Home About Fees Articles Contact
Book or enquire
Services

GLP-1 Exit Strategy

Deprescribing

Independent Medication Review

Clinical Data Review

Metabolic Health

Lifestyle Medicine

Understand

High Blood Pressure

Women's HRT

Men's Hormones

After a Heart Attack

Pre-Diabetes

Normal Bloods, Feel Terrible

After Hospital

Metabolic Health · Body Composition · Long-Term Maintenance

You are doing the right things. The results should be better than this.

A doctor-led metabolic review that identifies what is actually driving appetite, energy, body composition, and performance — and builds a strategy you can sustain on a normal week, not just a perfect one.

Book a Metabolic Review — £395

Clinical appointments via CQC-registered Sutton Medical Consulting

Metabolic & Deprescribing Review
£395
60-minute review
  • History and results reviewed in advance
  • Clinical view of what is driving the problem
  • Prioritised strategy — not a list of changes
  • Markers worth tracking and at what intervals
  • Clear written plan to take away
  • GP communication where appropriate
Book a Metabolic Review

Follow-up support from £125

Consistent effort. Inconsistent results.

Most people who book this review are not looking for motivation or a basic plan. They are already doing the work. Training consistently, eating reasonably well, taking sleep seriously. The results are not reflecting that effort and they want to know why.

The answer is usually not a missing supplement or a different diet protocol. It is a clinical picture — something in the physiology, the medication list, the sleep architecture, or the metabolic markers — that generic advice cannot see.

  • Weight, waist, or body composition is not moving despite consistent training and reasonable nutrition
  • Hunger and cravings are running the show — appetite keeps reasserting itself regardless of what you eat
  • Energy is low, sleep is poor, recovery is slow, and training feels harder than it should
  • Metabolic markers are drifting — prediabetes risk, rising blood pressure, lipids trending the wrong way
  • You have come off a GLP-1 or are planning to, and want a proper maintenance strategy that does not rely on medication indefinitely
  • You want strength, lean mass, and long-term resilience — built on clinical understanding, not fitness industry protocols

Not weight. The system that drives it.

Metabolic health is not a number on a scale. It is appetite regulation, insulin sensitivity, blood pressure, sleep quality, inflammation, lean mass, and hormonal balance — working together.

When one of those levers is off, the others compensate — and then they stop compensating. That is when the plateau hits. When fatigue becomes persistent. When hunger becomes unmanageable regardless of what you eat.

The review identifies which lever is the primary driver for you. Not generically — specifically. Then builds a strategy around it. One or two changes that actually move the picture, rather than a comprehensive overhaul that is unsustainable on a normal week.

"Metabolic health is not about the perfect week. It is about what holds on a normal one. That is what the plan is built around."

— Dr Dan Reardon · NHS A&E Doctor · GMC 6098984

Not a fat-loss plan. A structured physiological strategy.

No extremes. No ideology. A doctor-led review that identifies what is actually driving the problem — and builds a plan around that, not around what worked for someone else.

Appetite & Satiety

What is driving hunger and food noise. Whether appetite regulation, GLP-1 pathways, sleep debt, or behavioural patterns are the primary lever — and what actually addresses the root cause.

Body Composition

Muscle, fat, waist circumference, and visceral fat — not just scale weight. What the numbers mean, what is actually worth changing, and what the right target looks like for your physiology.

Metabolic Markers

Glucose, HbA1c, insulin sensitivity, lipids, blood pressure, liver markers. What is trending and what it means for long-term risk — not just whether values sit within reference ranges today.

Sleep & Recovery

Sleep architecture, recovery quality, cortisol load, and their downstream effects on appetite, body composition, and energy. Often the primary lever — rarely addressed first.

Training & Movement

Strength, aerobic capacity, training tolerance, and recovery between sessions. Whether the current training load is appropriate for the metabolic goal — or working against it.

Medication & Supplement Effects

Which medications or supplements may be affecting weight, appetite, energy, or metabolic markers — and which are genuinely worth taking versus adding noise to the picture.

Clarity on what to change. And what to leave alone.

Most people have too many changes on the list. The review narrows it down to what will actually move the picture.

