Who we don't treat
Most clinics publish only what they can do. This page exists because knowing where a treatment stops working is more useful to you than another list of what it might achieve.
The conditions below are ones we decline. Each entry gives the reason, because “we don't treat that” without explanation is not much help when you are trying to decide what to do next.
This list is reviewed by our medical director on a fixed schedule — never in response to an individual case, and never because of a slow month.
Final list pending physician sign-off
There is nothing left to stimulate
Complete follicular loss and scarring alopecia
Stem cell and exosome injections work by supporting follicles that are still alive but underperforming. Where the follicle has been destroyed — by scarring alopecia, burns, or many years of untreated loss — there is no structure remaining for the treatment to act on. Surgical transplantation is the appropriate conversation, with a different specialist.
Regeneration needs something to build on
End-stage joint destruction
In advanced osteoarthritis where the cartilage surface is gone and bone is contacting bone, injected cells have no viable matrix to work within. Patients at this stage sometimes report short-term pain relief, but the underlying structure does not change. Joint replacement remains the intervention with real evidence behind it.
An unacceptable and unquantified risk
Active malignancy
Mesenchymal cells influence the local tissue environment, including signalling and vascularisation. The interaction between that activity and an active tumour is not adequately characterised. We do not accept these patients, and we would advise caution about any clinic that does.
The evidence does not support the hope
Late-stage neurodegenerative disease
We are aware that clinics advertise stem cell therapy for Alzheimer's, Parkinson's, ALS and similar conditions. Families facing these diagnoses are among the most motivated patients in medicine, and that is precisely why we will not take their money. The published evidence does not support meaningful benefit, and the cost — financial and emotional — is considerable.
This is an adjunct, not a replacement
Patients who have stopped conventional treatment
If you have discontinued a treatment prescribed by your own physician in order to pursue regenerative therapy, we will ask you to resume it before we proceed, and in some cases we will decline entirely. Nothing offered here is a substitute for established care.
Both sides need the same picture
Expectations that remain unrealistic after discussion
If, after we have explained the realistic range of outcomes, a patient still expects a cure or a guarantee, we do not proceed. That is not a judgement of the patient. It reflects that treatment beginning with mismatched expectations ends badly for everyone involved.
Borderline cases
Not everything is a clear yes or no. Where a patient sits near the edge — moderate rather than advanced joint degeneration, or thinning that has progressed but not completed — we may proceed, but only after a conversation in which the reduced likelihood of benefit is stated plainly and recorded in writing.
Accepting a borderline case requires sign-off from our medical director. Declining one requires no approval from anyone. That asymmetry is deliberate: it means the easy decision is always the cautious one.
If we decline you
We will tell you why, in terms you can take to your own physician. Where we know of a specialist or an intervention better suited to your situation, we will say so. We will not imply that another clinic would succeed where we declined — if the therapy cannot work for your condition here, it cannot work for it elsewhere either.
“Dr [name] has reviewed your case and I want to give you a straight answer rather than a vague one. Based on [the specific finding], regenerative therapy is unlikely to help in your situation, because [plain reasoning]. I would not want you to travel and pay for something that cannot work, and I would say the same about any clinic offering it for this indication. What may be worth exploring instead is [specialist or intervention], which your own physician can advise on. If your situation changes, or if you think we have misread something, write back and we will look again.”
Two reasons. It saves you a consultation, a flight and a disappointment. And it tells you something about how we operate that a page of testimonials cannot.
Find out whether we can help you
A few questions about your condition, reviewed by a physician at no cost. If regenerative therapy isn't right for your case, we will tell you that instead of selling you something.
Start the case reviewA physician replies within two working days. No obligation, no payment at this stage.