Physician-Designed ProgramsGreater Toronto Area
Preluma uses the science of prehabilitation (“prehab”) to create personalized programs that help reduce the risk of complications from surgery or cancer treatment, and help prevent falls. Delivered in the comfort of your home.
Founded and led by
MD, FRCPC
Anesthesiologist
Certified Health Coach
University of Toronto Lecturer
Preluma Founder
Trained at the following institutions
Dr. Krimus provides clinical oversight, program design, and health coaching but is not the treating physician. Preluma programs are delivered by licensed allied health professionals and complement, rather than replace, care from your medical team.
Find your starting point
Prehab results in up to
50% fewer complications*
Program 1
Go into surgery stronger.
Build physical and nutritional reserves so you can tolerate surgery better, recover faster, and spend less time in hospital.
Prehab linked to higher
treatment completion*
Program 2
Build reserve for treatment.
Maintain strength and function through chemotherapy or radiation, supporting quality of life and treatment outcomes.
1 in 3 adults 65+
fall yearly*
Program 3
Stay steady. Stay independent.
Improve balance, strength, and coordination to reduce fall risk and protect your independence at home.
Why it matters
Studies report up to a 50% reduction in complications—including pulmonary and infection risks.
Strength, stamina, and nutrition support can help the body handle surgery or treatment demands.
Personalized preparation may support mobility, confidence, and fatigue management through recovery.
How it works
Our team, including our physicians, provides coaching and support to help you prepare—we do not diagnose or treat medical conditions. This service does not replace your medical doctors; please continue following their advice.
Our values
Every program is tailored to your unique health needs, goals, and home environment.
Our protocols are grounded in the latest research from leading academic institutions worldwide.
Programs are designed by licensed physicians with expertise in prehabilitation.
We bring together physicians, kinesiologists, physiotherapists, and dietitians to support the whole person.
Pricing & coverage
Programs start with a free consultation. We will assess your risk, understand your needs, explain the recommended care, share program pricing, and help you understand possible extended-health coverage before you commit.
A virtual conversation to assess your risk, understand your needs, and determine whether Preluma is a fit.
For families
Personalized, in-home care to support recovery, independence, and the things they love.
Preluma Blog
Find out when to begin prehabilitation before surgery and what may still be useful when your operation is only weeks away.
Read the guide →Learn how medication effects and vision changes can contribute to falls and what to discuss with your doctor, pharmacist and eye-care provider.
Read the guide →Learn why cancer nutrition is individualized and when appetite changes, weight loss or swallowing problems should prompt dietitian support.
Read the guide →Common questions
Still unsure? Talk to a Preluma team member.
Preluma services are not covered by OHIP. Some extended health plans may reimburse eligible services provided by regulated professionals. Coverage varies, and we will explain program fees and available receipts before you commit.
No. You can book a free consultation directly. Referrals from a surgeon or family physician are welcome, and we can coordinate with them.
As soon as possible. The more time you have before surgery or treatment—or to build strength against fall risk—the more you stand to gain. Even a short window is worth using.
Research suggests that around three weeks of focused preparation is typically needed to produce a meaningful improvement in physical fitness and reduce surgical risk—with longer programs showing even greater benefit. For this reason, we recommend starting at least three weeks before surgery. If your surgery is sooner, reach out and we’ll help you make the most of the time you have.
Most patients train about three times a week, roughly an hour per session, with dietitian and coaching check-ins built around their schedule. Your clinician adjusts the plan to your energy, mobility, and timeline.
That is completely fine. Preluma is designed around in-home support, and we can use phone calls, printed instructions, and simple routines instead of apps or video technology. We will find an approach that works for you.
Prehabilitation is a relatively new field. Although preparation has long been used in elite sport, its application to surgery and oncology has gained meaningful clinical attention more recently, and referral pathways are still developing. Many surgeons and family physicians know about prehabilitation but may not have a local program to recommend. Preluma was built to make evidence-based preparation easier to access, whether or not it came up during your medical consultation.
Start today
A complimentary consultation. No referral. No obligation.
