Energy & metabolism
Free 30-min · No charge · No commitment
Why Energy &
metabolism matters
Mitochondria, the structures inside cells responsible for producing energy, are affected by nutrient availability, toxin exposure, hormonal balance, gut health and chronic inflammation. When any of these factors are compromised, energy production suffers.
Blood sugar regulation also plays a central role. Unstable glucose patterns create energy crashes, cravings, brain fog and difficulty sustaining focus, all of which are frequently overlooked as metabolic issues.
Concerns where
Energy & metabolism
may play a role
Together with Dr Fiona Forbes and the medical team, we use over 400 biomarkers to understand the underlying factors contributing to symptoms.
These concerns are not assessed in isolation, but always in the context of the full biological picture.
How energy & metabolism
connects to other systems
Energy production is downstream of almost every other system. When it breaks down, it is usually because something else has gone wrong first.
Our approach
At Forbes.health, we assess energy and metabolism through biomarkers that show how the body is actually producing and regulating energy at a cellular level. That means looking beyond standard thyroid or iron panels to assess mitochondrial function, blood sugar patterns, nutrient cofactors and the systems that support them.
We look for the reasons behind the fatigue, not just the fatigue itself.
“Our role is not only to identify what is out of range, but to understand how the body is functioning as a whole, and what may be driving symptoms beneath the surface.”

Dr Fiona Forbes,
Chief Medical Officer
How we assess
Relevant testing panels
The most relevant tests depend on the individual, their symptoms and their medical history. For energy & metabolism, the following panels are frequently used:
Provides one of the most detailed pictures of mitochondrial function available in routine testing. Includes Krebs cycle markers, B vitamin status, oxidative stress markers and yeast and bacterial patterns that affect energy production.
Thyroid function is one of the most common contributors to low energy and metabolic slowdown. We assess TSH, Free T4, Free T3 and TPO antibodies as a minimum for anyone presenting with fatigue alongside hormonal markers.
Assesses DNA damage markers and oxidative stress load. Provides insight into cellular health and the body's antioxidant capacity. Relevant to persistent fatigue, poor recovery and patterns of accelerated cellular ageing.
Assesses 21 heavy metals including arsenic, lead and aluminium. Heavy metal accumulation can directly impair mitochondrial function and is a frequently overlooked contributor to chronic fatigue.
From insight to direction
Whether navigating persistent symptoms or taking a proactive approach, the goal is always the same: to understand what your body is doing and why.
Takes under 60 seconds · 100% obligation-free