Cristina Sciavolino-Day, MD, LLC

Cristina Sciavolino-Day, MD, LLC Prevention does save lives. It is important to be proactive. My mission is to work as a team with you to optimize your health and wellness.

Internal medicine concierge practice with a focus on prevention and wellness. Limiting membership to only 300 patients, office visits are 1-2 hours and thorough. Availability to Dr. Sciavolino-Day will be optimized with each patient by cell phone, email and text. Also included are longer appointments in a relaxed setting, wellness planning, hospital overview, and telecommunication visits when you are away. Patient oriented care as it should be. Wellness, it all starts with you.

08/21/2026

Getting up off the floor feels easy until one day it doesn’t.

Most of us do not think about this ability when we are in our 40s or 50s. We assume it will always be there. The truth is, getting yourself up from the floor requires more than strong legs. It takes balance, hip mobility, core strength, coordination, and enough muscle to move your own body weight.

Those are exactly the things that can quietly decline as we get older if we are not intentionally training them.

⭐️ The good news is that you do not need complicated workouts to protect this skill. Squats help build the leg strength you need to stand. Single-leg exercises challenge balance and stability. Step-ups strengthen the muscles that help you push yourself upright. Getting down onto the floor and practicing different ways of standing back up trains the actual movement you want to keep.

This is one of the reasons I care so much about strength after 40. The goal is not simply to look more toned.

The goal is to be 70, drop something on the floor, kneel down to get it, and stand right back up without wondering whether you can.

What you practice now becomes what your body is more prepared to do later.

👉 Comment the word SOLID for some exercises to make standing up easier and join my 30 day “one-new-exercise-a-day” challenge in Thrive After 40 (link is in my bio).

🫶, Cristina Sciavolino-Day, MD

*Educational post, not medical advice





08/20/2026

Heart disease can build quietly for years before you ever feel a thing. Sometimes, your routine bloodwork can look pretty good while plaque is already developing in your arteries.

That is why a coronary calcium score can be such a useful piece of information.

It gives you an actual number that reflects the amount of calcified plaque in your coronary arteries. But it is important to understand what the test doesn’t show. It cannot detect the softer, non-calcified plaque that may also be present.

That is why I never look at a calcium score in isolation.

There are several other blood markers that can help give you a much clearer picture of your cardiovascular risk, and I put them together for you in one simple guide.

Inside, I explain what your calcium score means, what the scan can and cannot tell you, and which additional numbers may be worth discussing with your doctor.

👉 Comment SCAN and I’ll send it to you.

👉 Also, if you want to understand more than just the number on a lab report, come join me inside Thrive After 40. We talk about heart health, cholesterol, nutrition, strength, bone health, hormones, sleep and so much more. I’m also inside the community every day answering questions and helping you make sense of the science.

The link is in my bio.

This is for education only and is not medical advice. Please talk with your own doctor about what is appropriate for you.

🫶, Cristina Sciavolino-Day, MD

Protein is protein? Not quite, especially after 50.As we get older, maintaining muscle becomes harder, and after menopau...
08/19/2026

Protein is protein? Not quite, especially after 50.

As we get older, maintaining muscle becomes harder, and after menopause that becomes even more important. That is why simply saying “eat more protein” does not give you the whole picture.

One of the easiest places to start is breakfast.

Aim for around 25–30 grams of protein at breakfast. For many women, this is the meal where protein is lowest, and spreading protein throughout the day can help support muscle maintenance as we age.

You do not necessarily need different foods. You may just need to be more intentional about how much protein is actually on your plate.

❤️ Save this for tomorrow morning, and send it to a friend over 50 who is trying to stay strong as she gets older.

Want me to make breakfast easier for you?

👉 Comment THIRTY and I’ll send you my 10 Protein-Packed Breakfasts, with easy ways to get about 30 grams of protein in your morning meal and the numbers already worked out for you.

🫶, Cristina Sciavolino-Day, MD

This is for educational purposes only and is not individual medical advice. Please speak with your own healthcare professional for personalized recommendations.



Disclosure: AI helped design the carousel slides

08/18/2026

Doing this in my 50s so I can still get off the floor easily in my 70s.

Because the goal isn’t just to look fit now.

