Physician-Designed Programs
Clinical risk, medical context, and appropriate escalation are built into how programs are designed and coordinated.
About Preluma
Preparation should feel personal.
Preluma brings multidisciplinary prehabilitation into the home—helping patients of all ages build strength, mobility, nutrition, and confidence before a medical challenge.
Meet our clinical leadership
Physician-founded.
Built around the patient.
Dr. Lior Krimus MD, FRCPC — Founding Physician
Dr. Krimus is an anesthesiologist, a Fellow of the Royal College of Physicians and Surgeons of Canada, and a faculty member at the University of Toronto's Temerty Faculty of Medicine. He completed a fellowship in Perioperative Clinical Nutrition at Duke University, holds a Health Coach certification from the American Council on Exercise, and is a member of the Enhanced Recovery After Surgery (ERAS) Society, the Canadian Anesthesiologists' Society, the European Society of Anaesthesiology and Intensive Care, and the International Anesthesia Research Society.
He also works with many medical trainees on publishing research. In 2022, he received the prestigious Dr. W. Dale Dauphinee Award for Excellence in Medical Education, the only resident physician in Canada to win that award that year.
Early in his career, he grew frustrated watching patients arrive for surgery unprepared and go on to face complications that better preparation likely would have prevented. That pattern led him to immerse himself in the study of prehabilitation (prehab). He founded Preluma to bring structured, physician-led prehab into the home before surgery, cancer treatment, or medical interventions.
His approach is informed by his experience and prehab training in McGill University, the University of Toronto, Harvard University and Duke University, alongside multidisciplinary care models pioneered internationally. At Preluma, he provides clinical oversight, reviews patient information, and builds individualized programs with physiotherapists, kinesiologists, and registered dietitians.
Dr. Krimus provides clinical oversight and program design at Preluma but is not the treating physician for Preluma patients. His services constitute health coaching. Preluma's programs are delivered by its multidisciplinary team of licensed physiotherapists, kinesiologists, dietitians, and other allied health professionals, and are not a substitute for the care and advice of a patient's own physician or surgical/oncology team.
Why we exist
Too much care begins after the setback.
Preluma was created around a simple idea: the time before surgery, cancer treatment, or a serious fall can be used more deliberately. Preparation can identify modifiable risks, strengthen the body, and give patients and families a clearer plan.
Our approach is shaped by prehabilitation research and care models from leading institutions in Canada, the United States, and the NHS in the UK. It is designed for the realities of daily life—especially for people who may find repeated clinic visits, unfamiliar technology, or generic exercise plans difficult.
Every program begins with the person: their health, home, goals, treatment timeline, and existing healthcare team. Preluma complements medical care; it does not replace it.
How we work
Clinical thinking.
Human delivery.
Care should be rigorous enough for the health challenge ahead and practical enough to use in everyday life.
Multidisciplinary
Physiotherapy, kinesiology, nutrition, and coaching work together around shared goals rather than in disconnected pieces.
Delivered at home
The plan reflects the spaces, routines, supports, and practical barriers that shape how a person actually moves and recovers.
What patients can expect
Dignity, clarity, and a plan built around you.
No pressure to use technology. No one-size-fits-all targets. No promises that overlook individual risk.
Clear explanations
We explain what is recommended, why it matters, what it costs, and where the evidence has limits.
Practical support
Sessions and follow-up are adapted to your home, abilities, communication preferences, and support network.
Care-team connection
With your consent, concerns can be coordinated with the clinicians already responsible for your care.
Measured progress
Appropriate baseline measures and reassessment help the program evolve as your health or treatment changes.
Prehabilitation, delivered at home
Start with a conversation.
Complimentary consultation · no referral · no obligation