SAMPLE — fictional client, not a real person. Made-up answers and made-up blood results.
Sample report
What you get from the Initial Consultation
This is a complete Health Status Report for a fictional client: 46, two years of bloating and afternoon fatigue, and GP blood tests reported as normal. Every answer and every result below is made up. The numbered notes explain what each part is for.
Detective Health · Test, Don't Guess · Stephen Duncan
Health Status Report v2 · Baseline Assessment
Sample Client
Age 46
Prepared by Stephen Duncan · Detective Health
Report date: 4 October 2026 Programme: Initial Consultation
Detective HealthSample Client · Health Status Report v24 October 2026
Executive Summary
Sample Client · 4 October 2026
5.6
/ 10 Wellness
Harmonic Mean
Harmonic Mean Wellness Score · from questionnaires, not a test result
Moderate Compromise — Structured Intervention
This score is calculated using harmonic mean across the 8 domains assessed (2 not assessed). Harmonic mean is a scoring choice that weights your lowest-scoring areas more heavily than an average would. A score of 5.6/10 indicates moderate multi-system compromise. Structured intervention and testing can help identify the main drivers.
Practitioner Clinical Impression
Two years of bloating within an hour of meals and an energy dip most afternoons. GP blood tests were reported as normal. The forms point first to digestion and to stress load; sleep is shorter than they would like. One blood result needs the GP before anything else: ferritin 18 µg/L (= ng/mL) is inside some laboratories’ reference ranges but below the NICE CKS threshold of 30 µg/L for iron deficiency.
System Overview
Digestive & Gut Health
4
Hormonal & Endocrine
6
Metabolic & Energy
6.5
Immune & Inflammatory
6.5
Detoxification & Liver
7
Sleep & Circadian
5
Cognitive & Neurological
Not assessed
—
Musculoskeletal & Movement
7
Stress & HPA Axis
4.5
Nutritional Status
Not assessed
—
HealthStory Clinical Flags Active (2)
Major life stress eventPPI / acid suppressant
Detective Health · Detective HealthSample Client · Health Status Report v2Page 2
Primary & Secondary Clinical Pattern Layer
Sample Client · 4 October 2026
The clinical pattern hierarchy identifies the dominant driver of symptoms (primary pattern) and contributing factors (secondary patterns). Protocol sequencing follows this hierarchy — the primary pattern receives first intervention priority. Secondary patterns are addressed in parallel where capacity permits, or sequentially once primary stabilisation is established.
⬛ Tier 1 — Primary Clinical Driver
Gut Motility / Enzyme Insufficiency
Insufficient digestive enzyme output (faecal elastase below 200 µg/g suggests, and below 100 µg/g indicates severe, pancreatic insufficiency — common laboratory interpretation bands; needs GP follow-up) or poor gastric acid production. Poor digestion can lead to nutrient shortfalls despite adequate intake, and may be one reason some people feel worse after rich or high-protein meals (evidence: mechanistic).
Primary Pattern — Protocol Direction
At this baseline stage the pattern is a working hypothesis from your forms, not a confirmed finding. Supplement protocols are set only after testing. For now, the foundations on the protocol page come first.
Practitioner Pattern Rationale
Bloating is worse after larger or richer meals and in stressful weeks. At this stage this is a working hypothesis from the forms, to be tested, not a finding.
◎ Secondary Pattern 1 — Contributing Driver
HPA Pattern — High Output
Higher cortisol output with sympathetic activation. Often seen with morning cortisol spikes, poor parasympathetic tone, digestion that worsens under stress, anxiety, and difficulty getting to sleep. Raised cortisol can worsen blood sugar control over time. It is a pattern, not a stage: there is no good evidence that it inevitably progresses to a low-output pattern.
Detective Health · Detective HealthSample Client · Health Status Report v2Page 3
Blood Chemistry Evidence — Working Bands and Evidence
Sample Client · 4 October 2026
Each marker is shown against the laboratory range and, where one exists, a working band. A laboratory range describes where most healthy people sit; it is not a disease threshold. Working bands are labelled with their evidence: some are guideline or outcome-based, others are Stephen’s clinical targets, which no trial has validated. A value outside a working band is a prompt to look further, not a diagnosis.