The primary driver

A clear clinical view of what is actually causing the stall — appetite, sleep, training load, metabolic markers, medication effects, or a combination.

Prioritised strategy

One or two changes that are most likely to move the picture — in the right order, with the reasoning behind why those and not others.

Monitoring framework

Which markers are worth tracking, at what intervals, and what would indicate the plan is working versus beginning to drift.

Nutrition strategy

Not a meal plan. A clinical framework for food structure that supports the metabolic goal without requiring perfection every day.

Written plan

A clear written summary of the review, the decisions made, and the plan going forward — specific to you, not a generic protocol.

GP communication

Where appropriate, a written summary to your GP to keep your care coordinated and ensure relevant findings are documented.

"The point is not more changes. It is the right changes — in the right order."

Book a Metabolic Review

Clinical medicine plus a decade of metabolic practice.

Most performance and longevity clinics are run by clinicians with strong medical credentials and limited practical experience of what actually changes body composition, metabolic markers, and long-term maintenance at the individual level.

As CEO of FitnessGenes, Dan conducted over 3,000 direct customer results reviews — translating DNA, blood panels, training data, and metabolic markers into specific, prioritised plans. That volume of practice at the intersection of physiology and real-world behaviour is unusual in a clinical setting.

Combined with frontline NHS emergency medicine and an MSc in Mental Health — directly relevant to appetite regulation, behavioural architecture, and the psychological dimensions of metabolic change — the review covers ground that most single-discipline consultations cannot.

3,000+ direct results reviewsFitnessGenes CEO — DNA, blood panels, metabolic data
NHS A&E DoctorFrontline clinical medicine · active
MB ChB · BSc Human Anatomy · MSc Mental HealthCardiff & Birmingham
GMC 6098984Fully registered
ACSM CertifiedExercise physiology and performance background
CQC-Registered PracticeVia Sutton Medical Consulting, Sutton Coldfield

Metabolic Health Review

Fees include advance review of your history and results, clinical interpretation, and a clear written plan. You are not paying for appointment time alone.

Follow-up Review
£195
30 minutes

Progress review, new results, plan refinement, and next-step decisions.

Results & Adjustment
£125
15 minutes

Focused review of specific results or smaller adjustments to an existing plan.

All consultations delivered via CQC-registered Sutton Medical Consulting · Ashfurlong Medical Centre, Sutton Coldfield, B75 6DX

Investigation costs are separate. Where further testing is indicated, the review will identify exactly which tests are needed and the most appropriate route — NHS, GP referral, or private lab.

×

Not a diet plan. A clinical view of the physiological drivers — not a meal schedule or calorie target.

×

Not a weight-loss programme. No weigh-ins, no targets, no weekly check-ins with a coach.

×

Not ideology. No low-carb evangelism, no fasting absolutism, no protocol that applies the same logic to everyone.

×

Not anti-medication. Where medication is the right clinical tool, that is what the review will say.

FAQ

Do I need to bring blood test results?
Helpful but not required. If you have recent results — from Medichecks, your GP, or private testing — bring them. If not, the review can identify which tests are worth getting and why, rather than ordering a default panel.
Is this just for weight loss?
No. Many patients book this review for energy, recovery, performance, or longevity rather than weight specifically. The review covers the full metabolic picture — weight is one output of a system, not the only thing worth measuring.
How is this different from a personal trainer or nutritionist?
A personal trainer or nutritionist works within their scope — exercise programming and dietary planning. This is a medical review. It covers medication effects, metabolic markers, clinical risk, and physiological drivers that sit outside the scope of fitness and nutrition practice.
I am already on a GLP-1. Is this still relevant?
Yes — and often more so. A metabolic review alongside GLP-1 treatment helps build the infrastructure that holds results when the medication is eventually reduced or stopped. It also identifies whether the current approach is optimised or whether something is working against the medication's effects.

Find out what is actually driving the problem.

Book a metabolic review and leave with a clear, prioritised strategy built around your physiology — not a generic protocol.

Book a Metabolic Review — £395

Clinical appointments via CQC-registered Sutton Medical Consulting · Sutton Coldfield