This is an example — fictional client, not a real person. Made-up answers, results and plan.
01 · Food
The plate
From the Metabolic Nature reading (Adaptive, a middle position) and body weight. For this sample we gave the client a weight of 68 kg and an estimated 2,000 kcal a day; the amounts below come from the nutrition integration tool with those figures.
ProteinAbout 95 g a day (1.4 g per kg), spread over three meals
CarbohydrateStarting at 40% of energy, inside a 30–50% band
Starch per mealAbout 170 g cooked rice, or 300 g potato, or 75 g oats (dry)
Fat and vegAbout 1 tbsp oil a meal; vegetables fill half the plate
In plain words
- Three meals, each built around a protein: eggs, fish, chicken, lean meat, tofu or Greek yoghurt.
- Half the plate vegetables, a palm-sized portion of starch, and olive oil, nuts or seeds for fat.
- Nothing is cut out before testing. Instead, a two-week food and symptom record shows which meals the bloating follows.
How sure is this? The Metabolic Nature plate is a starting point, not a test result; no controlled trial has tested matching diet to these positions. At 40% the carbohydrate sits below the UK population average SACN recommends, about 50% of energy, for people at a healthy weight (SACN 2015, S.16, p.4). SACN also found total carbohydrate itself was neither harmful nor beneficial for heart and metabolic, bowel or dental health (S.8, p.2); the 40% here is a plan for one person, not a guideline. The plan says so, and the food record and retest check it. The protein range of 1.2–1.6 g per kg is a common target above the 0.75 g per kg UK reference intake.
02 · Lifestyle
Sleep, stress and the day around meals
Sleep first
- The same wake time every day, weekends included, with a 7–9 hour window in bed.
- Screens off 30 minutes before bed.
Evidence: consensus that adults need 7 hours or more (Watson 2015); the routine is practice
Five minutes of slow breathing, twice a day
- Morning and evening, before meals if possible.
- The BOLT breath-hold score is tracked at each check-in.
Evidence: mixed, small trials
Meals sitting down, then a short walk
- Eat slowly at a table rather than on the go.
- A 10-minute walk after the largest meal.
Evidence: short walks lower after-meal blood sugar in one-day lab trials (Buffey 2022); an effect on bloating is untested
03 · Movement
The session: twice a week, about 25 minutes
Seven exercises, done in order, with a minute’s rest between sets. No high-intensity training until the DUTCH result is back, because the report flagged a high-output stress pattern as a hypothesis to test. Strength training is well supported for muscle, bone and blood sugar; the choice of these particular exercises is Stephen’s practice.
Start on hands and knees; progress to one arm, one leg, then opposite arm and leg. A stick along the spine is a check, not a requirement.
Horse stance
2 × 6 each side, 10-second hold
- Hands under shoulders, knees under hips
- Reach one arm and the opposite leg out long, level with the floor
- Keep the back still: no rocking or twisting
Plank
2–3 × 20–40 seconds
- Elbows under shoulders, forearms on the floor
- Ribs down, squeeze the glutes, body in one line
- Breathe throughout; stop when the hips sag
Photo shows the overhead version; the same cues apply with your arms forward or by your sides.
Squat
3 × 8–12
- Feet about shoulder width, toes turned out a little
- Sit down between the heels, knees in line with the toes
- Chest up, heels down; stand up by pushing the floor away
Top and bottom.
Split squat
2–3 × 8 each leg
- Long stride, back heel up
- Lower the back knee straight down towards the floor
- Front heel stays down; torso tall
Prone cobra
2 × 30–60 seconds
- Lie face down, arms by your sides
- Lift the chest a little and turn the thumbs out
- Shoulder blades back and down, chin tucked, eyes to the floor
Hip flexor stretch
2 × 30 seconds each side
- Half-kneeling, back knee on a cushion
- Tuck the pelvis under and squeeze the glute of the back leg
- Ease forward until you feel the stretch at the front of the hip; no arching
Waiter’s bow
2 × 10
- Stand tall, knees soft
- Push the hips back and let the chest come forward with the spine straight
- Stop when the back starts to round; stand up by driving the hips forward
Photos: Stephen demonstrating each exercise. The cues and sets are the plan; the photos show the position.
