DoctoriumGP Wellness & Aesthetics Clinic
Margaret Thompson
Health Report
⚡ ELITE HEALTH OPTIMISATION

Your Health, Transformed

Comprehensive biomarker analysis and personalised optimisation for peak performance

Age 71 153 cm Female
18.9kg
TOTAL WEIGHT LOSS
81.0 → 62.1 kg
40.5kg
MUSCLE MASS
65.3% of Body Weight
31.2%
BODY FAT
Within Healthy Range

Metabolic Age

15 Years Younger
56
Metabolic Age

Chronological Age

71
Born 1955

Years Younger

-15
Top 5–10% for age group

BMR

1,261 kcal
5,276 kJ — Daily basal burn
Outstanding Metabolic Health

Key Metrics

Weight
62.0kg
Desirable: 46–62 kg
At top of healthy range
Body Fat
31.2%
Desirable: 24–36%
Within healthy range
Muscle Mass
40.5kg
65.3% of total body weight
Stable over 4 weeks
BMI
25.2
Healthy: 18.5–25.0
Borderline — 0.2 above
Visceral Fat
7
Healthy: 1–12 • Scale: 1–59
Excellent
Body Water
47.0%
29.14 kg total body water
Adequate — room to improve
Bone Mass
2.2kg
3.55% of total body weight
Healthy for age
Fat-Free Mass
42.6kg
68.7% of total body weight
Good lean mass ratio

Body Composition Breakdown

40.5 kg
19.4 kg
2.2 kg
Muscle Mass — 40.5 kg (65.3%)
Fat Mass — 19.4 kg (31.3%)
Bone Mass — 2.2 kg (3.55%)
Body Fat %31.2%
0%Within healthy range (24–36%)36%
BMI25.2
15Healthy: 18.5 – 2540
Visceral Fat Rating7
1Healthy: 1–1259
Muscle Mass40.5 kg
0 kg65.3% of body weight62 kg
Body Water47.0%
0%Optimal: 45–60%75%
Protein11.36 kg
0 kg18.3% of body weight17.5 kg

Percentile Rankings

vs UK Women Age 70–79
95th
%ile

Metabolic Age

Metabolic age of 56 vs chronological 71 is a 21% reduction — 15 years younger. Top 5% of women her age. Her body metabolises like someone in their mid-50s.

You: 56Optimal: ≤71 (your actual age or below)
92nd
%ile

Visceral Fat

A rating of 7 at age 71 is excellent. Well within healthy range and significantly better than peers where ratings of 12–18 are typical. Minimal metabolic disease risk.

You: 7Optimal: 1–9 (already excellent!)
80th
%ile

Body Fat %

At 31.2%, well within healthy range (24–36%) and leaner than ~80% of UK women aged 70–79, where average body fat is typically 38–42%.

You: 31.2%Optimal: 24–30% for age 71
85th
%ile

Muscle Mass

40.5 kg of muscle at 62 kg body weight (65.3%) is above average for a 71-year-old female. Excellent muscle preservation against age-related sarcopenia.

You: 40.5 kgOptimal: ≥38 kg (maintaining is key)
75th
%ile

BMI

At 25.2, borderline “overweight” but leaner than ~75% of UK women aged 70–79 where average BMI is 28–29. Essentially at the healthy boundary.

You: 25.2Optimal: 18.5–25.0
80th
%ile

Trunk Muscle

Trunk muscle rated +1 (above average) at 23.7 kg. Strong core is critical for posture, balance, and fall prevention at age 71.

You: +1Optimal: +1 or above (you're there!)

Segmental Analysis

SegmentMassRatingAssessment
Trunk23.7 kg+1Above Avg
Left Arm1.8 kg0Average
Right Arm2.0 kg0Average
Left Leg6.5 kg0Average
Right Leg6.6 kg0Average
SegmentFat %RatingAssessment
Trunk27.3% / 9.3 kg-1Below Avg
Left Arm38.8% / 1.2 kg+1Above Avg
Right Arm33.8% / 1.1 kg0Average
Left Leg36.4% / 3.9 kg0Average
Right Leg35.6% / 3.9 kg0Average
Key Insight
Margaret has an excellent segmental profile. Trunk muscle is above average (+1) while trunk fat is below average (-1) — the ideal combination for core health. All limbs are at average (0) for muscle, showing balanced development. The only minor finding is slightly elevated left arm fat (+1). Overall, a very well-balanced body composition for a 71-year-old female.

