How we work

Measure, change one thing at a time, measure again

Strongmenhealthlife runs on a short loop. We take baselines in the first 90 minutes. We pick the smallest set of changes that could move those baselines. We meet weekly enough to see whether the work is actually happening. At week 8 we repeat the measures. If the numbers have not moved, we stop or we rewrite the plan in a way you can read. The loop is slower than a tablet and more honest than a stack of supplements with no denominator.

This page is the standard we hold the program to, including the things we will not do. It is also the standard we describe in the letter to your family physician, so the three of us are looking at the same sheet.

Book an assessment See the first visit

Reviewing measures and lab printouts — Week 0 numbers are written before any module starts

Principles

Five rules the program has to survive

Vascular health sits first

An erection is an arterial event. Sitting pressure, waist, glucose and smoking status are not “lifestyle colour.” They are the load on the same endothelium that has to dilate in the penis. We will spend weeks on 140/90 and a 5.5-hour night before we discuss a device. If a man wants acoustic wave therapy while his untreated pressure sits at 158/98, we decline the device until a physician has the pressure in a safer range. This ordering disappoints some bookings. It is also why the week-8 visit has something to compare.

Change one factor at a time when you can

Sleep, alcohol, a new training plan and a pelvic-floor course launched in the same week make it impossible to know what helped. Reset still contains several modules, but they are sequenced: sleep window in week 1, training in week 2, meal pattern once the first two are held. If a week collapses, we do not add a fourth intervention to rescue it. We go back to the one that failed. Men who want a complete life overhaul on a Monday will find this slow. The alternative is a noisy eight weeks and a shrug at the re-measure.

Baselines go on paper

IIEF-5, ISI, sitting and standing pressure, waist and resting pulse are recorded on day one and again at week 8, and at week 16 if you are in Restore. We do not accept “I feel better” as the only endpoint. Feeling better is welcome. It is not a substitute for the cuff. If you decline to repeat the measures, we cannot honestly continue the program, and we will say so rather than collect a remaining instalment for a story.

We coordinate with your physician. We do not replace them.

Labs, medication changes, cardiac clearance and urology belong with a physician licensed to do that work. Our clinicians are licensed in Alberta for the scopes they actually practise: assessment, coaching, physiotherapy through a partner, psychology through a partner. The letter we send is a fact sheet plus questions, not an order. If you do not have a family physician, we will still see you for the assessment; we will not start in-clinic loading that needs a clearance we cannot invent.

No movement in eight weeks means we stop

If week-8 pressure, sleep score and IIEF-5 are essentially unchanged, and the diaries show the work was done, the honest product is a stop or a referral, not a second silent block. If the diaries show the work was not done, we can offer one rewrite with a narrower plan. We do not keep charging Sustain on a flat curve. This rule is in the estimate so it is not a surprise when we use it.

What we measure and when

The same sheet at week 0, 8 and 16

Empty cells mean “not routinely repeated unless the plan says so.” Restore always has a week-16 column. Reset stops at week 8 unless you continue.

Measure	Week 0	Week 8	Week 16
Sitting blood pressure	Yes	Yes	Yes
Standing blood pressure	Yes	Yes	If indicated
Waist circumference	Yes	Yes	Yes
Resting pulse	Yes	Yes	Yes
IIEF-5	Yes	Yes	Yes
ISI (sleep)	Yes	Yes	Yes
Mood screen	Yes	If indicated	If indicated
Lab review (if drawn)	Plan	When back	If repeated

Evidence and limits

What we lean on, what we discuss, what we refuse

Blood-pressure control, weight reduction where waist is high, regular aerobic and strength work, sleep extension, and pelvic-floor physiotherapy for men with a coordination problem all sit on reasonably firm ground. They are also the unfashionable parts of the week. We put them in the program first because that is where the expected value is. We stay modest: losing 4 cm of waist is a useful change in load, and we will not write a reversal slogan in a brochure or a chart.

Low-intensity acoustic wave therapy has a thinner, mixed literature. We offer a six-visit course only after the vascular basics are in motion, only with a conversation about the limits, and never as a stand-alone promise. Over-the-counter boosters, unnamed hormone creams, and in-clinic injections are not part of the catalogue. We do not import protocols from social media. If a man arrives already on a physician-prescribed PDE5 tablet, we leave that prescription where it is and we work on the numbers underneath it.

Privacy inside the clinic

Who sees the chart

Clinical notes are seen by the practitioners on your circle of care: the assessing clinician, the physiotherapist if you are in that course, the psychology partner if you have consented to that referral, and the desk staff who book and bill. Students and observers are not in the room unless you agree on the day. We do not discuss a file in the lift or the reception sofa. Storage, retention and your access rights are written in the privacy policy, under PIPEDA and Alberta’s Health Information Act.

The public website form is a thinner file: name, e-mail, phone, topic, message. It is not your chart. Once you become a client, the assessment note is the record that matters, and it is held to the health-information rules, not only to the marketing-list rules.

Quiet interior of the Calgary suite — The suite is built for a closed door and a low voice

Working with your family physician

What the letter contains

With your written consent we send a one-to-two page letter: the reason you came, the baselines, the modules underway, the labs we think are worth drawing, and any medication questions we do not have the authority to answer. We do not send psychotherapy process notes, pelvic-floor internal findings in more detail than is needed, or a copy of your entire file unless you ask and the law allows. Restore includes this letter. Reset can add the CAD 60 written summary.

We do not copy an employer, a partner, or an insurer unless you instruct us to and the request is lawful. If a physician writes back with a restriction (no wave therapy, no heavy loading, wait for a cardiology test), that restriction enters the plan the same day we see it.