Last Updated: March 9, 2026
EDUCATIONAL CONTENT ONLY
The Services provided by Elura, including assessments, educational materials, courses, masterclasses, articles, and all other content, are strictly educational in nature and are not intended to constitute, and shall not be interpreted as, medical advice, medical diagnosis, professional medical treatment, or the establishment of a healthcare provider-patient relationship.
All information provided through Elura is for informational and educational purposes only. It is not a substitute for professional medical advice from a licensed healthcare provider.
NOT A SUBSTITUTE FOR PROFESSIONAL MEDICAL CARE
You must not rely on any information provided through the Services as a substitute for professional medical advice, diagnosis, or treatment. The Services cannot:
- Replace an in-person medical evaluation by a licensed healthcare provider
- Diagnose a medical condition or disease
- Recommend specific medical treatments, prescriptions, or therapies tailored to your individual medical situation
- Assess your medical eligibility for specific treatments or interventions
- Monitor your health status or progress over time
- Provide emergency medical care or crisis intervention
If you have concerns about your health or are experiencing symptoms, consult with a licensed healthcare provider who can evaluate you directly, examine you, review your medical history, and order appropriate testing.
NO HEALTHCARE PROVIDER-PATIENT RELATIONSHIP
No healthcare provider-patient, physician-patient, doctor-patient, clinician-patient, or any similar therapeutic relationship is established between you and:
- Dr. Richard Perrin (founder and MD)
- Elura, LLC, or any of its representatives
- Any person associated with Elura
Even though Elura was founded by Dr. Richard Perrin, a board-certified neurosurgeon (MD) with over 20 years of clinical experience, he is not providing medical services, medical consultations, or healthcare through this platform.
Consequently:
- You are not a "patient" of Dr. Perrin or Elura
- Dr. Perrin does not have a duty of care toward you
- Elura is not a healthcare provider or medical facility
- You are not entitled to the protections of healthcare provider-patient confidentiality (though we protect your privacy as described in our Privacy Policy)
- Insurance does not cover Services provided by Elura
ELURA VITALITY ASSESSMENT (EVA) DISCLAIMER
Not a Medical Diagnosis
The Elura Vitality Assessment™ (EVA) is a self-assessment questionnaire designed for educational purposes only. EVA is not and does not:
- Constitute a medical diagnosis
- Diagnose any medical condition, disease, or disorder
- Assess whether you have a specific medical condition
- Determine your medical status or health status
- Establish a baseline for medical treatment
- Provide medical recommendations tailored to your health status
What EVA Does
EVA is designed to:
- Help you recognize and articulate symptom patterns you may be experiencing
- Provide educational categorization of common midlife health experiences
- Validate that your experiences are shared by others
- Facilitate conversation with a healthcare provider about your health concerns
- Guide you toward relevant educational materials
EVA Results Are Not Medical Advice
Your EVA results:
- May indicate that certain educational topics might be relevant to your interests
- Are based solely on the subjective information you provided
- Do not account for your full medical history, current medications, existing medical conditions, or other health factors
- Should not be used to make any medical decisions without input from a healthcare provider
- Do not represent a comprehensive assessment of your health
EVA Should Not Replace Medical Evaluation
If your EVA results identify potential areas of concern, you should discuss those results with a licensed healthcare provider who can:
- Review your complete medical history
- Perform a physical examination
- Order appropriate diagnostic testing
- Provide personalized medical recommendations
- Rule out serious medical conditions
- Adjust for your medications and existing health conditions
EDUCATIONAL CONTENT LIMITATIONS
Information Accuracy
While Elura strives to provide accurate, evidence-based educational content:
- No Guarantee of Accuracy: We cannot guarantee that all information is accurate, complete, or current. Medical science evolves, and information may become outdated.
- Not Personalized: All educational content is general in nature and is not tailored to your individual medical situation, genetics, lifestyle, or personal circumstances.
- Individual Variation: Even accurate, evidence-based information may not apply to you individually. Responses to interventions vary greatly based on genetics, existing health conditions, medications, lifestyle factors, and other variables.
