Bio-identical Hormone & Peptide Specialists

Table of Contents
Cardio Res-Q Assessment from $775

Advanced labs, the Cleveland Heart panel and Dr. Varano’s evaluation:

Cardio Res-Q Membership and Ongoing Care: What Is Optional and What It Includes

Cardio Res-Q Membership and Ongoing Care: What Is Optional and What It Includes

Ongoing care after a Cardio Res-Q assessment is optional. If you want it, there are two monthly parts: the YoungerMeMD Membership at $279 per month and the Cardio Res-Q Specialty Treatment Plan at $125 per month. If you do not want it, you can stop after the assessment and take your results and plan to your own doctor.

The assessment itself is a one-time purchase: $775 for the Comprehensive Assessment or $999 for the Enhanced Assessment. It is complete and stands alone. This article sets out exactly what the two monthly options are listed as including, and what you should ask before enrolling.

Key takeaways

  • You are never required to enroll in monthly care after an assessment.
  • The membership covers general clinical access and metabolic follow-up, and the Specialty Treatment Plan covers heart-specific management.
  • Patients with active risk factors are typically advised to continue, while lower-risk patients may opt for periodic reassessment.
  • Contract length, cancellation terms and what the monthly fees leave out are not published, so ask first.

The three pieces and what each costs

PiecePriceWhat it is
Initial assessment$775 or $999, one timeYour baseline: evaluation, labs, plan, and imaging with the $999 option
YoungerMeMD Membership$279 per monthOngoing clinical access and metabolic optimization
Cardio Res-Q Specialty Treatment Plan$125 per monthOngoing cardiovascular management

The program page lists ongoing prevention as "$279/month + $125/month", which comes to $404 per month if you take both. It does not say whether the Specialty Treatment Plan can be taken without the membership. Ask our team.

What the membership is listed as including

  • Unlimited messaging with your medical team
  • 3 to 4 metabolic optimization visits per year
  • Ongoing evaluation of metabolic and hormonal markers
  • Virtual or in-person care
  • A 10% supplement discount
  • Specialty testing access
  • Coordinated referrals and administrative support

The membership is the clinic's general model of care, not a heart-only product. Its purpose, in the clinic's words, is that your prevention plan evolves as your numbers change. Telehealth follow-ups are available to patients in Pennsylvania only, when no CIMT or EndoPAT follow-up testing is recommended. You can read more on the membership page.

What the Specialty Treatment Plan is listed as including

  • Advanced imaging monitoring (CIMT or EndoPAT when indicated)
  • Vascular aging analysis
  • Lipid and ApoB optimization
  • Insulin resistance management
  • Inflammation protocols
  • Blood pressure management
  • Lifestyle and fitness optimization

This is the heart-specific layer. It is described as being for patients who want ongoing cardiovascular management.

What to know about the monitoring tests

Two of the tools named in the plan have limits you should understand before paying monthly for monitoring.

CIMT. We use repeat CIMT scans to compare against your baseline. Be aware that the 2013 ACC/AHA risk assessment guideline does not recommend routine CIMT measurement for predicting a first heart event.1

EndoPAT. This test measures how well the lining of your blood vessels works. It does not measure plaque. Its FDA clearance states that it is not intended as a screening test for the general population, and we use it selectively, when indicated. A pooled analysis of studies found that poorer results on this kind of test were associated with more cardiovascular events, but the authors noted it is not yet known whether guiding treatment by these results improves outcomes.2

Lp(a). If your assessment showed a high Lp(a), ongoing care does not lower that number. No specific Lp(a)-lowering therapy is available, and expert consensus recommends early, intensive management of other risk factors instead.3 Lp(a) is measured once as an inherited baseline.

The intervals for repeat testing are covered in how often to repeat heart tests.

Who is usually advised to continue, and your other options

After your results review, the general guidance is:

  • Patients with active risk factors are typically advised to enroll in the Specialty Treatment Plan for ongoing monitoring.
  • Lower-risk patients may choose periodic reassessment instead.

That is advice, not a condition of the assessment. You decide, and you have other routes:

  • Take the plan to your own doctor. Many patients continue with their cardiologist or primary care doctor, and we are happy to share results and work with them. See how results fit with your existing care.
  • Come back for periodic reassessment. Ask our team what interval they would suggest for you. No schedule or reassessment price is published.
  • Do nothing further. The assessment and the written plan are yours either way.

