Ninety minutes and a comprehensive medical assessment. We go through your health history, current lifestyle, family history, and what you actually want from the next decade — then decide together which biomarkers are worth measuring.

It is a longer appointment than you are used to, deliberately. Most of the value comes from not being rushed.

The core panel looks well past a routine requisition — nutrient status, inflammatory markers, metabolic and insulin health, hormones, thyroid, iron, lipid subfractions, and organ function.

The point is not to collect numbers. It is to find the small imbalances that explain symptoms now, and the trends that predict problems later.

Not to begin with. The core assessment is a strong foundation for most people. Advanced panels are for going deeper into a specific area — a persistent symptom the core panel did not explain, a strong family history, or a performance goal that needs finer resolution.

We only recommend an advanced panel when the result would change what we do next.

Results come back within about a week, so you are not waiting a month to start. We then walk through them with you rather than emailing a PDF and leaving you to interpret it.

Your plan is specific: what to change, what to supplement or prescribe, what to retest and when. Longitudinal tracking means each round of testing is read against your own baseline, not just a population range.

No. We work alongside your primary care provider and any specialists you see — keep them. Our focus is optimization, prevention, and regeneration, and we are glad to share findings with your existing team when you want us to.

We see the full range of musculoskeletal complaints, including:

• Knee osteoarthritis and persistent joint pain
• Spine arthritis and degenerative back pain
• Rotator cuff tendinopathy and shoulder injury
• Tennis and golfer’s elbow
• Plantar fasciitis and Achilles tendinopathy
• Hip pain and gluteal tendinopathy
• Acute sport injuries and return-to-play planning

If your problem turns out to need surgical or specialist input, we will tell you that plainly and help you get there.

Platelet-rich plasma uses your own blood. A small sample is drawn and spun in a centrifuge to concentrate the platelets and growth factors, then injected precisely into the target tissue.

Those platelets carry signalling proteins that support tissue repair and modulate inflammation — which is why PRP is used for joint and tendon conditions as well as hair and skin treatments.

Both are autologous conditioned plasma prepared from your own blood in a closed, single-spin system. They differ in concentration and in what else comes along with the platelets.

Stronger is not automatically better. We pick the preparation that matches the tissue, and we tell you which one we are recommending and why before you commit.

Ultrasound lets us see the tendon, joint space, or bursa in real time and place the needle exactly where the problem is, rather than relying on surface landmarks. It also doubles as a diagnostic tool — we can watch the tissue move while you move.

Guidance is used whenever it improves accuracy or safety. There is no radiation involved.

Joint and tendon PRP: commonly two to three sessions, four to six weeks apart. Some patients respond well to one; more advanced pathology may benefit from a full series.

Your protocol is set at the initial assessment based on imaging, clinical findings, and what you are trying to get back to.

Most patients describe brief discomfort during the injection; local anaesthetic is used to keep it manageable. Soreness or mild swelling at the site for 24 to 72 hours afterwards is expected and is part of the response.

Light activity usually resumes within a day or two. Heavy loading of the treated area is typically held for one to two weeks.

PRP and other regenerative injections are not insured by OHIP — they are considered elective. Payment is private, at the time of your appointment.

Some extended health plans reimburse part of the cost under practitioner or specialist categories. We will provide a receipt you can submit; check directly with your insurer first.

No referral is needed — book directly. If you already have X-rays, ultrasound, or MRI reports, bring them along with notes on any treatment you have already tried. It makes the first visit considerably more productive.

• Neuromodulators for lines and facial balancing
• Under-eye PRP
• Microneedling, alone or combined with PRP
• Hair restoration for thinning and early pattern loss

All treatments are performed in a nurse practitioner-led clinic, and we are happy to say no when a treatment is not the right answer for what you want.

Typically three to four months. Onset is gradual — you will notice softening within three to seven days, with the full effect at about two weeks.

Dosing depends on muscle strength, the area treated, and how much movement you want to keep. You will always have a written estimate before anything is injected.

Under-eye PRP places your own concentrated growth factors directly into the thin skin of the tear trough to improve texture, crepiness, and dark circles caused by thinning rather than by shadow or volume loss.

