The Refua Signature Longevity Care is for people who want to understand and actively improve their longevity health without relying on medication. Quarterly heart and longevity testing, regular NP consultations and a personalised nutrition and lifestyle plan help you track what matters and act early.
Currently serving Ontario · Subject to clinical assessment · Self-check required before program payment
Is this the right starting point?
Care that fits your needs.
For people who actively choose a proactive, medication-free approach: those wanting to prevent problems before they start, track blood sugar, cholesterol and other markers over time, build lasting nutrition and fitness habits, or keep progress going after other care. Clinical assessment, age limits and exclusions determine suitability.
A clinical starting point
A questionnaire and initial NP review help establish your goals, relevant history and whether testing or an in-person assessment is needed.
A plan with options
Non-GLP-1 care may include nutrition and lifestyle changes and relevant testing, based on assessment. It is a complete program in its own right, not a waiting room for medication.
Results & ongoing review
Interpret findings with your clinician and reassess your plan. Includes at-home NiaHealth blood collection for the heart and longevity panel at baseline and every 3 months while active, with clinician-reviewed results and dashboard access. GLP-1 reassessment occurs at scheduled intervals.
Not for emergencies.Call 911 or seek emergency care if you need immediate help. Virtual care may not be appropriate for every concern.
Your program
What your program includes.
Included in your term
Up to two 30-minute virtual-care consultations per month
One prescription or refill review per month, where clinically appropriate (a review, not a guaranteed prescription)
At-home blood collection through NiaHealth for the included heart and longevity panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers.
Daily Dose individually packed daily vitamin/supplement packs, delivered monthly and included in both longevity programs, support a convenient daily routine alongside nutrition and fitness guides. Suitability is reviewed individually.
Personalised nutrition guides and fitness guides
GLP-1 reassessment at scheduled intervals
A personalised plan and priority access to suitable Refua treatments and programs
Care coordination and platform access for your program
Not included
Medication and additional treatment costs, unless explicitly stated
Guaranteed GLP-1 eligibility
Emergency care
An entry questionnaire, labs and clinical review determine GLP-1 eligibility. The Concierge Service is appropriate when GLP-1 is not currently suitable, with reassessment if circumstances change. Remaining membership value may transfer on an approved pathway change, subject to the applicable rules; credit is not automatic.
An NP video visit and your first labs with dashboard, so you can discuss your options with your data in front of you. The full amount goes toward any program you choose.
Programs are paid as a full-term total, but you don’t have to pay it all in one go. With Klarna you can split the cost into smaller payments over time, with a quick eligibility decision at checkout.
Break one full-term payment into smaller, manageable payments.
Choose Klarna directly at secure checkout, no lengthy application.
Quick eligibility decision, subject to approval by Klarna.
Klarna is subject to eligibility and approval by Klarna. Choose Klarna as your payment method at checkout to spread payments over time.
Signature prices are CAD full-term totals paid upfront for a fixed 3-, 6- or 12-month commitment and renew for the same term at the disclosed price. Basic is $149 CAD for your first eligible month, then $179 CAD monthly, with optional add-ons billed at their own monthly or quarterly intervals. To request cancellation, please contact us. Existing subscriptions keep their agreed prices. Medication is paid separately.
Your care, explained
Why people choose longevity care without medication
Longevity health is broader than weight. Energy, blood sugar, cholesterol, sleep and heart health all connect, and early changes often show up in your results before you feel them.
This program gives you regular testing, an NP who reviews results with you and a practical plan you can follow. If medication later becomes appropriate, your NP can discuss it; a questionnaire or payment does not guarantee a prescription.
Your care, explained
Monitoring that belongs to your plan
Clinical review
Your NP determines appropriate monitoring and reviews results within the agreed care arrangements.
Treatment adjustments
If medication is prescribed, dose review, side-effect support and reassessment depend on the treatment and clinician’s advice.
When needs change
Discuss ongoing care, alternative treatment or escalation.
Clear costs
Know the cost before you commit.
Service fees, full program term totals and confirmed inclusions are shown on this page. Program terms are paid upfront in full.
Your complete cost
Approved service fees and full program term totals are listed here, paid upfront for the fixed term. Klarna financing is available at checkout, subject to eligibility and approval. Taxes where applicable, renewal and cancellation deadlines will be stated before payment.
What may cost extra
Medication and additional treatment costs are separate unless explicitly stated. Virtual Care visits do not include program labs or supplements.
Your choices
If your preferred treatment is unsuitable, available care options and applicable cancellation or refund terms will be explained before commitment.
When testing is appropriate, the next step is understanding what it means for you. Refua connects clinical assessment, results interpretation and practical next steps.
Testing guided by your care
Your NP determines whether existing results or new testing can inform your plan. Virtual Care visits do not include program labs; tests outside program inclusions may cost extra.
Results with clinical context
At-home blood collection through NiaHealth for the included heart and longevity panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers.
Public NiaHealth demonstration. This is not a Refua patient login and shows no Refua patient data.
Illustrative demo, not the NiaHealth dashboard
Your care, connected.
Your assessment
A summary of the discussion and the questions addressed.
