What We Offer
From preventive primary care to metabolic health, hormone optimization, and integrative wellness — every service is designed around your goals, not a one-size-fits-all model.
Comprehensive Primary Care
More than checkups — a long-term partnership built around keeping you healthy, not just treating illness when it happens.
Annual physicals, screenings, immunizations, and lifestyle counseling to help you stay ahead of disease.
Ongoing, proactive management of hypertension, diabetes, high cholesterol, and other chronic conditions — focused on optimization, not just maintenance.
Comprehensive annual evaluations with advanced lab panels — cardiovascular, metabolic, and hormonal — plus thorough review of your health history and risk factors.
In-depth review and explanation of your lab results — with actionable insights, not just a number on a page.
Our Approach
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
Improve energy, reverse insulin resistance, and reduce medications — through a medically guided approach to body composition and metabolic health.
Our Approach
Every plan includes body composition tracking, nutrition and exercise strategy, behavioral coaching, and ongoing physician support — not a generic diet program.
Individualized, physician-supervised programs tailored to your metabolism, health history, and goals.
Evidence-based medical therapies to support metabolic health, body composition, and energy — prescribed and monitored by your physician.
Ongoing monitoring to measure real progress — beyond the scale — with adjustments to your plan as you evolve.
Practical strategies for sustainable lifestyle change — built around your life, not a rigid template.
Hormone Optimization
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.
Physician-managed testosterone optimization for men experiencing low energy, reduced libido, or declining performance — with safe, ongoing lab monitoring.
Personalized support for women navigating hormonal transitions — addressing symptoms like fatigue, brain fog, mood changes, and sleep disruption.
Comprehensive thyroid evaluation and management — going beyond standard ranges to optimize how you actually feel.
Our Commitment
Every hormonal therapy is prescribed carefully, tracked with regular labs, and adjusted based on how you respond. Your safety and results are always the priority.
Integrative & Wellness Medicine
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
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.
Personalized strategies to improve sleep quality and manage chronic stress — two of the most powerful levers in long-term health.
Proactive assessment and reduction of cardiovascular and metabolic risk — including advanced lipid panels, inflammation markers, and lifestyle interventions.
Evidence-informed strategies for healthy aging — covering movement, nutrition, recovery, and supplementation tailored to your biology.
Targeted IV therapy and nutritional supplementation to support hydration, recovery, immune function, and energy.
Discuss your health goals and find out if concierge care is the right fit for you and your family.
Pediatric & Family Care
Both Dr. Neff and Dr. Karem are board certified in Internal Medicine and Pediatrics, making Neff & Karem one of the only concierge practices in the Louisville area where your entire family — from newborns to grandparents — can receive care under one roof.
Home Visits
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).