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What We Offer

Concierge Primary Care Services

Primary care for Louisville families from our Anchorage, KY office — including preventive care, medical weight management, hormone optimization, and integrative wellness tailored to your goals.

Comprehensive Primary Care

Prevention-First. Root-Cause Focused.

More than checkups — a long-term partnership built around keeping you healthy, not just treating illness when it happens.

Preventive Care

Annual physicals, screenings, immunizations, and lifestyle counseling to help you stay ahead of disease.

Chronic Disease Management

Ongoing, proactive management of hypertension, diabetes, high cholesterol, and other chronic conditions — focused on optimization, not just maintenance.

Executive Physicals

Comprehensive annual evaluations with advanced lab panels — cardiovascular, metabolic, and hormonal — plus thorough review of your health history and risk factors.

Advanced Lab Interpretation

In-depth review and explanation of your lab results — with actionable insights, not just a number on a page.

Our Approach

Reverse chronic disease. Take control of your health.

Instead of managing conditions reactively, we focus on identifying root causes — nutrition, lifestyle, metabolic health — and building a personalized plan to help you feel your best long-term.

Weight Management

Metabolic Optimization, Not Just Weight Loss.

Improve energy, reverse insulin resistance, and support lasting metabolic health — through a medically guided approach to body composition and overall wellness.

Our Approach

A long-term partnership focused on optimizing your health, energy, and longevity.

Every plan includes body composition tracking, nutrition and exercise strategy, behavioral coaching, and ongoing physician support — not a generic diet program.

Medical Weight Loss Plans

Individualized, physician-supervised programs tailored to your metabolism, health history, and goals.

Medical Weight-Loss Therapy

Evidence-based, physician-supervised therapy to support metabolic health, body composition, and energy — with careful, ongoing monitoring.

Body Composition Tracking

Ongoing monitoring to measure real progress — beyond the scale — with adjustments to your plan as you evolve.

Nutrition, Exercise & Behavioral Coaching

Practical strategies for sustainable lifestyle change — built around your life, not a rigid template.

Hormone Optimization

Energy. Mood. Body Composition. Restored.

Hormonal imbalances affect everything — how you feel, think, sleep, and perform. We use evidence-based therapies with careful monitoring to help you feel like yourself again.

Men's Hormone Optimization

Physician-supervised hormone optimization for men experiencing low energy, reduced libido, or declining performance — with safe, ongoing lab monitoring.

Perimenopause & Menopause Care

Personalized support for women navigating hormonal transitions — addressing symptoms like fatigue, brain fog, mood changes, and sleep disruption.

Thyroid Optimization

Comprehensive thyroid evaluation and management — going beyond standard ranges to optimize how you actually feel.

Our Commitment

Evidence-based therapy with safe, thorough monitoring.

Every hormone therapy is physician-supervised, tracked with regular labs, and adjusted based on how you respond. Your safety and results are always the priority.

Integrative & Wellness Medicine

Optimize Your Life, Not Just Your Labs.

Health is more than the absence of disease. We address sleep, stress, recovery, and longevity — the foundations that drive how you feel every day.

Our Approach

Whole-person care — mental and physical — built for the long game.

Integrative medicine bridges conventional care with lifestyle-based strategies. We look at the full picture — sleep, stress, nutrition, recovery — and help you build habits that compound over time.

Sleep & Stress Optimization

Personalized strategies to improve sleep quality and manage chronic stress — two of the most powerful levers in long-term health.

Cardiometabolic Prevention

Proactive assessment and reduction of cardiovascular and metabolic risk — including advanced lipid panels, inflammation markers, and lifestyle interventions.

Longevity & Lifestyle Medicine

Evidence-informed strategies for healthy aging — covering movement, nutrition, recovery, and supplementation tailored to your biology.

Ready to Experience a Different Kind of Care?

Discuss your health goals and find out if concierge care is the right fit for you and your family.

View Plans & Pricing

Pediatric & Family Care

Care for Every Member of Your Family, From Day One.

Dr. Neff and Dr. Karem provide primary care for children and adults at our Anchorage, KY office. Families throughout the Louisville area can receive care under one roof, from newborns to grandparents.

Home Visits

Care Delivered to Your Door.

When it matters most and you can’t make it in, we come to you. Home visits are available for patients who need evaluation, treatment, or follow-up care in the comfort and privacy of their own home — a level of access that’s virtually unheard of in modern medicine.

Home visits are available as clinically appropriate and are included as part of your concierge care. Hospital visits are available as needed (PRN).