Anti-Ageing Medicine Consultations

Dr Agnes Warchalowski

Anti-Ageing Medicine is an exiting field based on research into the cellular and genetic mechanisms that contribute to ageing. This research is identifying compounds, tools and techniques that can prevent, delay and in some cases, even reverse the signs and cellular damage associated with ageing.  

 The key areas that have been researched include:

  • Cellular repair and renewal
  • Energy production and utilisation
  • Mitochondrial function
  • Genetic stability
  • Antioxidant pathways
  • Immune system optimisation
  • Metabolic flexibility 
  • Hormonal balance
  • Neurogenesis and
  • Autophagy (cellular recycling)

Anti-Ageing protocols incorporate a range of  tools and techniques that can optimise these key processes and therefore may assist with certain pathological states such as:

  • Accelerated ageing; skin ageing, hair loss and muscle loss.
  • Loss of barrier integrity; leaky gut and leaky brain.
  • Immune dysfunction; food intolerances, autoimmune processes and allergies
  • Skin conditions; acne, dermatitis, rosacea and psoriasis
  • Metabolic disruption; insulin resistance, weight gain and carbohydrate intolerance.
  • Hormonal imbalances; adrenal dysfunction, thyroid disorders, polycystic ovaries and menopause.
  • Neurodegenerative and neuroinflammatory changes: mood disorders, dementia, cognitive decline and potentially, addiction.

It's important to understand that everyone differs in their physiology, their past, their environmental exposures, where they’ve been, what they’ve experienced, their lifestyle, family and work, their past and current health practices, and even their use of medical services and treatments -  all of these influence the choice of tools used in anti-ageing protocols.  This is why a tailored plan is essential.

Dr Agnes now offers individual Anti-Ageing Medicine Consultations (via Telehealth only) during which she assesses your past and current history, and discusses methods, tools, techniques and compounds that can help address your anti-ageing needs. 

How to book an Anti-Ageing Medicine Consultation

All patients must first complete a Health Questionnaire and return it along with results of any recent blood tests.*  

You must then book an Initial Health Consultation , during which Dr Agnes will briefly assess your questionnaire and provide guidance on whether it is best to start with one of our health programs (BiomeMD or the hCG Diet) or book a Anti-Ageing Medicine Consultation.

*Please note: Dr Agnes only refers for privately-billed functional tests. It is therefore recommended that you see your GP for a general blood test and forward the results prior to your initial appointment with Dr Agnes in order to avoid extra costs.

These are the tests your GP may perform:

  • Full blood count
  • Tests for liver, kidney and thyroid function
  • Fasting lipid, cholesterol and blood sugar
  • Cortisol (stress hormone)
  • Vitamin and mineral levels: B12, folate, B6, iron, Mg, Cu, Iodine, Zinc
  • Inflammatory markers: CRP, ESR
  • And any others as directed by your symptoms

What to expect from Anti-Ageing Medicine Consultations

Anti-Ageing Medicine Consultations are 60 minutes each and you will need at least 3 consultations for development of the complete protocol.  

The consultations will proceed as follows:

  1. First Consultation – a thorough assessment of your history, advice regarding testing and medication management and provision of a personalised nutrition plan (more information below).
  1. Second Consultation – an assessment of progress and results, discussion of individualised lifestyle techniques, advice regarding further testing and medication management as well as tools for implementing techniques and monitoring progress (more information below).
  1. Third consultation – a review of your progress, discussion of supplements and/or compounded formulations as well as tools and treatments for assisting underlying processes (more information below).

Here are more specific details of what to expect at each consultation. 

The First Consultation

Dr Agnes will explore all areas of your life that may be affecting your health or keeping you stuck.  The aim is to identify what needs to change in order to prevent or delay cellular decline, or reverse cellular damage where possible.

This consultation focusses on dietary needs as this is crucial for optimising health.  How effective a certain plan will be, depends entirely on your individual physiology - and everyone is different in that respect. By taking a thorough history, Dr Agnes can identify the dietary factors that are effecting your health and potentially contributing to premature ageing. These factors include - but are not limited to - how well your body tolerates carbohydrates and fermented foods, whether you suffer from underlying food intolerances, whether sugar is the cause of your fluid retention, as well as the nature and timing of your cravings. Dr Agnes will determine which dietary techniques are safe for you and best suited to your needs. She will also discuss how to set out your meals mid-week, on weekends and on or after special occasions. 

