02 Deep diagnostics & detox
02 · Deep diagnostics & detox

Metabolic testing

Tests evaluating the body's ability to absorb and utilize energy.

Duration

3–4 hours · day 5 of the program

Led by

Endocrinologist, nutritionist, lab technician

Location

02 · Deep diagnostics & detox

About the procedure

Metabolic testing is functional biochemistry. Unlike static blood analyses, it shows how metabolism responds to a load: carbohydrate, fat, physical.

The standard set: oral glucose tolerance test (OGTT) with insulin measurement at 0, 60, 120 minutes — allows insulin resistance to be detected long before HbA1c rises. Additionally — assessment of metabolic flexibility via RQ (respiratory quotient) with a breath analyzer at rest and after exertion.

For clients with suspected lipid metabolism disorders the following are added: an extended lipid profile (ApoB, ApoA1, lipoprotein(a), small dense LDL, oxidized LDL), glycated albumin (a short-term glycemic control marker), lipid peroxidation.

Based on the testing, the client's metabolic phenotype is defined — this is the input for the nutrition protocol at villa 02 and the exercise plan at villa 03.

What's included

  • Oral glucose tolerance test with insulin at 3 time points
  • HOMA-IR + Matsuda index
  • Extended lipid profile (ApoB, ApoA1, small LDL)
  • Breath analysis of metabolic flexibility (RQ)
  • Glycated albumin (when indicated)

Indications

  • ·Excess weight, insulin resistance
  • ·Prediabetes or family history of type 2 diabetes
  • ·Metabolic syndrome
  • ·Preparation for the biohacking program

Contraindications

  • ·Decompensated diabetes mellitus — preliminary stabilization is required
  • ·Acute intestinal infection

Team

Endocrinologist, nutritionist, lab technician

FAQ

Is this safe for diabetes mellitus?

Compensated type 2 diabetes is safe under supervision. Decompensated diabetes requires stabilization before the OGTT.

Why measure insulin if there is HbA1c?

HbA1c shows the end of the process (3-month average). The insulin response to the OGTT reveals the problem years before glucose starts to rise.