The Cardiometabolic Evaluation

Find what your annual physical misses.

A single comprehensive visit that detects the early drivers of heart disease, diabetes, and dementia — years before symptoms appear.

Included in your evaluation

6

advanced assessments combined in a single comprehensive visit

  1. Carotid ultrasound (CIMT)
  2. Advanced cardiometabolic labs
  3. InBody body composition
  4. Resting EKG
  5. Montreal Cognitive Assessment
  6. Sleep apnea screening
Bale Doneen Method Certified In-Office Carotid Ultrasound Advanced Lipid & Insulin Testing GLP-1 Prescribing Symptoms Treated, Not Just Numbers Bale Doneen Method Certified In-Office Carotid Ultrasound Advanced Lipid & Insulin Testing GLP-1 Prescribing Symptoms Treated, Not Just Numbers

Who this is for

This is not a standard hormone clinic.

We treat patients, not algorithms.

If you are looking only for a script for testosterone or a quick lab-and-prescribe telemedicine program, this is not the right practice. Retail hormone clinics use algorithms and lab cutoffs. We use clinical judgment, in-office measurement, and a focus on root causes

The Cardiometabolic Evaluation is built for patients who want a deeper, physician-directed look at the systems that drive heart attacks, strokes, type 2 diabetes, and cognitive decline. We treat symptoms alongside lab values — not the other way around — and we measure what most practices skip: vascular structure, body composition, cognitive baseline, and the metabolic patterns that precede disease by a decade or more

If that approach resonates, you are in the right place.

Dr. Fontaine

What's included

A single visit that looks deeper than your annual physical.

Carotid ultrasound (CIMT)

Direct imaging of arterial wall thickness to detect plaque before it becomes a problem.

Performed in-office

Advanced cardiometabolic labs

Detailed lipid, metabolic, hormone and inflammatory markers that a standard panel never orders.

InBody body composition

Precise measurement of muscle, fat, and visceral fat - the body composition signals that correlate with insulin resistance and metabolic disease.

Performed in-office

Resting EKG

A baseline reading of your heart's electrical rhythm to flag early irregularities.

Performed in-office

Montreal Cognitive Assessment

A validated screen for the earliest measurable shifts in cognition and memory.

Performed in-office

Sleep apnea screening

Identifies disrupted sleep — a hidden driver of cardiovascular and metabolic risk.

Judgment over algorithm — every result interpreted by a physician, not a reference range.

How it works

From first visit to clear next steps.

One integrated evaluation — not a stack of disconnected reports handed off between offices.

1

Schedule

Book your comprehensive evaluation directly with the practice.

2

Advanced labs

Detailed cardiometabolic panels are drawn and processed.

3

In-office visit

Complete your assessments and an extensive medical history in a single, unhurried appointment.

4

Findings review

Your physician walks you through what the results actually mean.

5

A real plan

You leave with a personalized  prevention strategy with specific interventions

Is this right for you?

Built for patients who want more than reassurance.

  • You carry a family history of heart disease, diabetes, or dementia.
  • Your labs read normal, but something still feels off.
  • You want real prevention, not a wait-and-see approach.
  • You want a physician's judgment, not a reference range.
  • You are ready to invest in your health while there is still time.

Schedule your evaluation

Most disease develops silently — for years.

The earlier it's measured, the more there is to do about it. Begin with a single comprehensive visit and we will
"measure then manage"

Schedule Your Evaluation