How Moov Health Uses Zone 2 Metabolic Training and VO2 Max Testing to Transform Metabolic Health

Background

Dr. Donald Bennett is the medical director of Moov Health – a clinic focused on longevity, anti-aging, and metabolic precision. With expertise in emergency and metabolic medicine, he envisioned an evidence-based model that would rely on real physiological data—not estimates. This shift led to the full integration of Zone 2 metabolic training and VO2 Max testing via PNOĒ, forming the clinic’s diagnostic foundation.Many patients were unknowingly overtraining due to incorrect heart rate zones. Others struggled with joint pain and had no low-impact strategies for safe fat loss. Dr. Bennett needed a scalable solution that provided accurate diagnostics and clear, actionable recommendations for all metabolic types.

Challenge

1. Inaccurate Zone Prescriptions

Patients often followed generic heart rate calculations that caused overtraining. Some thought their Zone 2 threshold was 134 BPM, while metabolic testing showed it was closer to 103 BPM—leading to cortisol overload, muscle loss, and blocked fat oxidation.

2. Lack of Low-Impact Training Strategies

Patients weighing 270+ lbs couldn’t run or perform traditional cardio without joint strain. A new way to improve fat metabolism safely was needed.

3. Bottlenecks in Physician Time

Manual testing consumed clinical time. Moov Health needed a workflow where non-physician staff could conduct initial assessments accurately and efficiently.

Solution: Implementing Zone 2 Metabolic Training

Moov Health adopted a protocol centered around Zone 2 metabolic training guided by VO2 Max testing. Every patient began their journey with a precise metabolic assessment using PNOĒ. This data replaced guesswork with targeted training zones based on oxygen uptake, fat oxidation, and metabolic flexibility.

Key Protocols Introduced:

• VO2 Max Testing: Established as a baseline for all patients, regardless of performance level
• Structured Zone 2 Training: Low-intensity cardio matched to personalized fat-burning zones
• Scalable Intake Process: Staff conducted VO2 Max and body composition testing; physicians reviewed data during follow-up consults

Results: Measurable Impact on Patient Outcomes

1. Significant VO2 Max Improvements

Patients with a VO2 Max under 30 saw 20%+ improvements after 3 to 6 months of Zone 2 metabolic training. These gains came without high-intensity workouts or injury risks.

2. Body Composition Gains

• 104 lbs (47 kg) of total weight loss
• 117 lbs (53 kg) of fat loss
• 64 lbs (29 kg) of muscle gain

3. Increased Patient Engagement

Patients began to understand their numbers and responded well to data-driven course corrections. Even minor changes in heart rate training zones produced noticeable improvements in energy and recovery.

Business Impact

1. Higher Efficiency Through Delegation

The PNOĒ platform enabled trained staff to lead assessments, freeing physicians for high-level interventions. This scalable model made metabolic testing part of the clinic’s standard intake process.

2. Expanded Services and Revenue

Zone 2 metabolic training became a key entry point for clients. It led to cross-selling of services like IV therapy, hormone optimization, and nutritional planning—extending patient lifecycle value.

3. Improved Program Adherence

Patients no longer questioned whether their workouts “worked.” With visible progress via VO2 Max testing, they remained motivated, compliant, and excited to continue.

4. Long-Term Tracking & Predictive Benefits

Moov Health also implemented quarterly retesting to maintain progress momentum and detect potential regressions early. Patients were able to see improvements in metabolic flexibility, oxygen efficiency, and recovery timelines—turning each test into a progress checkpoint. The ability to quantify improvement transformed patient motivation and turned data into a long-term behavioral change tool.

Conclusion

Moov Health’s partnership with PNOĒ and its use of Zone 2 metabolic training has redefined what metabolic health care can look like. By personalizing each program through VO2 Max testing and a streamlined intake model, Dr. Bennett has created a replicable system for high-impact, scalable results.

PNOĒ is not just a diagnostic tool—it’s the engine behind Moov’s longevity outcomes, patient retention, and business growth.