Metabolic Testing for Chiropractors: How Dr. Steven Geanopulos Built a Scalable Longevity Model with PNOĒ
Background
Dr. Steven Geanopulos is a chiropractor with a postgraduate degree in neurology, recognized for his innovative approach to metabolic health, brain function, and movement optimization. After two decades in Manhattan, he now works nationally to help doctors integrate metabolic testing for chiropractors into functional and structural care models.
Dr. Geanopulos emphasizes that chiropractic care offers a unique opportunity to address hidden metabolic dysfunctions, which often underlie musculoskeletal, neurological, and cognitive decline. Through the integration of PNOĒ, he has redefined what it means to deliver evidence-based, personalized care that enhances longevity and performance.
Challenges in Metabolic Health
1. Misconceptions About Metabolism
Many patients and even clinicians mistakenly associate metabolism strictly with weight loss. This narrow view ignores its role in brain function, VO2 Max, musculoskeletal health, and disease prevention. Weight loss programs that ignore metabolic testing frequently result in muscle loss and rebound weight gain due to slowed resting metabolic rate.
2. Limited Access to Advanced Testing
Historically, VO2 Max testing was reserved for elite athletes. Today, most patients still rely on generic heart rate formulas for training zones, which often leads to overexertion and plateauing results. Metabolic testing for chiropractors bridges this gap, offering a clinically relevant, patient-friendly approach to personalized care.
3. Patient Retention & Progress Tracking
Without visible proof of progress, patients often lose motivation. Data-driven approaches like PNOĒ provide tangible insights that reinforce treatment value and build long-term loyalty.
Solution: A Functional Framework for Chiropractors
Dr. Geanopulos built his metabolic program around PNOĒ’s dual testing capabilities—resting and active assessments. By combining objective measurements with chiropractic expertise, he offers holistic programs that support structural alignment, fat oxidation, brain health, and VO2 Max improvements.
Core Components:
- Resting Metabolic Rate (RMR): Reveals baseline caloric needs and metabolic suppression.
- Active Metabolic Testing (AMR): Measures VO2 Max in functional medicine and mitochondrial output.
- Blood Biomarkers: Provides biochemical context for metabolic dysfunction.
- Body Composition: Tracks visceral fat, lean mass, and metabolic age.
- Movement Screening: Identifies postural and neurological impairments linked to metabolic decline.
Case Study: Hypothyroidism Revealed Through RMR
One female patient showed normal thyroid labs (TSH, T4), but PNOĒ’s RMR test flagged a severely suppressed metabolic rate. Upon further testing, low free T3 confirmed hypothyroidism. Without metabolic testing for chiropractors, this would have gone undetected. The finding enabled personalized thyroid and nutrition interventions that reversed symptoms within weeks.
Insights from PNOĒ Data
Fat Oxidation & Training Efficiency
PNOĒ identifies when patients shift from fat to carbohydrate metabolism, helping tailor cardio zones. Metabolically healthy individuals maintain fat oxidation longer, while unhealthy ones burn carbs at rest—a red flag in VO2 Max in functional medicine.
Longevity & Disease Prevention
Low VO2 Max scores are associated with disability, frailty, and all-cause mortality. With metabolic retesting every six months, patients build resilience through aerobic zone training and nutritional optimization.
Musculoskeletal & Brain Health
Postural muscles are energy-dependent. Mitochondrial dysfunction impairs spinal stability and brain-body communication. PNOĒ highlights these links, allowing chiropractors to prescribe more targeted care plans.
Business Impact
Increased Retention & Adherence
Patients value progress they can see. Reports showing improved fat oxidation, VO2 Max, and metabolic flexibility inspire continued engagement in both chiropractic and wellness programs.
Practice Differentiation
By offering metabolic testing for chiropractors, Dr. Geanopulos has created a niche that blends diagnostics with personalized health optimization. This has helped him stand out in a competitive wellness space.
Scalable Clinical Model
Because trained staff can administer tests, metabolic services are easily integrated into busy practices without additional clinical strain. PNOĒ’s plug-and-play system makes metabolic optimization accessible and sustainable.
Conclusion
Dr. Steven Geanopulos has transformed his clinical and educational model by integrating metabolic testing for chiropractors. By using VO2 Max testing, RMR analysis, and mitochondrial assessments, he delivers a precision-based approach to structural care and metabolic recovery.
This fusion of chiropractic principles and VO2 Max in functional medicine offers a scalable roadmap for clinicians looking to lead in prevention, longevity, and evidence-based transformation.