BMI Classification

Underweight
Healthy
Overweight
Obese
25.2
< 18.518.5253040+
Borderline — just 0.2 above healthy boundary

4-Week Trend

Stable & Consistent
646241309 Jan13 Jan28 Jan6 Feb62.763.861.962.041.041.040.940.531.1%32.2%30.5%31.2%
Weight (kg)
Muscle Mass (kg)
Body Fat (%)
−0.7 kg
Weight Lost
62.7 → 62.0 kg
−0.5 kg
Muscle Change
41.0 → 40.5 (minor)
+0.1%
Body Fat Change
31.1% → 31.2% (stable)

Clinical Insights

Outstanding Metabolic Age

A metabolic age 15 years below chronological age at 71 is exceptional — top 5% of women her age. Combined with visceral fat of 7, this profile indicates excellent metabolic efficiency and significantly reduced risk of metabolic disease.

Strong Core Foundation

Trunk muscle rated +1 while trunk fat is rated -1 is the ideal combination. A strong core is the most important factor for posture, balance, and fall prevention in the 70+ age group. Margaret's core is performing exceptionally well.

Muscle Preservation Focus

A slight decline in muscle mass (41.0 → 40.5 kg over 4 weeks) warrants monitoring. After age 70, muscle loss accelerates. Adequate protein intake (62–74g daily) and resistance training 2–3 times per week will help preserve and rebuild muscle.

Hydration Opportunity

Body water at 47% is adequate but at the lower end of optimal (45–60%). Increasing daily water intake and including water-rich foods (soups, fruits, vegetables) would support muscle function, joint health, and cognitive performance.

A-
Excellent — Top 15% for Age & Sex

Margaret's body composition at age 71 is excellent. A metabolic age of 56 (15 years younger), visceral fat of 7, body fat well within healthy range, above-average trunk muscle with below-average trunk fat, and stable weight all point to a body ageing exceptionally well. Minor areas for attention are maintaining muscle mass and improving hydration.

Metabolic Age: Top 5%Visceral Fat: Top 8%Body Fat: Top 20%Muscle Mass: Top 15%BMI: Top 25%

