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Upstream
Upstream Metabolic Workflow

Metabolic Health Plan

We identify what's limiting your metabolic health most, target it from the Upstream toolkit, and adapt as your metabolism responds.

For specialists

A guided plan, not a worksheet.

Replace the printed MHP worksheet with a 4-step wizard that captures the same clinical structure — but auto-fills from clinical results, calculates standardizations live, and keeps every plan version on file for the four-month adaptation review.

STEP 01
Profile

Auto-fill from PNOE, InBody, or lab PDFs. Specialist confirms before save.

STEP 02
Triage

Six domains, three statuses. Drives the depth of every interview question.

STEP 03
Interview

Normal collapses to confirmation. Concern expands the full sub-questionnaire.

STEP 04
Plan

Pick three actions from the library. Two must drive the primary domain.

Six metabolic domains

The single most upstream domain.

Each plan targets the one domain most upstream within the patient's controllable system. Stabilize the limiter first, then build.

Circadian Regulation

Sleep duration and consistency, light timing, caffeine cutoff, phone-in-bed habits.

Autonomic Regulation

Stress load, recovery, wind-down routine, breathwork, parasympathetic tone.

Nutrition Intake Regulation

Daily intake adequacy, protein distribution, hydration, liquid calories, late-night eating.

Insulin Sensitivity

Post-prandial response, meal sequencing, glycemic load patterns, fasted-state behaviour.

Oxidative Capacity

Aerobic base, mitochondrial density, NEAT load, zone-2 cardio, VO₂max work.

Skeletal Muscle Mass

FFMI, resistance-training frequency, progressive overload, recovery and protein synthesis.

Live calculations

Standardizations, computed.

TDEE, caloric range, and protein targets calculate live from RMR, activity factor, and body weight. The intake range is automatically clamped to RMR so the plan never recommends under-fueling, and protein caps at 220 g/day per protocol.

TDEE
RMR × AF
Caloric range
±100 kcal · clamped ≥ RMR
Protein band
0.7–1.0 g/lb BW ±20
Protein cap
220 g/day
Default deficit
−500 kcal · −1 lb/wk
Adapt cadence
every 4 months
Built for the workflow

Less typing. More clinical judgment.

Auto-fill clinical results

Drop a PNOE or InBody PDF. RMR, VO₂max, FFMI, body fat, and visceral fat extract automatically. Specialist confirms before save.

Versioned plans

Every plan is versioned per patient. Activate a new version and the prior one archives — full history stays on file for the chart.

Retest reminders

RMR, AMR, and the four-month plan-adapt date all schedule on plan activation. Reminders go out seven days before.

We identify what's limiting your metabolic health most, target it from the Upstream toolkit, and adapt as your metabolism responds.

Patient framing · printed on every plan
Ready to build a plan?

Open the wizard.