For executives · The Bio-Audit
The one dependency nobody puts through diligence.
A forensic read on whether your biology is giving you room to operate, or quietly working against you. Measured, not guessed at, and written up in plain English.
The gap
You put all aspects of business through diligence. The finances, the contracts, the operations, the cybersecurity. Never the person the whole thing depends on.
Every material risk in a business gets examined by somebody whose job it is to examine it. One does not. The physiology of the person whose judgment, stamina and continued presence the whole thing runs on has never been measured, and nobody has asked to see it.
23%
of UK SMEs would stop trading within a month of losing a key person. Scottish Widows, 2026
26%
would close immediately if the owner were incapacitated. Legal & General
Nothing
is what most of them spend on measuring the risk their key-person cover insures
The Bio-Audit is that due diligence.
Where you stand, what is limiting you now, what is building quietly, and what to do about each in order, while there is still room to act.
What sits under performance
Strategy is the software. Biology is the hardware it runs on.
Biological capacity at the base, the cognitive capability it powers above it, the leadership performance running on that, and the enterprise outcomes at the top. Each layer rests on the one beneath.
When the base degrades, everything above it degrades with it, and no amount of skill at the top compensates for a system running below capacity.
What gets measured
Four systems, and the one thing underneath them.
Metabolic capacity
Whether your energy holds through the afternoon, or drops and takes your judgment with it. Fasting insulin moves years before glucose does and almost nobody measures it, which is where the earliest reversible findings sit.
Cardiovascular reserve
How much work you can do, how fast you recover, and the state of the arteries carrying blood to your brain. ApoB counts the particles that do the damage rather than the cholesterol they carry, which is how a normal cholesterol result gets called fine every year.
Endocrine regulation
The stress axis, thyroid and sex hormones. What sustained load has already cost you, and what separates someone tired from someone whose regulation has stopped keeping up.
Cognitive function
Attention, working memory and executive function, tested rather than asked about. Most people assume a bad afternoon is a thinking problem. Testing it alongside the other three tells you whether it is.
And recovery, underneath all four.
Fourteen nights of sleep, overnight heart rate variability and resting heart rate. Not a fifth system, because it is the condition every other one's improvement depends on.
The full measured set, marker by marker
- Metabolic capacity. Fasting insulin, HOMA-IR, fasting glucose, HbA1c, triglycerides, liver function, fourteen days of continuous glucose, waist to height, body fat by ultrasound, Fatty Liver Index, FIB-4.
- Cardiovascular reserve. ApoB, Lp(a), full lipid panel, hs-CRP, homocysteine, 12-lead ECG, blood pressure on both arms, carotid ultrasound, oxygen uptake, VO2 max.
- Endocrine regulation. TSH, fT4, fT3, total testosterone, SHBG, free testosterone, morning serum cortisol, four-point salivary cortisol.
- Cognitive function. Attention, working memory, processing speed, executive function, omega-3 index, homocysteine, ferritin, transferrin saturation.
- Recovery. Fourteen nights of sleep duration, efficiency, timing and regularity, overnight heart rate variability, resting heart rate.
- Also measured. Grip strength, gait speed, sit-to-stand, single-leg balance with your eyes closed, full blood count, kidney function.
Why these
Every measurement earns its place, or it isn't ordered.
Every test clears two questions before it goes on the standard set.
Is there good evidence behind it?
Will the result change what we do?
Everything on the list has cleared both. Anything clearing only one is not on it.
The list moves when the evidence moves, reviewed once a year and dated, so what went on and what came off are a matter of record rather than opinion.
The list is a starting point, not a limit. If your history or examination gives a reason for a test that isn't on it, we do that test, at exactly what it costs me and never before you've seen the figure.
What you walk away with
A position, and what to do about it.
Not a folder of results with a green tick against most lines. A written read on four systems in plain English, and an hour with me going through it.
How it runs
Fourteen days of measurement. Three hours of your time.
You are buying a fortnight of your working life, measured. The visit takes two to three hours and the fortnight runs in the background before it.
What I bring
The lab comes to you. All of it.
There is no clinic and no waiting room. I bring the whole assessment to your office or your home, so the only time it costs you is the time you spend with me.
The sleep monitor is yours to keep.
Before you decide
Read a real one before you buy one.
Everything on this page is a promise about a document, so here is the document. A full worked report, eight pages, composed from several assessments and identifying nobody.
All four systems written up, findings and reasoning both, the constraint identified and what to do about it first, and the markers set for the next reading.
Confidentiality
Your results go to you. Nobody else, ever.
I report to you and to nobody else. No result, no finding, no summary and no record of attendance goes to your company, your board, your insurer or anyone else, including whoever arranged it. The risk belongs to the business. The report belongs to you.
What happens to it afterwards is yours to decide, in writing, and you say exactly what goes and to whom.
The fee
What it costs.
The Bio-Audit
£4,500 each for two or three directors, £4,000 each from four.
Can the company pay for it?
Yes, and a statutory exemption usually means no tax on you and no National Insurance on the company. I am a doctor rather than your accountant, so ask yours to confirm it for your circumstances.
After the audit
A one-off report, or a doctor who keeps watching.
The audit is a one-off and it stands on its own. You get the report, the hour going through it, and a plan you can run yourself.
If you'd rather it was watched than filed, that's what membership is for. One doctor who knows you and your numbers, measures them again through the year, and acts when something moves.
Overwatch sits on top of membership, for people who want the audit's own four systems kept under review, cognition included.
Both are on the membership page, and both are a conversation for after the report rather than before it.
Questions
The ones people actually ask.
What happens on the call?
You talk and I listen. What the role is asking of you, what has changed in the last couple of years, how you sleep, and what runs in your family and at what age it showed up. Twenty minutes, and it costs nothing.
At the end I tell you whether the audit would find you anything you do not already know. If the answer is no, I say so and we stop there.
What if you find something abnormal?
Most abnormal results are not dangerous and not urgent. They are findings that need something done about them, and finding them early is the whole point of looking. Fatty liver reverses. Plaque can be stopped from growing. Raised particle counts come down.
So the report does not stop at the finding. I tell you what it means, what changes it, and over what timescale: what to do, how hard, for how long, and what to stop as well as what to start.
A genuine red flag, the sort that needs seeing quickly, is uncommon in a well person. If one appears I say so on the day rather than in a report a week later, and I arrange what needs arranging, privately or on the NHS as makes sense. Nothing found here commits you to anything further with me.
Is this the same as your Assessment?
No. They answer different questions.
The Assessment answers whether anything is building that you cannot feel yet. You find out what is most likely to shorten your life, or take the quality out of the back half of it, while there is still time for it to be cheap to change. You leave with a plan for the next ten years.
The Bio-Audit answers whether your biology is keeping up with what you are asking of it now. You find out why the afternoons go, what the short nights are actually costing you, and whether the way you have felt for the last two years is the workload or something underneath it that can be measured and moved. You leave knowing the one thing to change first.
If the question is what might be building, take the Assessment. If it is what is limiting you now, take this.
Is it confidential from my NHS GP too?
Yes, unless you ask me to write to them, and that is your call.
Worth knowing what the letter achieves. Anything crossing an NHS threshold gets picked up and managed properly. Most of what this report finds does not cross one, so there is no pathway to put it on and no ten minutes long enough to work through it, and that part gets filed. Running the plan is either you or a doctor you pay.
Start with a conversation.
What the role is asking of you, what has changed, and a straight answer about whether the audit would tell you anything you do not already know. No cost, and no obligation to go further.