⚑ Clinically Significant — Require Attention (1)
FlagFerritin18 µg/L (= ng/mL) · Working band: 50–100 µg/L (Stephen’s clinical target · <30 = iron deficiency (guideline)) · Iron stores. Below 30 µg/L indicates iron deficiency; 30–50 is a grey zone.
24-week target: Above 30 µg/L, with the cause checked by the GP
~ Outside Working Band — Monitor (1)
Outside bandVitamin D (25-OH)52 nmol/L · Working band: 75–125 nmol/L (30–50 ng/mL) (Stephen’s clinical target — no guideline sets an optimal target)
24-week target: 75–125 nmol/L (30–50 ng/mL), retested at 24 weeks
Please take these results to your GP before starting anything else: Ferritin, 18 µg/L (= ng/mL). They are outside a guideline threshold and need medical assessment of the cause, not only a supplement.
Detective Health · Detective HealthSample Client · Health Status Report v2Page 4
System Strengths & Key Vulnerabilities
Sample Client · 4 October 2026
System Strengths — Top 3 Domains
Detoxification & Liver · Score 7/10
This domain represents a relative strength in the current presentation. Protecting this function is part of the protocol design — do not compromise it while addressing vulnerabilities.
Musculoskeletal & Movement · Score 7/10
This domain represents a relative strength in the current presentation. Protecting this function is part of the protocol design — do not compromise it while addressing vulnerabilities.
Metabolic & Energy · Score 6.5/10
This domain represents a relative strength in the current presentation. Protecting this function is part of the protocol design — do not compromise it while addressing vulnerabilities.
Lowest-Scoring Areas — Where to Look First
Digestive & Gut Health · Score 4/10 · Look here first
This is one of your lowest-scoring areas. On the "shortest stave" idea (Liebig’s barrel, used here as a way of prioritising, not a proven law of health), it is a sensible place to start.
Stress & HPA Axis · Score 4.5/10 · Look here first
This is one of your lowest-scoring areas. On the "shortest stave" idea (Liebig’s barrel, used here as a way of prioritising, not a proven law of health), it is a sensible place to start.
Sleep & Circadian · Score 5/10 · Look here first
This is one of your lowest-scoring areas. On the "shortest stave" idea (Liebig’s barrel, used here as a way of prioritising, not a proven law of health), it is a sensible place to start.
Detective Health · Detective HealthSample Client · Health Status Report v2Page 5
Metabolic Natures — Starting Position
Sample Client · 4 October 2026
Metabolic Nature (Provisional)
Adaptive — mixed oxidative position
On the questionnaire you sit near the middle of the oxidative axis, so no strong lean is suggested. The balance is set by how you respond, and current test findings override it until any constraint clears.
Macronutrient Framework
Carbohydrate 30–50% of energy. Protein is set separately by body weight (usually 1.2–1.6 g/kg a day); fat makes up the rest.
How to read this section
Metabolic Natures is a questionnaire-derived framework, not a test finding. It gives a position on two axes, oxidative (Endurance, Adaptive, Catalyst) and autonomic (Grounded, Calibrated, Kinetic), as a starting hypothesis for how to eat. It is tested by how you respond and reviewed at retest. It is adapted from Kelley and Wolcott’s metabolic typing work; no controlled trial has validated matching diet to these categories.
Detective Health · Detective HealthSample Client · Health Status Report v2Page 6
Functional Test Priority Matrix
Sample Client · 4 October 2026
Tests are suggested only where your scores, patterns or flags point to them, and only if the result would change what we do. Sometimes the right number of tests is one, or none. Tests not listed are not indicated by this assessment at present.
Test
Clinical Rationale
Priority
GI-MAP Stool Analysis
Gut pathogen and microbiome screen, digestive and inflammation markers. Pathogen detections are leads to confirm through your GP, not diagnoses.
Consider first
DUTCH Plus Hormone Panel
Daily cortisol pattern and awakening response, sex hormones and their metabolites. Describes a pattern; not a diagnosis.
Consider first
Blood Chemistry (Regenerus panel)
Thyroid, iron studies, metabolic, liver, lipids and inflammation, read against lab ranges and evidence-graded working bands. Often the first test worth doing.
