In short
- For men working below capacity, examined medically rather than guessed at.
- The findings are read together. A low ferritin, a raised HbA1c and five hours of sleep are one picture, not three separate problems.
- Sleep and iron come before hormones. They are more common, respond faster and are routinely missed.
- Over a period, not one appointment. Change in body composition and blood work needs months to show.
- No performance prescriptions. Testosterone is treatment for deficiency, not an upgrade.
Treatment Overview
The problem this solves
Fragmentation. Most men have a trainer for one part, an app for another and no physician looking at the whole.
So a low ferritin sits in one report, a rising HbA1c in another, and five hours of sleep is never written down anywhere. Individually each looks minor. Together they explain exactly why training gives less back than it used to.
What gets assessed
| System | What is measured |
|---|---|
| Sleep | Hours, quality, snoring and witnessed pauses, with a sleep study where apnoea is suspected |
| Oxygen carrying | Full blood count and ferritin, because iron deficiency limits performance before anaemia appears |
| Metabolic | HbA1c, fasting glucose, lipids, liver function |
| Body composition | Muscle and fat measured, plus strength markers |
| Cardiovascular | Blood pressure, risk profile, and further assessment where symptoms or family history warrant it |
| Hormonal | Morning fasting testosterone with binding globulin, LH and prolactin where the picture justifies it. Thyroid always |
| Micronutrient | Vitamin D and B12 where relevant |
| Load and recovery | Training structure, alcohol, travel, work pressure |
The order the findings get treated in
- Sleep, because nothing else works properly underneath short sleep or untreated apnoea.
- Iron, which responds reliably and is the most commonly missed single finding.
- Metabolic health, glucose and visceral fat, which also raise testosterone as they improve.
- Training structure, including resistance work, which most men in this group have quietly dropped.
- Hormones, only where deficiency is properly established.
What this programme will not do
It will not prescribe testosterone, thyroid hormone or anything else to a man with normal levels for the purpose of performance. Raising a normal testosterone into the supraphysiological range carries cardiovascular, haematological and fertility consequences and no legitimate benefit.
If that is what you are looking for, this is the wrong practice, and you will be told so at the first appointment rather than after the tests.
Who Is a Good Candidate?
- You feel you are operating below your capacity and want it examined medically.
- You train but get less back than you used to, and recovery has stretched out.
- You have results scattered across different providers and nobody has read them together.
- You want body composition and strength tracked over months, not a single snapshot.
- You want testosterone, thyroid hormone or anything else prescribed with normal levels.
- You want performance enhancing substances. That is not what this is and it will not happen.
- You have chest pain, blackouts or breathlessness out of proportion to effort. That needs cardiac assessment now.
What Happens During the Consultation
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1
The full history
Training and its trend, recovery, sleep hours and snoring, alcohol, travel, work pressure, diet and protein intake, and every medication and supplement including anything bought online.
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2
Examination and composition
Weight, waist, body composition and strength markers, blood pressure, and a general examination. Baseline numbers you will be measured against later.
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3
Broad but targeted blood work
Blood count and ferritin, thyroid, HbA1c and glucose, lipids, liver and kidney function, vitamin D and B12, and morning fasting testosterone with binding globulin where the picture justifies it.
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4
One plan, ranked
The findings read together rather than reported separately, ordered by what will make the largest difference, with numbers for protein and training and a date to remeasure.
Program Structure & Follow-Up
How the programme runs
- Four to six weeks for the first review, covering sleep changes and anything started.
- Three months for repeat blood work, since ferritin and HbA1c both need that long.
- Every three months for body composition and strength, because that is the interval over which change is meaningful.
- Between appointments, access through the membership programmes.
The targets you leave with
- A protein target in grams, set to your body weight.
- Resistance training at least twice a week, specified rather than suggested.
- A sleep target in hours, and treatment for apnoea where it is found.
- An alcohol limit, agreed rather than imposed.
- Blood pressure, glucose and lipid targets where any were abnormal.
How progress is judged
By body composition, strength markers and the blood values that were abnormal. Not by how you feel on the day of the appointment, which varies too much to be useful.
If nothing has moved at three months, the plan changes rather than the same one continuing.
Benefits, Limits & Safety
What this achieves
- The findings that limit performance identified, most of which are correctable.
- One physician reading the whole picture instead of four providers each seeing a fragment.
- Measurable change tracked over months rather than described.
The limits
- Medicine handles the medical half. Programming and technique belong with a coach.
- Most gains here come from sleep, iron, metabolic health and training structure, not from anything exotic.
- Some men are simply training in a way that does not suit their recovery capacity, and no test will show that.
Safety points
- Cardiac symptoms come first. Chest discomfort, blackouts or disproportionate breathlessness need assessment before any programme.
- Iron is corrected where deficient and rechecked, not taken indefinitely, because overload causes harm.
- Supplements are reviewed, since several interact with medication and some contain undeclared ingredients.
- Hormones are treatment, not enhancement. Normal levels are not raised here.
What is measured as progress
Body composition and strength markers plus the blood values that were abnormal, repeated at three months. Not impressions on the day of the appointment.
The rhythm
First review at four to six weeks, blood work repeated at around three months, then body composition every three months for the length of the programme.
What will not be prescribed
Testosterone, thyroid hormone or anything else in men with normal levels. Performance enhancing substances of any kind.
Cost & Program Investment
Cost depends on the length of the programme, the extent of the blood work and whether a sleep study is required, so a single number on a website would be misleading. You get the full figure in the consultation before anything starts, and there are no charges you have not been told about.
Frequently Asked Questions
A health check is a snapshot. This runs over months, with repeat measurements, and it is aimed specifically at what limits how you function rather than at screening for disease.
Only if you have properly confirmed deficiency, meaning symptoms plus repeated low morning levels, and after the reversible causes have been addressed. Normal levels are not raised here for performance.
Most often short sleep or undiagnosed sleep apnoea, low ferritin, drifting glucose, and resistance training that has quietly disappeared from the week. Rarely anything exotic.
Because low ferritin limits performance and recovery well before anaemia shows on a blood count, it is not on most standard panels, and it responds reliably once corrected.
Only where the history points to it, meaning snoring, witnessed pauses, waking unrefreshed or morning headaches. Where apnoea is present, treating it usually changes more than anything else on the list.
Long enough for the measurements to mean something. Blood work at three months, body composition every three months, with the first review at four to six weeks.
Where you have one, yes. The medical findings and the training programme should not be designed in isolation from each other, which is exactly the fragmentation this exists to fix.
Only where a genuine deficiency is documented, such as iron, vitamin D or B12. Performance supplements are reviewed for interactions and undeclared ingredients rather than recommended.
Then the limiting factor is likely training structure, recovery, sleep behaviour or workload, and the plan addresses those. A normal panel narrows the question rather than ending it.
It depends on the length of the programme, the blood work and whether a sleep study is needed, so a single figure would be misleading. You get the full cost in the consultation before anything starts.
Evidence
Where this information comes from
Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.
This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.