04 · Supplements
How a supplement plan is set out
Every item has a reason, a length of time, an evidence grade and a point at which it stops. The dose column is greyed out: doses are set for each person after testing and checked against their medication.
| What | Why | For how long | Evidence | When to stop | Dose |
| Vitamin D3 | Blood level 52 nmol/L (21 ng/mL): just above the 50 nmol/L (20 ng/mL) that the US Institute of Medicine judged enough for bone health in at least 97.5% of people (Ross 2011), and below Stephen’s working band of 75–125 nmol/L (30–50 ng/mL), which is a clinical target, not a guideline. The UK’s cut-off is lower: SACN treats 25 nmol/L (10 ng/mL) as a “population protective level” for bone and muscle health, and says it is not a diagnostic threshold (SACN 2016, S.30, S.24). | Until the retest at 24 weeks | Raises the blood level: strong. Symptoms: at this level, trials don’t show vitamin D improving mood, and fatigue hasn’t been tested in people like this. Graded weak or none (Demay 2024; Okereke 2020). | At retest, if the level is inside the band; or straight away if calcium comes back raised. The multivitamin’s vitamin D counts towards the total. | Set for you after testing |
| Vitamin D (UK population guidance, for comparison) | This is what the UK advises for everyone aged 4 and over, whatever their blood level. It is not a dose set for this client. | All year round, as a precaution (SACN 2016, S.41) | Official population guidance: 10 µg (400 IU) a day keeps 97.5% of people at or above 25 nmol/L (10 ng/mL) when there is little sun (SACN 2016, S.38). Evidence on non-bone outcomes was judged insufficient to set an intake (S.21). | Not applicable: the client’s own dose replaces this. | 10 µg (400 IU) a day (UK reference intake) |
| Magnesium glycinate | Sleep is shorter than the client would like, and stress scores are low. | An 8-week trial | Mixed: three small trials in older adults found people fell asleep about 17 minutes sooner; very low-quality evidence (Mah 2021). | After 8 weeks if sleep hasn’t changed, or sooner if it loosens the bowels. | Set for you after testing |
| Digestive support | Bloating after larger or richer meals. | Not started yet: decided by the GI-MAP result | Depends on what the test shows. A low pancreatic elastase result goes to the GP first: prescribed enzyme replacement is a medical treatment. | — | Set for you after testing |
Not on the list: iron. Ferritin of 18 µg/L (= ng/mL) is below the NICE CKS threshold of 30 µg/L for iron deficiency, so it goes to the GP first to find the cause. An iron supplement without that would treat the number and miss the reason.
Sources
- Mah J, Pitre T. Oral magnesium supplementation for insomnia in older adults: a systematic review and meta-analysis. BMC Complement Med Ther 2021;21:125. PMID 33865376, doi:10.1186/s12906-021-03297-z
- Buffey AJ et al. The acute effects of interrupting prolonged sitting time with standing and light-intensity walking on biomarkers of cardiometabolic health: a systematic review and meta-analysis. Sports Med 2022;52:1765–87. PMID 35147898, doi:10.1007/s40279-022-01649-4
- Watson NF et al. Recommended amount of sleep for a healthy adult: a joint consensus statement of the AASM and SRS. Sleep 2015;38:843–4. PMID 26039963, doi:10.5665/sleep.4716
- Ross AC et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 2011;96:53–8. PMID 21118827, doi:10.1210/jc.2010-2704
- Demay MB et al. Vitamin D for the prevention of disease: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2024;109:1907–47. PMID 38828931, doi:10.1210/clinem/dgae290
- Okereke OI et al. Effect of long-term vitamin D3 supplementation vs placebo on risk of depression or clinically relevant depressive symptoms and on change in mood scores (VITAL-DEP). JAMA 2020;324:471–80. PMID 32749491, doi:10.1001/jama.2020.10224
- Scientific Advisory Committee on Nutrition. Carbohydrates and Health. London: TSO; 2015. Summary paragraphs S.8 and S.16 (p.4).
- Scientific Advisory Committee on Nutrition. Vitamin D and Health. 2016. Summary paragraphs S.21, S.24, S.30, S.38, S.41. PDF
- NICE Clinical Knowledge Summaries. Anaemia — iron deficiency.
Where a plan like this comes from
The plan follows the Health Status Report and, where it is worth doing, testing. A plan like this comes with Results & Plan (£295, £236 for returning clients), after testing, or with GI-MAP, DUTCH Plus or OAT results you already have. If you haven’t tested yet, it starts with the Initial Consultation (£145), credited against the TDG programme, the Resilient Gut System or the Resilient Stress System if you go ahead within 60 days.
This is an example — fictional client, not a real person. Made-up answers, results and plan.