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We Are Your Precision Medicine & Concierge Care Experts

Reset. Revitalize. Rejuvenate. #FeelBetterAboutYou

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IV Therapy Services

Revitalize from the inside out with our expertly curated IV Therapy menu—each drip is designed by physicians to target hydration, energy, immunity, recovery, and more. Featuring NAD+ for cellular health and peak performance.

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Gentera Orthopedics

minimally-invasive treatments for joint pain, injuries, and inflammation—delivering expert care that helps you recover faster and move better, without surgery.

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Prenuvo

Full-body MRI screening that’s fast, radiation-free, and designed to detect disease early—even before symptoms appear. Get a comprehensive view of your health in just under an hour.

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Functional Medicine

Functional Medicine at Gentera goes beyond symptoms to find and treat the root cause of what’s holding you back—from hormone imbalances to chronic fatigue.

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Weight Optimization

Discover our medically-led weight optimization program—featuring physician-guided peptide treatments tailored to your goals.

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Gentera Concierge Medicine

Say goodbye to long waits and impersonal care—welcome to a smarter, longevity-driven approach to living well.

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At Gentera, Your Health is Powered by Technology

At Gentera, we bring the latest innovations in precision diagnostics and preventive health to help you live longer—and better. From whole-body scans to metabolic testing, our advanced tools support early detection, optimization, and long-term wellness.

Prenuvo

Whole-body MRI that detects 500+ conditions—radiation-free & fast.

Cleerly

AI-powered heart scan that reveals plaque before symptoms show up.

VO₂ Max with PNOE

Advanced metabolic testing to personalize your performance & longevity.

EBOO

Ozone blood therapy for detox, immune support & cell renewal.

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We Are Proud Prenuvo Partners

See more. Know more. Do more—with radiation-free, full- body MRI.

At Gentera, we believe early detection is the foundation of better health. That's why we've partnered with Prenuvo to offer advanced, whole-body scans that screen for over 500 conditions—including aneurysms, tumors, disc issues, and organ abnormalities. In just under an hour, this non- invasive scan delivers detailed insights that help our physicians guide your care with precision and confidence. No contrast. No radiation. Just answers.

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Gentera Orthopedics: Precision Care for Pain, Injury & Recovery

Gentera Orthopedics offers expert, non-surgical and minimally invasive treatments for joint pain, sports injuries, and chronic musculoskeletal conditions. Led by board-certified orthopedic surgeon Dr. John Phillip Wilkerson Jr., we combine personalized diagnostics, precision therapies, and performance-focused recovery to help you move better—without unnecessary downtime.

Now accepting NEW patients at our Coral Gables location.

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Introducing Cleerly: AI Heart Imaging, Redefined

What you can’t feel can still put you at risk.What you can’t feel can still put you at risk.

At Gentera, we use Cleerly, an FDA-cleared, AI-powered diagnostic tool that provides a precise, non-invasive look at your heart health—before symptoms ever appear. Unlike traditional tests, Cleerly creates a 3D map of your coronary arteries, showing not just blockages but also the type and volume of plaque.

Up to 45% of heart attacks occur without prior symptoms—Cleerly helps us change that.

Why It Matters:

Detects early signs of heart disease before a heart attack occurs
Differentiates between dangerous and stable plaque
Personalized, physician-reviewed results
Supports proactive, not reactive, cardiovascular care

Available to Concierge members.

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Gentera Orthopedics: Precision Care for Pain, Injury & Recovery

Now accepting NEW patients at our Coral Gables location.

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Advanced Functional Medicine, Built Around You.

Your symptoms aren’t random. They’re signals. At Gentera, we look deeper to uncover the root causes behind fatigue, weight gain, digestive distress, hormone imbalance, and chronic inflammation—so you can take control of your health with clarity, not guesswork.Our Functional Medicine program combines advanced diagnostics, physician-led care, and lifestyle support to help you feel your best from the inside out.

Hormone optimization

We help men and women restore hormonal balance using advanced labs and custom treatment plans. Whether it’s perimenopause, PCOS, thyroid shifts, or low testosterone, we personalize care to support energy, metabolism, mood, and more.