Apple Health Data

Apple Watch Series 7 — Live Data to 12 Feb 2026
-18.9 kg
Total Lost
81.0 → 62.1 kg
25.0
Current BMI
Was 32.6 (Obese)
7
Months
~2.7 kg/month avg
-23%
Body Weight
Remarkable achievement
81 71 61 81.0 75.5 71.2 66.4 63.7 62.1 Jul Aug Sep Oct Nov Dec Jan Feb
2018 Average
160/68
Stage 2 Hypertension
Jul–Aug 2025
127/58
Elevated / Stage 1
Feb 2026 (Latest)
118/62
Normal
From severe hypertension (185/64 peak in 2018) to normal (113/65 on 10 Feb 2026). Most recent readings: 113/65 and 123/59. On Bisoprolol + Candesartan. Outstanding improvement correlating with 18.9 kg weight loss.
5.6
Recent Avg (mmol/L)
5.1
Lowest Reading
7.0
Highest (Aug 2025)
Trend: Improving
Fasting Glucose Range5.6 mmol/L avg
3.9Normal: 4.0–5.5 | Pre-diabetic: 5.6–6.911.0
Fasting glucose trending down from 6.6–7.0 (Aug 2025) to 5.2–6.1 (Jan–Feb 2026). Correlates directly with weight loss. On Metformin 500mg MR. Most recent reading: 5.9 mmol/L (12 Feb 2026).
MetricValueTrendStatus
Resting HR67 bpm↑ RisingWas 63 (Jul–Nov)
Walking HR85 bpm avgStableRange: 83–89
HR Range51–138 bpmLast 3 months
HR Recovery19 bpm/minGoodRange: 16–21
HRV (SDNN)23.6 msLowDeclining trend
11/11
All Normal Sinus Rhythm
No atrial fibrillation detected across all recordings (Jun 2025 – Dec 2025). No symptoms reported.
19 Jun — NSR 21 Jun — NSR 24 Jun — NSR 26 Jun — NSR 29 Jun — NSR 20 Jul — NSR 1 Aug — NSR 15 Sep — NSR 13 Oct — NSR 30 Oct — NSR 1 Dec — NSR
4,510
Steps/Day (This Week)
25,513
Best Day (21 Jan)
234
Active kcal/day (Feb)
6.2
Flights Climbed/Day
Nov 2025
5,971
Dec 2025
4,316
Jan 2026
8,921
Feb 2026
4,243
5.8h
Avg Total Sleep
Below 7h recommended
0.5h
Avg Deep Sleep
Very low (ideal 1–2h)
1.3h
Avg REM Sleep
Acceptable
MonthTotalDeepREM
Sep 20256.0h0.4h1.4h
Oct 20255.6h0.4h1.2h
Nov 20256.0h0.4h1.5h
Dec 20255.7h0.5h1.2h
Jan 20265.7h0.6h1.3h
Feb 20265.8h0.6h1.4h
Sleep Breathing Disturbances — 10–15/hour
Average breathing disturbance rate suggests mild-to-moderate sleep apnea. SpO2 dips to 71–77% during sleep. Combined with low deep sleep and known sleep apnea/snoring history, a formal sleep study is strongly recommended. This may be contributing to the rising resting heart rate and declining HRV.
95.8%
Overall Average
100%
Max
71%
Min (during sleep)
Daytime SpO2 is healthy at 96–100%. Nocturnal dips below 83% correlate with breathing disturbance events and support sleep apnea investigation.
MetricValueTrendStatus
VO2 Max24.6 mL/min/kg↓ DroppedWas 29.3 (Oct)
6-Min Walk463 mRecoveringPeak: 500m (Oct)
Respiratory Rate12.6 /minNormalRange: 12–20
Basal Energy1,300–1,482 kcalStableDaily resting burn
Walking Steadiness65–73%
<20% Very Low<42% LowOK >60%
Walking Speed2.1–2.3 km/h
0Slow but steady pace5 km/h
Walking Asymmetry4.5–17.6%
0%Normal <5% — variable25%
Stair Speed (Up)0.90 m/s
0Improving slightly1.6 m/s
Gait Variability Alert
Walking asymmetry spiked to 17.6% in January (normal <5%). This may indicate favouring one leg due to arthritis or musculoskeletal issues. Walking steadiness has declined from 73% to ~65% since November. Short step length (~22 cm) is consistent with a cautious gait pattern. Balance and strength training recommended.

Medical Profile

NHS Medications — Updated February 2026
ConditionTreatmentStatusPriority
Type 2 DiabetesMetforminManagedHigh
HypertensionCandesartanControlledHigh
High CholesterolStatinsTreatedModerate
ArthritisMultiple jointsProgressiveHigh
IBSBuscopan (PRN)ManagedModerate
Repeat Prescriptions (9)
Bisoprolol 2.5mg
Heart rate / cardiovascular
Candesartan 8mg
Blood pressure (ARB)
Metformin 500mg MR
Type 2 diabetes
Simvastatin 40mg
Cholesterol (statin)
Omeprazole 20mg
Gastric protection (PPI)
Solifenacin 5mg
Overactive bladder
Betahistine 8mg
Vertigo / vestibular
Flixonase 50mcg nasal spray
Allergic rhinitis
Hylo-Forte 0.2% eye drops
Dry eyes (preservative-free)
Episodic / One-Off (3)
Dexamethasone/Neomycin/Acetic acid ear spray
Ear infection (Jan 2026)
Estradiol 10mcg pessaries
Gynaecological (Dec 2025 & Jan 2026)
Naproxen 250mg
Anti-inflammatory (Sep 2025)
Metabolic Syndrome Cluster
Type 2 Diabetes, Hypertension, and High Cholesterol form an interconnected metabolic cluster requiring coordinated management. Strategy: Mediterranean-style diet, regular blood sugar monitoring, weight management focus, and coordinated medication review.