- No Comprehensive Assessment: Educational content cannot account for your complete health picture, which only a healthcare provider with access to your full medical history can do.
"Many People Find" vs. "You Should"
Elura uses language such as "many people find," "some people report," and "options to explore" deliberately. This language indicates:
- Evidence that some individuals have experienced the described outcome
- That outcomes are not guaranteed for you
- That results are variable and individual
- That you should discuss with a healthcare provider before implementation
Elura does not use language such as:
- "You should [medical action]" (that is medical advice)
- "This will [cure/treat/fix] your condition" (that is a medical claim)
- "Everyone experiences [outcome]" (that overgeneralizes)
SPECIFIC DISCLAIMERS
Not a Cure, Fix, or Treatment
The Services do not offer, and Elura does not claim to:
- Cure any disease or medical condition
- "Fix" your health or hormones
- Treat any medical condition
- Prevent disease
- Replace medical treatment
- Provide an alternative to medical care
No Diagnosis
Elura does not:
- Diagnose medical conditions
- Rule out medical conditions
- Assess your medical status
- Determine your medical eligibility for treatments
- Provide a "diagnosis" in the form of a medical opinion
No Prescriptions or Medical Orders
The Services do not:
- Include prescriptions for medications
- Include medical orders for diagnostic testing
- Recommend starting or stopping medications
- Recommend dosages or frequencies of medications
- Recommend specific medical treatments
- Provide a treatment plan for a medical condition
Not a Telehealth or Telemedicine Service
The Services do not provide:
- Telehealth (remote healthcare delivery)
- Telemedicine (remote medical consultations)
- Remote medical evaluation
- Remote prescribing of medications
- Remote patient monitoring for medical conditions
- Medical consultations
No Establishment of Medical Records
Using the Services does not create:
- Medical records (protected by HIPAA)
- Provider-patient communications
- Documented medical evaluation
- Clinical documentation
Your information is protected under our Privacy Policy but is not part of a medical record.
MEDICATION-RELATED WARNINGS
Do Not Change Medications Without Professional Guidance
IMPORTANT: Do not start, stop, change the dose of, or discontinue any medication without explicit guidance from your prescribing healthcare provider.
Even if you find educational information about alternatives, your medications are prescribed based on your specific medical situation. Changing them without medical guidance can result in:
- Serious adverse health consequences
- Worsening of underlying conditions
- Drug interactions
- Withdrawal effects
- Relapse of managed conditions
Discuss Content With Your Healthcare Provider
Before implementing any recommendations or lifestyle changes discussed in educational content, discuss them with your prescribing healthcare provider, especially if you:
- Take prescription medications
- Have chronic medical conditions
- Are pregnant or breastfeeding
- Have allergies
- Have a history of adverse drug reactions
Drug Interactions
Educational content about lifestyle interventions (supplements, dietary changes, etc.) may not account for:
- Interactions with your current medications
- Contraindications for your medical conditions
- Effects on medication absorption or efficacy
A healthcare provider who knows your complete medication list and medical history should evaluate these interactions.
NOT A SELF-DIAGNOSIS TOOL
Do Not Self-Diagnose
The Services are not a tool for self-diagnosis. Do not use:
- EVA assessment results
- Educational articles
- Symptom descriptions
- Categorizations in courses
...to conclude that you do or do not have a specific medical condition.
Why Self-Diagnosis Is Dangerous
Self-diagnosis is inaccurate and potentially dangerous because:
- Symptoms overlap significantly across different conditions
- Multiple conditions can cause the same symptom
- You may not have all relevant information about your symptoms
- You cannot perform physical examination or testing on yourself
- You cannot rule out serious medical conditions without professional evaluation
- Delaying professional evaluation can result in disease progression
Seek Professional Evaluation
If you are concerned about any symptom, condition, or aspect of your health, seek evaluation from a licensed healthcare provider. Do not attempt to diagnose yourself using the Services or any online tool.
