METABOLIC HEALTH
Unlocking Energy, Recovery & Resilience for Lifelong Performance
In Dr Sam Botchey’s Longevity & Performance Medicine model, metabolic health is not just a background process, it is a central determinant of movement, strength, recovery, and lifespan.
Whether you’re an endurance athlete, busy executive, or someone simply looking to optimise energy and age well, a finely tuned metabolism underpins your body’s ability to perform, adapt, and heal. Within the musculoskeletal longevity framework, metabolic optimisation supports not only cardiovascular and hormonal health but also protects joints, preserves muscle, and reduces injury risk.
Why Metabolic Health Matters for Longevity
Your metabolism regulates how efficiently you convert food into energy, vital for movement, brain function, and exercise recovery.
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Poor metabolic health leads to chronic inflammation, muscle breakdown, fatigue, insulin resistance, and slower healing.
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Key longevity killers, including cardiovascular disease, Type 2 diabetes, and neurodegeneration, all stem from metabolic dysfunction.
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Even in active individuals, subtle metabolic imbalances can derail progress, impact mood, increase injury risk, and accelerate biological ageing.
Dr Botchey believes that metabolic health must be assessed and optimised as a core pillar of physical and performance resilience.
How Dr Botchey Optimises Metabolic Health
Metabolic optimisation is highly individualised, and Dr Botchey leads a consultant-directed, evidence-based plan that may include:
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Precision Lifestyle Interventions
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Targeted exercise prescriptions based on VO₂ max and fat-burning thresholds
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Nutritional strategies focused on glycaemic control, mitochondrial health, and inflammation reduction
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Integration of Intermittent Fasting, time-restricted eating, or macronutrient cycling where appropriate
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Circadian alignment to support hormonal and metabolic synchrony (e.g. sleep, light exposure)
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Supplement & Pharmacological Support
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Use of creatine, omega-3s, magnesium, vitamin D
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Berberine, inositol, or metformin (if clinically indicated) for insulin sensitivity
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Adaptogens or adrenal support for stress-driven metabolic issues
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Hormonal & Inflammatory Control
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Where needed, andropause or menopause support (testosterone, DHEA, HRT)
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Addressing cortisol dysregulation and overtraining stress
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Reducing pro-inflammatory markers through regenerative musculoskeletal care
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Integration with MSK & Performance Strategy
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Improve muscle mass to increase metabolic rate and glucose buffering
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Reduce visceral fat, which produces inflammatory cytokines that damage joints and inhibit recovery
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Address overtraining or under-recovery, both of which impair metabolic flexibility
The Metabolism–Musculoskeletal Loop
Your metabolism and your musculoskeletal system are in constant dialogue. Poor metabolic health affects:
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Joint health via systemic inflammation and synovial breakdown
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Muscle repair via impaired protein synthesis and poor nutrient delivery
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Tendon recovery through oxidative stress and energy deficits
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Training tolerance by reducing mitochondrial capacity and hormonal balance
That’s why every patient under Dr Botchey’s care receives a joined-up strategy, connecting metabolic optimisation to joint protection, muscle strength, energy production, and long-term movement capacity.
Who This For?
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Individuals with low energy, slow recovery, or unexplained performance decline
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Those managing prediabetes, visceral adiposity, or high cholesterol
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Athletes looking to unlock peak endurance and fuel utilisation
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Patients with MSK pain that’s slow to heal or recurrent
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Midlife adults interested in weight loss, hormonal balance, and inflammation control
Unlock the Power of Metabolic Health
Whether you’re training hard, recovering from injury, or investing in your future self, your metabolic health is the foundation. With precision diagnostics, expert interpretation, and performance-aligned planning, Dr Sam Botchey helps you take control of your metabolic engine.