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Balance.Vita PLLC

A new, tech forward medical practice that gathers thousands of data points to improve longevity & healthspan, prevent chronic diseases (e.g. heart disease, dementia, diabetes), and allow for early detection of cancer. Most practices focus on sickness, but we consider the whole person to optimize your total health.

Why Join?

Longevity & Healthspan

Live longer while maintaining your health and function.

Wellness

Reduce stress & anxiety, improve your mood, and enjoy life!

Body & Mind

Improve your energy. Gain Muscle. Lose Fat. Build confidence—inside and out.

Fitness & Performance

Train smarter. Boost endurance, move better, and perform at your peak—whatever your goals.

Our Focus

Health Coaching

Regular check-ins with your care team to keep you motivated and on track.

 

BIomarkers

Comprehensive labs for metabolic health, hormones, inflammation & more.

Sleep

Multi-modal approach to sleep optimization.

 

Body Composition

Analyze & track body composition to refine your personalized plan.

FiTness & Performance

Advanced fitness assessment including TechnoGym, VO2 max testing, & more.

 

Glucose MOnitoring

CGM devices provide insights into how food impacts your health.

NUtrition

Comprehensive nutrition evaluation and personalized planning.

 

Wearables

Wearable device data for insights on sleep, fitness, readiness & recovery.

Scope of Practice

  • Metabolic syndrome (elevated blood pressure, waist circumference, triglycerides, and glucose with low HDL cholesterol) is a key risk factor for heart disease, osteoarthritis, diabetes, fatty liver, gout, cardiovascular disease and more.

  • We treat overweight and obesity with exercise, nutrition, and behavioral interventions. When needed we can prescribe any of the FDA approved medications.

  • There is more to lipids than LDL and statins. From ApoB to Lp(a), we do a deep dive on the diagnosis and treatment of cholesterol disorders to lower your cardiovascular disease risk.

  • Sleep, environment, exercise, nutrition, and metabolic health all play a big role in keeping our brain healthy and preventing dementia.

  • Hypogonadism, erectile dysfunction, low libido, and premature ejaculation are all treated conditions.

  • There is more to menopause and perimenopause than hot flashes. Hormone replacement therapy including estrogen, progesterone, and testosterone therapy have been underused for decades, but are now experiencing a renaissance.

  • Endocrine organs like the pancreas, thyroid, pituitary, and adrenal glands can over or under produce hormones.

  • Injuries from falls are a major mortality risk for older adults. Fortunately, these are largely preventable by maintaining proper strength, balance, and mobility.

  • A silent killer that increases the risk for heart and kidney disease, dementia, and increases mortality. Early diagnosis and treatment are key.

  • Insulin resistance and impaired glucose metabolism can be detected long before Type 2 Diabetes develops with fasting insulin and glucose measurements. We encourage all of our patients to wear a continuous glucose monitor periodically.

  • We aggressively treat lipid disorders to prevent atherosclerosis. Cholesterol panels and cardiac risk equations estimate population level risk, but many of our patients go beyond that with cardiac imaging studies.

  • Sleep is paramount. We use wearable devices for sleep tracking and optimize sleep through behavioral interventions, medication, and supplements when needed.

  • We approach depression and anxiety with multi-modal therapy including cognitive behavioral interventions, alternative medicine, and medication when needed.

  • Advanced cancer screening through whole body MRI and cell free DNA testing (Galleri) are options for patients who want to go beyond mainstream recommendations.

  • Poor gut health is associated with gastrointestinal, metabolic, immunological, and neurological disorders. We take a functional approach to gut health including low processed food diet, pre- and probiotic foods, and expert nutrition consultation.

  • Maintaining adequate bone mass through weight-bearing exercise, avoiding substances that impair bone health, and optimizing calcium and vitamin D intake are key to fracture prevention.

 

Advanced Testing

 
 

We offer advanced imaging and labs to patients who desire a more nuanced approach to early disease detection after discussion of risks and benefits.

Coronary CT

Coronary calcium, CAC score, with or without coronary CT angiogram to determine their cardiovascular risk and inform treatment.

Whole BOdy MRI

Whole body MRI for early cancer detection is an option that goes beyond traditional testing for those who want more aggressive screening.

Genetic TEsting

Genetic testing for germline mutations may be indicated by a family history of certain cancers. The use of epigenetic and telomere analysis are evolving tools in the field of longevity.

 
Matthew Watto MD FACP

Matthew Watto, MD, FACP

Dr. Matthew Watto is thrilled to open a new medical practice at Balance where he will combine his passions for fitness, nutrition, and medicine to optimize health, human performance, and longevity. He’s spent the past 15 years as an internal medicine physician, educator, and medical podcaster.