Your care plan
Recommendations and appropriate treatment or testing next steps.
Your results, explained
Interpretation in context, where results review is appropriate.
Your next review
How and when to follow up, based on agreed care arrangements.
Example structure only. No patient results or clinical thresholds are shown.
Our partners
Partners with a clear role.
NiaHealthAt-home blood collection and results platform
At-home blood collection through NiaHealth for the included heart and longevity panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers.
Daily DoseDaily supplement packs
Daily Dose individually packed daily vitamin/supplement packs, delivered monthly and included in both longevity programs, support a convenient daily routine alongside nutrition and fitness guides. Suitability is reviewed individually.
Pharmacy coordination
Next-day home delivery through our pharmacy partner. Dispensing is subject to prescription approval and pharmacy requirements.
Partners support parts of the care journey. Testing, supplements and prescribing depend on individual clinical assessment.
Bachelor of Nursing, BSc · Master of Nursing (with high distinction)
Lorraine is a Nurse Practitioner who graduated with a Master of Nursing degree with high distinction. With a background in emergency room nursing, she is passionate about providing comprehensive, personalised care and treatment for her patients.
From your first click to follow-up
What happens next?
01
Check your pathway
Complete the private preliminary self-check. Eligible results continue to program selection and secure online payment; other results continue to a Care Specialist.
02
Choose your program
Review the program, term, inclusions, exclusions and automatic founding price. Eligible results pay securely online; founding pricing applies automatically.
03
Labs and coordinated next steps
After confirmed payment, Refua orders the included baseline labs and a Care Specialist coordinates your appointment and next steps. No public program calendar is shown.
Support hours: Monday–Thursday, 10:00 AM–7:00 PM and Friday, 9:00 AM–6:00 PM Eastern Time (closed early Friday for Shabbat) (America/Toronto). For support, call +1 (289) 475-5515 or email help@refua.ca.
An assessment can help identify the appropriate pathway, without duplicate programs for overlapping care.
Before you book
Your questions, answered.
Do I need to take medication to join?
Treatment is individual. Broader longevity care may be appropriate without GLP-1 medication. Completing a questionnaire, paying or enrolling does not guarantee a prescription or future eligibility.
Are labs included?
At-home blood collection through NiaHealth for the included heart and longevity panel at baseline and every 3 months while your program is active, with coordination, clinician-reviewed results and easy-to-read dashboard access. Refua’s panel scope applies, not every test NiaHealth offers. Any further testing depends on your clinical assessment.
Are supplements included?
Daily Dose individually packed daily vitamin/supplement packs, delivered monthly and included in both longevity programs, support a convenient daily routine alongside nutrition and fitness guides. Suitability is reviewed individually.
How often will I meet my NP?
The Concierge Service includes up to two 30-minute virtual consultations per month. Weight Loss Management includes monthly clinical assessment, monitoring and follow-up.
Can I use Refua outside Ontario?
Refua currently serves Ontario. You must be in Ontario during your clinical appointment. Other provinces are planned expansion areas, with no confirmed launch dates. See our Service area page for Ontario eligibility information.
What will my care cost?
Virtual Care service fees and 3-, 6- and 12-month program totals are listed on our Pricing page. Programs are fixed 3-, 6- or 12-month terms paid upfront in full; prefer flexibility? Monthly Weight Management is month-to-month at $149 for the first eligible month, then $179 per month. Each program page lists confirmed inclusions. Medication is paid separately; Virtual Care visits are charged per selected visit. OHIP or insurance reimbursement is not promised.
Does booking guarantee a prescription or referral?
No. Prescribing, testing, documentation and referrals depend on the NP’s assessment, clinical scope and suitability. A referral does not guarantee specialist acceptance, access or a particular wait time.
How do program renewals work?
Signature programs renew automatically for the same selected 3-, 6- or 12-month term at the price you agree to before checkout. To request cancellation, please contact us through My account. Staff handle cancellation requests; there is no self-service cancellation button. Monthly Weight Management bills monthly, while the $400 NP visit + first labs is a one-time payment.
Can I start with the $400 NP visit and first labs?
Yes. The one-time $400 starter includes one NP video visit, your first labs and dashboard access. The full $400 is credited toward any program you choose. It uses a founding spot and does not guarantee medication or program eligibility.
Which terms have founding-member pricing?
Founding prices apply automatically to the first 250 completed paid program enrolments for both longevity programs. Founder totals are $1,699 CAD for 3 months, $3,199 CAD for 6 months and $5,799 CAD for 12 months. Oura Ring is included on 6- and 12-month terms. Active paid Founder members receive 10% off all Virtual Services, applied automatically when signed in.
When does the Refer-a-Friend benefit apply?
If a friend enters your unique referral code at signup, you both receive a 5% voucher in My account. An available voucher can reduce the first payment for an eligible 3-, 6- or 12-month Signature program by 5%. It does not discount Basic monthly billing or the $400 starter.
Your next step
Start with your pathway.
Complete the private self-check to see your preliminary pathway. Eligible results continue to program selection and secure online payment; other results continue to a Care Specialist.
Prefer to spread the cost?
