The work is measured, read,
and measured again.
Elemental Protocol turns baseline testing, functional testing, wearable data and scheduled retesting into one clinical operating picture: what the numbers mean, what to do first, and when to check whether it changed.
The first set of numbers is not the product.
The second set is.
ONE RECORD
Baseline. Current state.
Next retest.
The mechanism is simple to understand: establish the baseline, read the pattern across systems, build the protocol, then measure again when the biology has had time to move.
Baseline
Blood chemistry, adrenal rhythm and sex hormones, microbiome, biological age, glucose response, wearable recovery data and clinical history are brought into one starting picture.
Current state
The result is read as a pattern: energy, sleep, recovery, mood, digestion, cognition, metabolic response and stress tolerance, matched against the systems driving them.
Next retest
Each retest is timed to the system being checked. Fast markers are reviewed early. Slower stress and ageing signals are given longer before they are judged.
THE READING
You don't need more numbers.
You need to know what they
mean.
A pile of tests, on its own, is just paperwork. The work is the reading.
It means sitting with all of it at once, your sleep, your stress, your gut, your blood, the way your body actually behaves across a working week, and seeing how those things pull on each other.
Then you hear it plainly: what matters first, what can wait, and what is not worth chasing at all. The tests are how we see clearly.
Every system.
One picture.
THE THREE LAYERS
The clinical picture
emerges in layers.
LAYER ONE
Blood chemistry
Cardiovascular, metabolic, thyroid, hormonal, inflammatory, nutritional, renal, liver and haematology markers create the structural map.
LAYER TWO
Functional testing
Adrenal rhythm, sex hormones, microbiome mapping and biological-age testing add the mechanism behind what the chemistry shows.
LAYER THREE
Live signal
Wearable recovery and glucose data keep direction visible between scheduled retests, so the program is not waiting months for the next formal result.
LAYER ONE
The chemistry layer
shows the terrain.
Blood chemistry is the first layer because it gives the broadest structural view. It shows how the major systems are behaving before deeper testing is interpreted around them.
Cardiovascular
Lipids, triglycerides, HDL, LDL, ApoB, the inflammatory context and the wider cardiometabolic risk pattern.
Metabolic
Fasting glucose, fasting insulin, HbA1c, urate and the broader picture of glucose handling, energy stability and metabolic load.
Thyroid
Free T4, free T3, reverse T3, and thyroid antibodies, read as a pattern against symptoms, energy and recovery rather than from a single number.
Inflammation
hs-CRP, ESR and the albumin to globulin ratio, interpreted alongside sleep, stress, gut, training load and infection history.
Nutritional status
Vitamin D, B12, folate, iron studies, magnesium, zinc, copper, homocysteine and other markers that shape energy, mood and recovery.
Organ function
Liver, renal, electrolyte and haematology markers set the clinical safety and context layer before any deeper program decisions.
LAYER TWO
The deeper layer explains
why the chemistry
reads the way it does.
Some systems need their own instrument. Cortisol rhythm, sex hormones, gut ecology and biological age are not captured well enough by a standard chemistry panel. They need to be read directly, then brought back into the same clinical picture.
24-hour urine profileAdrenal rhythm and sex hormones
A full-day profile maps output, rhythm and the waking response, then reads the sex hormones and their metabolites. It shows whether the stress system is flat, overactive, mistimed, or recovering.
Stool metagenomicsMicrobiome
Shotgun metagenomic sequencing maps the gut ecosystem down to every strain and function. It gives context for digestion, inflammatory tone, metabolic byproducts and resilience.
Epigenetic methylationBiological age
Epigenetic testing creates a longer-arc reference point: a biological age, the pace it is moving at, and separate ages across individual organ systems. It gives the year-on-year program a system-level marker to return to.
LAYER THREE
The live feed keeps the
record current.
Formal tests are precise, and they are periodic. Wearable recovery and glucose data show how the body behaves in real working conditions: travel, late dinners, alcohol, short sleep, training and long weeks.
Continuous glucose
LIVEA two-week glucose monitor shows real-world metabolic response. It can reveal the difference between what looks reasonable on paper and what the body is actually doing across the day.
Wearable recovery
LIVEThe Oura Ring is the preferred wearable. If you already wear an Apple Watch or something similar, it works fine. HRV, sleep architecture, resting heart rate and recovery trends give the protocol a daily signal.
THE RETEST RHYTHM
Fast markers move first.
Slow biology takes longer.
A useful program does not retest everything at the same interval. The schedule follows the pace of the system being measured.
MONTH 0 · FULL BASELINE
Advanced blood chemistry, adrenal rhythm and sex hormones, microbiome, biological age, continuous glucose and wearable recovery data establish the starting point.
MONTH 6 · FAST-MARKER RETEST
Lipids, inflammation, glucose handling, thyroid, hormones and nutritional markers are reviewed once the first phase has had time to act.
MONTH 9 · ADRENAL & HORMONE RETEST
The hormone systems are given longer. The retest reads cortisol rhythm, the waking response and the sex hormones, once the protocol has had time to land.
MONTH 12 · FULL PANEL CLOSE
The first year closes against the original baseline. The record shows what moved, what held, and what still needs the next phase.
YEAR ON · CADENCE
Biological age opens each Cadence year. A full blood panel closes it. The long-term record compounds because the same practitioner stays with the arc.
HOW A YEAR ACTUALLY RUNS
The work happens in the
loop.
This is where the program comes into its own. Not in the number of tests, but in what happens each time the results come back. It runs the same way all year.
Collect
Each pass starts with more than the last. New results, the live feed since, and what has actually changed.
Interpret
The question sharpens each pass. Not only what the pattern shows, but whether it moved the way it was expected to.
Prioritise
The first phase focuses on the systems most likely to shift capacity, recovery and stability.
Retest
The plan is checked against changed data, then recalibrated rather than assumed to be working.
The mechanism in plain
view.
No. The health check is the opening frame. The program is the interpretation, protocol, retesting and recalibration that follows it.
Because biology changes at different speeds. Some systems should be checked early. Others need longer before the result means anything useful.
It keeps direction visible between formal tests. Sleep, HRV, resting heart rate and glucose response show how the protocol is landing in real life.
You are told plainly. If your results point to something that belongs with a doctor, it goes to your GP with a written brief.
We do, from current research on where function and long-term risk sit, sharpened by thirteen years of clinical practice. Every marker shows both figures, the laboratory's range and ours, so you can see the difference for yourself.
Begin with a call.
Then decide in clear view.
- ◎30 minutes, with the structure of the program laid out in full.
- ◎No generic intake. The call is about your current state, your constraints, and the right testing arc.
- ◎If the fit is wrong, it's wrong. The call ends with a straight answer, either way.
One conversation before any commitment. Thirty minutes to lay out your current state, test the fit honestly, and decide whether the program should move forward.
Book a discovery call