About Us
For Physicians
- fasting TG ≥ 5 mmol/L
- HDL-C ≥ 2.5 mmol/L
- LDL-C ≥ 3.5 mmol/L
- LDL-C ≥ 4.5 mmol/L (+age 18+)
- non-HDL-C ≥ 6 mmol/L
- apoB ≥ 1.5 g/L
- Lp(a) ≥ 100 nmol/L (or ≥ 400 mg/L)
- statin intolerance
- BMI ≥ 30 kg/m² (obese)
- BMI ≥ 25 kg/m² (overweight)
- BMI ≥ 23 kg/m² (overweight + S/E Asian)
- waist circ > 88 cm (women)
- waist circ > 102 cm (men)
- DEXA scan VAT ≥ 1.2 kg (women; or ≥ 1.3 L)
- DEXA scan VAT ≥ 2.0 kg (men; or ≥ 2.2 L)
- A1c 5.5-5.9% (diabetes risk)
- A1c 6.0-6.4% (pre-diabetes)
- FPG 6.1-6.9 mmol/L (pre-diabetes)
- 2-hr OGTT PG 7.8-11.0 mmol/L (pre-diabetes)
- HOMA-IR ≥ 2.5 (insulin resistance)
- fasting insulin ≥ 100 pmol/L
- SARC-F ≥ 4
- handgrip strength < 16 kg (female) | 27 kg (male)
- gait speed ≤ 0.8 m/s (or SPPB ≤ 8, or TUG ≥ 20 s)
- DEXA ALMI/ASMI/RSMI < 20th percentile
- 1+ fragility fracture(s) history
- FRAX/CAROC ≥ moderate 10-y major fracture risk
- DEXA BMD T-score −2.4:−1.0 (osteopenia)
- DEXA BMD T-score ≤ −2.5 (osteoporosis)
- Refer a patient using our referral form or Ocean eReferral. eConsult requests are also accepted via OTNHub.
- Mark any "urgent" referrals requiring evaluation within 2 weeks as such, as well as those patients who prefer to be seen only by video conference.
- Contact the clinic if your patients need evaluation and management of related comorbidities not listed above.
- Referral criteria will be adjusted over time, to encompass a greater range of delayable or preventable age-related disease.
- Wait times are currently < 2 months (as of ).
For Patients
- Ask your primary care physician to refer you using our referral form. We do not currently accept self-referrals.
- Bring along your health card and a list of current medications, supplements, and vitamins to each appointment.
- We offer both in-person and virtual appointments. If you are unable to book online, we will assist you in booking over the phone.
Book only after your referral has been accepted by the clinic
- Monday
- 9:00 AM – 5:00 PM
- Tuesday
- 9:00 AM – 5:00 PM
- Wednesday
- 9:00 AM – 5:00 PM
- Thursday
- 9:00 AM – 5:00 PM
- Friday
- 9:00 AM – 5:00 PM
- Saturday
- 1:00 PM – 5:00 PM
- Sunday
- Closed
Hours may vary from those above, including on holidays.
The clinic is located within wheelchair-accessible space at the Armoury Sports Medicine and Performance Clinic , Suite 201, The Boardwalk, Waterloo ON N2T 0A6. Services including DEXA body composition scans and VO2 max metabolic testing are located on site. Parking is free.