Background

Dr. Steven Geanopulos is a chiropractor with a postgraduate degree in neurology, specializing in brain-based disorders, sports concussions, and metabolic health. After practicing in Manhattan for over 23 years, he shifted to providing metabolic health solutions to doctors nationwide while maintaining an active practice.

Dr. Geanopulos emphasizes that metabolic health is the foundation of long-term well-being. He believes that chiropractors are uniquely positioned to address metabolic dysfunction, which underlies many structural and neurological health issues.

Challenges in Metabolic Health

1. Misconceptions About Metabolism & Weight Loss
   
   
   • Many assume metabolism is only about weight loss, failing to recognize its role in longevity, brain health, and musculoskeletal function.
   • Weight loss programs often fail long-term due to metabolic rate drops and muscle loss.
2. Lack of Accessible, Comprehensive Metabolic Assessments
   
   
   • Historically, V̇O₂ max testing was limited to elite athletes.
   • Patients rely on generic heart rate calculations for training zones, often leading to overexertion and metabolic inefficiencies.
3. Sustained Patient Engagement & Retention
   
   
   • Without tangible data, patients struggle to understand their progress, leading to disengagement.

Solution: Integrating PNOĒ into Practice

Dr. Geanopulos structured his metabolic health framework using PNOĒ to provide real-time, data-driven assessments that guide patient treatment. His approach includes:

1. Personalized Metabolic Testing
   
   
   • Resting Metabolic Rate (RMR) Testing: Identifies calorie needs, fat oxidation efficiency, and metabolic rate trends.
   • Active Metabolic Rate (AMR) Testing: Determines V̇O₂ max, mitochondrial efficiency, and optimal exercise zones.
     
     
2. Objective, Evidence-Based Assessments
   
   
   • Five core evaluations:
     • V̇O₂ max & RMR – Measures metabolic and cardiovascular health.
     • Blood panel analysis – Identifies underlying metabolic dysfunction.
     • Body composition analysis – Tracks muscle mass, visceral fat, and metabolic health markers.
     • Muscle strength & movement quality – Evaluates postural and neuromuscular function.
     • Functional movement screening – Detects structural imbalances impacting longevity.
       
       
3. PNOĒ as a Tool for Patient Retention
   
   
   • Patients undergo metabolic reassessment every six months.
   • Education on fat oxidation, mitochondrial health, and training zone accuracy enhances adherence.

Case Study: Hypothyroidism & Metabolic Rate Detection

A patient suspected her thyroid medication was effective based on standard lab results. However, PNOĒ’s RMR test showed an unusually low metabolic rate. A follow-up free T3 test confirmed hypothyroidism, despite normal TSH and T4 levels. The PNOĒ test provided an early indicator of metabolic dysfunction, demonstrating its clinical value beyond standard diagnostics.

Key Insights from PNOĒ Testing

1. Fat Oxidation & Training Optimization
   
   
   • PNOĒ data reveals how individuals transition from fat oxidation to carbohydrate reliance at different exercise intensities.
   • A sedentary individual may enter carb-burning too early, while a metabolically healthy person sustains fat oxidation longer.
     
     
2. Impact on Longevity & Disease Prevention
   
   
   • Low V̇O₂ max predicts future disability risk.
   • Patients with declining V̇O₂ max can slow functional decline through personalized exercise interventions.
     
     
3. Application for Musculoskeletal & Brain Health
   
   
   • Postural muscles require mitochondrial density to function efficiently.
   • Poor metabolic health contributes to neurodegeneration and musculoskeletal deterioration.

Business Impact

1. Increased Patient Engagement & Retention
   
   
   • Data-driven reports motivate patients to track progress and commit to long-term health plans.
     
     
2. Practice Differentiation & Revenue Growth
   
   
   • PNOĒ enables a precision-based approach, setting Dr. Geanopulos apart from conventional chiropractic practices.
   • Patients are willing to pay out-of-pocket for metabolic optimization services.
     
     
3. Scalability & Efficient Practice Management
   
   
   • Trained staff can conduct tests, allowing streamlined implementation without adding clinician workload.

Conclusion

By integrating PNOĒ, Dr. Geanopulos has:
– Optimized patient outcomes through metabolic testing and targeted interventions.
– Enhanced retention with structured reassessments and educational insights.
– Positioned his practice at the forefront of metabolic health, bridging the gap between chiropractic care and longevity science.

PNOĒ has allowed him to create a sustainable, data-driven model that improves patient health while driving business growth.