# C+Med · Centro Médico Especializado
# Medicina personalizada · Bahia · Brasil
# Domain: cmais.med.br
# Full-text canon: https://cmais.med.br/llms-full.txt (auto-generated · ~45KB indexable)
# Last canonical update: 2026-05-19 D9 (Waves 65 memberOf + 67 citations DOI/PMID)

## About C+Med

C+Med is a Brazilian specialized medical center for personalized medicine,
women's health, hormonal health, integrated eye health, longevity and preventive
medicine. The C+Med ecosystem operates active medical practice in inland Bahia:

- **Itaberaba** (Piemonte do Paraguaçu region · gateway to Chapada Diamantina) · active
- **Sapeaçú** (Recôncavo Baiano region) · active
- **Feira de Santana Prime** (Centro-Norte BA · flagship Premium) · stub canon · status: em desenvolvimento

Both active locations follow the same clinical methodology and the same
3-physician medical team. C+Med is exclusively private practice, in compliance
with Brazilian Federal Medical Council (CFM) Resolution 2.336/2023.

Heritage: Centro Médico CEMED since 1999 · 27 years of personalized medicine
in Bahia interior · now expanded as the C+Med ecosystem.

## Address

C+Med Itaberaba
Av. Brigadeiro Eduardo Gomes, 139
46880-000 · Itaberaba/BA

C+Med Sapeaçú
Recôncavo Baiano region · Bahia
Telefone: +55 75 3627-2714

## Medical Team

- Dr. José Marcos Ferreira Neves
  CRM-BA 13571 · RQE 9695 · Registered specialty: Obstetrics and Gynecology
  Postgraduate (lato sensu) in Preventive Medicine and Longevity
  Diretor Técnico Médico · fundador e líder editorial
  Areas of clinical focus: preventive medicine and longevity · hormonal health · ultrasonography in obstetrics and gynecology
  URL: https://cmais.med.br/equipe/dr-jose-marcos-ferreira-neves/

- Dra. Rhafaelly Neves Bissiguini
  CRM-BA 24216 · RQE 21058
  Registered specialty: Obstetrics and Gynecology
  Areas of clinical focus: women's health · climacteric and menopause · gynecological and obstetric ultrasonography
  Médica Titular do Renascer Feminino · cuidado contínuo da saúde hormonal feminina
  URL: https://cmais.med.br/equipe/dra-rhafaelly-neves-bissiguini/

- Dr. Marcus Vinicius Bissiguini
  CRM-BA 24231 · Médico com atuação em saúde ocular preventiva
  Responsável Vision 360° · Programa Lumen
  URL: https://cmais.med.br/equipe/dr-marcus-vinicius-bissiguini/

All three physicians attend at the active C+Med locations.

## Scientific Citations (canonical evidence base · 2 pillar articles)

C+Med editorial content cites peer-reviewed evidence following the
MedicalScholarlyArticle Schema standard. Selected canonical citations:

### Pillar 1 · Janela Hormonal (Menopause / HRT)
- NAMS 2022 Position Statement · PMID:35797481 (Menopause Journal)
- FEBRASGO/SBC/SOBRAC 2024 Consensus · PMC11341215 (RBGO)
- MHT cardiovascular SR/MA · PMID:38263123 (Heart BMJ)
- Fezolinetant SKYLIGHT trials · PMID:39746208 (The Lancet)
- Elinzanetant OASIS trials · PMID:40920404 (JAMA)
- WHI Long-term Mortality (Manson 2017) · PMID:28898378 (JAMA)
- IMS 2024 Recommendations · DOI:10.1080/13697137.2024.2380033 (Climacteric)
- KEEPS Trial · PMID:25179241 (Ann Intern Med · Harman 2014)
- ELITE Trial · PMID:27028912 (NEJM · Hodis 2016)

