The Hidden Cost of Phase-Shifted Sleep
How a 90-minute schedule drift erodes glucose tolerance in 7 days.

Advanced sleep health, longevity medicine, wellness innovation, and AI-powered healthcare for high-performance individuals.

Peter Miani, MD, DO is a board-certified medical doctor specializing in the intersection of circadian biology, metabolic optimization, and futuristic diagnostics. He leads a new era of concierge medicine focused not on the absence of disease, but the presence of peak vitality.
Optimization begins at rest. We leverage circadian data to restore cognitive edge, metabolic balance, and hormonal recovery.
Deep sleep efficiency and rapid eye movement cycles.
Phase-shift correction via precision light & melatonin.
Heart rate variability as the primary CNS stress signal.
A 30-second triage based on three pillars of sleep performance.
Good baseline. Targeted protocols can unlock more.
Personalized protocols spanning metabolic, hormonal, and recovery systems.
Glucose, lipids, body composition
Testosterone, thyroid, cortisol
Advanced biomarker panels
ApoB, CAC, vascular age
Cold, heat, breathwork, HRV
GLP-1, nutrition, training
Our proprietary AI platforms, MIANI.AI and INAIM.AI, analyze millions of biomarker data points to predict health trajectory before symptoms arise.
How a 90-minute schedule drift erodes glucose tolerance in 7 days.
A look inside MIANI.AI's predictive biomarker engine.
Why cardiologists are rewriting cardiovascular risk.
A unified constellation of wellness, clinical, and AI research brands.
"Dr. Miani reverse-engineered my insomnia in two visits. My HRV has never been higher."
"The most thorough, modern, and forward-looking physician I've ever worked with."
"MIANI.AI flagged a cardiovascular risk that three previous doctors missed."
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