It’s to still be able to get out of a chair without using your hands. Catch yourself if you trip. Carry your groceries. Climb stairs. Get down on the floor and get back up again.

That kind of independence is built years before you need it.

After 40, we naturally start losing muscle, strength and balance if we don’t actively work to maintain them. The good news is, you do not need hours in the gym.

A few minutes of consistent strength and balance work can make a real difference.

Think of it as training for your future self.

Not just for how you want to look next month, but for how you want to move 10, 20 and even 30 years from now.

👉 If you want simple exercises you can start using now to improve your balance, comment STEADY and I’ll send you my free balance guide. 👇

❤️ Save this as your reminder: what you do today is helping build the body you’ll live in later.

🫶 Cristina Sciavolino-Day, MD

*educational guide, not medical advice

Do you clear your throat all day? Is your voice a little hoarse, or does it feel like something is stuck when you swallo...
08/17/2026

Do you clear your throat all day? Is your voice a little hoarse, or does it feel like something is stuck when you swallow? Maybe someone told you it’s allergies, or just getting older.

Here is what a lot of people never hear. It can be reflux. Not the kind that burns your chest. This kind travels up into your throat and voice box, and it often shows up with no heartburn at all. Doctors call it silent reflux.

More than half of people with an ongoing hoarse voice have reflux behind it. So it gets chased as sinus trouble or asthma for months while the real cause keeps right on going.

Here is the surprising part. The usual fix is a daily acid pill, and the best study we have found it worked no better than a sugar pill for throat symptoms. The throat is not only reacting to acid, so the everyday habits matter more than most people think. Not eating close to bedtime. Raising the head of your bed. Finding your own trigger foods.

👉 I put all of it into a free guide for you. It has the symptom self-check that ENT doctors use, the exact nighttime routine, a simple trigger-food list, and the questions to bring to your own doctor.

👉👉 Comment REFLUX and I will send it right to you.

One important note. If you already take an acid medication, please do not stop it on your own. Talk with your doctor first. If throat symptoms last more than a few weeks, get looked at so other causes can be ruled out.

🫶, Cristina Sciavolino-Day, MD

This is for education. It is not medical advice. Please see your doctor for personalized recommendations.

Maybe the goal was never to get your old self back.I hear women say it all the time: “I just want to feel like myself ag...
08/16/2026

Maybe the goal was never to get your old self back.

I hear women say it all the time: “I just want to feel like myself again.” I understand that feeling, but the woman you were 10 or 20 years ago had a different body, different hormones, different responsibilities and a different life.

What if, instead of spending the next decade trying to get back to her, you started building an even stronger version of yourself now?

Getting older does not mean you’re done. It doesn’t mean you have to accept feeling weak, exhausted or uncomfortable in your own body. It may simply mean that what worked before isn’t what your body needs anymore.

You can get stronger. You can have more energy. You can take care of yourself without feeling guilty about it, and you can create a life that feels really, really good again.

You don’t need to become the woman you used to be.

You get to become even stronger than her.

⭐️ So how much longer are you going to keep saying, “I really need to do something”?

👉 If you’re ready to actually start, DM me START and I’ll send you the details on how to join me. ❤️

🫶, Cristina Sciavolino-Day, MD

*educational post, not medical advice





Most people treat losing their sense of smell like a small annoyance. Your brain treats it like a warning.Here’s what al...
08/15/2026

Most people treat losing their sense of smell like a small annoyance. Your brain treats it like a warning.

Here’s what almost no one talks about. The nerve that carries smell plugs straight into your brain, right next to the areas that run memory and movement. So when your smell slowly fades for no clear reason, it can be one of the earliest hints that something upstream is shifting.

The research honestly stopped me. A weaker sense of smell can show up years before the first sign of Parkinson’s. Trouble naming everyday scents is tied to a higher risk of dementia later. In one study of 3,000 older adults, the people who had lost their smell were more than three times as likely to die within five years.

Now please breathe, because this matters. A cold, allergies, COVID, or even some medicines can dull your smell for a while, and that usually comes back. What we’re talking about is a slow, lasting fade with no clear reason. This is a signal to check, not a diagnosis.

So here’s the good part. There’s a simple way to check your sense of smell at home, and even a way to help train it back. I put all of it into a free 5-minute guide for you.

👉 Comment the word SMELL and I’ll send it straight to your messages.