Gut Health

Fix your gut, change your life.
Your gut affects far more than digestion. We help manage IBS, Crohn’s, Celiac, and leaky gut with targeted testing and care plans that also support immunity, focus, and long-term wellness.

Inflammatory & autoimmune Support

From lupus to gout, thyroid conditions, and autoimmune issues, our functional approach uses labs, nutrition, and evidence-based therapies to calm inflammation and restore function—without masking symptoms.

Brain and Metabolic Focus

We support early cognitive changes and metabolic imbalances linked to thyroid function, insulin resistance, or inflammatory triggers—helping you stay sharp and strong at every stage.

Let’s Go to the Root Cause

Award Winning Clinic

What Our Patients Are Saying

#FeelBetterAboutYou

“I just had to come on here and share my experience with Gentera Med! I started a weight loss treatment with them to get ready for my surgery and I gotta say it really exceeded my expectations!”

Andrea Gonzalez

“I feel like a BRAND NEW PERSON ever since I got the immunity IV and an NAD shot. I was treated with such wonderful hospitality and care. I’m very grateful for my experience here. Highly recommend.”

Angel Moret

“Say goodbye to knee pain. I tore my ACL in high school and have always battled with discomfort. Brian, the owner, put me in contact with his medical staff and my pain is 100% gone.”

Leo Gonzalez Rubio

“I just had to come on here and share my experience with Gentera Med! I started a weight loss treatment with them to get ready for my surgery and I gotta say it really exceeded my expectations!”

Andrea Gonzalez

Angel Moret

“Say goodbye to knee pain. I tore my ACL in high school and have always battled with discomfort. Brian, the owner, put me in contact with his medical staff and my pain is 100% gone.”

Leo Gonzalez Rubio

The Gentera Method

1. Listen

Our medical experts take the time to listen to your concerns and understand your unique health goals. We perform a thorough assessment to identify and address the root causes of your issues, not just the symptoms.

2. Identify

We pinpoint the underlying factors that are preventing you from feeling your best. By addressing these root causes, we aim to help you achieve a better sense of well-being and confidence.

3. Analyze

At Gentera, our medical staff utilizes the latest diagnostic technologies, including advanced DNA testing and PreNuvo scans, to provide the most accurate and comprehensive assessments of your health.

4. Customize

Precision medicine at Gentera is all about creating a unique journey tailored specifically to you. We use advanced diagnostics to craft health solutions that address your individual needs and goals, ensuring a personalized approach every step of the way.

