The Hospital
Carlo is still actively practicing in a major NYC hospital. Not retired — active. He's still there, seeing patients, making clinical decisions in one of the most demanding hospital environments in the country. That's not a resume line. That's what keeps his clinical edge sharp while running this practice on the side.
A Primary Care Nurse Practitioner sees the whole picture — not a single symptom, not a single number. Carlo's training is built around understanding how everything connects: bloodwork, lifestyle, history, goals. It's a different lens than most practitioners in the optimization space bring, and it shows in how protocols here are built: methodically, with the data to support every decision.
"I work in a hospital because I want to stay sharp. The practice benefits from that every single day."
He also teaches. As a board-certified clinical instructor, he trains the next generation of practitioners. That means he has to know why things work, not just that they do. It's a different kind of accountability.
The Kitchen
Before medicine, Carlo spent time in professional culinary settings. That background doesn't have anything to do with giving you a meal plan. It has everything to do with how food is understood at a biological and practical level.
Most practitioners can tell you what to eat in broad strokes. Carlo can connect what your bloodwork says about your metabolism to how food actually works in your body — and then translate that into something you can realistically execute. That's not common.
When he builds a nutrition protocol, it isn't a generic macro split. It's built on your lab results, your lifestyle, and an understanding of food that goes deeper than most clinical training programs teach.
The Practice
Carlo started this practice because he kept seeing the same thing: people experimenting with peptides, testosterone, and optimization protocols with no medical supervision. Buying compounds online. Guessing at dosing. No bloodwork. No one to call when something didn't feel right.
He knew the outcomes people wanted were achievable — he'd seen what proper clinical protocols could do. But the lack of medical oversight was a real problem. So he built a practice that provides exactly that.
"The results are real. The protocols are real. The difference is having someone licensed actually doing them with you."
This isn't a side hustle. It's a deliberate extension of his clinical work, applied to a different kind of patient — people who are healthy and want to perform better, not people who are sick and need to get better.
Why This Matters
There's a growing gap between what's clinically possible and what most people can access through traditional healthcare. Your primary care doctor has 15 minutes with you. They're not going to order a comprehensive hormone panel, discuss peptide protocols, or build you a supplement stack based on your labs.
That doesn't mean those things aren't valid. It means the system wasn't built for them. This practice was.
If you're serious about your health — not managing a condition, but genuinely optimizing — this is where that work gets done with the clinical rigor it deserves.