The techniques that Dr Agnes use are implemented in cycles and depend entirely on your physiology.  Your plan may include some or all of these techniques:

SAFE intermittent fasting
SAFE and intermittent ketosis
Circadian rhythm timing
Carbohydrate cycling
Fasting-mimicking diet cycles
Liquid fasts (NOT water fasting). 

All of these techniques have proven anti-ageing benefits if they are implemented in a way that works with your individual physiology.  Unfortunately, there is much misinformation on these techniques and professional guidance is essential to achieve the best results.

At the end of this consultation Dr Agnes:

  1. Will provide you with a written personalised nutrition plan which forms the first step of your protocol.*
  2. May suggest more testing through your GP as needed.
  3. May refer you for private functional tests
  4. May make recommendations regarding medication management or modification which you can discuss with your GP
  5. Will provide resources to assist you with implementing the dietary techniques. These may include behavioural techniques, educational videos or safe food brands.** 

*This plan includes a food list, meal timing, macronutrient proportions and information regarding how and when to use certain dietary techniques.  It will not include everything discussed during the consultation so it is recommended that you take your own notes as well.

**Please note that we do not receive any incentives for any recommendations made.

 

The Second Consultation

Dr Agnes will assess your progress and results of any tests (if ordered).  She will also discuss individualised tools to address sleep, mind management, exercise and lifestyle.  Techniques must be chosen according to your physiology, as well as your daily, weekly and monthly patterns

Research into sleep has revealed benefits that extend to every aspect of life.  Sleep is the time when your brain consolidates memories.  It is also when immune cells within the brain remove the junk that has accumulated during the day.  Without adequate sleep, this brain-cleansing process is impaired. There is a clear link between between sleep disorders and brain disorders such as neurodegenerative conditions and mood disorders.  At the very least, poor sleep can impact decision-making which in turn effects all aspects of life.  

Similarly,  factors such as poor stress-management or inappropriate exercise can have a significant and multifactorial impact on your health which can lead to accelerated ageing.  For example, yoga may be great for some, but may aggravate long-standing injuries in others.  And when it comes to exercise, it must appropriate to your physical capacity.  To give an example, high intensity exercise boasts many health benefits however it can elevate stress hormone levels and therefore should not be practised if you have adrenal or thyroid problems.

Dr Agnes will identify the molecular mechanisms that influence your sleep, stress-management and exercise capacity.  These mechanisms are unique to your physiology and can be modified where needed.  The aim is to guide the body towards following natural circadian rhythm cycles in order to optimise  sleep, energy levels, mental focus and your ability to manage stress.  

You will be provided with a one-page plan that lists the tools and techniques you can implement at certain times of the day in order to take advantage of natural circadian cycles. 

You will also need to take your own notes as a substantial amount of information will only be given verbally.  You can, however, opt for a word document protocol which can be provided at an extra fee that is time-dependent.  

At the end of this consultation Dr Agnes:

  1. Will provide you with a one-page plan that lists the tools and techniques you can incorporate at particular times each day.
  2. Will provide resources to assist you with implementing the techniques discussed. Most of these resources are free however some may incur a fee - such as meditation apps or sleep trackers.* 
  3. May suggest more testing, treatment or medication changes that you can discuss with your GP
  4. May refer for functional tests.

*Please note that we do not receive any incentives for any recommendations made.

The Third Consultation

This consultation is to assess your progress and address any areas that are not adequately managed with the tools above.  Dr Agnes will develop an individualised program that may include compounded nutrient formulations, vitamin injections or infusions, novel antioxidant, anti-inflammatory and anti-ageing compounds, hair loss formulations and personalised compounded skin care.   Dr Agnes may also make recommendations regarding evidenced-based treatments or products such as acupuncture, LED caps for hair loss or infrared panels for anti-inflammatory purposes.

