LMI Performance Programme
For those focused on aerobic capacity, strength, body composition and hormonal health. Built around VO₂ max testing, DEXA, stress ECG and a full hormone profile, with hormone and peptide optimisation where clinically appropriate.
You perform at the highest level.
Your medicine should too.
The Performance Programme is a full-day clinical assessment of the biological systems that determine how long you perform at the level you have built and what stands between you and staying there.
Most sports medicine tells you
how fit you are today.
We tell you what is coming.
"VO₂ max is the single strongest predictor of long-term mortality. It is also the strongest predictor of how long you will perform at elite level. These are not separate conversations."
At the highest levels of business, sport, and leadership, performance is not just about what you can do, it is about how long you can sustain it. The cardiovascular system, hormonal architecture, cognitive resilience, and metabolic efficiency that underpin peak output are all measurable, all manageable, and all subject to a gradual decline that begins earlier than most people realise.
The Performance Programme maps every one of those systems with clinical precision and produces a protocol designed not just to optimise them today, but to protect them for the decade ahead.
"Most of our performance patients arrive having been told they are in excellent health. They are. What they have never been told is where their trajectory is pointing."
DR ADAM BROWN · FOUNDER & MEDICAL DIRECTOR, LMI
Built for those who
cannot afford to decline.
01.Elite & Professional Athletes
Those whose body is their livelihood and for whom the clinical gap between current performance and biological truth is the most commercially significant data point in their career.
02. Founders & Chief Executives
Those whose organisations depend on their sustained physical energy, cognitive clarity, and decision-making capacity and who have started asking why their health is the one area still managed reactively.
03.Anyone noticing the gap
Those who have noticed a reduction in recovery speed, energy, focus, or output and want to understand the biological reason, not receive a generic recommendation to sleep more and stress less.
What We Assess.
Why Each One
Determines The Rest.
Elite performance rests on four biological systems. A weakness in any one of them creates a ceiling on all the others. We assess every system, then build a protocol to raise them together. EEG and cognitive health is available as an add-on.
Capacity & VO₂ Max
The ceiling of your aerobic system. VO₂ max measured by CPET, stress ECG, resting ECG, and cardiac imaging. We measure it precisely, then build a training protocol to raise it.
Body Composition & Movement
DEXA scan for lean mass, fat, and bone density. Full biomechanical assessment. Injury risk profiling. Movement efficiency analysis. What your body is made of, and how well it moves.
Architecture & Recovery
Full hormonal panel, including testosterone, cortisol, thyroid, growth hormone and DHEA. The system governing recovery speed, muscle synthesis, energy, and cognitive performance under pressure.
Efficiency & Fuel
Resting metabolic rate, glucose and insulin dynamics, advanced lipid panel, nutritional DNA. How your body produces energy under high-demand conditions, and how to make it more precise.
|
LMI Performance Program Complete 6 Month Program |
|
|---|---|
| PROGRAM OVERVIEW | |
| Single, physician-led program delivered in two stages | ✔ |
| Comprehensive diagnostic assessment + six months of physician-led clinical management | ✔ |
| Payable in full or by monthly direct debit across the program term | ✔ |
| STAGE 1: DIAGNOSTIC ASSESSMENT | |
| VO₂ Max Testing (CPET): gold-standard cardiopulmonary exercise test | ✔ |
| Spirometry: lung function assessment (FEV₁, FVC and ratio) | ✔ |
| Stress ECG (Exercise Stress Test): cardiac response under exertion | ✔ |
| DEXA Body Composition Scan: fat mass, muscle mass, visceral fat and bone density | ✔Including regional & left-to-right muscle balance |
| Comprehensive Blood Panel & Hormone Profile | ✔Incl. sex hormones, SHBG, thyroid, metabolic, cardiovascular & inflammatory markers |
| Physical Activity Questionnaire (PAQ) | ✔ |
| Exercise Physiology Assessment: personalised exercise prescription | ✔Built from your VO₂ max, DEXA & stress ECG results |
| Baseline Clinical Observations: full physical assessment and health history review | ✔ |
| Consultation with LMI Doctor: eligibility assessment and personalised program design | ✔ |
| Medication Guidance & Prescribing, where clinically appropriate | ✔Hormone therapies & peptides |
| STAGE 2: INCLUDED EVERY MONTH | |
| Monthly review with your dedicated LMI Doctor | ✔Telehealth or in person |
| Medication dose review and adjustment | ✔Hormone / medication |
| Peptide therapy protocol, where clinically appropriate | ✔ |
| Ongoing performance, recovery and training optimisation | ✔ |
| SCHEDULED CLINICAL REVIEWS | |
| Month 3 | Comprehensive blood panel and hormone retest |
| Month 6 | DEXA rescan and VO₂ max retest versus baseline, blood panel and hormone retest, and outcome consultation |
| OPTIONAL ADD-ONS | |
| Brain Health & Cognitive Assessment: EEG brain scan and immersive VR-based cognitive assessment | |
| AI Health Platform Access: longitudinal biodata, biomarker trends and clinical insights between visits | |
Important: Additional Charges. The fees above cover the services listed only. Any medications, prescriptions, additional testing, specialist referrals, or services outside the stated inclusions will be charged separately. All costs will be discussed with you prior to proceeding. Medications prescribed as part of this program are billed separately in accordance with applicable regulations.
what's included
Every Assessment. Every Test.
