Optimize Your Health

Arthritis & Joint Degeneration

Non-surgical treatment in Mississauga & Oakville

Explore assessment-led care for osteoarthritis and joint pain, from ultrasound-guided injections to hands-on rehab.

✓
Assessment first

Every plan starts with a clinical exam and a review of your imaging.

◎
Ultrasound-guided

Joint and tendon injections are placed under real-time ultrasound.

♥
Your own blood

PRP and nSTRIDE® APS are prepared on-site from a small blood sample.

↗
Rehab built in

Injection care is paired with a personalized recovery and movement plan.

Treatment options

Find the starting point that matches your goal

Not sure which option fits? That's what the consultation is for. These pathways help you see what we offer before you book.

Injection treatments

Health optimization available in Mississauga & Oakville
Knee osteoarthritis
Single injection

PRP | nSTRIDE® APS

An autologous protein solution made from your own blood, concentrating anti-inflammatory proteins and growth factors. It is injected into the knee under ultrasound to target joint inflammation.

Suited to
Mild to moderate knee osteoarthritis
Visits
Assessment, then one same-day procedure
Timeline
Some patients notice change in 2–4 weeks; results vary
Fee
$1,290 incl. ultrasound guidance
Joints, tendons & ligaments
1–2 injections

PRP | Platelet Rich Plasma

A small blood sample is spun to concentrate platelets, then injected into the affected tendon, ligament or joint under ultrasound to support healing and reduce pain.

Suited to
Mild to moderate OA, chronic tendinopathy, partial tendon tears
Visits
Assessment, then same-day injection; a 2-injection protocol if recommended
Not ideal for
Complete tendon ruptures or severe arthritis
Fee
$590 single · $990 two-injection protocol

Movement & manual care

On its own or alongside an injection plan
Exercise & rehab

Physio & Athletic Therapy

A movement assessment followed by a plan of manual therapy, targeted exercise and activity advice to build strength and mobility around the joint.

Hands-on care

Osteopathy

Drug-free manual therapy that uses gentle joint mobilization and soft-tissue work to ease stiffness and improve range of motion.

Non-invasive
Both clinics

Shockwave Therapy

Acoustic waves delivered through the skin, used for chronic tendon pain and some cases of chronic joint pain. Usually a short course of sessions.

What happens next

From first visit to follow-up

1
Book a consultation

Choose Mississauga or Oakville. Self-referrals are welcome. Bring your X-ray or MRI report.

2
Assessment & imaging

A focused exam and ultrasound, reviewed with your X-ray or MRI, to confirm what's driving your pain.

3
Your plan

We explain the options that fit, including when an injection isn't the right choice.

4
Treatment & recovery

Same-day procedure where appropriate, then a rehab plan and follow-up to track progress.

Is it right for you?

Who these options are designed for

You may be a candidate if you
✓Have mild to moderate osteoarthritis, or tendon or ligament pain near a joint
✓Want to explore options before considering surgery
✓Have had limited relief from rest, physio, or steroid or hyaluronic acid injections
✓Prefer a treatment prepared from your own blood
!
When another path may fit better

Severe arthritis or a complete tendon rupture usually needs a different approach. We'll tell you if that's the case.

i
Before your appointment

An X-ray or MRI is needed before any injection. Our pre-screening also explains which anti-inflammatory medications and supplements to pause, and asks you to hydrate well on the day.

✓
After treatment

Mild soreness for 24–48 hours is common. Most people return to light activity within a day or two.

What the research says

Studied, with results that vary

Autologous protein solution has been studied for early to moderate knee osteoarthritis, showing symptom improvement with a favourable safety profile in published research. PRP is widely used for tendon and joint conditions.

Response depends on the joint, how advanced the arthritis is, and your activity level. No injection reverses arthritis, and we can't promise a specific result.

Fees & coverage

Receipts provided
PRP, single injection$590
PRP, 2-injection protocol$990
nSTRIDE® APS, ultrasound-guided$1,290

Not covered by OHIP. Some extended health plans reimburse part of the cost, and most Health Spending Accounts accept it. Check with your plan before booking.

