The EPOCH Programme · BALANCE

The EPOCH Programme, calibrated to women’s metabolic health

BALANCE is The EPOCH Programme calibrated to the metabolic biology of perimenopause and menopause, and to the decades these years shape.

Online programme£4,850
Residential optimum£13,500
FormatTwelve weeks, online or residential at Lucknam Park

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.

The EPOCH Programme

EXAMINE, BALANCE, ORIGIN and TRANSITION are the four calibrations of a single clinical programme. They run on the same clinical engine, bespoked to your life stage and need. What changes between them is the clinical calibration, not the structure and not the price.

Every calibration begins with the EPOCH Metabolic Lifestyle Questionnaire, which incorporates the internationally validated RAND-36 health survey, capturing how you actually feel and function across physical and mental dimensions. Alongside it: a comprehensive biomarker panel and microbiome analysis. The programme then runs across twelve weeks, delivered online, with live bespoke webinars and one-to-one access to Robin, the consultant physician, and Amanda, the senior specialist dietitian. A single continuous glucose monitoring period during the twelve weeks shows how your metabolism behaves across real days, and is calibrated to drive engagement with the preventive work. The questionnaire, biomarkers and microbiome analysis are repeated at the close of the programme, so change is measured rather than assumed.

What every calibration includes

The EPOCH Metabolic Lifestyle Questionnaire at baseline and at twelve weeks. A comprehensive biomarker panel, drawn at the start and repeated at the close. Microbiome composition and diversity analysis. One continuous glucose monitoring period during the twelve weeks, with clinical interpretation. Twelve weeks of structured online support. Live bespoke webinars across the five pillars of nutrition, sleep, movement, mind and connection. One-to-one clinical access to Robin and Amanda across the twelve weeks. A bespoke nutrition plan and recipe library. A personal lifestyle plan calibrated to your findings. An in-person introductory day. A full re-test and clinical review at twelve weeks. Continued support beyond ninety days available by request.

Calibrated to women’s metabolic health

Perimenopause and menopause reshape the metabolic biology. Hormonal change interacts with inflammatory tone, with body composition, with sleep architecture and with the gut microbiome, and the decades beyond menopause are shaped by how that biology is addressed. BALANCE calibrates the clinical engine to this biology, with biomarker and microbiome assessment, the questionnaire, the webinars and the one-to-one clinical access all interpreted through the lens of women’s metabolic health.

It is for women who want to address the underlying biology of this stage of life early, rather than wait for the late expression of the underlying biology.

The introductory day

BALANCE opens with an in-person introductory day for the BALANCE cohort. Participants meet other women undertaking the same calibration, and the cohorts do not mix across calibrations. The day sets the clinical foundation and begins the cohort relationship that runs through the twelve weeks.

Optional menopause specialist input

An optional menopause specialist add-on is available on the BALANCE online programme, for those who want dedicated specialist input alongside it. Within BALANCE Immerse, the residential cohort, menopause specialist input is integral rather than an add-on.

Two ways to undertake BALANCE

BALANCE is available at two levels. The twelve-week online programme, at £4,850, delivers the full clinical engine, the deep-dive biomarker and microbiome analysis, the continuous glucose monitoring and the one-to-one clinical access, online across twelve weeks. The residential optimum, at £13,500, delivers the same clinical engine residentially at Lucknam Park, under the four conditions that make behaviour change hold: removal from environment, concentrated engagement, social context and protected cognitive bandwidth.

The residential optimum for BALANCE is BALANCE Immerse, the women's health cohort, women only, with menopause specialist input integral. Each residential cohort is held separately, so the room holds only participants on the same calibration. Additional clinical assessment, such as imaging, is available where clinically indicated. BALANCE Immerse is the most complete way to undertake the BALANCE work.

On Robin and Amanda

In the words of those they have worked with

“In the current climate, where metabolic health is at the heart of so many chronic conditions, Dr Fackrell's message felt not just relevant but essential.”

GP, Surrey

“Amanda Overeynder made everything extremely clear, and her use of evidence-based research was so reassuring.”

Helen, Bath

“Robin and Amanda are impressive in their own right but as a team they are exceptional.”

M.B., Ireland
An initial conversation

BALANCE begins with a clinical conversation

To begin, send a written enquiry to enquiries@epochmetabolic.com or use the conversation form below.

Request a conversation