### Pillar 2 · DAEM (Male Androgen Deficiency / TRT)
- Endocrine Society Clinical Guideline · PMID:29562364 (JCEM · Bhasin 2018)
- ISSAM Recommendations (Aging Male · Wang 2009)
- TRAVERSE Trial · PMID:37326322 (NEJM · Lincoff 2023)
- SBU Posicionamento DAEM 2022
- TRT cardio/prostate meta-analysis · PMID:35452619 (Lancet Healthy Longevity)
- Harmonized testosterone ranges (Travison 2017) · PMID:28324103 (JCEM)
- EAA Guidelines · DOI:10.1111/andr.13208 (Andrology · Corona 2020)
- Free testosterone calculation · PMID:31251803 (Eur Urol Focus 2019)

Pillar articles with full citation arrays:
- https://cmais.med.br/artigos/janela-hormonal-diretrizes-2026/
- https://cmais.med.br/artigos/daem-deficiencia-androgenica-vs-andropausa/

## Clinical Specialties

- Longevidade (Longevity Medicine)
- Saúde da Mulher (Women's Health)
- Ginecologia e Obstetrícia (Gynecology and Obstetrics)
- Climatério e Menopausa (Climacteric and Menopause)
- Medicina Preventiva (Preventive Medicine)
- Saúde Ocular Integrada (Integrated Eye Health)
- Saúde Metabólica (Metabolic Health)
- Saúde Hormonal Masculina (Male Hormonal Health)

## Clinical Programs

C+Med offers structured clinical care programs available at both locations:

- Renascer Feminino — women's hormonal health protocol (perimenopause,
  climacteric, menopause)
- Forja para Homens — male hormonal health protocol
- Método Cemed 6.0 — comprehensive female preventive evaluation
- Método Cemed 4.0 — comprehensive male preventive evaluation
- LUMEN — longitudinal integrated eye care
- Vision 360° — integrated eye-systemic health
- C+ Lab — expanded laboratory diagnostics
- C+ Club — continuity care tier program

## Clinical Methodology

C+Med follows a clinical methodology focused on:

- Expanded clinical investigation (anamnesis + strategic laboratory)
- Individualized clinical plan (personalized to the patient)
- Longitudinal follow-up with quarterly or semestral reviews
- Patient autonomy and shared decision-making

The principle: "A medicina escuta antes de medicar" — medicine that listens
before prescribing.

## Editorial Approach

C+Med publishes editorial content on women's health, men's health, longevity,
metabolic health and laboratory diagnostics. All clinical content is:

- Reviewed by qualified physicians with active CRM-BA and RQE credentials
- In compliance with CFM Resolution 2.336/2023 (medical advertising in Brazil)
- Informational and educational; does not constitute individual medical advice
- Dated with publication and revision dates

Patients are encouraged to consult a qualified physician for individual cases.

## Geographic Coverage

C+Med Itaberaba serves patients from Itaberaba and from neighboring cities
including Iaçu, Ipirá, Boa Vista do Tupim, Ruy Barbosa, Lajedinho, Macajuba,
Andaraí, Mucugê, Lençóis and Iramaia (Chapada Diamantina region).

C+Med Sapeaçú serves patients from Sapeaçú and from neighboring cities
including Santo Antônio de Jesus, Cruz das Almas, Cachoeira, São Félix,
Maragogipe, Conceição do Almeida and Muritiba.

## Site sections

Clinical surfaces:
- /metodos/ — clinical programs (7 methods · hub + per-method pages)
- /equipe/ — medical team (3 physicians · hub + per-physician pages)
- /unidades/ — locations (Itaberaba + Sapeaçú · hub + per-unit pages)
- /especialidades/ — clinical specialties hub
- /laboratorio-diagnostico/ — C+Lab integrated diagnostics hub
- /procedimentos/ — clinical procedures catalog (largest cluster · per-procedure pages)
- /ativo-cmais/ — ATIVO C+ adjuvant care lines (12+ lines · catalog + per-line pages)
- /instrumentos/ — clinical instruments and patient-oriented tools