Patient experience

In our patients' words

★★★★★
4.9 Oakville (31 reviews) · 4.8 Mississauga (54 reviews) on Google
★★★★★

“Absolutely recommend Tia and PRP injections. I had persistent tennis elbow and arm pain for years. I tried so many therapies, including physio, acupuncture, massage, etc. Pain never totally improved. Finally Filipe suggested I try PRP and I was skeptical but was ready to try anything.Immediately felt better and after a few weeks I have minimal pain in that area. Already planning another PRP procedure.”

Marie V. · Google review · Oakville clinic
Read our Google reviews
Individual experiences vary.
Oakville →Mississauga →
Questions

Frequently asked questions

Is the injection painful?

Most patients tolerate it well. A local anesthetic may be used, and ultrasound guidance supports comfort and precision. Some soreness for 24–48 hours afterwards is normal and temporary.

How many injections will I need?

nSTRIDE® APS is designed as a single injection, with re-evaluation if symptoms return, often around the 12-month mark. Many PRP patients have one injection; some conditions benefit from a 2-injection protocol, which your provider will recommend after assessment.

When can I return to normal activity?

Most people resume light activity within 24–48 hours. You'll get a personalized rehab timeline based on your joint and goals.

Do I need a referral or imaging first?

No referral is needed. Self-referrals are welcome. Imaging is required before treatment, so please bring a recent X-ray or MRI report to your consultation.

Is this covered by OHIP or insurance?

No, these injections aren't covered by OHIP. Some extended health plans reimburse part of the cost and most Health Spending Accounts accept it. We provide receipts for submission.

Optimize Your Health

Talk through your options

Call 905.848.3010, text 647.370.4944, or book online. Consultations in Mississauga and Oakville.

Optimize Your Health

Iron Deficiency & Anemia

iV IronMississauga & Oakville

Low iron or low ferritin? We review your bloodwork and history, then recommend your next steps: Oral iron vs. iV iron.

No referral needed · 15-minute consultation
✓
Assessment

Every plan starts with a review of your bloodwork and health history.

◎
Nurse-Monitored

A registered nurse places your iV and monitors you throughout the infusion.

$
Pricing

Clinic fees listed up front, with detailed receipts for your insurer.

2
Two Clinics

Mississauga and Oakville. Consultations in person, by phone or virtually.

Understanding iron deficiency

Low ferritin, iron deficiency and anemia are related, but not the same

Iron is stored in the body and used to make hemoglobin, the protein in red blood cells that carries oxygen. When stores run low over time, our body is affected in stages.

Stage 1

Low iron stores

The body's iron reserves are running down. Red blood cell production is usually still normal at this point.

Ferritin
Often low
Hemoglobin
Usually normal
→
Stage 2

Iron deficiency

Stores are depleted and less iron is available to the body's tissues, even though hemoglobin may still be in range.

Ferritin, TSAT
May be low
Hemoglobin
May still be normal
→
Stage 3

Iron deficiency anemia

Without enough iron, the body makes less hemoglobin. Anemia means hemoglobin has fallen below the normal range.

Iron studies
Typically low
Hemoglobin
Below normal range
ⓘ
No single number tells the whole story. Ferritin can read higher during inflammation or infection, and reference ranges differ between labs. Results are interpreted alongside your symptoms, history and other bloodwork.
Why people seek assessment

Low Iron → Possible Symptoms

Some people with iron deficiency notice changes like these. Others have no symptoms and learn about it from routine bloodwork.

Fatigue
Weakness
Reduced exercise tolerance
Shortness of breath with exertion
Dizziness
Headaches
Difficulty concentrating
Feeling cold
Palpitations
Hair shedding
i
Many possible causes

These symptoms are common and can have many causes besides iron. Bloodwork and a clinical review are the best way to understand why.

!
When to get urgent care

Chest pain, fainting or severe shortness of breath need emergency care. Call 911 or go to the nearest emergency department.

Your bloodwork

Have recent bloodwork? We can review it.

Iron status is assessed with a group of tests, not one result. Our clinical team reviews the relevant labs as part of your consultation.

What each test tells us

Ferritin
How much iron is stored
Hemoglobin / CBC
Whether anemia is present
Serum iron
Iron circulating in the blood
TIBC
The blood's capacity to carry iron
Transferrin saturation
How much of that capacity is in use

Your provider may also look at other results, such as B12 or folate, depending on your history.

