Medical Optimisation · Inside Out
Health,
measured.
Ageing, mapped.
You cannot decorate a house with cracked foundations.
The clinical arm of the practice. MAP Health, continuous glucose monitoring, epigenetic biological age testing and Weight Loss 360, the numbers that turn ageing from a fear into a protocol.
Clinically led
30 years in medicine, distilled.
Interpretation by Dr Manning — not an algorithm, not a portal.
MAP Health • Continuous Glucose • Biological Age • Weight Loss 360 • Inflammageing •
The Foundation
Inflammageing
is the root.
Measure
Objective data, not guesswork
Interpret
Read by a doctor, not a dashboard
Act
A written, sequenced protocol
Chronic, low-grade inflammation is the shared soil of the diseases of ageing, cardiovascular, metabolic, neurodegenerative and, visibly, the skin. Medical Optimisation exists to identify it, quantify it, and then dismantle it, pillar by pillar, so the work on the surface can hold.
Discovery Phase
Before Any Pillar Begins
MAP Health
Your essential diagnostics phase. We look at your inflammatory, metabolic, and nutritional markers, apply continuous glucose monitoring to see how your body actually responds to food, and use epigenetic testing to understand what is happening at a cellular level. From here, we design your personalised route through the three pillars.
Includes
● Comprehensive bloods ● Epigenetic testing ● Inflammation markers ● 14 day CGM
No biological age panel is included in this phase.
Then, Three Pillars
Each one building on the last.
Pillar One
The Foundation Layer
Digestion
Your gut is the gateway to everything else. We address this first, so the hormonal and cellular work that follows is properly absorbed.
How we test
GI-MAP stool analysis or gut health dry blood spot
How we resolve it
Targeted, high quality gut supportive supplementation
Pillar Two
The Integration Layer
Endocrine Health
Hormonal decline and metabolic dysfunction are central drivers of ageing. Reduced inflammation from Pillar One allows for far more precise regulation.
How we test
The DUTCH complete test
How we resolve it
Personalised bioidentical hormone therapy where indicated
Pillar Three
The Vitality Layer
Mitochondrial Health
Mitochondria are your cells' powerhouses. This final pillar restores cellular energy, vitality, and membrane health.
How we test
Follow up blood panel and cellular health markers
How we resolve it
High dose omega-3 therapy to restore omega-6:omega-3 ratio
80+
Biomarkers tracked
In every MAP Health baseline
14
ays of CGM data
Per metabolic cycle
3
iological age panels
GrimAge · PhenoAge · Pace
12
Months of review
Quarterly, then annually
What we measure
The signals
that matter.
The panel goes well beyond a standard health screen. Every marker has a reason to be there, each one contributes to a picture of how the body is ageing, not just whether it is diseased.
01
Metabolic health
HbA1c, insulin, ApoB, HOMA-IR
02
Hormonal rhythm
Thyroid, sex hormones, cortisol curve.
03
Inflammation
hs-CRP, homocysteine, GlycA.
04
Cellular ageing
GrimAge, PhenoAge, DunedinPACE
The Journey
A year of
clinical care.
Optimisation is not an event. Four stages, repeated each year, build the trajectory that eventually shows up on the face.
01
Stage
Baseline
MAP Health bloods, body composition and lifestyle audit. A complete, honest picture of where the body sits today.
02
Stage
Map
Fourteen days of continuous glucose monitoring layered with sleep, activity and nutrition data. Patterns emerge that no single blood test can show.
03
Stage
Protocol
A written medical optimisation plan — nutrition, movement, sleep architecture, considered supplementation and, where indicated, prescriptive support.
04
Stage
Measure
Quarterly bloods, annual biological age retest. Numbers on a page that prove healthspan is moving in the right direction.
Considered questions