No. Vitality-CMD is an evidence-informed lifestyle health programme. It complements but never replaces your medical care. All participants require cardiologist or GP clearance prior to enrolment. Novara operates solely within a lifestyle health scope of practice.

Vitality-CMD is purpose-built for women with CMD and INOCA — a population for whom no dedicated lifestyle health programme has existed until now. Cardiac rehab typically targets post-MI and post-surgery patients. Vitality-CMD targets mechanisms of microvascular dysfunction, incorporating functional breath training, autonomic regulation, and behaviour change science alongside sleep, stress mastery, movement, and hydration/diet modalities.

Yes — the 1:1 virtual programme has no fixed start date. Once you register interest, obtain cardiologist or GP clearance, and complete your intake assessment, your programme begins. We follow up within 24 hours of your enquiry and support you through the clearance process.

You can still register interest. We require cardiologist or GP clearance before enrolment, and we encourage you to continue working with your medical team toward a formal diagnosis. Contact us to discuss your situation — we are happy to guide you on next steps.

Irish participants referred by a cardiologist or GP may be eligible for 20% income tax relief on programme fees under the Health Expenses Relief scheme. This reduces the net cost of the 3-month programme. Please consult your tax advisor to confirm eligibility in your specific circumstances.

Vitality-CMD includes 9 private 1:1 virtual sessions over 3 months; a baseline health assessment and intake; a fully personalised programme designed around your profile; 8 science-based modalities focused (functional breath training, sleep, hydration, diet, relaxation and stress mastery, mental skills, muscle and movement, and behaviour change. We are happy to review any wearable data you collect; direct messaging access between sessions; and Novara community access throughout.