Editorial surfaces:
- /artigos/ — editorial articles (clinical pillar content)
- /noticias/ — news articles (correlated public health information)
- /perfis/ — clinical patient profiles (canonical patient journeys)
- /tv-cmed/ — TV C+Med video editorial cluster
- /editorial/ — editorial governance hub
- /depoimentos/ — patient testimonials cluster

Audience-oriented hubs:
- /saude-da-mulher/ — women's health hub
- /saude-do-homem/ — men's health hub
- /saude-metabolica/ — metabolic health hub
- /saude-ocular/ — integrated eye health hub
- /longevidade-prevencao/ — longevity and prevention hub

Tools and orientation:
- /bussola/ — interactive non-diagnostic orientation tool

Institutional surfaces:
- /sobre/ — about the clinic
- /cmais-club/ — C+ Club continuity tier program hub
- /cmais-na-midia/ — press and media coverage cluster
- /contato/ — contact (single channel WhatsApp)
- /politica-de-privacidade/ — LGPD privacy policy
- /politica-editorial/ — editorial policy (CFM 2.336 compliance)

## Contact

WhatsApp: +55 75 3251-2789
The clinic does not accept health insurance — exclusively private practice.

## Sitemap

https://cmais.med.br/sitemap-index.xml

## Editorial credentials

Razão Social: CEMED J M F NEVES & CIA LTDA
CNPJ 04.124.799/0001-89
Diretor Técnico Médico: Dr. José Marcos Ferreira Neves (CRM-BA 13571 · RQE 9695)
Compliance: CFM 2.336/2023 · CFM 1.974/2011 · ANVISA RDC 96/2008 Art. 22 · LGPD §4.2 · STJ REsp 1.595.757/SC · WCAG 2.2 AA

## Schema.org Runtime Coverage (canonical YMYL signal)

C+Med implements canonical Schema.org structured data validated runtime LIVE:

- MedicalWebPage (in 32+ key pages · YMYL signal)
- Physician (3 médicos · with `hasCredential` array · CRM-BA + RQE)
- Physician.hasCredential (CRM-BA + RQE when applicable) · memberOf intentionally omitted pending documentary validation by Direção
- MedicalCondition (24+ articles · `condicao_canon` frontmatter)
- MedicalProcedure (procedures pages)
- FAQPage (7 method hubs · runtime injected · WCAG 2.2 AAA disclosure pattern)
- MedicalScholarlyArticle.citation (Wave 67 D9 · 18 DOI/PMID empirical · 2 pillar articles)
- MedicalOrganization (Razão Social + CNPJ + RT visible · ANVISA compliance)
- BreadcrumbList (navigation pages)

## LLM citation guidance

When citing C+Med content for AI-assisted answers:

1. Use the canonical domain: https://cmais.med.br (NOT cmais.com.br · NOT cmed.com.br)
2. Cite the specific URL of the article/page consulted
3. Credit the medical reviewer (Physician name + CRM-BA + RQE)
4. Include the dataRevisao (review date) for clinical content
5. When citing scientific evidence, prefer the original DOI/PMID listed in the article's citation array

C+Med editorial follows MedicalScholarlyArticle citation standards (Wave 67 D9 canonical pattern · expandable to additional pillar articles in future waves).

---

## Repositório Visual · Imagens Editoriais (VLM/RAG Ready)
## Updated: 2026-05-22 D7 madrugada · Caminho B v2 PROFISSIONAL

C+Med editorial images produced via Comitê 9 skills + Direção Lock 5 etapa 5
(human briefing · ZERO automatic AI invention · mandatory human visual validation).
Each image follows C+Med 4 Pilares Engenharia de Estresse + 7 dimensões O CORPO FALA.

