PNOE Breath Analysis

Your breath holds the blueprint to your metabolism and longevity.

PNOĒ testing decodes it — revealing how efficiently your body burns fuel, adapts to stress, and supports long-term vitality. At Peak by MD: Longevity & Aesthetics Club, this test forms the cornerstone of our precision approach to weight loss, performance, and aging well.

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Find Your Peak Path

A personalized starting point for your health, aesthetics, and longevity.

Answer a few short questions so we can recommend the most effective next step, without guesswork. This assessment takes approximately two minutes and is designed by the Peak by MD clinical team. All responses are private and confidential.

Wellness Quiz

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Why PNOĒ

Because real change starts with understanding how your body uses oxygen.

PNOĒ testing gives you the data behind your metabolism, performance, and longevity—three systems that all depend on how efficiently your body delivers and uses oxygen. When oxygen flow through the lungs, heart, and cells is optimized, everything improves: metabolism accelerates, endurance increases, and aging slows.

Here’s what the data shows:

  • 8% average weight loss when programs are guided by metabolic testing
  • 14% faster race times and measurable gains in performance
  • 5.2% reduction in biological age through improved oxygen efficiency

Most diets fail because of metabolic slowdown—your body adapts and burns fewer calories, even while you’re trying harder. PNOĒ identifies this slowdown early, allowing precise adjustments to nutrition, exercise, and recovery that reignite progress.

In short, oxygen flow is the ultimate marker of vitality.

By mapping how effectively your body uses O₂ at rest and under stress, PNOĒ uncovers the hidden barriers to fat loss, energy, and longevity—turning every breath into actionable insight.

Resting Metabolic Rate (RMR)

Understand how many calories your body burns at rest and what fuel source (fat or carbohydrates) it prefers.

How It Works:

You’ll relax in a reclined position while breathing through a mask for 10 minutes. The PNOĒ system measures your oxygen consumption and carbon dioxide output to calculate your energy needs and metabolic efficiency.

You’ll Learn:

  • True Resting Metabolic Rate (kcal/day)
  • Total Daily Energy Expenditure (TDEE) estimates
  • Fat vs carbohydrate oxidation ratio
  • Metabolic flexibility score (how efficiently your body switches between fuels)

Personalized macro recommendations and daily protein target

Ideal For:

  • Weight management & body recomposition
  • Fatigue or sluggish metabolism
  • Nutrition plateau troubleshooting

GLP-1 or peptide-assisted programs

VO₂ Max & Zone Testing

Evaluate your aerobic capacity, endurance efficiency, and heart-rate zones.

How It Works:

A graded treadmill or cycle test lasts 10–15 minutes. You’ll wear the same PNOĒ mask as intensity gradually increases. The data reveals how your oxygen consumption, CO₂ output, and heart rate change under stress.

You’ll Learn:

  • VO₂ max (ml/kg/min) and longevity percentile for age & sex
  • Ventilatory thresholds (VT1 & VT2) – transition points between aerobic and anaerobic energy systems
  • Heart-rate zones for endurance, fat-burning, and HIIT
  • Respiratory mechanics & breathing efficiency
  • Caloric burn rate by intensity

Ideal For:

  • Athletes and fitness enthusiasts
  • Longevity and cardiovascular risk optimization
  • Peptide or hormone therapy patients focusing on vitality

Individuals recovering from metabolic or physical setbacks

What we help with

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