It may be said that turning away from obsession with COVID-19 news to examine the professional shift in the life of integrative medicine leader Myles Spar, MD, MPH is a hard pivot. The Venice Family Clinic provider of integrative services to the underserved – and Bravewell Award winner for that work – recently moved from Los Angeles to New York to take a position as chief medical officer at Vault Health. The business is a start-up funded recently with an infusion of $30-million. Spar’s more recent re-positioning of his professional focus toward men’s health narrows the gap between the worlds. The specialty of Vault Health is male sexual vitality, around which Spar’s responsibilities include developing some integrative support. The hard pivot may be characterized as from service to the underserved to services for the under erect.