I started in nephrology, inside the hospital.

I'm from Londrina. I graduated in medicine from Universidade Estadual de Londrina in 2004 and trained in internal medicine and nephrology at Santa Casa de Londrina, where I also obtained the specialist certification from the Brazilian Society of Nephrology in 2008.

In those years, I learned medicine inside the hospital — where renal and cardiovascular disease shows up at advanced stages, with little room to change the course.

For the next two decades, that was my daily practice. I coordinated the nephrology residency at Santa Casa, founded the institution's internal medicine residency, and serve as technical director for in-hospital hemodialysis at DaVita Intra Hospitalar de Londrina. I followed hundreds of patients in advanced stages — cases where, often, the trajectory could have been altered years earlier.

I saw patients arrive at the clinic with "normal" exams from the previous year. I saw check-ups that recorded everything within range — and missed the signal of everything that was silently building. The lab said "normal." The body had been getting sick for eight, ten, twenty years.

It was that repeated observation that bothered me. It wasn't a failure of the tests — it was a failure of the question. The conventional check-up looks for established disease. It doesn't look for the interval between normal and optimal, where longevity is built or lost.

In 2026, I completed postgraduate training in integrative functional medicine through the Brazilian Association of Integrative Functional Medicine. It wasn't a paradigm shift. It was an extension backwards — applying the structured clinical method developed over twenty years of practice, with labs and data and clinical decision-making, to the period that precedes disease.

That's the medicine I practice today at Plenya, alongside the team assembled for it. And it's about that silent window between normal and optimal that I wrote the book Antes, published in 2026.

I continue practicing clinical nephrology at Nefroclínica Londrina, coordinating the residency at Santa Casa, serving as technical director for in-hospital hemodialysis, and leading Plenya as clinical director. The four roles are the same medicine, at different moments in a person's timeline.

At Plenya in particular, I lead the work as the patient's care-managing physician — the clinician who knows the history in depth, follows care longitudinally over months and years, and articulates the plan between the Plenya team and the professionals already caring for that patient elsewhere — cardiologist, endocrinologist, gynecologist. I don't replace those relationships: I ensure clinical continuity across the whole, with someone finally looking at the entire person.

Lives in Londrina with his family. Runs when the day allows.