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Understand the bigger picture

Metabolic Healthcare Concierge Service

The Metabolic Healthcare Concierge Service offers clinician-led metabolic care for members who do not qualify for the GLP-1 pathway. Assessment, relevant testing and a personalised care plan support informed next steps without a promise of later medication eligibility.

Check your pathway
Quick overview

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 members who do not qualify for the GLP-1 pathway and seek non-GLP-1 metabolic 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. This is a legitimate care option, not a promise of later GLP-1 eligibility.

Results & ongoing review

Interpret findings with your clinician and reassess your plan. Includes at-home NiaHealth blood collection for the Heart & Metabolic 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 & Metabolic 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 metabolic 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.

Explore the NiaHealth dashboard

Public NiaHealth demonstration. This is not a Refua patient login and shows no Refua patient data.

Compare Refua with other virtual-care options

Metabolic Healthcare Concierge Service

Non-GLP-1 metabolic care

Standard · 3-month total

$2,712 CAD

Founding member · 3-month total

$2,562 CAD

Save $150 CAD versus the same standard term

First 250 founding members, subject to eligibility. Full fixed-term commitment; not a monthly price. Medication is extra.

  • Up to two 30-minute NP consultations and one prescription review per month
  • At-home Heart & Metabolic Panel: baseline and every 3 months
  • Daily Dose daily packs delivered monthly; individual suitability review
  • Nutrition, fitness and care coordination
Eligible referral pricing · 5%
Standard referral total
$2,576.40 CAD · save $135.60 CAD
Founding referral total
$2,433.90 CAD · save $128.10 CAD

5% off the applicable standard or eligible founding base. Subject to Refua referral terms; savings are not added together.

Check your pathway

Eligible self-check results continue to program selection and the prepared payment step. Payment is not connected yet.

See program & full inclusions
KlarnaPrefer to spread the cost?

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.

All prices are CAD full-term totals paid upfront for a fixed 3-, 6- or 12-month commitment. There is no month-to-month plan; any monthly figure is explanatory only, not monthly billing. Any monthly figure is a cost comparison, not an instalment plan. Memberships renew automatically for the same fixed term at the disclosed renewal price unless you cancel renewal before the next term begins; cancellation takes effect at the end of the current term. Medication is paid separately.

Your care, explained

Metabolic care without the GLP-1 pathway

Metabolic health is broader than weight management. Your care plan is based on the clinical assessment, not a predetermined medication.

If GLP-1 is unsuitable, discuss non-GLP-1 metabolic care and whether reassessment is appropriate. There is no promise of eventual medication eligibility. 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.

Full pricing & policy information
The bigger picture

Not just results.
A way forward.

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 & Metabolic 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.

Explore labs & diagnostics
Explore the NiaHealth dashboard

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.

NiaHealth logo
NiaHealthAt-home blood collection and results platform

At-home blood collection through NiaHealth for the included Heart & Metabolic 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 logo
Daily DoseDaily supplement packs

Daily Dose individually packed daily vitamin/supplement packs, delivered monthly and included in both metabolic 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.

Partner information
People behind your care

Meet some of our nurse practitioners

Ontario nurse practitioners assess, explain and recommend care within their professional scope. Care Specialists help coordinate the journey.

About our clinical team
Lorraine Salvano, Nurse Practitioner at Refua

Mrs. Lorraine Salvano, NP

Nurse Practitioner

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.

You can look up any Ontario nurse practitioner on the College of Nurses of Ontario public register.

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 the prepared payment step; other results continue to a Care Specialist.

02

Choose your program

Review the program, term, inclusions, exclusions and automatic founding price. Payment remains unavailable until the secure checkout is connected.

03

Labs and coordinated next steps

After future 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–Friday, 10:00 AM–7:00 PM Eastern Time (America/Toronto). For support, call +1 (289) 475-5515 or email help@refua.ca.

Different needs. Connected care.

Broader metabolic care Weight management Understanding GLP-1

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 metabolic 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 & Metabolic 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 metabolic 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; there is no month-to-month plan. 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.

Which terms have founding-member pricing?

The first 250 founding-member invitation covers full 3-, 6- and 12-month commitments for both metabolic programs, not Virtual Care. Founding prices apply automatically to the first 250 completed paid program enrolments.

When does the Refer-a-Friend benefit apply?

Eligible 3-, 6- and 12-month program terms may receive 5% off the applicable standard price, or 5% off the applicable founding price for eligible founding members. When a referred friend joins an eligible program, the person who referred them may receive 5% off their next eligible program. Subject to Refua referral terms. A referral link alone does not confirm eligibility, timing or an automatic discount, and no cash payout is promised.

Your next step

Start with your pathway.

Complete the private self-check to see your preliminary pathway. Eligible results continue to program selection and the prepared payment step; other results continue to a Care Specialist.

Check your pathway

Payment is not switched on yet. The self-check and program selection are available now.

Check your pathway