VO2 Max Analysis

Your ability to utilize O2 is the single most important measurement to determine your overall metabolic health, longevity and performance potential.

Discover your potential with VO2 Max!

The oxygen you breath in has only one destination – your mitochondria – where it is converted to water, carbon dioxide and ATP – energy! Sub optimal mitochondrial function is the root cause of all chronic disease and the very process of ageing itself.

VO2 Max is one of the strongest modifiable predictors of all-cause mortality and healthy lifespan. Testing removes the guesswork from training, nutrition and recovery – so you can actually feel and see results.

Mitochondrial function starts to decline in your early 30’s and slowly by 55 years becomes noticeable to almost everyone. If you are an athlete or 35 years and over, our signature Metabolic, Longevity & Performance package is for you.

We choose PNOE VO2 Max Breath Analysis—the gold standard per the American Heart Association, backed by 1,000+ peer-reviewed studies and clinical accuracy for your assessment.

For a deep dive into the 23 biomarkers measured and what they mean for you, see our blog post: what your breath reveals

Our Signature Metabolic, Longevity & Performance Assessment Package

What is Included in Your Package

VO2 Max testing: Resting Metabolic Rate (RMR), Active Metabolic Rate (AMR), FatMax zone, Biological age and VO₂ max + 23 key biomarkers
InBody 580 BIA scan for muscle, fat, visceral fat and body composition
An app based nutrition program tailored to your preferences, calorie, macronutrient, and micronutrient requirements.
Reports for each test and a summary of findings with actionable next steps for your coach or trainer.

Optional add-on: a 30-minute consult with a naturopath and sports scientist. We use your VO2 Max and InBody data — not a guess — to prescribe, where useful, herbs, nutraceuticals, hyperbaric O2, red light, sauna, PEMF or natural peptide support around the program you already follow.

Go further when called for with i-SCREEN sports performance and hormone pathology, mescreen mitochondrial efficiency, or DNA and microbiome testing. Ask us which layer matches the question you need answered.

Other Testing Options and Pricing

Our VO2 Max service has three options:

Metabolic (Weight Loss) $125 – Resting (RMR test) and report, plus free Inbody580 BIA metabolic scan.
Longevity $225 – Active Ramp (AMR test bike) and report, plus a free Inbody580 BIA metabolic scan.
Signature Package $295 – RMR and AMR tests, reports, InBody580 scan + a free app based nutrition plan designed for your biology and lifestyle.

These tests are perfect for:

Anyone feeling sluggish, stuck in a plateau, or wanting objective data before committing to deeper programs
Athletes and active people wanting precise FatMax and Zone 2 guidance
Those exploring longevity and metabolic health naturally

The benefit of testing is the capacity to measure your individual markers that are specific to you. That way we can design a program with your unique fingerprint creating a targeted approach and focused care.

How PNOE Works

PNOĒ operates through a straightforward, non-invasive process divided into resting and active phases:

Resting Metabolic Rate (RMR) Test: You wear a comfortable mask connected to the portable analyzer. At rest (e.g., sitting or lying down), the device measures baseline oxygen uptake and CO₂ output for 10 minutes. No eating, caffeine, or strenuous exercise for 3-12 hours prior to ensure accuracy.

Pinpoints calorie needs and fat-burn thresholds for custom meal plans; e.g., identifying if your body favours fats at rest prevents over-carbing; and autonomic nervous system function.

Active Metabolic Rate (AMR) or VO₂ Max Test: For performance insights, you exercise on a bike (with incremental intensity ramp-up). The mask captures real-time breath data, tracking how your body shifts fuel sources (fats vs. carbs) and handles increasing demands. This phase typically lasts 8-12 minutes.

VO₂ Max quantifies “biological age” (vs. chronological), guiding interventions to boost oxygen efficiency, energy production and health span. Also maps training zones, detecting limits in heart/lung/metabolism, and tracks progress—ideal for athletes looking to integrate with therapies like HBOT, red light or IV drips.

What PNOĒ Measures: Key Biomarkers

PNOĒ quantifies 23 biomarkers across metabolic, cardiovascular, respiratory, and cellular systems, offering a 360° health snapshot. Here’s a breakdown of core metrics:

Biomarker	Description	Relevance
VO₂ Max	Maximum oxygen your body can use during intense exercise (mL/kg/min).	Gold standard for aerobic capacity; predicts biological age, longevity, and disease risk. Elite athletes score 60+; average adults 30-40.
Resting Metabolic Rate (RMR)	Calories burned at rest (kcal/day).	Reveals baseline energy needs; e.g., a 64% fat/36% carb mix indicates healthy metabolic flexibility.
Respiratory Exchange Ratio (RER/RQ)	Ratio of CO₂ produced to O₂ consumed (0.7-1.0).	Shows fuel source: ~0.7 (fat-dominant), ~1.0 (carb-dominant). Guides carb/fat intake for weight loss.
Metabolic Flexibility	Ability to switch between fat and carb burning.	Key for preventing metabolic disorders; low flexibility links to insulin resistance.
Ventilation Efficiency (VE/VCO₂)	Breathing efficiency during exercise.	Detects limitations in lungs or heart; useful for rehab.
Fat Burn Efficiency	Percentage of energy from fats at various intensities.	Optimizes training zones for weight loss (e.g., Zone 2 for max fat oxidation).

These metrics extend to nervous system and brain health via oxygen delivery insights, plus nutritional markers like macronutrient needs.

Pre-test Preparation

Pre-test prerequisites in addition to downloading and onboarding via PNOE app (a link will be emailed) and returning PARQ questionnaire:

Fast except from plain water for at least 3 hours prior to testing
No caffeine, tobacco or stimulating drinks for at least 3 hours prior to testing
Avoid intense exercise or any exercise of more than 1 hour 24h prior to testing
The resting test can be conducted any time of the day, however the retest should be conducted the same time of the day as the initial assessment
Continue medications as usual
Arrive at least 10 min prior to the test so you can be relaxed before the test

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