Microneedling works differently — controlled micro-channels that trigger collagen remodelling across a broader area of skin, often combined with PRP.

Either way, results build over weeks rather than appearing overnight. A series of three sessions, four weeks apart, is a common starting point.

PRP for the scalp works best in early to moderate thinning where follicles are still active. A typical course is three to five sessions four to six weeks apart, with maintenance every three to six months.

We assess the pattern of loss first — and screen for treatable medical causes such as thyroid dysfunction or iron deficiency before recommending injections.

Neuromodulators: minimal. Avoid lying flat, rubbing the area, or hard exercise for four hours.

Microneedling and PRP: redness resembling a mild sunburn for one to three days. Skip makeup, saunas, and strenuous exercise for 24 hours, and use sun protection afterwards.

Yes. A short consultation lets us assess your anatomy, review your history and medications, discuss what is realistic, and give you an accurate plan and cost. Post-treatment check-ins are included at no charge.

No referral is required. Book directly through the booking page and choose the drip you want from the list of available formulations.

• Radiance: skin, hair, and nail quality, and mental health
• Energy & vitality: fatigue, low reserve, demanding schedules
• Immune support: before travel or during a heavy season
• NAD+: cellular energy and cognitive goals
• Plaquex: cardiovascular and cellular membrane health
• Iron infusion: documented iron deficiency

If you are not sure which to pick, ask us when you book and we will help you match a formulation to your goals.

NAD+ is a coenzyme central to how cells produce energy and repair DNA; levels decline with age. Intravenous delivery bypasses the digestive tract, which limits how much of an oral dose reaches circulation intact.

NAD+ infusions are run slowly — a faster rate causes a flushing or tight-chest sensation. Expect a longer chair time than a standard drip.

Intravenous iron suits people who cannot tolerate oral iron, who have absorption problems, who have not responded to supplements, or whose deficiency is significant enough that replacing stores by mouth would take many months.

Yes — recent labs are required. A CBC, ferritin, and transferrin saturation let us confirm the diagnosis and calculate the correct dose. If you do not have current results, we can order them.

Most wellness drips run 45 to 60 minutes; iron and NAD+ take longer. You are seated in a monitored clinical space throughout, and most patients read or work through it.

Drips are generally well tolerated. A warm sensation, a brief vitamin taste, or slight bruising at the site are the usual complaints. Serious reactions are rare, and you are supervised throughout.

Wellness drips are private-pay. Prescribed iron medication is billed separately from the administration fee and is often covered under the drug portion of an extended health plan — many insurers do reimburse intravenous iron when a clinician has prescribed it. Ask your provider before your appointment.

Adults and children with concerns about attention, focus, organisation, impulsivity, or executive function — whether that is a first assessment, a second opinion, or diagnostic clarification when a previous label does not fit.

Many people arrive after years of coping. Being late to the question is not a reason to skip it.

• Validated screening questionnaires completed before your visit
• A full clinical interview covering history, school or work function, sleep, mood, and substance use
• Collateral information from a parent, partner, or teacher where relevant
• Screening for conditions that mimic or accompany ADHD — anxiety, mood, sleep disorders, thyroid and iron status
• A written summary of findings and recommended next steps

Usually two: an extended assessment appointment, then a follow-up to review findings and agree on a plan. If bloodwork or collateral reports are needed, the second visit is scheduled once those are back.

You receive a written clinical summary of the assessment, the diagnosis where one is made, and recommendations. That letter supports most workplace and post-secondary accommodation requests.

Some institutions specifically require psychoeducational or neuropsychological testing, which is a different assessment. Tell us what your institution asks for and we will be straight with you about whether our report meets it.

Yes, where it is indicated. Starting medication involves titration, so expect scheduled follow-up to adjust dose and monitor blood pressure, heart rate, sleep, and appetite.

Medication is one part of the plan. Behavioural strategies, sleep, exercise, and structural changes at work or school carry real weight, and we address them alongside prescribing.

Our assessments are provided privately, which is what allows the extended appointment length and short wait. Many extended health plans reimburse part of the fee, and prescribed medication is typically covered under drug benefits. We will give you the fee in writing before you book.