❤️ Save this, and share it with someone you love over 50.

⭐️ Want to go deeper with me? This is exactly the kind of thing we break down inside Thrive After 40, where you can ask me your questions every day and we go live together every week, all for $39 a month. The link is in my bio.

🫶, Cristina Sciavolino-Day, MD

This is educational and not medical advice. Please see your doctor about what is right for you.

08/14/2026

If you take your vitamin D with your morning coffee or on an empty stomach, you might be wasting most of it.

Vitamin D is fat-soluble so it needs a little fat to get absorbed. Taking it on an empty stomach in the morning will impact how much of it gets absorbed.

One study found that by simply taking your vitamin D at the time of your largest meal, the vitamin D absorbed increased by as much as 50%.

👉 Timing matters. Comment the word ABSORB for my free cheat sheet on the best timing for the most common supplements.

🫶, Cristina Sciavolino-Day, MD

** educational post, not medical advice

08/13/2026

HERE is the answer 👇

☕ It’s COFFEE but the interesting part may be WHEN you drink it.

Most of us think about coffee in terms of how much we drink.

One cup? Two cups? Too much caffeine?

But researchers recently looked at something different: the time of day people drank their coffee.

In a 2025 study published in the European Heart Journal, researchers looked at coffee-drinking patterns in more than 40,000 U.S. adults.

They found that people who tended to drink their coffee in the morning had a 31% lower risk of dying from cardiovascular disease and a 16% lower risk of dying from any cause compared with people who did not drink coffee.

Here’s what made the study even more interesting:

People who drank coffee throughout the day did not show the same reduction in risk.

Why could timing matter Researchers don’t know for sure yet, but there are a few possible explanations.

☕ Coffee contains compounds with antioxidant and anti-inflammatory effects.

🕒 Drinking caffeine later in the day may interfere with our natural circadian rhythm.

Plus, later caffeine can disrupt sleep, even when you don’t necessarily realize your sleep quality has changed. That matters because chronically poor sleep and disrupted circadian rhythms are themselves linked with cardiovascular risk.

Now, an important point: This was an observational study. It shows an association. It does NOT prove that moving your coffee to the morning will reduce your risk of dying from heart disease by 31%.

Now if you don’t drink coffee now, this study is certainly not a reason that you need to start.

But if you’re someone who sips coffee from morning until late afternoon? This gives us one more interesting reason to consider keeping most of it earlier in the day.

I love studies like this because sometimes health isn’t only about what we consume. It may also be about when.

👉 The timing is only half of the story. I put together a coffee guide that tells you much more. Comment BREW for a free copy.

🫶, Cristina Sciavolino-Day, MD

**Educational post, not medical advice

Reference: Wang X, et al. Coffee drinking timing and mortality in US adults. European Heart Journal. 2

We are quick to blame “getting older” for brain fog, forgetfulness, tingling hands, and feeling unsteady. Sometimes that...
08/12/2026

We are quick to blame “getting older” for brain fog, forgetfulness, tingling hands, and feeling unsteady. Sometimes that is exactly what it is. Sometimes it is low vitamin B12, and that is a very different story.

Here is what makes it sneaky. After 50, your stomach makes less acid, and you need that acid to pull B12 out of your food. Two of the most common medications out there, metformin for blood sugar and acid reducers for reflux, lower your B12 over time too. Plus, the memory and nerve symptoms can show up before anything changes in your blood count, so a “looks normal” result can still miss it.

The hopeful part is that when it is caught early, low B12 is often very fixable. That is why I want you walking into your next appointment knowing what to ask.

A regular B12 level is a start, but it can read low-normal and still leave you short. Ask your doctor whether checking MMA and homocysteine would help paint the fuller picture. And please do not just start a high-dose supplement on your own. It can hide the problem while nerve issues keep going. Test first, find the cause, then fix it the right way.

I put all of it into a free guide, The B12 Check-In: the signs worth noticing, the labs to ask for, the food sources, and the exact questions to bring to your doctor.

👉 Comment TWELVE and I will send it straight to you.

📌 Save this for the next time someone you love says they are just “getting forgetful.”

🫶, Cristina Sciavolino-Day, MD
Board-certified internal medicine physician

This is for education, not medical advice. Please see your doctor for personalized recommendations.

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