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 Longevity Exoskeleton™ 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.
Poor metabolic health leads to chronic inflammation, muscle breakdown, fatigue, insulin resistance, and slower healing.
Key longevity killers — including cardiovascular disease, Type 2 diabetes, and neurodegeneration — all stem from metabolic dysfunction.
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 Metabolic Health is Assessed

Dr Botchey uses a range of advanced diagnostic tools to build a precise picture of your metabolic efficiency, recovery capacity, and disease risk profile.

Core Metabolic Assessments Include:

Blood Testing
- Fasting insulin, HbA1c, glucose — for glycaemic control
- Lipid profiles (HDL, triglycerides, ApoB) — for cardiovascular risk
- hs-CRP, IL-6 — to assess chronic inflammation
- Homocysteine, ferritin, vitamin D, magnesium — metabolic co-factors
- Testosterone, cortisol, thyroid function — endocrine contributors to metabolic regulation
Body Composition Analysis
- DEXA Scanning to assess visceral fat vs. lean mass
- InBody Analysis for tracking metabolic rate and fat distribution
Cardiopulmonary Testing
- VO₂ Max Testing and RER (Respiratory Exchange Ratio)
- Understand how well your body burns fats vs carbohydrates under stress or recovery
Continuous Glucose Monitoring (CGM) (Optional)
- Real-time feedback on glucose stability, spikes, and food response
- Highly relevant for athletes, prediabetics, and weight management
Genetic & Epigenetic Testing (Where appropriate)
- Insight into metabolic predisposition, nutrient absorption, and mitochondrial function

🔧 How Dr Botchey Optimises Metabolic Health

Metabolic optimisation is highly individualised — and Dr Botchey leads a consultant-directed, evidence-based plan that may include:

1. Precision Lifestyle Interventions

Targeted exercise prescriptions based on VO₂ max and fat-burning thresholds
Nutritional strategies focused on glycaemic control, mitochondrial health, and inflammation reduction
Integration of Intermittent Fasting, time-restricted eating, or macronutrient cycling where appropriate
Circadian alignment to support hormonal and metabolic synchrony (e.g. sleep, light exposure)

2. Supplement & Pharmacological Support

Use of creatine, omega-3s, magnesium, vitamin D
Berberine, inositol, or metformin (if clinically indicated) for insulin sensitivity
Adaptogens or adrenal support for stress-driven metabolic issues

3. Hormonal & Inflammatory Control

Where needed, andropause or menopause support (testosterone, DHEA, HRT)
Addressing cortisol dysregulation and overtraining stress
Reducing pro-inflammatory markers through regenerative musculoskeletal care

4. Integration with MSK & Performance Strategy

Improve muscle mass to increase metabolic rate and glucose buffering
Reduce visceral fat, which produces inflammatory cytokines that damage joints and inhibit recovery
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:

Joint health via systemic inflammation and synovial breakdown
Muscle repair via impaired protein synthesis and poor nutrient delivery
Tendon recovery through oxidative stress and energy deficits
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 Is For

Individuals with low energy, slow recovery, or unexplained performance decline
Those managing prediabetes, visceral adiposity, or high cholesterol
Athletes looking to unlock peak endurance and fuel utilisation
Patients with MSK pain that’s slow to heal or recurrent
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.

Book a Consultation – Explore Your Metabolic Health Strategy