THE SHIFT CLINIC / CLINICAL PROGRAMS

Skilled support for your weight and metabolism.

The Shift Start Program is physician-led care for Ontarians 15 and older, of all genders. It is OHIP-funded, open by referral and does not require a membership.

Explore the Start Program

Start is open now. Our expanded Phase II practice is planned to open in January 2027.

THE START PATHWAY

From referral to your next step.

1

Referral

Your doctor or nurse practitioner sends a referral. The clinic contacts you to begin intake and arrange your cohort.

2

Orientation + MD

Begin with session 0 and an individual MD consultation.

3

Six group sessions

Learn through the Shift system: metabolism, appetite and perspective. Your cohort details confirm the dates and cadence.

4

Your next step

Near the end, explore optional digital support, coaching, testing or ongoing medical care.

Visit the Start page for current cohort information and referral routes. No clinical information or referrals are collected through this page.

INDIVIDUAL CARE / SHARED LEARNING

More than a medication program.

Understand your options.

The program helps you understand metabolism, appetite and perspective, and build practical strategies without restriction or shame.

Medication guidance, selection and counselling are individualized. Where appropriate, discussions include Health Canada-approved treatments.

Care that stays connected.

No pre-referral bloodwork is required. The clinic orders and follows up on needed bloodwork and imaging as part of care.

Patients are not charged to participate in Start. Optional insurance prior-authorization support and body-composition testing may carry separate fees.

OPTIONAL NEXT SUPPORT / PHASE II

Choose the support that fits.

Testing is introduced during Start, but it is not required. It is available afterward as desired and appropriate. Most people begin with Start, then explore the next step that makes sense for them.

Digital support

Community, courses and practical tools after Start.

Coaching + testing

More support around metabolic health, with optional testing for specific questions.

Explore testing

Ongoing medical care

A primary metabolic care relationship. No referral is required for membership. You can keep your family doctor.

Expanded practice opening planned for January 2027. Joining the waitlist does not book an appointment or guarantee care. No payment is taken through the waitlist.

Join the Phase II waitlist