicated.
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Evidence-based management of weight and body composition, including pharmacologic therapy, nutrition, and long-term strategy. The focus is on sustainable change—improving metabolic health, reducing risk, and supporting meaningful, lasting progress. Treatment may include the use of GLP-1–based therapies with careful initiation, titration, and long-term planning. Exercise and nutrition are structured deliberately, with emphasis on resistance training and adequate protein intake. Progress is monitored using tools such as DEXA body composition scanning to assess changes in visceral fat and lean mass over time.
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A structured approach to long-term health centered on preserving function, maintaining physical capacity, and reducing age-related decline. Care emphasizes strength, mobility, and prevention of sarcopenia and falls, with attention to factors that influence energy, cognition, and overall vitality. Interventions are selected deliberately, prioritizing those that meaningfully support long-term function and independence.
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Identification and management of sleep disorders and circadian factors that impact energy, metabolic health, and overall function. Care is integrated into broader health strategy and long-term outcomes.
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Management of sexual health concerns as an important component of overall wellbeing. Care is tailored, discreet, and integrated into broader health and relationship goals.
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Careful evaluation and management of hormonal health, including menopause and hypogonadism. Treatment is individualized, with attention to symptom relief, long-term safety, and overall health. Options may include hormone replacement using appropriate routes of administration, with consideration of fertility goals when relevant. Care is longitudinal, with ongoing reassessment, dose adjustment, and, when appropriate, tapering over time.
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Support through physiologic transitions with attention to symptom management, long-term health, and quality of life. Care includes evaluation and treatment of vasomotor symptoms and related concerns, with an individualized, evidence-based approach. Consideration is also given to cardiovascular, metabolic, and bone health over time.
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Evaluation and management of behaviors that impact health, including alcohol use and other compulsive patterns. Care is focused on outpatient, non-withdrawal management and may include targeted pharmacologic support alongside a structured, longitudinal approach to behavior change.
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Detailed review and interpretation of laboratory data to clarify health status, guide decision-making, and reduce unnecessary complexity. Testing is used selectively, with emphasis on results that meaningfully inform care.
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Targeted use of advanced diagnostics to provide objective assessment of health and risk. This may include DEXA scanning for body composition and bone density, as well as coronary artery calcium scoring and, when appropriate, coronary CT angiography, used selectively to guide clinical decision-making.
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Evaluation and treatment of hair loss. Care is individualized, with attention to underlying causes and realistic expectations for improvement.
Care Model
This practice operates outside the traditional insurance model, allowing for longer visits, direct communication, and a more thoughtful, continuous approach. Visits are conducted quarterly via secure video, with communication between visits available by email, text or phone. Ongoing care may include scheduled check-ins and periodic in-depth assessments.
Care is delivered through a limited membership model designed to support continuity, access, and meaningful progress over time. Due to federal regulations, Medicare beneficiaries are not eligible for enrollment at this time.