From The Blog

Jun 23, 2025

Hormone Replacement Therapy in Miami: What You Need to Know About Your Options

Hormonal health is the silent architect behind how we feel, age, and function. For many women and men, imbalances can trigger everything from chronic fatigue and brain fog to weight gain, hot flashes, and low libido. That’s where hormone replacement therapy (HRT) comes in—a medically supervised solution that’s transforming lives across the country. If you're considering hormone replacement therapy in Miami, here’s what you need to know to make an informed decision—whether you're new to HRT or exploring bioidentical hormone replacement therapy in Miami for a more natural approach. What Is Hormone Replacement Therapy? Hormone Replacement Therapy (HRT) is a treatment used to balance hormone levels in individuals experiencing deficiencies or fluctuations—most commonly during perimenopause, menopause, and andropause (the male equivalent). HRT works by supplementing the body with estrogen, progesterone, testosterone, or a combination, depending on the patient’s needs. This helps relieve symptoms and restore hormonal equilibrium. Why More People Are Seeking Hormone Replacement Therapy in Miami Miami is fast becoming a hub for advanced wellness and precision medicine. With its booming health-conscious population and access to elite medical providers, the demand for hormone replacement therapy in Miami is on the rise. Here’s why: Active lifestyles demand balance. Miami residents are focused on energy, performance, and longevity. Cutting-edge clinics offer personalized protocols using the latest diagnostics and treatments. Access to bioidentical options allows for a more natural, body-matching hormone solution. Traditional vs. Bioidentical Hormone Replacement Therapy Traditional HRT Traditional hormone therapy often uses synthetic hormones derived from animal sources or chemically altered compounds. These have been used for decades and are still effective, but some patients report side effects or prefer a more natural alternative. Bioidentical Hormone Replacement Therapy (BHRT) Bioidentical hormone replacement therapy uses hormones that are chemically identical to those your body produces. They’re typically derived from plant sources and custom-compounded to your needs. For those seeking a gentler, more tailored approach, bioidentical hormone replacement therapy in Miami is gaining traction thanks to its: Better hormone matching Fewer reported side effects Personalized dosage and delivery methods Who Is a Candidate for Hormone Therapy? You may be a good candidate for hormone replacement therapy in Miami if you experience: Hot flashes and night sweats Unexplained fatigue or low energy Brain fog or memory issues Mood swings or irritability Sleep disturbances Low libido Muscle loss or weight gain Vaginal dryness (in women) Erectile dysfunction (in men) These symptoms can be signs of hormonal imbalance—not just aging. The right treatment can improve your quality of life, sleep, and even long-term health. Is Hormone Replacement Therapy Safe? When managed by an experienced physician using proper labs and follow-ups, HRT is considered safe for many patients. The key lies in personalization and ongoing monitoring. Your provider should order comprehensive lab panels before prescribing anything and continue to test your levels regularly. Clinics offering hormone replacement therapy often combine blood testing with lifestyle assessments and symptom tracking to ensure your therapy is working—and safe. What to Expect During Treatment Initial Consultation: You’ll discuss symptoms, medical history, and health goals. Diagnostic Testing: Blood panels or saliva testing will assess your hormone levels. Personalized Plan: Your provider will design a regimen with the right hormone type, dose, and delivery method (pellets, creams, injections, or capsules). Follow-Up: You’ll be monitored and adjusted as needed to optimize results. Where to Get Bioidentical Hormone Replacement Therapy in Miami Miami is home to top-tier wellness and precision medicine centers that specialize in bioidentical hormone replacement therapy. When choosing a provider, consider: Board-certified physicians with expertise in hormone therapy Access to comprehensive testing and diagnostics Track record of safety and results Ongoing support with concierge-style care Look for clinics that emphasize patient education, offer in-person and virtual visits, and understand how to tailor therapy by age, gender, and lifestyle. Benefits of Hormone Therapy When properly administered, the benefits of HRT can be life-changing: More energy and focus Improved mood and sleep quality Reduced hot flashes and night sweats Increased lean muscle and metabolism Enhanced libido and sexual performance Better skin and hair health Support for bone density and cardiovascular health Whether you're managing menopause or looking to boost longevity, hormone replacement therapy in Miami gives you access to some of the most advanced care in the country. Final Thoughts: Is It Time to Check Your Hormones? Don’t ignore the signs. Hormonal imbalances are more common than most people think, and they're treatable. With access to bioidentical hormone replacement therapy in Coral Gables, you no longer have to settle for feeling "off." Our well-designed hormone program can reset your body, sharpen your mind, and help you feel like yourself again—maybe even better.