SUPPLEMENTS AND DIETARY CLAIMS
Supplements Are Not Medicines
Educational content may discuss supplements or dietary approaches. Please note:
- Supplements are not regulated by the FDA as medications
- Supplement quality and potency vary by manufacturer
- Supplements can interact with medications
- Supplements can cause adverse effects
- Not all supplements are safe for all people
- Elura does not recommend, prescribe, or endorse any specific supplements
Dietary Recommendations
Dietary recommendations in educational content:
- Are general suggestions, not personalized nutrition plans
- Do not account for allergies, intolerances, or medical dietary restrictions
- Should be reviewed with a qualified healthcare provider or registered dietitian
- Are not tailored to your medical conditions, medications, or individual needs
Do Not Replace Medical Nutrition Therapy
If you have a medical condition (diabetes, kidney disease, heart disease, etc.) that requires dietary management, do not rely on general educational content. Consult a:
- Registered Dietitian (RD)
- Your prescribing healthcare provider
- Registered Dietitian Nutritionist (RDN)
MENTAL HEALTH AND PSYCHOLOGICAL CRISIS
Not Mental Health Treatment
The Services are not mental health treatment, therapy, counseling, or psychiatric care.
If you are experiencing:
- Depression or depressive symptoms
- Anxiety disorders
- Suicidal thoughts or ideation
- Self-harm urges
- Psychological distress
- Emotional crisis
Seek professional mental health care immediately. The Services cannot replace mental health treatment.
Crisis Resources
If you are in psychological crisis:
National Suicide Prevention Lifeline
- Call: 988 (available 24/7)
- Text: "HELLO" to 741741 (Crisis Text Line)
- Online chat: https://suicidepreventionlifeline.org/chat
International Association for Suicide Prevention
- https://www.iasp.info/resources/Crisis_Centres/
Crisis Services Near You:
- Google: "[Your location] mental health crisis services"
- Call 911 if you are in immediate danger
Cannot Assess Psychological Risk
Elura cannot:
- Assess your psychological risk or danger to self/others
- Provide crisis intervention
- Determine if you need immediate psychiatric care
- Monitor your mental health status
- Provide ongoing mental health support
If you are experiencing psychological crisis, you need immediate professional evaluation, not an online educational platform.
PREGNANCY AND BREASTFEEDING
Special Considerations
If you are pregnant, breastfeeding, or planning pregnancy:
- Consult Your OB/GYN: Discuss any health concerns, lifestyle changes, or supplements with your obstetrician/gynecologist.
- Do Not Self-Treat: Do not attempt to self-manage hormonal or health issues during pregnancy without medical guidance.
- Special Risks: Certain supplements, dietary approaches, and interventions can affect fetal development or infant health.
- Individualized Care: Pregnancy is a unique physiological state requiring individualized medical care.
Elura Is Not Appropriate During Pregnancy
The Services are designed for midlife health education and may not be appropriate during pregnancy. Pregnant individuals should receive care from their OB/GYN.
MEDICAL EMERGENCIES
Seek Immediate Emergency Care
If you experience a medical emergency, immediately:
- Call 911 (or your local emergency number)
- Go to the nearest emergency room
- Do not wait for online content or guidance
Medical emergencies include:
- Chest pain or difficulty breathing
- Severe or persistent abdominal pain
- Loss of consciousness
- Uncontrolled bleeding
- Severe allergic reactions
- Signs of stroke (facial drooping, arm weakness, speech difficulty)
- Severe trauma or injury
- Acute severe symptoms
Services Cannot Provide Emergency Care
The Services are not monitored 24/7. We cannot:
- Respond to medical emergencies in real-time
- Provide life-saving interventions
- Connect you to emergency services
- Assess the severity of your symptoms
In any emergency situation, bypass the Services and contact emergency services directly.
CHRONIC DISEASE MANAGEMENT
Not for Chronic Disease Management
The Services are not appropriate for:
- Managing chronic medical conditions (diabetes, hypertension, heart disease, etc.)
- Monitoring disease progression
- Adjusting treatment for chronic conditions
- Replacing ongoing medical care for chronic diseases
If you have a chronic medical condition, your care should be managed by:
- Your primary care provider
- Specialists in your condition
- A coordinated healthcare team familiar with your complete medical history
Continue Your Medical Care
Continue seeing your healthcare providers as scheduled. The Services are supplemental educational content, not a replacement for medical care.