Questions to ask before you enroll

The program page gives prices and inclusions. It does not give contract terms. Get answers to these in writing:

  • Is there a minimum term? How do I cancel or pause?
  • Does the Specialty Treatment Plan require the membership?
  • Are repeat lab tests included in the monthly fees, or billed separately?
  • Is repeat imaging included? What about a repeat calcium scan at the outside imaging center?
  • Are medications, supplements or other therapies in my plan extra?
  • Can I try an HSA or FSA card for the monthly fees? The clinic cannot confirm these cards will be accepted for any fee.
  • How many heart-focused visits should I expect per year?

What ongoing care is not

Monitoring does not treat anything by being done. Its value depends on what changes as a result and on whether you follow the plan. We make no promise about outcomes.

Ongoing care with us is also not emergency care and not a replacement for a cardiologist. If you have chest pain, pressure, shortness of breath or fainting, call 911.

How to start

Ongoing care is arranged with your care team once your assessment results are in, so the first step is the assessment. Go to the Cardio Res-Q program page, select the Comprehensive ($775) or Enhanced ($999) assessment, and pay online. Both are direct-pay and are not billed to insurance. You are welcome to try an HSA or FSA card, but the clinic cannot confirm it will be accepted.

To ask about membership terms before you commit to anything, contact our team.

Cardiovascular Risk Screener

Are You a Candidate for Cardio Res-Q?

Three quick questions about the risk factors we screen for. Your answers stay between you and the clinic.

Frequently asked questions

Do I have to join the membership to get an assessment?

No. The assessment is complete and stands alone. Ongoing care is optional.

Is there a contract or minimum commitment?

The program page does not say. Ask our team for the term, cancellation and billing details before you enroll.

Do the monthly fees cover repeat labs and scans?

The Specialty Treatment Plan lists advanced imaging monitoring with CIMT or EndoPAT when indicated. Whether repeat blood work and outside calcium scans are included is not itemized, so ask.

Can I join the membership without doing an assessment first?

The program page describes ongoing care as arranged once your assessment results are in. If your situation is different, ask our team.

Can I keep my cardiologist while enrolled?

Yes. Many patients continue to see their cardiologist or primary care doctor, and we are happy to share results and collaborate with them.

Related reading

This article is for general education and is not medical advice. Decisions about testing and medication should be made with your clinician. If you have chest pain or other symptoms of a heart attack, call 911.

Optimize Your Health Today!

Cardio Res-Q starts with the $775 Comprehensive or $999 Enhanced Assessment, led by Dr. Varano.

age management doctor philadelphia
Send Us A Message
About Dr. Kenneth Varano, D.O.
age management doctor philadelphia

YoungerMeMD is a physician-led practice in Anti-Aging, Functional and Preventive Medicine, and your care is delivered by our whole clinical team. That team works under Medical Director Kenneth Varano, D.O., who brings over 30 years in clinical medicine and more than 20 years in age management and functional medicine — using science-backed, patient-focused strategies that restore balance, vitality, and health longevity.

About Barbara Dougherty
anti aging treatments

Barbara Dougherty, MSN, CRNP, is a Board-Certified Family Nurse Practitioner and Certified Menopause Practitioner (MSCP) specializing in optimizing hormones, and improving cardio-metabolic health. 

Read Our Reviews

“I’ve been seeing Dr. Varano for just over a year now, and I don’t think I’ve been this healthy and energetic since grade school.

Transform Your Health Today

Ready to take the first step toward renewed energy, balance, and longevity? New patients can register for an initial evaluation to begin their personalized anti-aging journey with YoungerMe MD. Live Younger. Better. Longer. — with YoungerMe MD.

References

  1. Goff DC Jr, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014. PMID 24239921 · doi:10.1016/j.jacc.2013.11.005↩
  2. Matsuzawa Y, et al. Prognostic Value of Flow-Mediated Vasodilation in Brachial Artery and Fingertip Artery for Cardiovascular Events: A Systematic Review and Meta-Analysis. J Am Heart Assoc 2015. PMID 26567372 · doi:10.1161/JAHA.115.002270↩
  3. Kronenberg F, et al. Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement. Eur Heart J 2022. PMID 36036785 · doi:10.1093/eurheartj/ehac361↩
Book a Discovery Call Peptide Consult
Close
Book a Discovery Call
Close
Peptide Consult







    Transform Your
    Health & Wellness

    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 – 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