What it is
Altered Outperformance builds on Altered Performance by adding clinical diagnostics and specialist medical and functional health interpretation to complement the coaching relationship.
You receive a precise picture of how your body and mind are functioning, translated into a personalised plan for sustainable energy, resilience and clarity.
We do not run our own clinic; we diagnose, prescribe and coordinate access to the most appropriate specialist support for your programme.
This is not a quick fix
It is a considered, evidence-led journey to strengthen your health, energy and leadership for the long term.
Who it is for
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Senior leaders with demanding roles who want a clearer, evidence-based understanding of their own performance and the discipline to act on it.
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Leaders preparing for major transitions, such as new roles, scale-ups or significant life changes.
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Anyone who has tried quick fixes and wants something more comprehensive and sustainable.​​
How it works
Diagnostics:
A comprehensive clinical assessment and 360-degree review, led by Dr Steve James and supported by Michael Ash.
Interpretation:
Your results explained in plain language, with clear implications for how you live, lead and recover.
Prescribed intervention:
A personalised reset, delivered through a vetted specialist partner and matched to your diagnostics.
Integration:
Structured Executive and Medical coaching to support and embed the changes into daily life.
The Experts
What's included
Comprehensive intake, deep dive sessions and (with permission) a 360 review from colleagues, friends and family. Clinical diagnostics are led by Dr Steve James, supported by Michael Ash and are selected individually rather than run as a fixed panel. These may include blood work, body composition analysis, cardiovascular and fitness screening, genetic testing and wearable data, with imaging where clinically indicated.
A plain language results review and personalised protocols across relationships, nutrition, movement, sleep and purpose. Based on your diagnostics, we prescribe and coordinate an intensive reset with a vetted specialist partner, matched to what your data shows and what you need.
We integrate your learnings into daily life through follow up one to one coaching, coordinated access to relevant specialists, and real time adjustments based on data and lived experience.
Monthly sessions with both your Executive coach and your Medical Doctor to solidify habits and mindsets, a final retest of key biomarkers to measure progress and an ongoing support plan.
A note on specialist protocols
Depending on your diagnostics, your prescribed reset may include a supervised fast, a dark retreat, or a medically supervised psychedelic-assisted protocol such as psilocybin or MDMA-assisted therapy, where legally permitted and clinically appropriate. Every option is delivered by licensed specialists in a suitable, distraction-free setting.
Outcomes
By the end of Altered Outperformance, you will have:
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Confidence and mastery over your own functioning in a high pressure, complex world.
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Measurable improvements in energy, mood, cognitive function and resilience.
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Practical, sustainable protocols you can maintain for life, not short-term hacks.
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A clear, personalised understanding of your wellness and longevity markers and a toolbox to optimise them.
Investment and next steps
How to start:
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Complete the application form (10 minutes).
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​We will schedule a one-hour chemistry and scoping call.
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If it is suitable, we will design your bespoke programme and confirm a start date.