Start with a consultation

Bring your results, or let us help you get them

✓
Email recent bloodwork to Tia@MedCAiRE.ca before your consult.
✓
Results from your family doctor, OB or midwife are welcome
✓
No family doctor? We can help arrange bloodwork
Book a Consultation
Oral iron and iV iron

When iV iron may be considered

Iron pills work for many people. When they cause nausea, constipation or stomach upset, or your levels don't improve, iV iron infusion delivers iron directly into the bloodstream.

iV iron may be considered if you
✓Can't tolerate oral iron because of nausea, constipation or stomach upset
✓Haven't had an adequate response to oral supplements
✓Have a condition that affects iron absorption
✓Have ongoing iron loss, such as heavy menstrual bleeding
✓Have been advised by a health-care provider to consider iV iron
i
Not the right fit for everyone

Low ferritin alone doesn't mean you need an infusion. If oral iron or another approach suits you better, we'll advise you.

!
Safety, in plain language

iV iron is generally well tolerated. Some people have mild, temporary effects such as flushing or a headache. Serious reactions are uncommon, but our Registered Nurses monitor you throughout the infusion.

iV iron options

Two iV iron formulations, chosen for You!

We offer Health Canada-approved iV iron formulations. Neither is better for everyone; our medical provider recommends one based on your bloodwork, history and, if relevant, stage of pregnancy.

iV iron infusion

Available in Mississauga & Oakville
Adults & teens (14+)
Often One Visit

Ferric derisomaltose

A higher dose given in a single infusion, so many patients need fewer visits. Used for adults and teens who are not pregnant.

Visits
Usually one infusion
Infusion time
60–90 minutes, monitored
Clinic fee
$390, plus medication
Pregnancy & postpartum
Several Small Doses

Iron sucrose

Smaller doses over several visits, from 14 weeks of pregnancy and postpartum, coordinated with your OB or midwife.

Visits
Several infusions, per prescription
Infusion time
45–75 minutes, monitored
Clinic fee
$290 per infusion, plus medication

Our medical team confirms which formulation, dose and number of visits best suit you. Iron sucrose may also be recommended for some adults who are not pregnant.

What happens next

Consultation to follow-up

1
Consultation & bloodwork

A 15-minute consult in person, by phone or virtually. We review your labs and history, or help arrange bloodwork.

2
Your treatment plan

If iV iron is appropriate, we recommend a formulation and coordinate your medication prescription with the pharmacy.

3
Infusion day

A private, comfortable room in Mississauga or Oakville. A Registered Nurse places your iV and monitors you throughout.

4
Follow-up

Repeat bloodwork, typically 6–8 weeks later, checks your iron levels. Your plan is adjusted to your results.

Functional medicine approach

We look for why your iron is low

Restoring iron is half the plan. Finding out why it dropped is the other half. Based on your bloodwork, we may add B12, folate or vitamin C support, nutrition guidance or a physician follow-up, to help your levels hold long-term.

Heavy menstrual bleeding
Pregnancy
Low dietary iron
Absorption issues, e.g. celiac or IBD

Fees & coverage

Receipts provided
Consultation$0
Bloodwork review & pharmacy coordination (deposit)$90
Total Clinic Fee (ferric derisomaltose)$390
Total Clinic Fee (iron sucrose, per infusion)$290
Medication billed directly by the pharmacyVaries

The deposit is part of the total clinic fee. Many insurance drug plans cover the medication, and many extended health plans reimburse the clinic fee.

Questions

Iron infusion FAQs

Do I need a referral or a family doctor?

No. Self-referrals are welcome. If you don't have a family doctor or recent bloodwork, we can help you arrange it before your consultation.

Is low ferritin the same as anemia?

No. Ferritin reflects how much iron is stored. Anemia means hemoglobin is below the normal range. You can have low iron stores without being anemic, which is why we look at several results together.

How do I know if I may need an iron infusion?

That's decided at your consultation. We review your bloodwork, symptoms, history and any oral iron you've tried. iV iron is recommended only when it suits your situation.

What bloodwork do you need?

Usually ferritin, a complete blood count (CBC) including hemoglobin, and iron studies such as serum iron, TIBC and transferrin saturation. Your provider may request other tests depending on your history.

