Almost everything. Your metabolism is the system that turns food into energy at the cellular level. When it's running poorly, you feel it: fatigue, brain fog, low mood, poor sleep, hormone disruption, weight changes and slow recovery. Metabolic health sits underneath nearly every other system.

Yes. We can request standard pathology like fasting glucose and HbA1c. We also work with continuous glucose monitors and other functional testing to get a more detailed picture. Blood sugar dysregulation is incredibly common and often missed in standard screening, so testing can be useful when symptoms point that way.

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme your cells use to produce energy. Levels naturally decline with age, stress, alcohol and chronic illness. Low NAD+ has been linked to fatigue, slow recovery and poor cognition in research literature. We test before recommending NAD+ support, since the right form matters for individual cases.

Common signs people raise in clinic include persistent fatigue (especially after eating), brain fog, sugar cravings, mid-afternoon energy crashes, cold hands and feet and waking up unrefreshed. None of these confirm anything on their own. But together they're a signal worth investigating with your GP or a naturopath, particularly if they've been around for a while.