About

Frequently Asked Questions

Frequently Asked Questions
TL;DR
Answers to common questions about consultations, treatment programs, costs, insurance coverage, travel logistics, and how to work with Dr. Julian Douwes at Klinik St. Georg. The process starts with a written inquiry, followed by case review and consultation. Most international patients come for 1-3 week inpatient treatment programs.
ELI5
This page answers the practical questions people have before reaching out -- how to book a consultation, what treatment costs, whether insurance covers it, and what to expect if you travel to Germany for care at St. George Hospital.

These are the questions I hear most often — from patients, from physicians, and from people who find this platform and want to understand what I do and how to access it. I have tried to answer them as honestly as I answer questions in clinic.


Consultations and Working With Me

How do I book a consultation with you?

Start with the Work With Me page. The process begins with a written inquiry describing your situation. My team reviews each case to determine whether our clinical expertise is relevant to your condition. If it is, we schedule a consultation — either remote or in person at St. George Hospital.

Physician workspace with frequently asked patient questions

Do you offer remote consultations?

Yes. I offer remote case assessments for patients who want a second opinion, diagnostic guidance, or treatment recommendations before deciding whether to travel to Germany. Remote consultations are conducted via secure video call and typically include a review of your medical records, laboratory results, and imaging.

Remote consultations are not a substitute for in-person evaluation and treatment, but they are a useful starting point — especially for international patients who want to understand what treatment at St. George Hospital would involve before committing to travel.

What conditions do you treat?

My primary clinical areas are:

  • Chronic Lyme disease and tick-borne co-infections (Bartonella, Babesia, Ehrlichia)
  • Post-COVID syndrome (long COVID), including fatigue, cognitive dysfunction, and immune dysregulation
  • Complex oncological cases, particularly those amenable to hyperthermia
  • Chronic fatigue syndrome and related multi-system conditions
  • Longevity and healthspan optimization — biomarker-driven protocols for patients seeking evidence-based aging interventions
  • Immune dysregulation — autoimmune conditions, mast cell activation, and post-infectious immune dysfunction

What should I bring to a consultation?

Everything relevant. Laboratory results (the more recent, the better), imaging reports, a medication list, a timeline of your illness, and — if available — previous treatment summaries. The more context I have, the more useful our time together will be.

What happens after the consultation?

You receive a written summary including diagnostic recommendations, treatment options, and — if appropriate — a proposed treatment plan. If treatment at St. George Hospital is recommended, my team will work with you to schedule it. If I believe your condition is better addressed elsewhere, I will tell you that directly.


Treatment at St. George Hospital

Do I need to come to Germany for treatment?

For most of the therapies we offer — hyperthermia, apheresis, IV protocols, advanced diagnostics — yes. These require clinical infrastructure that cannot be replicated remotely. The hospital is located in Bad Aibling, a small town about 60 kilometers from Munich, with convenient access from Munich International Airport.

How long does a typical treatment stay last?

Treatment programs are individualized, but most international patients stay for 1-3 weeks. Some conditions, particularly chronic Lyme disease and complex oncological cases, may require multiple treatment cycles separated by weeks or months.

Is St. George Hospital a real hospital?

Yes. Klinik St. Georg is a licensed medical facility in Bavaria, Germany, operating since 1991. It is not a wellness center, a clinic, or a retreat. It is a hospital with inpatient beds, full diagnostic capabilities, a multidisciplinary medical team, and an integrative pharmacy.

Can I continue treatment with my local physician after leaving?

Yes, and I encourage it. I provide detailed discharge summaries and treatment recommendations that your local physician can use to continue your care. For some patients, periodic return visits to St. George Hospital are appropriate for follow-up treatment cycles.


Peptide Therapy

Do you prescribe peptides?

I use peptides as part of comprehensive treatment protocols at St. George Hospital. In the European medical framework, physicians have more latitude to use peptide therapies than in some other jurisdictions. This does not mean I prescribe peptides casually — they are tools in a broader clinical framework, not standalone solutions.

Are peptides safe?

Most therapeutic peptides have a favorable safety profile based on available evidence, but “safe” is a word I use carefully. The safety data for many peptides is limited to animal studies, small human trials, or clinical observation. I discuss the evidence level and known risks for every peptide I recommend. No therapy is risk-free.

Can I use the peptide information on this site to self-treat?

I strongly advise against it. The peptide content on this platform is educational. It is not a substitute for medical evaluation, proper diagnosis, and supervised treatment. Peptides are bioactive molecules that interact with specific receptor systems. Using them without proper clinical context, quality assurance, and monitoring introduces unnecessary risk.

Where do you source your peptides?

Through licensed pharmaceutical compounding facilities that meet European quality standards. Peptide quality is a genuine concern — contamination, degradation, and mislabeling are documented problems in the grey-market supply chain. This is one of many reasons why clinical supervision matters.


Costs and Insurance

How much does treatment cost?

Treatment costs are individualized based on the diagnostic workup and treatment plan required. I do not publish fixed pricing because no two patients are the same. After an initial consultation, my team provides a cost estimate specific to your case.

Does insurance cover treatment at St. George Hospital?

It depends on your insurance. German private insurance (PKV) typically covers a significant portion of treatment. International insurance varies widely. Some international health insurance plans cover treatment at German hospitals. We can provide documentation to support insurance claims.

For patients with US-based insurance, coverage is generally limited. Some patients have successfully obtained reimbursement by submitting claims after treatment, but this is not guaranteed. Most international patients pay out of pocket and seek reimbursement afterward.

Is this expensive?

Honest answer: it depends on your reference point. Treatment at St. George Hospital is less expensive than comparable integrative medicine programs in the United States. It is more expensive than standard-of-care treatment covered by public health insurance. For many patients with chronic conditions who have already spent significant resources on treatments that did not work, the relevant question is not the absolute cost but whether the treatment is likely to make a meaningful difference.


Location and Logistics

Where exactly is Bad Aibling?

Bad Aibling is a spa town in Upper Bavaria, approximately 60 kilometers (37 miles) southeast of Munich. It is accessible by regional train from Munich Central Station (about 50 minutes) or by car from Munich International Airport (about 55 minutes). The town is small, quiet, and surrounded by Alpine foothills — which is either charming or boring, depending on your disposition.

Do you help with travel arrangements?

Our international patient coordinator assists with logistics including accommodation recommendations (the hospital has affiliated guest houses), airport transfers, and local orientation. We have extensive experience hosting patients from outside Germany and understand the practical challenges of medical travel.

What language is the hospital operated in?

The clinical team operates in German and English. Most physicians speak both languages fluently. For patients who require other language support, we can arrange interpreters for major languages.


About This Platform

Are you selling supplements or products?

No. I do not sell supplements, peptides, or products through this platform. The content here is educational. I have no financial relationship with any supplement company. This eliminates the conflict of interest that undermines many physician-influencer platforms.

Can I trust the medical information on this site?

I write to the same standard I use in clinical practice: evidence levels are specified, uncertainty is acknowledged, and clinical observation is clearly distinguished from published trial data. That said, nothing on this site is a substitute for a personal medical consultation. If you have a medical condition, work with a physician who can evaluate your specific situation.

How often do you publish new content?

I aim to publish one to two in-depth articles per week. Quality matters more than quantity. I would rather publish one thoroughly researched piece than five shallow ones.

How do I stay updated?

Subscribe to The Weekly Dose — a weekly email with new articles, research highlights, and clinical observations. No spam, no selling.


Have a question not covered here? Contact info@clinicum-stgeorg.de or start a conversation through the Work With Me page.