Jun 13, 2025

Cleerly Heart Test: The Future of Cardiovascular Prevention

Cardiovascular disease remains the number one cause of death globally, with nearly 700,000 Americans dying from heart-related conditions each year, according to the CDC. Many of these events are sudden, occurring in individuals with no prior symptoms. Traditional diagnostic methods like EKGs, cholesterol panels, and the calcium scan have served us for decades, but they often miss critical, early indicators of risk. That’s where Cleerly—a groundbreaking, FDA-cleared technology—comes in. At Gentera Center for Precision Medicine in Coral Gables, we’re redefining heart health through the Cleerly heart scan, offering patients a precise, personalized, and preventative solution to cardiovascular risk. What Is the Cleerly Heart Test? The Cleerly heart test is a non-invasive coronary analysis that uses advanced AI to evaluate a coronary CT angiography (CCTA) scan. Unlike a standard calcium scan—which only shows calcified plaque—Cleerly offers a detailed 3D model of your heart’s arteries and identifies: Total plaque volume Types of plaque (fibrous, calcified, or lipid-rich) Degree of artery narrowing (stenosis) Areas of inflammation and ischemia Risk factors for plaque rupture This allows your physician to diagnose not just existing blockages, but also early soft plaque, which is the most likely to rupture and cause a heart attack. Calcium Scan vs. Cleerly: What’s the Difference? Many patients are familiar with the coronary artery calcium scan (CAC), often referred to simply as a calcium scan. It’s a useful screening tool that measures hardened plaque in the arteries. However, it misses soft plaque and does not evaluate the risk of future rupture, which is where the real danger lies. The Cleerly heart scan, in contrast: Detects both calcified and soft plaque Measures total plaque volume Visualizes artery narrowing (stenosis) Offers AI-powered precision analysis Predicts future cardiac events with higher accuracy Who Should Get a Cleerly Heart Scan? The Cleerly test is ideal for people who: Have a family history of heart disease Are over the age of 40 Have elevated cholesterol, high blood pressure, or diabetes Have experienced abnormal EKGs or borderline CAC scores Want more clarity than a calcium scan Coral Gables clinics typically offer Are enrolled in concierge or longevity-focused health programs Even people with normal cholesterol levels or no symptoms can have dangerous levels of soft plaque. The Cleerly heart scan helps uncover those hidden risks. Understanding Severe Coronary Artery Calcification Severe coronary artery calcification is a major red flag. Studies show that patients with high calcium scores have a significantly increased risk of cardiac events over 10 years. But even those with low calcium scores may carry dangerous soft plaque. Cleerly’s ability to detect both hard and soft plaque—and quantify the total burden—makes it a game changer in preventing sudden cardiac death. A 2022 JACC study found that Cleerly’s AI platform provided 98% sensitivity in detecting high-risk plaque compared to invasive angiography (Bittencourt et al., 2022). How Cleerly Works The Cleerly heart scan process at Gentera is simple, fast, and non-invasive: Coronary CT Angiography (CCTA) is performed using advanced imaging. The scan is uploaded to Cleerly’s cloud-based AI platform. Cleerly’s proprietary algorithms generate a detailed report and 3D artery model. Your physician at Gentera reviews your personalized heart report and creates a tailored action plan. The entire process takes under an hour, requires no sedation, and provides peace of mind backed by data. Why Gentera Uses Cleerly At Gentera Med, we believe in precision medicine with purpose. By detecting cardiovascular threats earlier, we can help you take action—whether that’s through lifestyle changes, peptide therapies, or medication protocols designed to stabilize plaque and reduce inflammation. Our integration of Cleerly into your care plan ensures: More accurate cardiovascular risk stratification Personalized prevention plans Monitoring of plaque regression or progression Support for proactive longevity-focused care Clinical Studies Supporting Cleerly Several studies validate the power of Cleerly: Bittencourt et al., 2022 (JACC): Demonstrated 98% sensitivity in plaque detection. ROMICAT-II Trial: Proved CCTA’s role in efficient ER triage. PRECISE Trial (2023): Showed Cleerly-guided care reduces unnecessary catheterizations. These findings confirm that AI-enhanced CCTA like Cleerly not only improves diagnosis but enhances patient outcomes. Cleerly and Concierge Medicine at Gentera If you’re part of Gentera’s Concierge Medicine program, your Cleerly scan is more than a one-time screening. It’s integrated into your annual health optimization strategy, allowing your physician to: Track changes in plaque volume over time Adjust therapies based on imaging results Optimize cardiovascular function year-round This is medicine made for people who want to live longer—and better. Schedule Your Cleerly Heart Scan in Coral Gables Your heart deserves clarity. Don’t rely solely on cholesterol numbers or outdated screening tools. If you’re looking for a smarter, more personalized way to assess your cardiovascular health, the Cleerly heart test is it. Now available at Gentera Center for Precision Medicine — Coral Gables. Book your Cleerly heart scan today. References Bittencourt, M. S., et al. (2022). “Artificial Intelligence Analysis of Coronary CTA for Plaque Quantification and Risk Prediction.” Journal of the American College of Cardiology (JACC). American Heart Association. (2023). Heart Disease and Stroke Statistics. https://www.heart.org Cleerly Inc. (2024). Product Overview and Clinical Trials. https://www.cleerlyhealth.com

Mar 18, 2025

Is Aging a Disease?

