Longevity Medicine at Wandsworth Physiotherapy: An Integrated Model of Nutrition, Medical Optimisation and Exercise

Introduction: A New Model of Healthy Ageing

Longevity medicine is reshaping how we think about health, ageing, and prevention. Rather than reacting to illness once it develops, longevity medicine focuses on optimising healthspan – the number of years lived in good physical, metabolic and cognitive health.

At Wandsworth Physiotherapy, longevity medicine is delivered through a fully integrated, multidisciplinary model, combining:

1. Nutritional therapy
2. Medical optimisation (in collaboration with doctors providing TRT, HRT and GLP-1 therapies for example)
3. Structured, progressive exercise and physiotherapy

This approach recognises a simple but powerful truth: how we eat, move, and regulate hormones determines how we age.

What Is Longevity Medicine?

Longevity medicine is a proactive, preventative approach to healthcare that aims to:

• Reduce the risk of chronic disease
• Slow biological ageing
• Preserve muscle mass, mobility and metabolic health
• Maintain cognitive and emotional wellbeing

Rather than focusing on single symptoms, longevity medicine looks at the whole system – nutrition, metabolism, hormones, movement, sleep stress levels and lifestyle. At Wandsworth Physiotherapy, longevity medicine sits naturally alongside our existing services in nutritional therapy, men’s and women’s health, and exercise-based rehabilitation.

Nutritional Therapy: The Foundation of Longevity

Nutrition underpins every aspect of healthy ageing. Poor nutrition accelerates:

• Insulin resistance
• Chronic inflammation
• Loss of muscle mass
• Hormonal dysregulation
• Cardiovascular and metabolic disease

Our nutritional therapy services form the cornerstone of our longevity offering. Rather than generic dietary advice, we deliver individualised nutritional therapy, tailored to the individual’s physiology, lifestyle and health goals.

Nutritional therapy in longevity medicine supports:

• Metabolic health
• Weight management
• Hormonal balance
• Inflammation reduction
• Long-term behaviour change

Objective Health Data: Measuring Ageing and Risk

Longevity medicine relies on measurable data, not guesswork. At Wandsworth Physiotherapy, we routinely collect anthropometric and physiological markers that strongly correlate with long-term health outcomes. These can be supported by the data collected from wearables to track and monitor health scores.

Key measurements include:

Body Composition

• Body fat percentage
• Lean mass trends

Excess body fat – particularly visceral fat – is associated with increased cardiometabolic risk, while preservation of muscle mass is critical for longevity.

Waist Circumference & Waist-to-Hip Ratio
These markers provide insight into central adiposity and cardiovascular risk, often more accurately than weight alone.

Blood Pressure

Blood pressure is a key predictor of cardiovascular disease, stroke and cognitive decline. Monitoring allows early lifestyle and nutritional intervention.

Weight and Trend Analysis

Tracking changes over time gives insight into metabolic flexibility and long-term health trajectories.

Blood Testing: Identifying Early Dysfunction

Where appropriate, we may recommend blood testing to support longevity assessment and nutritional therapy planning.

Markers may include:

Metabolic Health

• Fasting glucose
• HbA1c
• Lipid profile (total cholesterol, LDL, HDL, triglycerides)

Inflammation

• High-sensitivity C-reactive protein (hs-CRP)

Micronutrients

• Vitamin D
• Iron studies
• Vitamin B12 and folate (where clinically indicated)

Hormonal Markers (doctor-led testing)

• Testosterone
• SHBG
• Oestradiol
• Thyroid markers (where appropriate)

Results are interpreted within a clinical context and used to guide nutrition, lifestyle and exercise strategies, with medical input where required.

Medical Optimisation: Working Alongside Doctors

Longevity medicine often benefits from collaboration with medical professionals. At Wandsworth Physiotherapy, we work alongside doctors who prescribe TRT, HRT, GLP-1’a and other supportive medications.

Testosterone Replacement Therapy (TRT)

Working with our partners Alphagenix, TRT may support:

• Muscle mass preservation
• Bone density
• Energy levels
• Mood and cognition

Nutritional therapy and exercise are essential alongside TRT to:

• Reduce cardiovascular risk
• Improve insulin sensitivity
• Maximise functional outcomes

Hormone Replacement Therapy (HRT)

HRT can play a significant role in healthy ageing for women by supporting:

• Bone health
• Muscle mass
• Metabolic stability
• Cognitive and emotional wellbeing

Our nutritional therapy and exercise programmes complement HRT by addressing:

• Body composition changes
• Cardiovascular risk
• Strength, balance and mobility

GLP-1 Therapies

GLP-1 medications may be used to support weight loss and metabolic health. However, without lifestyle intervention they can increase the risk of:

• Muscle loss
• Nutrient deficiencies
• Weight regain

Our role is to ensure GLP-1 therapies are supported by:

• Adequate protein intake
• Resistance-based exercise
• Sustainable nutrition habits

Exercise: A Core Pillar of Longevity Medicine

Exercise is one of the most powerful interventions in longevity medicine. It supports:

• Muscle mass and strength
• Bone density
• Insulin sensitivity
• Cardiovascular health
• Cognitive function

At Wandsworth Physiotherapy, we offer structured, scalable exercise options, including:

• Pilates mat work – core strength, posture, control
• Reformer Pilates – resistance-based strength, joint-friendly loading
• Yoga – mobility, balance, stress regulation
• Group exercise circuits – cardiovascular fitness, strength and metabolic health

Exercise programmes are selected and progressed based on:

• Age and health status
• Injury history
• Hormonal and metabolic considerations
• Longevity goals

A Four-Pillar Longevity Medicine Model

Our longevity medicine approach is built around four integrated pillars:

1. Nutritional Therapy
2. Medical Optimisation (TRT, HRT, GLP-1 in collaboration with doctors)
3. Exercise & Movement
4. Lifestyle Behavioural change

This model ensures patients are supported from every angle, rather than relying on a single intervention.

Longevity Medicine Packages: Structured, Evidence-Based Care

Drawing on successful longevity clinics internationally, we offer longevity medicine as structured programmes, not isolated appointments.

Example Longevity Packages:

1. Longevity Lite

• Nutritional therapy consultation
• Anthropometric measurements
• Blood pressure assessment
• Optional blood testing review
• Exercise programme (Gym / Pilates / circuits)
• Personalised longevity roadmap and lifestyle behavioural changes

2. Longevity Healthspan

• Nutritional therapy consultation
• Anthropometric measurements
• Blood pressure assessment
• Blood testing and review
• Exercise programme (Gym / Pilates / circuits)
• Collaboration with prescribing doctor for GLP-1, TRT, HRT where required
• Personalised longevity roadmap and lifestyle behavioural changes with regular reviews and data tracking

Longevity medicine at Wandsworth Physiotherapy is built on integration, evidence and sustainability. By combining nutrition, medical optimisation exercise and lifestyle modification, we help patients:

• Reduce future disease risk
• Maintain physical independence
• Age with strength, resilience and confidence