Personal

Dr. Watto is a husband and proud father of four children who spends a lot of time at swim meets and soccer games. He is a lifelong athlete who enjoys weightlifting, running, and soccer, and still plays in weekly pickup games. He loves reading paper books, mostly sci-fi or non-fiction, and making pizza. He also loves donuts, but rarely eats them. Someday, he will get way too into making bread.

Media

In 2015, he co-founded The Curbsiders, a weekly internal medicine podcast that uses expert interviews to bring listeners clinical pearls, practice-changing knowledge, and bad puns. The show uses a conversational format to explore a wide range of topics in medicine, seeking deeper understanding through expert insights into common clinical scenarios and conundrums. It has released nearly 500 episodes. As co-host and showrunner, Dr. Watto has traveled the country for live podcast interviews with faculty from top medical institutions and has spoken at national conferences. With over 100,000 active monthly listeners, The Curbsiders podcast is a vital resource for clinicians delivering care to millions of patients across the United States and internationally. It has developed into a network of podcasts, including The Cribsiders Pediatric Medicine Podcast, Curbsiders TEACH (a medical education podcast), and Curbsiders Addiction Medicine.

Education & Awards

Dr. Watto received a BS in Human Physiology from Boston University and an MD from Boston University School of Medicine, graduating with honors. He completed his internal medicine residency at Temple University Hospital, where he was voted intern and senior resident of the year. After graduation, he spent four years active duty as a physician and clinician educator in the United States Air Force at Wilford Hall and Brooke Army Medical Center in San Antonio, reaching the rank of Major. He has been a Clinical Assistant Professor of Medicine at the University of Pennsylvania School of Medicine, a Clinical Associate Professor of Medicine at Sidney Kimmel Medical College, and an Adjunct Associate Professor at Uniformed Services University. He has received numerous teaching awards.

 

Frequent Asked Questions

GENERAL PRACTICE QUESTIONS

  • We focus on proactive, personalized care that integrates fitness, nutrition, and medicine to prevent disease, enhance performance, and promote longevity—not sick care.

  • No. We complement your primary care by focusing on prevention and optimization. We do not treat acute illnesses, handle emergencies, or manage chronic pain or disability paperwork.

  • We do not bill insurance directly, but we can provide a superbill that you may submit for possible reimbursement from your insurance provider. Lab and prescription orders will be sent electronically and may be covered through your insurance.

  • Dr. Matthew Watto MD, FACP is an internal medicine physician with over 15 years of experience, specializing in health optimization, chronic disease prevention, fitness, nutrition, and human performance.

SERVICES & PROCESS

  • All members receive a comprehensive medical and family history, 5 pillars evaluation (sleep, nutrition, fitness, metabolic and emotional health), lab testing, TechnoGym checkup, body composition analysis, and personalized care plan to optimize each of the 5 pillars. Additional services like health coaching, VO2 max testing, and nutrition visits vary by tier.

  • Our team will send electronic forms to gather medical and family history, assess key aspects of health, and determine your goals ahead of your initial physician consultation.

  • Comprehensive labs, fitness, strength and mobility testing, VO2 max, continuous glucose monitoring, and when relevant we refer patients for cardiac CT, whole body MRI, and genetic testing.

  • We review data from wearables (e.g., Oura, Whoop, Apple Watch, Garmin, FitBit) at each visit to guide your personalized plan and monitor your progress over time.

CONDITIONS & PREVENTION

  • We focus on metabolic health, weight management, blood pressure, cholesterol, diabetes, sleep issues, emotional health, cognitive decline, bone density, and hormonal balance to improve longevity and healthspan and prevent chronic diseases.

  • Yes. We screen for these conditions and offer behavioral interventions, alternative medicine, and medication management. We enlist specialist consultation for complex or refractory cases.

  • Yes. We can arrange for advanced cancer screening including cell-free DNA (Galleri) testing, whole-body MRI, and coordinate traditional screenings like colonoscopy, mammogram, prostate, lung cancer, and cervical cancer screening.

COSTS & LOGISTICS

  • Membership pricing varies based on the level of service. We offer tiered plans that include physician services, nutrition, and health coaching with increased support and services at higher tiers.

  • Yes. We offer a standalone consultation if you're not ready to commit to ongoing membership.

  • Initial follow-up typically occurs 1–3 months after your intake visit. Frequency thereafter depends on your goals and care plan with more frequent visits required for complex issues (e.g. managing diabetes, hypertension, or adjusting hormone replacement therapy).

  • You can message us via the patient portal. Messages are triaged and directed to the appropriate member of our team.

Contact Us

 

Our Office

12 West Willow Grove Avenue, Mezzanine
Philadelphia, PA, 19118
United States

Phone 267.270.2446