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Man's Health, Women's Health

Metabolic Fitness

Our Approach

The Metabolic Fitness Program’s team-based approach is focused on helping you reverse your metabolic syndrome through support, education and comprehensive care.

Our dedicated team of doctors, nurses, registered dietitian nutritionist, behavioral health consultant and clinical exercise physiologist will work with you to reduce your risk of developing cardiovascular disease and improve your health.

Our program combines exercise, nutrition, stress management and strategies for behavior change in a supportive group atmosphere to facilitate positive lifestyle changes, which in turn reduces risk. The 12- or 24-week program includes weekly meetings via Zoom for lectures, group discussions and exercise allowing you to participate from the comfort of your own home.

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Clinical Genetics Service

  • Physician assessment and diagnosis of genetic conditions (birth defects, other physical differences, developmental delay, short stature, possible syndromes)
  • Diagnostic testing (blood, cheek swab / saliva, urine testing)
  • Genetic counselling (including family history indications, new diagnoses of genetic conditions, consanguinity)

Metabolic Genetic Service

  • Physician assessment and diagnosis of metabolic genetic conditions
  • Diagnostic testing (blood work and/or urine testing)
  • Long term follow-up and management of metabolic genetic conditions (diet therapy, enzyme therapy)
  • Genetic counselling for metabolic genetic conditions (including family history indications, new diagnoses of genetic conditions, consanguinity)

Newborn Screening

  • Diagnostic follow-up testing (blood work and/or urine testing) for positive newborn screens for our region from the Newborn Screening Ontario program
  • Follow-up counselling and information provision about newborn screening results
  • Long-term follow-up and treatment with specialists, as required

How to prepare:

  • Please bring any relevant information about your family history to help us draw your family tree (medical conditions/illnesses, miscarriages, cancer, birth defects, sudden deaths) including information about your immediate and extended family (cousins, grandparents, aunts and uncles)

What to bring:

  • The health card of the patient being seen, and also the health cards of other family members attending the visit because sometimes it is important to test family members as well.
  • Any test results for yourself or your family members, especially results of genetic testing.
  • Make sure that the patient is present at the initial consult and any follow up visits.
  • If possible, both parents should attend their child’s first visit
  • If you are being seen for genetic counselling related to family planning, please bring your partner if possible.

During your visit:

  • You will be seen by a physician, and in many cases by a genetic counsellor. If you are being seen by the metabolic genetics service you may also be seen by a dietitian, nurse, or social worker.
  • Genetic testing and/or other investigations may be offered to you. This typically involves a blood, buccal (cheek swab), saliva, and/or urine sample. Genetic testing offered through the clinic is usually covered by OHIP and you can make a decision on whether you would like to proceed with genetic testing after discussing test information and options.

After your visit:

  • Genetic testing results may take up to 4-6 months. You will be contacted for a follow-up appointment when your results are available
Will I/my child have blood work completed?

Some patients will have blood work or other testing completed following their visit. The testing that is offered depends on the assessment during your visit.

Do I need to be fasting for my blood work?

Typically, fasting is not required for blood work.

How long will my appointment be?

Most appointments are one hour. If blood work or other testing is ordered, you may be at the hospital for 2-3 hours.

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