Every Deliverable.
A complete account of what the Performance Programme covers, so you can make this decision based on information, not a sales conversation.
In-Clinic Assessments
- Physician-led performance consultation
- VO₂ max, cardiopulmonary exercise testing
- DEXA body composition & bone density
- Full biomechanical assessment (physiotherapist)
- Resting & stress ECG
- Sleep architecture & recovery analysis
- Resting metabolic rate
Blood & Diagnostics
- Performance blood panel, 40+ markers
- Full hormonal panel
- Advanced lipid fractionation
- Glucose & insulin dynamics
- Inflammation & recovery markers
- Nutritional deficiency assessment
- NAD+ levels
- Nutritional DNA analysis
What You Receive
- Full personalised clinical report
- Performance-specific training protocol
- Nutrition strategy for performance & recovery
- Supplement & pharmacology plan
- Hormonal optimisation plan where indicated
- 30-day follow-up physician consultation
EEG & Cognitive
Health Assessment.
Added To Your
Performance Day.
For executives, athletes, and high performers, cognitive capacity is not secondary to physical performance, it is the foundation of it. The ability to make decisions under pressure, sustain focus across long days, regulate stress, and protect long-term brain health are clinical variables, not personality traits.
The EEG & Cognitive Health Assessment adds a specialist layer of neurological and cognitive testing to your Performance Programme day, giving you the most complete picture of brain function available outside a clinical neurology setting.
What Is Assessed
- EEG brain function & brain age analysis
- Virtual reality neurocognitive battery
- Memory, processing speed & attention
- Executive function & decision speed
- Stress response & cognitive resilience
- Genetic dementia risk profiling (APOE)
Why It Matters For High Performers
Most cognitive decline begins silently, years before it is detectable in day-to-day performance. The early markers show up on EEG and neurocognitive testing long before they affect output.
For executives and athletes who depend on mental sharpness for commercial outcomes, knowing your cognitive baseline, and protecting it, is not optional. It is a performance variable with a direct return.
The APOE genetic marker identifies inherited Alzheimer's risk, giving you the earliest possible clinical signal and the most time to act on it.
What You Receive
- Full EEG report with brain age score
- Cognitive performance profile
- Genetic dementia risk result & interpretation
- Personalised cognitive optimisation protocol
- Included in your full clinical report
From First Conversation,
To Clinical Protocol.
Private physician call
A 20-minute call reviewing your performance history, current concerns, and clinical goals before your assessment day. We establish whether this programme is right for you, honestly.
Full-day in-clinic
A structured day at our Double Bay clinic covering every performance domain. Physician-led. Unhurried. The most comprehensive clinical performance evaluation most of our patients have undergone.
Clinical report & protocol
Your personalised clinical report, with a performance-specific protocol covering training, nutrition, supplementation, and pharmacology where clinically indicated.
Follow-up consultation
A physician review to assess early protocol response, refine recommendations, and discuss the appropriate next step, whether that is a targeted or comprehensive annual programme.
What each assessment involves
-
Inside the Diagnostic Assessment
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Gold-standard cardiopulmonary exercise test measuring your aerobic capacity and cardiorespiratory function, one of the strongest predictors of long-term health and performance ceiling.
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Lung function assessment (FEV₁, FVC and ratio) to characterise your respiratory capacity and identify any limitation.
-
Measures your lean muscle mass, fat mass, visceral fat and bone density with clinical precision, including regional and left-to-right muscle balance relevant to performance and injury risk. Not just your weight, but exactly what your body is made of.
-
A full hormone profile (including sex hormones, SHBG and thyroid function) alongside metabolic, cardiovascular and inflammatory biomarkers.
-
Assesses your cardiac response under exertion to establish a safe baseline before any increase in training intensity.
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A validated assessment of your current activity levels, informing a realistic and personalised exercise prescription.
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A dedicated session with an exercise physiologist and a personalised exercise prescription built from your VO₂ max, DEXA and stress ECG results.
-
Full physical assessment and health history review with your LMI Doctor.
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Eligibility assessment and personalised programme design based on your results.
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Prescription of hormone therapies and peptides where clinically appropriate, with ongoing oversight by your LMI Doctor.
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EEG brain scan and an immersive VR-based cognitive assessment, evaluating brain activity alongside cognitive performance: processing speed, memory and focus.
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Secure access to your longitudinal biodata, biomarker trends and clinical insights between visits.
Your performance
is not declining.
It is being managed - or not.
The first conversation is with a physician. They will review your history and tell you honestly whether this programme is the right starting point for you.
PERFORMANCE PROGRAMME PLACES ARE LIMITED TO ENSURE EVERY PATIENT RECEIVES THE DEPTH OF CLINICAL ATTENTION THE PROGRAMME DEMANDS.
How the Program Works
Most programmes give you a script. We give you a comprehensive diagnostic assessment, monthly reviews with your dedicated LMI Doctor and a clinical team around you every step of the way.
We measure exactly what is changing - body composition, hormones, metabolic health and cardiorespiratory fitness - and we actively manage it. That is the LMI difference.