Symptom Profile

Arthritis — multiple joints, progressive
Hair Loss — significant (6 years), medication-triggered
Skin Sensitivities — contact dermatitis
Recurrent Infections — respiratory, slow healing
Poor Wound Healing — monthly finger splits
Chronic Fatigue — persistent low energy
Persistent Cough/Cold — 2-month duration
Finger Issues — splits, swelling, poor nail growth
Nasal Cold Sores — monthly, cyclical pattern
Back Pain — lower back, pelvic area
Digestive Health
• IBS with bloating and pain
• GERD requiring medication
• Constipation episodes
• Food sensitivities
Neurological
• Frequent headaches
• Vertigo episodes
• Chemical sensitivities
• Odor-triggered headaches
Other Concerns
• Uterine prolapse
• Sleep apnea/snoring
• Chronic haemorrhoids
• Allergic rhinitis
Pattern Recognition
The constellation of symptoms suggests possible autoimmune involvement with inflammatory components. Monthly cyclical symptoms (finger splits, cold sores) may indicate hormonal or immune system fluctuations requiring investigation. Comprehensive autoimmune panel recommended.

Nutritional Analysis

Food Diary — 9 June 2025
Breakfast
Coffee, 2 white toast with butter, 2 mugs tea
Lunch
Egg sandwich on brown bread, tea
Dinner
4 duck pancake rolls, mixed nuts, cake with jam & cream
Beverages
6+ cups tea/coffee, 1.2L water
HydrationExcellent
Protein IntakeAdequate
Vegetable IntakeLow
Refined SugarHigh
Fibre ContentModerate
Caffeine IntakeHigh
Vegetables (Excellent)
Lettuce, tomatoes, cucumber, peppers, broccoli, spinach, carrots — excellent variety providing diverse nutrients
Fruits (Good)
Apples, berries, citrus, tropical fruits — good antioxidant sources and natural vitamins
Proteins (Adequate)
Various meats, limited fish (preference), eggs, dairy — adequate variety though fish intake limited
Processed Foods
Chocolate, sweets, cakes, various breads — should be limited for optimal metabolic health

Recommendations & Action Plan

Immediate Actions
1–4 weeks
Blood Sugar Management — regular meal timing, complex carbs
Anti-Inflammatory Protocol — omega-3, antioxidant foods
Digestive Support — fibre increase, probiotic foods
Trigger Identification — food and symptom diary
📈
Medium-Term Goals
1–6 months
Weight Management — 1–2 lbs per week if needed
Autoimmune Support — elimination diet trial
Energy Management — iron, B-vitamin assessment
Sleep Optimisation — address snoring, sleep quality
🎯
Long-Term Strategy
6+ months
Disease Prevention — cardiovascular, diabetes progression
Quality of Life — pain management, skin health
Bone Health — calcium, vitamin D, exercise
Environmental Health — toxin reduction, allergen control
Morning
Breakfast: Porridge with berries and nuts
Mid-Morning: Apple with almonds
Beverages: Green tea, herbal tea
Afternoon
Lunch: Large salad with grilled chicken
Snack: Natural yogurt with cucumber
Beverages: Water, herbal tea
Evening
Dinner: Grilled fish, steamed vegetables, brown rice
Dessert: Fresh fruit
Evening: Chamomile tea, small portion nuts
Foods to Emphasise
5–7 servings vegetables, 2–3 servings fruits (especially berries), whole grains, lean proteins, healthy fats (olive oil, nuts), herbs and spices for anti-inflammatory benefits.
Foods to Limit
Refined sugars, processed meats, white bread/rice, trans fats, excessive caffeine (limit to 2–3 cups), and individual IBS trigger foods.
• Comprehensive autoimmune panel (ANA, RF, anti-CCP)
• Complete blood count with differential
• Comprehensive metabolic panel
• Thyroid function (TSH, T3, T4, reverse T3)
• Vitamin & mineral status (B12, folate, iron, D, zinc)
• Inflammatory markers (ESR, CRP)