NO MEDICAL DUTY OR OBLIGATION
No Duty to Monitor or Follow Up
Elura has:
- No duty to monitor your health
- No obligation to follow up on your health status
- No responsibility for health changes you experience
- No obligation to provide ongoing medical care or support
Autonomous Decision-Making
You are responsible for:
- Making your own health decisions
- Consulting with healthcare providers about all health matters
- Seeking professional medical evaluation when needed
- Following up with your healthcare provider about any health concerns
Assumption of Risk
By using the Services, you assume all risks related to:
- Your use of information provided
- Any health consequences of following or not following educational recommendations
- Health changes you experience while using the Services
- Decisions you make regarding your health
LIMITATION OF LIABILITY FOR HEALTH-RELATED CLAIMS
No Liability for Health Outcomes
To the fullest extent permitted by law, Elura is not liable for:
- Any adverse health outcomes or consequences arising from your use of the Services
- Any harm resulting from your reliance on educational information
- Any injury or illness you experience while or after using the Services
- Misinterpretation of educational content
- Failure to seek professional medical evaluation
- Implementation of educational recommendations without medical guidance
- Drug interactions or adverse effects from supplements discussed in educational content
- Worsening of medical conditions while using the Services
Your Health Is Your Responsibility
You are solely responsible for:
- Your health decisions
- Seeking professional medical evaluation
- Following medical advice from your healthcare providers
- Communicating with your healthcare providers about any changes or interventions you're considering
- Monitoring your health and reporting concerns to your healthcare provider
No Compensation for Health-Related Injuries
Elura does not provide compensation, treatment, or other remedies for health-related injuries or adverse outcomes, even if such outcomes were foreseeable.
INFORMED CONSENT ACKNOWLEDGMENT
Your Acknowledgment
By using the Services, you acknowledge and agree that:
- You understand the Services are educational only and do not provide medical care
- You understand no healthcare provider-patient relationship exists
- You understand the Services are not a substitute for professional medical care
- You understand you should consult with a healthcare provider before making any health-related decisions
- You understand Elura and Dr. Perrin are not providing medical advice or medical services
- You have read and understand this Medical Disclaimer
- You assume all risks associated with using the Services
- You will seek professional medical evaluation for any health concerns
- You will not rely solely on the Services for any health-related decision
- You will consult with a licensed healthcare provider who knows your complete medical history before implementing any recommendations
No Oral Modifications
This Disclaimer cannot be modified orally. It is binding as written.
SPECIFIC ACKNOWLEDGMENTS
Hormonal Health Is Complex
Hormonal health is highly individual and complex. Factors affecting hormonal health include:
- Genetics
- Age and life stage
- Stress and psychological state
- Sleep quality and quantity
- Nutritional status and diet
- Exercise and physical activity
- Environmental factors
- Medications
- Underlying medical conditions
- Trauma and emotional health
Educational content cannot account for all these factors for your individual situation.
Results Are Highly Variable
Response to lifestyle interventions and educational recommendations is highly variable and unpredictable. Some people experience significant benefits; others experience minimal benefits or no change; some may experience adverse effects.
Elura does not:
- Predict your individual response
- Guarantee any particular outcome
- Predict your timeline for change
- Assess your likelihood of success
Disclaimer Is Not Exculpatory
This disclaimer is not intended to exclude liability for gross negligence, willful misconduct, or fraud. It is intended to clarify the non-medical nature of the Services and the proper channels for medical care.