What's the difference between the two iV iron options?

Iron sucrose is given in smaller doses over several visits and is the option we use in pregnancy. Ferric derisomaltose is a higher-dose option that can often be given in a single visit. Your provider recommends the one that fits your needs.

How long does an infusion take, and how many will I need?

Ferric derisomaltose takes about 60–90 minutes and is usually a single infusion. Iron sucrose takes about 45–75 minutes and is given over several visits. You're monitored throughout, and your plan sets the exact number.

Can iV iron be used during pregnancy?

Yes, in the second and third trimesters, with iron sucrose. We typically see patients from 14 weeks onward and coordinate with your OB, midwife or primary provider. See our pregnancy & postpartum page for details.

What if I'm already taking iron pills?

If they're working for you, that's great. If they cause side effects or your levels aren't improving, we can assess whether iV iron is appropriate.

Is it covered by insurance?

The medication is billed by the pharmacy, which confirms your coverage with you; many drug plans cover it. Many extended health plans reimburse the clinic fee, and we provide detailed receipts.

Replenish · Restore · Revitalize

Talk through your iron results

Text: 647.370.4944 or book online. Available inMississauga & Oakville.

Optimize Your Health

Immunity & Wellness

iV Therapy & Vitamin InjectionsMississauga & Oakville

Nurse-administered iV and injectable nutrient therapies that support hydration, nutrient status and normal immune function. Every plan starts with a review of your health and wellness goals.

No referral neededMississauga & Oakville
✓
Assessment First
We review your goals, health history and medications before recommending anything.
◎
Nurse-Administered
A registered nurse places your iV or gives your injection and monitors you throughout.
$
Clear Pricing
Fees listed up front, with detailed receipts for your insurer.
2
Two Clinics
Mississauga and Oakville. Self-referrals welcome.
Immune health

Supporting normal immune function

Immune health depends on many parts of overall wellness working together. Nutrition, hydration, sleep, activity and stress all play a role, and certain vitamins and minerals, including vitamin C, vitamin D and zinc, contribute to normal immune function.

When it's clinically appropriate, iV or injectable nutrient therapy can be one part of an individualized wellness plan. It works alongside healthy daily habits; it doesn't replace them.

Marc Lebert receiving iV nutrient therapy at MedCAiRE
iV nutrient therapy, administered and monitored by a registered nurse.
Nutrition
A varied diet is the main source of the nutrients your body uses every day.
Hydration
Fluid balance supports circulation and general wellbeing.
Sleep
Regular, restful sleep is part of how the body maintains itself.
Movement
Regular physical activity supports overall health.
Stress
Managing ongoing stress is part of looking after your health.
Essential nutrients
Where we can help: assessing whether nutrient support may be appropriate for you.
i
Part of a plan, not a replacement

Wellness iVs and vitamin injections don't replace a balanced diet, sleep, routine medical care or treatment for illness.

iV nutrient therapy

Nurse-administered · Mississauga & Oakville
Hydration & nutrients
Most Popular
Myers' Cocktail iV

A nurse-administered iV that combines B-complex vitamins, vitamin C, magnesium, calcium and zinc with fluids to support hydration, nutrient replenishment and general wellness.

Includes
B vitamins, vitamin C, magnesium, calcium, zinc
Time
45–60 minutes
Fee
$260
Immune health
Immune Support iV

Vitamin C and zinc with electrolytes, delivered by iV. Vitamin C and zinc contribute to normal immune function; your nurse confirms whether this iV suits you.

Includes
Vitamin C, zinc, electrolytes
Tailored
Personalized to your health history
Fee
$260
Antioxidant support
Glutathione

Glutathione is an antioxidant your body makes naturally. We offer it as an iV or as a quick intramuscular injection, when appropriate.

Formats
iV, or injection (a few minutes)
Add-on
Can follow another iV, if recommended
Fee
iV $290 · injection $85

Vitamin & nutrient injections

Quick in-clinic injections · no downtime
Essential nutrients
Vitamin B12 injection

Vitamin B12 helps the body form red blood cells and supports normal nerve function and energy metabolism. We use methylcobalamin.

