Our Specialty
Protect Your Heart. Extend Your Life. Prevent What Others Miss.
Cardiovascular disease is still the #1 cause of death for both men and women — yet the majority of heart attacks and strokes are preventable with early detection and advanced testing.
Most heart attacks occur in people who felt completely fine just months before.
Cardiovascular disease remains the #1 cause of death for both men and women — yet the majority of events are preventable with earlier detection and more advanced evaluation than traditional screening provides.
Standard care relies on basic cholesterol panels and brief appointments.
Cardio Res-Q™ was designed to go further.
We identify silent arterial disease, inflammation, metabolic dysfunction, and vascular aging — years before symptoms appear.
This is precision cardiovascular prevention.
Identify the root cause of your symptoms, restore balance, and support you every step of the way.
Unlike traditional clinics that give you rushed appointments or inconsistent follow-up, our membership model ensures continuous support, seamless access, and long-term optimization — without surprise fees.
Most people who suffer a heart attack had “normal” labs beforehand.
Why?
Because conventional screening often misses:
Cardio Res-Q™ delivers deeper cardiovascular insight — and a personalized strategy to change your trajectory.
People with any of the following risks benefit from early cardiovascular evaluation:
If any of these apply, Cardio Res-Q provides the advanced prevention traditional care misses.
Choose your starting point.
Ongoing clinical access and metabolic optimization.
Long-term cardiovascular protection and active management.
Prevention is not episodic. It’s continuous.
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Both options include Dr. Varano’s full clinical evaluation, advanced laboratory testing, and a personalized heart protection plan.
The Enhanced Assessment adds arterial imaging — for those who want the most complete baseline possible from day one.
$599
A comprehensive biochemical and clinical evaluation that identifies the underlying drivers of cardiovascular risk.
We measure what traditional screening does not — then build your personalized cardiovascular protocol.
A personalized heart protection plan including:
This is your biochemical baseline.
$999
For patients who want to see what is physically happening inside their arteries — not just what their bloodwork suggests.
In addition to the full laboratory panel and personalized protocol, we add two advanced imaging studies that provide a direct look at arterial structure and plaque burden.
These studies create a powerful baseline for long-term monitoring.
Most patients over 40, or those with family history or metabolic risk factors, choose the Enhanced Assessment for the most complete cardiovascular picture.
$279/month
Membership ensures your prevention plan evolves as your numbers change.
$125/month
For patients who want ongoing cardiovascular management.
Includes:
This is long-term cardiovascular protection — actively managed.
You will receive:
Patients with active risk factors are typically advised to enroll in the Specialty Treatment Plan for ongoing monitoring and optimization.
Lower-risk patients may choose periodic reassessment.
The assessment is complete and standalone — ongoing care is optional but recommended for those who want preventative and active management.
Traditional cardiology focuses on diagnosing and treating established disease.
We identify and address the root causes that create it — years before symptoms appear.
Your results are translated into a precise, actionable protocol tailored to your biology.
For enrolled patients, we track progression, repeat imaging when appropriate, and evolve your protocol as your health improves.
Your metabolic assessment + membership gives you access to advanced medical therapies.
Focused on advanced testing and prevention:
We detect and track:
Predictive markers far more accurate than basic cholesterol:
Root-cause solutions targeting:
We optimize:
Insulin resistance is one of the strongest predictors of heart disease. We address metabolic dysfunction, inflammation, and weight.
We target:
Kidney dysfunction significantly raises cardiac risk.
We evaluate and treat both systems together.
ED is often the first sign of vascular decline.
We evaluate ED as part of your cardiovascular risk profile.
Both include the full advanced lab panel and personalized heart protection plan. The $999 Enhanced Assessment adds CIMT ultrasound and coronary calcium scoring — providing a direct look at arterial structure and plaque.
Standard lipid panels measure total cholesterol and LDL. We measure particle number (LDL-P), ApoB, Lp(a), inflammation markers, metabolic hormones, and vascular indicators — offering a far more predictive view of cardiovascular risk.
Yes. 10–12 hours prior to labs for optimal lipid and insulin accuracy.