PHYSICIAN FOUNDER DISCLOSURE
Dr. Richard Perrin Credentials
Elura was founded by Dr. Richard Perrin:
- Degree: Doctor of Medicine (MD), Queen's University
- Board Certification: Neurosurgeon, dual board certification (United States and Canada)
- Training: Fellowship-trained in neuro-oncology and complex spine surgery, University of Toronto
- Clinical Experience: 20+ years as an active practicing neurosurgeon with 1,000+ surgeries
- Additional Training: Pain management certification, Dartmouth 3D Scholars Program (medical device development), MBA with lean/Six Sigma focus
- Previous Leadership: Former leadership of neurosurgery at Cleveland Clinic Abu Dhabi
Neurosurgery, Not Hormone Expertise
Dr. Perrin's clinical expertise and training are in neurosurgery (brain and spine surgery), not endocrinology, hormone medicine, or obstetrics. His insights about hormonal health come from:
- Personal lived experience
- Extensive education in physiology and medical science
- Research and study of hormonal health literature
- Application of medical training to this domain
Dr. Perrin is not an endocrinologist, gynecologist, or hormone specialist by training, though he has considerable expertise in the field through education and research.
Not Practicing Medicine Through Elura
Even though Dr. Perrin is a licensed physician, he is not practicing medicine through Elura. Elura:
- Is an educational platform, not a medical practice
- Does not provide medical services
- Does not establish a doctor-patient relationship
- Does not provide medical consultations
- Does not deliver medical treatments
License Status
Dr. Perrin's medical licenses can be verified through:
- Alaska Medical Board: https://www.amdtb.us/
- [Other state boards if applicable]
REGULATORY DISCLOSURES
FTC Health Claims Compliance
Elura complies with Federal Trade Commission (FTC) guidance on health and wellness advertising, including:
- Truth in Advertising: All health-related claims are truthful and not misleading
- Substantiation: Health-related claims are based on competent and reliable scientific evidence
- Clear and Conspicuous Disclaimers: Educational content includes clear disclaimers about non-medical nature
- No Implied Medical Benefits: Marketing does not imply that the Services provide medical benefits
FDA Compliance
Elura does not:
- Make drug claims (claims that a product can cure, treat, mitigate, prevent, or diagnose disease)
- Make device claims
- Recommend unapproved drugs or devices
- Advertise prescription medications
- Position the Services as medical treatment
The EVA assessment is designed as an educational questionnaire, not as a medical diagnostic tool regulated by the FDA.
State Medical Board Compliance
Elura operates in compliance with medical practice laws in all states where users are located. Specifically:
- The Services do not constitute medical practice
- No medical advice is provided
- No doctor-patient relationship is established
- Users are directed to seek care from licensed physicians in their state
YOUR AFFIRMATIVE CONSENT
Agreement to This Disclaimer
By accessing or using the Services, you affirmatively agree to all statements and disclaimers in this Medical Disclaimer. Your agreement is:
- Voluntary and not coerced
- Based on your reading and understanding of this document
- An informed consent to the non-medical nature of the Services
Right to Not Consent
If you do not agree with any part of this Medical Disclaimer, you must not use the Services. Continued use signifies your consent.
Questions About This Disclaimer
If you have questions about this Medical Disclaimer or whether the Services are appropriate for your situation, please contact:
Email: info@elura.co
Subject: Medical Disclaimer Question
Before using the Services, you may also wish to discuss the appropriateness of using educational platforms with your healthcare provider.
ENTIRE AGREEMENT
This Medical Disclaimer, together with the Terms of Service and Privacy Policy, constitutes the complete agreement regarding the nature and limitations of the Services. It supersedes all prior statements, representations, and understandings regarding medical advice, diagnosis, or treatment.
SURVIVAL
The provisions of this Medical Disclaimer survive termination of your account and discontinuation of use of the Services. You remain bound by these disclaimers even after you stop using the Services.
CONTACT INFORMATION
For questions, clarifications, or concerns about this Medical Disclaimer, contact:
Elura, LLC
Email: info@elura.co
Location: Anchorage, Alaska
FINAL ACKNOWLEDGMENT
You acknowledge that:
- You have read this Medical Disclaimer in its entirety
- You understand the non-medical, educational nature of the Services
- You understand that no healthcare provider-patient relationship is established
- You understand that professional medical care should be sought for any health concerns
- You assume all risks associated with using the Services
- You will not hold Elura or Dr. Perrin liable for health-related consequences of using the Services