Consultations are held online via video call, with scheduling adapted to Indian Standard Time (IST, UTC+5:30): morning and evening slots are available, so no late-night calls are required. Sessions are conducted in English, Russian, or Ukrainian. The initial consultation covers medical history and any existing laboratory data, after which an individual testing plan and the md_pereligyn protocol are drawn up.
The 50+ biomarker panel can be completed in India without visiting a clinic: nationwide laboratory networks Dr Lal PathLabs, Thyrocare, and Metropolis Healthcare cover most cities and offer home blood-draw service. The patient receives an itemized list of markers, books a convenient collection date, and forwards the results to the physician; units and reference intervals are reconciled during interpretation against the protocol targets.
Payment is accepted by international bank cards. Between consultations, weekly check-ins are scheduled: the patient reports self-monitoring data, and the physician responds with targeted adjustments. The protocol itself is revised according to biomarker dynamics — a follow-up panel is repeated at an agreed interval, and every change to the regimen is justified by comparing laboratory values rather than subjective impressions. This cadence continues until target values are reached.