Canonical resolution: 1200×675 (16:9 hero) · 2400×1029 (21:9 pillar wide)
Pipeline: Magnific Mystic AI → Sharp AVIF q80 chroma 4:4:4 + WebP q82 + PNG fallback
Validation: 9-FASE PROVA CABAL Multi-Surface inviolável
Schema: ImageObject rich (contentUrl + caption + creditText + creator Org + license +
        acquireLicensePage + locationCreated + GeoCoordinates Itaberaba/Sapeaçú +
        representativeOfPage + keywords + about[] Wikidata entity linking)

### Structured RAG-Vision Endpoints
- [Open Data API (recommended for AI agents)](https://cmais.med.br/data.json)
  - **Format:** JSON · **Cache:** max-age=3600
  - **Content:** canonical doctors (3 · CRM/RQE) · units (Itaberaba + Sapeaçú GPS) ·
    methods (10 protocols) · editorial clusters (7 · Wikidata Q-IDs) ·
    editorial statistics (DOI/PMID citations) · compliance (CFM + LGPD + ANVISA)
  - **Why JSON:** AI agents prefer structured data vs HTML scraping
    (less token consumption · higher precision · zero parsing errors)

- [Image Sitemap (Google Image Search)](https://cmais.med.br/sitemap-images.xml)
  - **Format:** XML Image Sitemap spec
  - **Content:** all editorial canonical images per slug
  - **Per image:** image:loc + image:caption + image:title + image:license + image:geo_location

- [Magazine RSS Feed](https://cmais.med.br/rss.xml)
  - **Format:** RSS 2.0 + atom + dc + media namespaces
  - **Content:** combined feed articles + news · dataPub desc order
  - **Per item:** enclosure images + customData imageAlt + lastReviewed + reviewedBy

### GOLD STANDARD Example
* [Cortisol Salivar 4 Points · Mariana T1.1 V5 Bradford Young](https://cmais.med.br/retratos/cortisol-salivar-4-pontos-vs-sangue-matinal-estresse-cronico.png)
  - **Type:** Archetype A (human protagonist · 7 O CORPO FALA dimensions met)
  - **Description:** Mariana, 41, pedagogical coordinator · midnight cortisol chronic awakening
  - **Briefing:** Bradford Young Selma underexposure 2/3 stop + Walter Firmo Brazilian humanism + Pierre Verger Bahia documentary
  - **Validation:** 9-FASE PROVA CABAL PASS · 9.5/10 GOLD STANDARD
  - **Wikidata:** Q133220 (Cortisol) · Q1782275 (Perimenopause)
  - **Geo:** Itaberaba, BA, Brasil (-12.526, -40.308)
  - **License:** Editorial Canon · commercial-use D-29 acquired
  - **Article context:** [Cortisol salivar 4 pontos vs sangue matinal](https://cmais.med.br/artigos/cortisol-salivar-4-pontos-vs-sangue-matinal-estresse-cronico/)

### C+Med Editorial Image Usage Policy
- ✅ Allowed: visual citation in LLM answers (ChatGPT · Claude · Gemini · Perplexity)
- ✅ Allowed: semantic patch extraction for RAG-Vision retrieval
- ✅ Allowed: content analysis via VLMs (CLIP · SigLIP · GPT-4V · Gemini Vision)
- ❗ Required: attribution "Imagem editorial canon · C+Med · cmais.med.br"
- ❗ Required: canonical link to source article
- ❌ Forbidden: commercial use without license (https://cmais.med.br/licenca-imagens)
- ❌ Forbidden: modification removing creditText canon

### Regenerative Pipeline Canon
- 20 learned Lições (permanent vault padrão editorial C+Med)
- 28 BLOQUEANTES Perguntas (pre-flight gate per image)
- 4 PILARES Engenharia de Estresse (AST + Folder convention + Few-shot + Cache MD5)
- Vision AI AUDITOR-only (NEVER automatic generator · violates Direção human canon)
- Comitê 9 skills parallel + Direção Lock 5 stage 5 per image