Aging is often seen as a natural part of life, but a growing number of scientists and medical professionals argue that it should be classified as a disease. By viewing aging as a pathological process, we can better understand and address the underlying mechanisms that contribute to age-related decline and chronic diseases. This perspective shifts the focus toward treating and potentially reversing the effects of aging, ultimately improving the quality of life for older individuals. Understanding Senescence and Cellular Aging At the heart of aging is a process called senescence. Cellular senescence refers to the state in which cells permanently stop dividing but do not die. This phenomenon can be triggered by various factors, including DNA damage, oxidative stress, and the shortening of telomeres—the protective caps at the ends of chromosomes that gradually erode with each cell division. As cells enter senescence, they undergo significant changes: Growth Arrest: Senescent cells cease to proliferate. Altered Function: They secrete inflammatory cytokines, growth factors, and proteases, collectively known as the senescence-associated secretory phenotype (SASP). Resistance to Apoptosis: These cells resist programmed cell death, allowing them to persist in the body. The Case for Redefining Aging as a Disease The idea of classifying aging as a disease has gained traction among experts in the fields of geroscience and biotechnology. The World Health Organization (WHO) already lists aging under the ICD-11 (International Classification of Diseases) as a contributing factor to diseases, though it is not yet recognized as a standalone disease. By acknowledging aging as a disease, we open the door to: Insurance and research funding for anti-aging interventions Accelerated development of pharmaceuticals targeting aging pathways Clinical trials focused on delaying or reversing biological aging In fact, organizations like the American Federation for Aging Research (AFAR) and The Buck Institute for Research on Aging are actively studying ways to intervene in the biological processes of aging using senolytics, mTOR inhibitors, NAD+ boosters, and more. How Gentera Center for Precision Medicine Approaches Aging At Gentera Center for Precision Medicine, we recognize that aging is not just a number—it's a biological process that can be measured, tracked, and addressed. Our comprehensive approach includes: Advanced Diagnostics: Using tools like Prenuvo full-body MRI, Cleerly heart scans, and PNOĒ VO₂ Max testing, we identify early markers of dysfunction before symptoms occur. Functional Medicine Protocols: Led by specialists like Dr. Adonis, our team provides hormone optimization, anti-inflammatory nutrition, and lifestyle interventions to reduce cellular aging. IV Therapy & Peptides: Custom IVs and therapeutic peptides such as BPC-157 and Thymosin Alpha-1 support mitochondrial function, immune health, and tissue repair. Gentera’s mission is to help patients not only live longer—but thrive longer—with a personalized, science-backed plan for aging well. The Future of Longevity Medicine As research progresses, the prospect of treating aging as a disease becomes more realistic. In 2023, the global anti-aging market was valued at over $68 billion, with continued growth projected as technology and public interest in longevity surge (Grand View Research, 2023). Senolytics, NAD+ boosters, and gene-editing techniques like CRISPR may soon become commonplace in clinical anti-aging protocols. Ultimately, rethinking aging as a treatable, measurable condition empowers individuals to take control of their healthspan—not just their lifespan. References: Baker, D. J., et al. (2016). Naturally occurring p16Ink4a-positive cells shorten healthy lifespan. Nature, 530(7589), 184–189. https://doi.org/10.1038/nature16932 Grand View Research. (2023). Anti-aging Market Size, Share & Trends Analysis Report. https://www.grandviewresearch.com/industry-analysis/anti-aging-market World Health Organization (WHO). ICD-11 for Mortality and Morbidity Statistics. https://icd.who.int/en Campisi, J. (2013). Aging, Cellular Senescence, and Cancer. Annual Review of Physiology, 75, 685–705.

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