Visit
A quick in-office injection
Schedule
Set with you at your consultation
Fee
$55–$65
Essential nutrients
Bloodwork Required
Vitamin D injection

Vitamin D helps the body absorb calcium and contributes to normal immune function. Low levels are common in Canada, especially in winter.

Form
Vitamin D3 (cholecalciferol)
Before
A recent blood test sets a safe dose
Fee
$55–$65
Your options
Iron, if bloodwork shows it's low

Low energy can have many causes. If your results point to low iron, our iron deficiency service reviews oral and iV iron options with you.

Clinic fee
$290–$390, plus medication
Coverage
Many drug plans cover the medication
Also offered: NAD+
NAD+ is a coenzyme found in every cell, where it takes part in normal energy metabolism. We offer it by iV or injection after a clinical review of your health history.
Learn about NAD+
Know the difference

What each nutrient does, and what we offer

A nutrient's role in the body is well established. Whether an iV or injection is right for you is a separate, individual question, which is why we assess first.

The nutrient's role in the body
The service at MedCAiRE
Immune health
Vitamin C
In the body
An essential nutrient and antioxidant that contributes to normal immune function. The body can't make it, so it comes from food.
At MedCAiRE
Part of our Myers' Cocktail and Immune Support iV, when clinically appropriate.
Antioxidant support
Glutathione
In the body
An antioxidant the body produces itself, involved in the cell's normal antioxidant processes.
At MedCAiRE
Offered by iV or intramuscular injection after a review of your health history.
Essential nutrients
B12 & vitamin D
In the body
B12 supports red blood cell formation and nerve function. Vitamin D supports calcium absorption and normal immune function.
At MedCAiRE
Injections when your history or bloodwork suggests they may help. Oral supplements suit many people, and we'll say so.
Not sure what you need?

Let our clinical team help you choose

You don't need to pick a therapy before you book. We review your wellness goals, health history and current medications, then explain which options may best suit you.

Book a Consultation
At your consultation
✓
Your goals and what you've already tried
✓
Health history, medications and supplements
✓
Recent bloodwork, if you have it, or help arranging it
✓
A clear recommendation and fee before any treatment
Email results ahead to Tia@MedCAiRE.ca
The MedCAiRE wellness approach

From first conversation to follow-up

1
Understand your goals
Talk through your wellness priorities and relevant health information.
2
Review your options
Look at iV, injection and nutrient options that may be appropriate.
3
Personalize your plan
Treatment is chosen around clinical considerations and your needs.
4
Receive treatment
A registered nurse administers your therapy in a private, comfortable room.
5
Follow up
Future needs are reassessed based on how you're doing.
!
Safety, in plain language

Most people tolerate nutrient iVs and injections well. Mild, short-lived effects such as tenderness at the needle site can happen. iV therapy isn't right for everyone; some health conditions and medications need a different approach, so we review your history first.

+
Feeling unwell right now?

Wellness iVs aren't a treatment for infection or illness. If you have a fever or feel acutely unwell, see your doctor or a walk-in clinic. For chest pain, trouble breathing or fainting, call 911.

Pricing & Fee Schedule

Clear fees, confirmed before treatment

Your exact plan and fee are confirmed at your consultation. Detailed receipts are provided for any insurance claim.

A MedCAiRE registered nurse preparing an iV nutrient bag
Every iV is prepared and administered by a registered nurse.
Fee Schedule
Receipts provided
iV | Myers' Cocktail
$260
iV | Immune Support
$260
iV | Glutathione
$290
Injection | Glutathione
$85
iV | NAD+
$390
Injection | NAD+
$105
Injection | Vitamin B12, Vitamin D
$55 +
iV | Iron infusion, clinic fee
$290 – $390
Iron medication, billed direct by pharmacy
Varies

Not covered by OHIP. Most extended health plans reimburse the clinic fee. Most insurance drug plans cover iron medication. Detailed receipts are provided.

Questions

Immunity & wellness FAQs

How does nutrition support normal immune function?

Certain vitamins and minerals, including vitamin C, vitamin D and zinc, contribute to normal immune function. Most people get these from a varied diet. Sleep, activity, stress and overall health matter too.

What is iV nutrient therapy?

Vitamins, minerals and fluids are delivered into a vein through an iV drip by a registered nurse. Whether it suits you is decided at your consultation.

