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A Strategic Approach to Medicine
Whether you’re healthy and proactive or managing chronic conditions, care is guided by the same clinical principles.
1
Longitudinal Analysis
Understanding risk trajectories—not just today’s numbers
For some patients, this means identifying early cardiometabolic or functional risk before disease develops.
For others, it means monitoring progression and response to treatment over time.
In both cases, decisions are based on trends, not isolated snapshots.
2
Medication Stewardship
Thoughtful use of therapy—when it meaningfully improves outcomes
Medications are used intentionally.
For some patients, this means avoiding unnecessary treatment.
For others, it means careful optimization, simplification, or adjustment as physiology and risk change.
3
Functional Longevity
Clinical decisions made for how you live—not just how labs look
Whether optimizing risk factors or managing established disease, care is focused on preserving strength, cognition, mobility, and independence across decades.
Who This Is For
This practice is a good fit if you:
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Want a one-time or periodic in-depth evaluation to understand and optimize your health risks
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Are managing chronic or complex conditions and value continuity and strategic oversight
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Prefer physician-led, evidence-based care over rushed visits or fragmented opinions
Meet Dr. Shiari
Dr. Safa Shiari is a board-certified Internal Medicine and Obesity Medicine physician with public health training in epidemiology and biostatistics. Her approach emphasizes prevention, cardiometabolic risk reduction, and preserving long-term strength and independence through thoughtful, evidence-based care.
Services
Internal Medicine & Chronic Disease Care
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Management of hypertension, type 2 diabetes, high cholesterol, thyroid disease, heart failure, coronary heart disease, osteopenia/osteoporosis, stroke, atrial fibrillation , kidney disease, liver disease, menopause etc.
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Pre-operative evaluations and clearance when appropriate
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Medication management & refills when appropriate
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Personalized, evidence-based appointments focused on risk reduction, complication prevention, and preserving strength and independence.
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Clinical obesity management integrated with chronic disease care, prioritizing sustainable metabolic improvement and strength preservation.
Acute Care
(Established Patients)
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Available to established patients only to ensure safe, accurate, efficient care
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Focused visits for single, non-complex concerns
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Examples: coughs, colds, rash, bladder infections, medication questions, new minor symptoms
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Practical, direct guidance that resolves symptoms while keeping long-term health in view
Preventive Physicals & Lifelong Strength
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Annual prevention-focused physical exams
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Age-appropriate cancer screening & vaccinations
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Personalized plans that preserve long-term strength, mobility, and independence
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Cardiovascular, metabolic and hormonal risk prevention strategies
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Practical, sustainable diet and activity guidance tailored to real life
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Intentional recommendations of medications or diagnostics when they support prevention or improve daily function
Comprehensive Care Membership
Designed for patients who benefit from:
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Frequent clinical follow-up or medication titration
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Multimorbidity or high-risk chronic conditions (e.g., heart failure, uncontrolled hypertension or diabetes, polypharmacy, POTS, recurrent GI flares, or active metabolic change)
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Personalized oversight that prioritizes sustainable outcomes and functional independence
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Priority scheduling and consistent physician oversight
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High risk for recurrent hospitalization, where preventing avoidable admissions is a core value of the care plan
How It Works
Direct-pay, physician-led appointments tailored to your health needs and goals
Initial Visit
A 60–90 minute evaluation including medical history, focused symptom review, physical exam when appropriate, and individualized risk assessment.
Follow Up
Frequency is decided together based on condition stability and treatment needs—typically quarterly, biannual, or annual, and adjusted as clinically appropriate.
Acute Care
Short, focused appointments for new, single, non-complex concerns such as infections, symptom flares, or medication questions, once care is established.
Comprehensive Care Membership
Reserved for patients who benefit from frequent clinical follow-ups, medication titration, and priority scheduling, ensuring time for depth, continuity, and intentional plan refinement.
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