The diagnostic foundation.
Metabolic Assessment
A comprehensive 60+ marker bloodwork, body composition, and consultation programme directed by Dr Martin Galy, the foundation of every longevity, weight, and BHRT plan at 23MD.
Wellness & Longevity · London & Dubai
The Treatment
Metabolic Assessment
The metabolic assessment is a structured diagnostic programme that builds a complete picture of your internal physiology. Components include comprehensive blood panels (60+ markers), body composition analysis (lean mass, fat mass, visceral fat, hydration), detailed symptom and lifestyle review, and a structured results consultation with a personalised plan.
Most patients describe the metabolic assessment as the most informative medical experience they've had, not because anything dramatic is found, but because they finally understand what's driving how they feel. The plan that follows is built around their specific physiology rather than generic protocols.
Duration
~3 hrs
Downtime
None
Pain level
Low
Sessions
Initial consultation + results consultation
Results start
7–10 days
Results peak
Annually
About
What it is, how it works.
How it works
You begin with a 60–90 minute consultation with Dr Galy reviewing symptoms, history, and goals. Bloods are drawn at the clinic. Body composition is measured. Results return within 7–10 days. A second consultation walks through findings in plain language and presents a tailored intervention plan covering hormonal, nutritional, lifestyle, and (where indicated) prescription components.
Why it matters
Most patients describe the metabolic assessment as the most informative medical experience they've had, not because anything dramatic is found, but because they finally understand what's driving how they feel. The plan that follows is built around their specific physiology rather than generic protocols.
Indications
What We Treat
- Unexplained fatigue, weight change, or mood symptoms
- Entering or in perimenopause / menopause
- Considering BHRT or a longevity programme
- Want a baseline for proactive health management
- Andropause and age-related metabolic decline
Results & Expectations
Clinical Expertise. Natural Outcomes.
What may improve
- Clarity on hormonal status
- Identification of metabolic dysfunction
- Detection of inflammation or deficiency
- Baseline for tracking progress over time
Timeline
Lab returns full panel within 7–10 days. Plan implementation begins after the results consultation, with 8-week review and 6–12 month reassessment.
Comprehensive testing sometimes reveals findings that prompt further investigation. We commit to clear, calm communication and onward referral where needed.
Meet the 23MD Digital Team
Doctor-led intelligence, at your fingertips. Explore whether Metabolic Assessment is the right pathway with our BHRT Digital Doctor.
Suitable For
Safety & Suitability
Not suitable for
- Acute medical condition needing emergency care
- Patients seeking a single test rather than a programme
- Patients not prepared to act on findings
Consultation required: Initial consultation with Dr Galy is required before bloodwork; fasting for 10–12 hours before the blood draw is needed for accurate metabolic markers.
FAQs
Your Questions, Answered
Medically reviewed by Dr Martin Galy, MBChB, Director of Wellness & Longevity on April 2026.
