EPOCH METABOLIC  ·  A clinical practice for the long arc

Understand your metabolic health. Optimise it. Prevent the disease that would otherwise follow.

How do you want to feel at seventy?
Do you know your metabolic health?
How do you want to feel at seventy?
What is your biology doing today?
Could you feel better than you do?

EPOCH METABOLIC is a physician-led clinical practice. We measure the biology that decides how your next decades will feel, we help you understand it, and we help you change it.

What EPOCH does

Understand. Optimise. Prevent

Three simple words describe the whole of the work. Each rests on serious clinical method.

I.

Understand

We measure the biology behind how you feel: a comprehensive biomarker panel, your gut microbiome, and how your metabolism behaves across ordinary days. The picture most health checks never show you.

II.

Optimise

A clinical programme calibrated to you, led by a consultant physician and a senior dietitian, across what you eat, how you sleep and how you move. Change measured, not assumed.

III.

Prevent

Most chronic disease in later life is the late expression of this one biology. Address it early and it is genuinely modifiable. The result is decades of energy, sharpness and capacity.

Find your route into EPOCH

Calibrated for whoever is reading

Whether you are evaluating EPOCH for your organisation, considering it for yourself, leading medical or performance at an elite sport setup, or supporting the Foundation: there is a route built for you.

“Health is a matter of choice, not a mystery of chance.”

The EPOCH view

The canonical message

One underlying biology.
Genuinely modifiable

Most chronic disease in the second half of life is the late expression of a single underlying biology, namely smouldering chronic inflammation, driven by metabolic dysfunction, deeply entangled with the gut microbiome.

Addressed early, through what we eat, how we sleep and how we move, this biology is genuinely modifiable. The result is decades of energy, sharpness and capacity rather than the slow attrition that most people accept as normal ageing.

EPOCH METABOLIC is the clinical practice built specifically to deliver this work, with proprietary methodology integrating established biomarkers, microbiome composition and brain imaging where clinically warranted into a single longitudinal clinical instrument: the EPOCH Index.

Read the clinical argument

  • Cognitive sharpness across decades. The biology that determines decision-making, concentration, memory and resilience under fatigue.
  • Metabolic underlying biology and energy. Steady energy across long days, recovery between demands, stable mood and cognitive function.
  • Sleep architecture and recovery. Slow-wave and REM sleep, the consolidation windows that conventional screening does not assess.
  • Cardiovascular and metabolic trajectory. Beyond the standard panel: ApoB and Lp(a), inflammatory markers, glycaemic regulation, body composition.
  • The microbiome biology. Gut composition and diversity as the mechanism connecting inflammatory tone, the gut‑brain axis and mucosal immunity.

“Let food be thy medicine and medicine be thy food.”

Hippocrates

“The doctor of the future will give no medicine but will interest the patient in the care of the human frame, in diet and in the cause and prevention of disease.”

Thomas Edison

Clinical authority

A regulated clinical practice. Not a wellness consultancy

I.

Dr Robin Fackrell

BSc(Hons) MBBS FRCP MA. Consultant Physician specialising in Neurodegeneration, with full accreditation in General Internal Medicine. Twenty-five years in clinical practice, with a continuing NHS role. The General Medicine breadth provides the integrated view across cardiovascular, metabolic, gastrointestinal, endocrine and inflammatory dimensions that single-specialism practice misses. The neurodegeneration specialism anchors the cognitive dimension specifically. GMC 4736631.

II.

Amanda Overeynder

BSc(Hons) RD PGCE MRes. HCPC Registered Specialist Dietitian and Co-Founding Director. Combines registered dietetic practice with substantial teaching experience and a Master of Research, alongside clinical dietetic experience across acute, community and educational settings. This combination brings a particular focus on behaviour change, the discipline of translating clinical recommendation into sustained change. It is what underpins how EPOCH structures its programmes.

III.

Regulated clinical governance

EPOCH METABOLIC operates as a clinical practice with CQC registration in process. Trademark filings progressing through Bevan Brittan. The EPOCH Index methodology and references remain proprietary clinical IP.

“We are what we repeatedly do. Excellence, then, is not an act, but a habit.”

Aristotle

EPOCH Foundation

Preventing disease and promoting optimal health, for all

A proportion of EPOCH commercial revenue is committed to the EPOCH Foundation, applied uniformly across every clinical stream and the EPOCH Nutrition institutional arm. The Foundation extends the same clinical and educational standard to populations who would not otherwise have access to it: NHS frontline staff, teachers, Armed Forces personnel, first responders and social care workers. The Foundation grows as the commercial work grows. Both are part of the EPOCH commitment.

Explore the Foundation
The scale of the problem

Why this matters now

90%

The estimated proportion of the UK population who are metabolically unwell. Most do not know it, because the underlying biology is not what conventional screening examines.

60.7%

Of UK adults aged 45 to 64 living with two or more long-term conditions. The preventive work begun in mid-life is what bends this trajectory.

2.8M

UK adults economically inactive due to long-term sickness. The chronic disease cliff is not inevitable. The biology is modifiable.

An initial conversation

Every engagement begins with a scoping conversation

For organisations, for individuals, for elite sport partners and for Foundation supporters. The conversation is itself substantive clinical and strategic work rather than a sales meeting.

Request a conversation