Fees

What it costs

Set out in full below. I would rather you knew the numbers before we speak than discovered them afterwards.

The Bredesen Protocol: what the whole programme costs

The consultation fees above are only part of it. Getting to the point where you can properly act on a treatment plan costs around £10,000. That covers the clinical and diagnostic workup and the review where everything is brought together:

• The initial consultation (180 minutes).
• The laboratory diagnostic workup.
• Neuroimaging.
• The first follow-up (150 minutes), where every result is brought together and your treatment plan is finalised.

After that, the ongoing costs are:

Clinical reviews

Usually every three months during the first year, at the standard follow-up fee.

Repeat testing

A focused panel roughly every six months, tracking the results that were abnormal at the start and anything else your history makes worth following. It is much smaller than the initial workup.

Supplements and medication

Whatever your plan calls for, bought on an ongoing basis. Supplements typically come to around £400 to £500 a month, but the range is wide because it depends on what your results show. I will tell you what to expect when the plan is agreed.

Apollo Health ReCODE

A subscription paid directly to Apollo Health, currently US$75 a month or US$810 a year, with a 12-month minimum. It gives you your results tabulated against the protocol’s target ranges, your care plan, a mobile app to track progress, recipes, educational material and a members’ community.

Every figure is an estimate until I have seen your history. I will give you a costed estimate before any test is ordered.

Appointments and response times

A first appointment is usually available within two to three weeks.

Emails are answered within one to two days. That covers practical and administrative questions; anything clinical in more depth needs a consultation booked into the diary, so it gets proper time.

When I am away, emails are still answered within one to two business days, and anything that needs a doctor before I am back is handled.

Payment and cancellation

Payment of the full consultation fee is taken by credit or debit card at the time of booking.

Appointments need 48 hours' notice to cancel or move. Anything missed, or cancelled inside 48 hours, is charged at the full consultation fee. If something genuinely unavoidable happens, tell me and I will be reasonable about it.