What concierge medicine with Dr. Mechanic actually means.
Most concierge practices offer access. Dr. Mechanic's practice offers access plus the scientific rigor, prevention expertise, and genuine intellectual curiosity that most primary care simply don’t have the time to implement.
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Advanced Preventive Care
Comprehensive labs — including Lp(a), ApoB, advanced lipid fractionation, inflammatory markers, and hormone assessment.
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Cardiometabolic Medicine
Specialty-level cardiovascular risk stratification and management, informed by training and partnership with Dr. Arthur Agatston, pioneer of the calcium score.
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Direct Access
Dr. Mechanic and his staff are available for same-day appointments and real-time guidance, 24/7.
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Longevity & Optimization
Evidence-based approaches to extending healthspan — not biohacking trends, but rigorous science applied to your specific physiology and risk profile.
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Care Coordination
When you need a specialist, Dr. Mechanic uses respected experts in their field.
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AI-Augmented Technology
Among the first concierge physicians to thoughtfully integrate AI diagnostic tools, bringing the analytical capabilities of academic medicine to every encounter.
In partnership with Dr. Arthur Agatston.
Dr. Mechanic practices alongside preventive cardiology's most recognized names — the physician who developed the calcium score (‘Agatston score’) and authored the South Beach Diet.
The Agatston Center represents a rare convergence: the scientific legacy of one of cardiology's most impactful careers, combined with the academic rigor of active research and investigation for a highly discerning clientele.
The Agatston Center · Miami Beach
Dr. Arthur Agatston
Cardiologist. Pioneer of the Agatston coronary calcium scoring system. Author of the South Beach Diet.
Clinical Philosophy
The Cardiometabolic
Prevention Model
Past annual physicals and cholesterol checks, Dr. Mechanic and his team's approach goes several layers deeper — identifying subclinical risk factors, using advanced AI-enabled imaging, some which is only accessible to The Agatston Center.
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ApoB & Advanced Lipid Assessment
Standard LDL cholesterol is important, but it can miss a significant portion of cardiovascular risk. ApoB directly measures the number of atherogenic particles in your blood — a far more precise predictor of future heart disease. Every patient receives a complete advanced lipid panel.
Why it matters: Two patients with identical LDL can have dramatically different ApoB levels — and dramatically different risk profiles.
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Coronary Calcium Scoring with layered AI
Developed by Dr. Mechanic's partner, Dr. Arthur Agatston, the coronary calcium score is one of the most powerful tools in preventive cardiology — identifying plaque buildup in coronary arteries before symptoms appear. Combined with AI-powered CT analysis (“Agatston 2.0”), this is cardiovascular risk assessment at its most sophisticated.
Why it matters: A calcium score of zero in a 55-year-old dramatically changes the risk/benefit calculation for statin therapy. Many patients never receive this test.
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Insulin Resistance & Metabolic Health
Insulin resistance precedes type 2 diabetes by a decade or more — and drives cardiovascular disease, cognitive decline, and accelerated aging. Fasting glucose alone is a crude and late measure. Dr. Mechanic assesses the full metabolic picture, often using advanced techniques when needed, such as a Kraft test.
Why it matters: Insulin resistance precedes abnormal HbA1c or fasting glucose levels.
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Early Atherosclerosis Detection
Atherosclerosis — the buildup of plaque in arterial walls — can begin in the 30s and 40s. By the time symptoms appear, the disease can be advanced. Techniques such as carotid ultrasound and advanced modalities can identify and addresses atherosclerosis at an earlier stage.
Why it matters: Lp(a) — a genetically determined cardiovascular risk factor — is present in 20% of the population.