Consider
Detective Health · Detective HealthSample Client · Health Status Report v2Page 7
Foundational Protocol — Phase 1
Sample Client · 4 October 2026
This protocol represents the minimum effective intervention set for Phase 1 — the first 4–8 weeks. It addresses primary clinical drivers and establishes the foundational behaviours all subsequent interventions depend on. Items are sequenced in priority order — the first item has the highest leverage on overall outcome.
01 · Nutrition Foundation
Whole-food anti-inflammatory baseline diet
Cut ultra-processed foods and refined sugars. Prioritise protein at every meal — about 25g at the first meal of the day (a practice target; no trial sets a per-meal minimum). Food quality and timing before supplementation.
02 · Sleep Optimisation — Non-Negotiable
Address sleep before layering any other intervention
Even short-term sleep loss lowers glucose tolerance in controlled studies (Spiegel 1999: six nights of 4 hours in bed, 11 young men). Other interventions work less well against chronic poor sleep. Circadian rhythm restoration first.
03 · Movement Prescription
Resistance training 2–3× per week
Builds and protects muscle and bone. In type 2 diabetes it lowered HbA1c by about 0.4 percentage points across 20 trials (Jansson 2022); it is less tested in people without diabetes. Start where you are and build up gradually.
04 · Stress & HPA Axis
Daily parasympathetic activation practice
Slow breathing (for example box breathing or 4-7-8) for about 5 minutes morning and evening (evidence: small trials, mixed). A BOLT score can be used to track it, though it isn’t a validated measure. No high-intensity training until HPA pattern stabilises on DUTCH Plus.
Current Supplements / Medications
A shop-bought multivitamin, most days. No prescribed medication.
Detective Health · Detective HealthSample Client · Health Status Report v2Page 8
Important Information & Disclaimer
Please read before acting on recommendations in this report
This Health Status Report has been prepared by Stephen Duncan (FDN-P, MSc) of Detective Health as a functional medicine clinical summary. It is a practitioner-generated document based on intake assessment data and clinical judgment. It is not a medical diagnosis.
Medical Disclaimer
Functional Diagnostic Nutrition Practitioners are not medical doctors and do not diagnose, treat, cure, or prescribe for any disease or condition. Recommendations are educational and supportive in nature. Always consult your GP or relevant medical specialist before changing prescribed medication or if symptoms require urgent medical assessment.
Supplements
Any doses in this report are general starting points, not prescriptions. If you take medication, are pregnant or breastfeeding, or have a long-term condition, check with your GP or pharmacist before starting a supplement. Count the same nutrient across all products you take. Stop and seek advice if you have a reaction.
Data Handling & Confidentiality
Your health information is held in accordance with GDPR 2018 and UK data protection legislation. Used solely for clinical assessment and programme delivery. Not shared with third parties without explicit consent. Contact: stephen@detective-health.com to request access, correction, or deletion of your data.
Intellectual Property
The TDG tools and this report format are the work of Stephen Duncan / Detective Health. The Metabolic Natures framework is adapted from Kelley and Wolcott’s metabolic typing work. Not for reproduction or commercial use without written licence.
Detective Health · Test, Don't Guess
Stephen Duncan, trading as Detective Health · detective-health.com · Edinburgh
Detective HealthSample Client · Health Status Report v2Page 9
Sources for this sample
Every threshold and claim in the report carries its evidence grade on the page. These are the sources behind the ones that cite research:
NICE Clinical Knowledge Summaries: Anaemia – iron deficiency. Ferritin below 30 µg/L (= ng/mL) confirms iron deficiency.
Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet 1999;354(9188):1435–9. PMID 10543671. doi:10.1016/S0140-6736(99)01376-8
Jansson AK et al. Effect of resistance training on HbA1c in adults with type 2 diabetes mellitus and the moderating effect of changes in muscular strength: a systematic review and meta-analysis. BMJ Open Diabetes Res Care 2022;10(2):e002595. PMID 35273011. doi:10.1136/bmjdrc-2021-002595
The overall score (harmonic mean), the “shortest stave” prioritising and the Metabolic Natures position are design choices, not validated measures, and the report says so where they appear. The working bands marked “Stephen’s clinical target” have no trial behind them. Faecal elastase bands are common laboratory interpretation bands.
This is what you get from the Initial Consultation
You fill in your Case File, I prepare your Health Status Report from it, and we go through it together in a 45-minute consultation. The £145 is credited against a programme if you go ahead within 60 days, not against single tests.