Muscle & Strength

 

The Engine of Longevity & Performance

 

In Dr Sam Botchey’s Longevity & Performance Medicine framework, muscle is more than movement — it is medicine. As the central pillar of The Longevity Exoskeleton™, muscle mass and strength are not just markers of fitness — they are powerful predictors of healthspan, independence, and disease resilience.

Dr Botchey firmly believes that muscle is the organ of longevity. It plays a critical role in metabolic health, inflammation regulation, hormonal balance, and physical capability. Whether you're an elite athlete, a high-performing executive, or simply looking to age with strength and stability, preserving and enhancing muscle function is non-negotiable.

 

Why Muscle Matters

 

The science is clear:

• Low muscle mass and strength are independently associated with higher risk of chronic disease, frailty, falls, hospitalisation, and early death.

• Muscle tissue is a metabolically active organ, improving insulin sensitivity, reducing visceral fat, and supporting healthy immune function.

• As we age, we lose muscle — a process called sarcopenia — which begins as early as our 30s and accelerates without intervention.

• Strength, not just size, is a key marker of neuromuscular health, coordination, and longevity.

• Muscle is also your biomechanical armour — protecting joints, stabilising the spine, and reducing injury risk.
   

Dr Botchey’s clinical philosophy is centred around preserving and optimising muscle as a cornerstone of both performance and healthy ageing.

 

How Muscle is Assessed in Longevity Medicine

 

Dr Botchey takes a multi-dimensional approach to evaluating muscle health, combining advanced diagnostics with clinical insight. This includes:

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1. Lean Muscle Mass & Body Composition Analysis​

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• DEXA Scanning – The gold standard for precise measurement of lean muscle, fat distribution, and bone density

• InBody Analysis – Rapid assessment of segmental muscle mass and metabolic rate for tracking progress
   

2. Strength & Functional Performance Testing​

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• Isometric and Dynamic Strength Testing – To assess peak force and muscular endurance

• Balance, Stability & Flexibility Assessments – Key predictors of mobility, fall risk, and coordination

• VO₂ Max & Cardiopulmonary Testing – Understanding how muscle integrates with aerobic capacity for holistic performance
   

3. Blood & Genetic Biomarkers​

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• Hormonal Profiling – Including testosterone, DHEA, IGF-1 and other anabolic-catabolic markers

• Nutritional & Inflammatory Markers – Such as vitamin D, creatine kinase, ferritin, CRP

• Genetic Testing – To explore predispositions around muscle fibre type, recovery capacity, injury risk, and training responsiveness
   

All of this is synthesised into a personalised strategy designed to build, protect, and optimise your muscular system over time.

 

Treatments & Interventions for Muscle Health

 

Dr Botchey leads a multidisciplinary approach that includes:

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• Individualised Strength Programming – Delivered by trusted S&C specialists aligned with your MSK profile and goals

• Injury Prevention & Rehabilitation – Consultant-led recovery plans to restore muscle function and avoid future damage

• Regenerative Therapies – Including PRP, shockwave, and other non-surgical interventions to support muscle repair

• Optimised Nutrition & Supplement Protocols – Tailored to support protein synthesis, recovery, and anti-inflammatory balance

• Hormonal & Metabolic Optimisation – Where indicated, targeted support to address muscle loss linked to andropause, menopause, or chronic stress
   

Dr Botchey oversees your progress across each pillar, ensuring that interventions are grounded in clinical science and delivered with elite-level precision.

 

Who This Is For​

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• Individuals concerned about age-related muscle loss

• Patients recovering from injury or surgery

• Athletes looking to enhance muscle strength, recovery, or muscle balance

• Anyone interested in improving their body composition, metabolism, or functional capacity

• People experiencing fatigue, weakness, or plateaued physical performance

 

Muscle is Your Metabolic Engine. Protect It. Build It.

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Whether your goal is to move better, train harder, age stronger, or simply future-proof your body — Dr Sam Botchey’s Longevity & Performance Medicine approach gives you the tools to build lasting strength from the inside out.

Book Your Consultation – Take the First Step Towards Muscular Longevity

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