What is a Myers' Cocktail?

An iV formula first used in the 1970s that combines B-complex vitamins, vitamin C, magnesium, calcium and zinc with fluids. We can adjust it to your needs when prescribed.

Do you offer vitamin C iV therapy?

Vitamin C is part of our Myers' Cocktail and our Immune Support iV, which also includes zinc and electrolytes.

Are B12 and vitamin D injections available?

Yes, at both clinics. Vitamin D injections need a recent blood test to set a safe dose.

How do I know which treatment may be right for me?

Book a wellness consultation. We review your goals, health history, medications and any recent bloodwork, then recommend an option, or tell you if you don't need one.

Can anyone receive iV therapy?

No. Some health conditions, medications, pregnancy and breastfeeding need a different approach. We check before recommending treatment.

How long does an iV take, and how often can I have one?

A Myers' Cocktail usually takes 45 to 60 minutes. Many people come in once or twice a month, or about four times a year for ongoing wellness. Your nurse confirms the right timing for you at your consultation.

Is there a fee for the consultation?

No. The wellness consultation is free. You'll know the fee for any recommended treatment before it begins.

Do I need a referral?

No. Self-referrals are welcome at both clinics.

Is it covered by insurance?

Wellness iVs and injections aren't covered by OHIP. Some extended health plans may reimburse part of the cost; we provide detailed receipts.

Optimize Your Health
Talk through your wellness options
Text 647.370.4944 or book online. Mississauga & Oakville.

We have treatment options.

Immunity & Wellness

Support the Immune System & Overall Wellness

Immunity & Wellness

iV therapies to support your immune system, boost energy, and help your body handle seasonal illness and immune imbalance.
Whether you're trying to stay ahead of flu season, recover from chronic fatigue, or simply support a body that feels like it's working against you, a strong, balanced immune system is the foundation.

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Our functional medicine iV therapies are designed to support your immune function directly — helping your body defend itself, recover faster and stay resilient year-round.

Myers' Cocktail iV Therapy

  • Vitamin C — supports immunity, collagen production, and tissue repair
  • B Vitamins (B1, B2, B3, B5, B6, B12) — support energy production and brain function
  • Magnesium — eases muscle tension and supports cardiovascular health
  • Calcium — supports bone strength and nerve function
  • Can be further modified to tailor individual needs

Who It Helps

Myers' Cocktail is commonly used to support recovery from chronic fatigue, fibromyalgia, migraines, seasonal allergies, and upper respiratory infections, as well as to ease muscle cramps, support immune function, and aid nutrient absorption for those with digestive challenges. Athletes also use it to speed recovery and replenish electrolytes after intense training.

  • Boosts energy and combats fatigue
  • Strengthens immune resilience
  • Speeds recovery from illness or intense exercise
  • Supports better hydration and nutrient absorption

Immune Support (Seasonal Flu)

For those looking for a natural approach to seasonal immune support, our Immune Support iV infusion delivers a blend of vitamins, antioxidants, and immune-supporting compounds directly into the bloodstream — bypassing digestion for faster, more complete absorption. Unlike a traditional flu shot, this therapy doesn't trigger antibody production; instead, it's designed to strengthen your body's own natural defenses, especially heading into flu season.

For best results, this infusion is typically administered in early fall, giving your immune system time to respond before peak flu season hits. It's well-tolerated by most patients, with only mild, temporary side effects in rare cases (such as slight discomfort at the infusion site), and the formulation can be personalized based on your individual health needs.

This therapy is especially valuable for those more vulnerable to seasonal illness — including older adults, people managing chronic conditions, or anyone with a compromised immune system — and works well as a complement to your existing preventive health routine.

Balanced Immune System

A healthy immune system is about balance — strong enough to fight off illness, but not so overactive that it turns against the body itself. Diet, gut health, environmental exposures, and chronic stress can all influence how well your immune system functions. As part of our functional medicine approach, we look at these root-cause factors alongside iV therapy, helping support overall immune balance and resilience — not just treating symptoms as they come up.
‍

Whether you're heading into flu season or just want your immune system running at its best, we can help you find the right iV therapy for your needs. Book a consultation to get started.

‍

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