Not at all. The CIMT is a simple ultrasound — the same technology used in prenatal imaging. The CAC score is a quick CT scan completed in under 15 minutes with no injections, no contrast dye, and no recovery time.
The assessment is direct-pay, allowing us to provide comprehensive, time-intensive care without insurance limitations. HSA/FSA funds are often accepted.
Absolutely. Many patients use this evaluation to determine whether their current regimen is adequately controlling their risk.
About the Imaging Studies (Enhanced Assessment)
CIMT stands for Carotid Intima-Media Thickness. It’s a non-invasive ultrasound that measures the thickness of the inner layers of your carotid arteries — the vessels that supply blood to your brain. Thickening of these walls is one of the earliest detectable signs of atherosclerosis, often appearing years before any symptoms or significant plaque buildup. It gives us a real-world look at how your arteries are actually aging, regardless of what your lab values say.
A CAC score is a low-dose CT scan that detects and measures calcified plaque in the arteries of the heart. It’s one of the most powerful predictors of future cardiac events available today. A score of zero is reassuring. A higher score tells us exactly how aggressively we need to intervene. Many patients with “normal” cholesterol are surprised to discover significant calcium buildup — and many high-risk-appearing patients are reassured by a zero score. The scan itself takes less than 15 minutes. It requires no injections or contrast dye.
The CAC score is typically a self-pay study ranging from $100 to $200, performed at an imaging facility outside our office. As part of your Enhanced Assessment, your Provider will order the study to ensure a seamless scheduling process on your end. You simply schedule at a participating imaging center at your convenience. Given the clinical value of the information it provides, most patients find it one of the most cost-effective tests they’ve ever had done.Yes. 10–12 hours prior to labs for optimal lipid and insulin accuracy.
The coronary calcium score is typically done once every five years, as calcium deposits change slowly over time. The CIMT ultrasound may be repeated annually or bi-annually depending on your initial results and risk profile, once rolled in as a Cardio Res-Q Member . The CIMT is a valuable monitoring tool to track whether your protocol is actually slowing arterial aging.
About YoungerMeMD Approach
A cardiologist is trained to diagnose and treat existing cardiovascular disease — managing heart attacks, placing stents, prescribing medications to manage risk factors. YoungerMeMD’s approach is fundamentally different: we work upstream, identifying and addressing the root causes of cardiovascular risk before disease develops. We look at the full picture — hormones, inflammation, metabolism, lifestyle, and genetics — and build a protocol designed to change your trajectory, not just manage your numbers.
Yes. Many of our patients continue to see their cardiologist or PCP and bring their assessment and protocol into that relationship. We’re happy to share results and collaborate with your existing providers.
In 1984, Dr. Kenneth Varano lost his father to a sudden heart attack at age 54. He appeared healthy and had no warning signs.
As Dr. Varano approached that same age, he revisited the state of cardiovascular prevention — and discovered how often silent disease goes undetected.
Cardio Res-Q was created to change that.
Advanced laboratory evaluation.
Laboratory + arterial imaging.
Managed cardiovascular optimization.
You’ve optimized your life. Now optimize your biology.
Fill up the form below to get started
Provocation agent administered prior to timed urine collection (<6hr). Reveals toxic metal burden that can block hormone and peptide response.
Identifies gluten sensitivity, intestinal permeability (leaky gut), and wheat-related immune reactivity – distinct from standard celiac testing.
DNA Based stool test detecting pathogens, bacterial imbalances, parasites, and digestive markers – a comprehensive gut microbiome assessment.
Non-invasive carotid artery ultrasound measuring arterial wall thickness – a direct look at your cardiovascular age.
Cardio Res-Q cardiac risk panel – lipid particle analysis, inflammation markers, and cardiovascular biomarkers beyond standard labs.
Evaluates intracellular vitamin, mineral, and antioxidant status – foundational to optimizing cellular health and peptide efficacy.
Full Sex hormone, thyroid and adrenal picture. Identifies imbalances that affect energy, recovery, cognition, and peptide response.
Advanced testing for immune reactions to wheat, gluten, and intestinal permeability.
What It Evaluates
Heavy metals like mercury, lead, cadmium, arsenic, and aluminum can cause:
Conditions We Identify