Inflammation is the underlying cause of many symptoms and conditions.  It is also the cause and consequence of ageing - a link known as inflammageing.  For some people, an individualised diet and lifestyle plan is sufficient to manage inflammation. Others however may require novel anti-inflammatory supplements or prescription compounds.  There are many compounds that have significant immune, neurological and anti-ageing benefits. Dr Agnes will determine which ones are best suited to your needs and provide a list of recommendations.

You will need to take your own notes during this consultation as a substantial amount of information will only be given verbally.  You can, however, opt for a word document protocol which can be provided at an extra fee that is time-dependent.  

At the end of this consultation Dr Agnes:

  1. Will provide a basic plan for certain supplements, services, treatments or products.
  2. May provide prescriptions for compounded products*
  3. Provide written resources on where to purchase certain compounds and products or obtain treatments such as vitamin infusions.*
  4. May suggest more testing, treatment or medication changes that you can discuss with your GP
  5. May refer for functional tests  

If your plan is complete, it is recommended that you book a Review Consultation in 1 month. 

If however, your individual needs are more complex, Dr Agnes will suggest further 60-minute consultation/s to complete your plan.

*Please note that we do not receive an incentive from most online purchases or recommendations to other practitioners. Products purchased through BioAesthetics or via a registered link are sold at or below retail prices with a marginal incentive for the clinic. Recommendations made are not guided by incentives but rather by evidence of efficacy.

 

    Medical Disclaimer

    It is essential to understand that these consultations do not manage any medical conditions and do not replace medical care. They are simply to provide you with a protocol that assists your physiology.  This protocol may help reduce symptoms of certain conditions however you must continue to work with your GP to investigate and manage any symptoms or conditions you may have.  Dr Agnes does not provide pharmaceutical prescriptions, referrals for mainstream tests or referrals to specialists, however, she may make recommendations that you can discuss with your GP. 

    Consultation Fee Schedule

    Initial Health Consultation:                 $150 per 20 minutes

    This is to discuss which management option is best for you – whether to commence with a health program or start Regenerative Medicine Consultations.  The fee will be deducted from the cost of the program or the initial Regenerative Medicine Consultation, depending on which path you choose.  Otherwise, the fee is non-refundable once the consultation has commenced.

    Anti-Ageing Medicine Consultations:          $450 per hour


    Each consultation is allocated 60 minutes and a minimum of 3 consultations will be required to assess your needs and develop a regenerative protocol.  Additional consultations may be needed and will depend on individual complexity and whether all factors listed above can be addressed and discussed within the allocated time.  

    Review Consultations:        $150 per 20 minutes

    This consultation is for reviews provided during the one of the programs (BiomeMD or hCG Diet) OR after development of the individualised regenerative protocol.  

    Payment and Cancellations Fees

    For Initial and Review consultations:

    A booking fee of $150 is required to secure your appointment.  Should your consultation go beyond 20 minutes, you must pay the remaining fee immediately after the consultation.

    A cancellation fee of $80 applies if you fail to give at least 24-hours notice of cancellation or if you are not available at the time of your appointment, (see "Missed Appointments" below). This cancellation fee will be deducted from your initial payment and the remainder will be refunded to your account.

    For Anti-Ageing Medicine Consultations: 

    A booking fee of $450 is required to secure your appointment.  

    A cancellation fee of $150 applies if you fail to give at least 24-hours notice of cancellation or if you are not available at the time of your appointment, (see "Missed Appointments" below). This cancellation fee will be deducted from your initial payment and the remainder will be refunded to your account.

    Payment for Extended Consultations

    Consultations must be completed within their allocated time in order to ensure that the next appointment can commence as scheduled.  If, however, time allows, you may be offered an extension to the consultation which will be charged at an extra $75 per 10 minute extension, payable at the end of the consultation.

    Missed Appointments

    If you are not available at your scheduled time, Dr Agnes will call twice within the first 5 minutes and wait another 10 minutes for you to call back.  Please note that a later start will reduce the amount of time with Dr Agnes, however the consultation fee will remain the same.  If the appointment does not proceed within 15 minutes, this is considered a cancellation and a fee applies as above.

    Payment Options

    Unfortunately, there are no payment plans and these services are not eligible for Afterpay. 

    Discounted consultations are available to those who hold a current Centrelink Card.  Please contact the office to discuss further.