Dr. Sal LacagninaDO

Dr. Lacagnina treats a broad range of chronic and lifestyle-related conditions. These include hypertension, diabetes, obesity, heart disease, coronary artery disease, stress, and sleep disorders. His clinical focus centers on preventing, treating, and reversing these conditions through evidence-based lifestyle interventions rather than relying solely on medication.

Yes. Dr. Lacagnina holds board certifications in both Lifestyle Medicine through the American Board of Lifestyle Medicine and in Anti-Aging and Regenerative Medicine through A4M. He also trained in Internal Medicine and completed his residency at the State University of New York at Stony Brook.

Dr. Lacagnina focuses on what he calls de-prescribing. He works with patients to decrease and, in many cases, eliminate certain medications by adopting and sustaining healthy lifestyle behaviors. Scientific evidence supports that meaningful health improvements can occur in as little as three weeks with consistent lifestyle changes.

Dr. Lacagnina uses several advanced diagnostic tools in practice. These include the InBody body composition scale, which measures subcutaneous and visceral fat; ZRT hormone testing; SpectraCell Micronutrient testing; and Cleerly coronary analysis, an AI-powered, FDA-cleared technology that identifies the presence, amount, and type of coronary plaque. Cleerly is available exclusively in SW Florida at his practice.

Dr. Lacagnina spent many years at Lee Memorial Health System, where he practiced Internal Medicine before moving into leadership. He served as Medical Director for the Lee Physician Group, then Vice President for Health and Wellness, and eventually System Medical Director for Employee Health at Lee Health. He left in April 2020 to found Concierge Lifestyle Medicine.

Yes. " and writes a weekly column in the Living Well section of Fort Myers' The News-Press every Tuesday. He published "Lifestyle Medicine Shared Medical Appointments" in the American Journal of Lifestyle Medicine through SAGE Publishing. He has spoken at VegFests, appeared on podcasts including Chef AJ, and presented at the annual Plantrician Project conference.

Plant-based nutrition sits at the center of Dr. Lacagnina's clinical approach. He integrates it across all services, from the Pivio complete health improvement program to teaching kitchen classes led by vegan chefs and nutrition experts. He structures care around the Six Pillars of Lifestyle Medicine, with nutrition as a foundational element of every patient plan.

Dr. Lacagnina earned his DO from NYCOM, The New York College of Osteopathic Medicine. He then completed his Internal Medicine residency at the State University of New York at Stony Brook. He moved to Florida in 1993 to join a private practice before eventually joining Lee Memorial Health System.