Question 1

What is bioidentical hormone therapy?

Accepted Answer

Bioidentical hormone replacement therapy (BHRT) uses hormones that are chemically identical to those your body produces naturally. At Manus Solis, our physician prescribes individually compounded BHRT formulations prepared by Trutina, our Ontario compounding pharmacy partner to pharmaceutical-grade standards. Each protocol is titrated based on comprehensive bloodwork and monitored through our Vis Viva scoring system.

Question 2

Do you offer virtual BHRT consultations in Ontario?

Accepted Answer

Yes. Manus Solis offers virtual telemedicine consultations for bioidentical hormone therapy and functional medicine to patients across Ontario. Consultations are physician-led, confidential, and conducted on your schedule. Bloodwork requisitions and prescriptions can be managed remotely, with compounds shipped directly from Trutina, our Ontario compounding pharmacy partner.

Question 3

Who is the physician at Manus Solis?

Accepted Answer

Manus Solis was founded by Dr. Handsun Xiao, MD, CCFP. Dr. Xiao is a McGill alumni with BHRT through WorldLink Medical and Institute for Functional Medicine, Applying Functional Medicine in Clinical Practice (IFM AFMCP). All patient protocols are physician-directed and evidence-based. Consultations are available in English, French, and Mandarin.

Question 4

What is the Vis Viva Score?

Accepted Answer

The Vis Viva Score is a proprietary vitality metric developed by Manus Solis that quantifies your biological health across three measurement domains: Sensus (the felt experience, including symptom scores, mood, sleep quality, energy, cognitive clarity), Pulsus (the biological signal, including HbA1c, insulin sensitivity, lipids, inflammatory markers), and Virtus (the body in motion, including VO2 max, grip strength, body composition, wearable data). Every intervention is measured across all three domains and tracked longitudinally.

Question 5

How do I book a consultation?

Accepted Answer

You can book a virtual consultation by completing the contact form on our website or by emailing inquiries@manussolis.ca directly. Consultations are confidential, physician-led, and available to patients anywhere in Ontario. Our Midtown Toronto practice serves Toronto patients in Yorkville, Forest Hill, Rosedale, Lawrence Park, Bloor-Yorkville, and surrounding neighbourhoods, plus Oakville, Mississauga, Markham, Vaughan and the broader GTA.

Patient Portal