Structural & Metabolic Performance Advisory

Something has changed.
You probably noticed it a year or two ago.

You're still performing. Still showing up. But the recovery isn't what it was. The back that used to sort itself out overnight now lingers for days. Your energy used to reset after a decent night of sleep. Now it doesn't. You push through, because that's what you do. But the gap between how you feel and how you need to perform keeps getting harder to ignore.

I'm Dr. Andre West. I work with executives and professionals to figure out what's actually driving that change, and what to do about it before it becomes something you can't manage around.

Apply for Advisory How It Works
Dr. Andre West
Credentials
D.C.Doctor of Chiropractic
MBAMaster of Business Administration
CFMPCertified Functional Medicine Practitioner
ARTElite Provider, Active Release Techniques
CESCorrective Exercise Specialist, NASM
PN-1Precision Nutrition Level 1
Prof.Faculty, Biomedical Sciences
Structural Rehabilitation Functional Medicine Movement Systems Recovery Architecture Metabolic Assessment 17+ Years Clinical Practice
01 The Problem 02 The Model 03 Background 04 Methodology 05 How It Works 06 Sound Familiar? 07 Good Fit? 08 How I Think Apply →
The Problem

It's not one thing. It's everything piling up.

Years of desk work, travel, long hours, and stress don't hurt you all at once. They accumulate. Quietly. Your posture shifts. Your spine tightens in ways you adapt around without realizing it. Your sleep gets lighter. Your body stops bouncing back the way it used to between hard weeks. You chalk it up to getting older, because that's the obvious explanation.

But here's what I've seen over and over with people in demanding careers: it's not age that breaks them down. It's the accumulated load that nobody managed.

Standard care isn't designed for this. You go in when something hurts badly enough. You get treated for that specific thing. You go home. Three months later something else hurts. The cycle repeats. Nobody is looking at the whole picture. Nobody is asking why this keeps happening or what's building underneath it.

"Most of my clients come to me when good healthcare stops being enough. Nothing is catastrophically wrong. But something is clearly off, and nobody has given them a straight answer about what it is or how to fix it."
  • 01 Your back has been telling you something for a while. Not a sharp injury. Just a persistent tightness that never fully goes away, no matter what you try.
  • 02 You used to recover from a hard week by Sunday. Now it takes longer. Sometimes it doesn't fully happen at all before the next hard week starts.
  • 03 Your energy isn't consistent the way it used to be. There are more days where you're running on fumes by mid-afternoon, even when you slept reasonably well.
  • 04 You've been to your doctor. Everything comes back fine. Which is reassuring in one way and frustrating in another, because you know something isn't right.
  • 05 You're still functioning at a high level. But you can feel the gap between what you're putting out and what you know you're capable of. That gap is what I work with.
The Advisory Model

I'm not your coach. I'm not your treatment provider. I'm the person who keeps the whole picture in view.

Think of it this way. You probably have a financial advisor who looks at your money not as a series of individual transactions but as a system. Someone who keeps the long view. Who adjusts the plan when things change. Who tells you what you need to hear, not just what you asked about.

That's what I do for your body. I look at how you move, how you recover, how your metabolism is functioning, and what the structural picture looks like across your spine, joints, and soft tissue. I put it together into one clear picture and I stay in it with you over time.

Most people have never had that. A clinician with the full context, who stays current with what's changing in your body and adjusts the approach as it does. That's the difference.

Treated when something breaks Managed before things start breaking
A new program every few months One consistent plan, adjusted as you change
Told to lose weight and exercise more Shown specifically what is happening and why
A provider who sees you once a year An advisor who stays current with your body
Fixing one thing at a time Managing the whole picture at once
Dr. Andre West

"The people I work best with aren't looking for motivation. They already have plenty of that. They're looking for someone who can actually tell them what's going on and help them do something about it."

Dr. Andre West  ·  D.C., MBA, CFMP
Background & Expertise

Why my background is different from most people doing this work.

Most practitioners specialize in one thing. I've spent 17 years building depth across several. Structural care, functional medicine, movement science, nutritional guidance, and biomedical sciences. Each one informs the others. The combination is what lets me see the full picture rather than just the part that falls inside a single specialty.
01

Structural Care

My doctorate is in chiropractic, and I hold an ART Elite Provider certification, which is one of the more demanding soft tissue credentials you can earn. I've spent 17 years assessing how the spine, joints, and soft tissue hold up under the demands people place on them, and what to do when they don't.

02

Functional Medicine

I'm a certified functional medicine practitioner. That means instead of asking "what do we treat?" I ask "why is this happening?" Most of the things that wear high performers down, fatigue, recurring pain, inconsistent energy, have upstream causes that standard care never looks for. I look for them.

03

Movement & Exercise Science

How you move matters as much as how often you move. I'm a certified corrective exercise specialist, which means I can identify the movement patterns that are quietly creating problems and fix them before they become injuries. Nutrition is part of this too. What and when you eat directly affects how your body holds up under load.

04

Academic & Biomedical Sciences

I teach biomedical sciences and sit on the advisory board at the Institute for Clinical Acupuncture and Oriental Medicine. Staying in the academic world keeps me honest. I'm not recommending things because they're trendy or because someone sold me on them. I'm recommending them because the evidence holds up.

05

Business Background

I have an MBA and spent years in operational leadership in higher education before focusing full-time on this work. That background matters because the people I work with are running businesses and organizations. I understand how they think, how they make decisions, and what it costs them when their body stops cooperating.

06

17+ Years in Practice

After 17 years in practice, I've seen a lot of the same patterns. The executive who's been running on four hours of sleep for a decade and wonders why everything hurts. The surgeon whose shoulder has been quietly deteriorating for years. The founder who hasn't moved properly in so long they've forgotten what it felt like. I know what creates these situations and I know what reverses them.

The PerformanceOS Framework

Five areas. Most practitioners only look at one.

The reason people cycle through providers without getting better is usually that each provider only sees their piece of it. I look at all five at once, because in my experience, that's where the real answers are.

01

How Your Body Holds Up

Your spine, joints, and soft tissue. How well they're holding up under the demands you put on them every day, and what we do when they aren't.

02

How Well You Recover

Sleep quality, nervous system regulation, and how quickly your body bounces back from hard days, hard weeks, and hard years. This is where most people are losing the most ground.

03

Your Energy and Metabolism

Blood sugar, hormones, how your body processes food, and why your energy isn't consistent the way it should be. The answers are usually here.

04

Mental Sharpness

Focus, decision-making, and the mental clarity you need to do your best work. These are physical things. Sleep, nutrition, movement, and stress all directly affect how well your brain works.

05

The Long Game

Where you're headed, not just where you are. Heart health, key lab markers, and what we're doing now to make sure you're still performing well a decade and two decades from here.

Experience
17+
Years in clinical practice
Credentials
6
Clinical and academic certifications
Format
Virtual
Work with me from anywhere
Note on Format This is a fully virtual advisory practice. All consultations, check-ins, and advisory sessions are conducted remotely. You can work with me from anywhere.
Phase 01

We Start With the Full Picture

I look at how you move, how you're recovering, what your labs show, and what your body has been dealing with. Not just the chief complaint. All of it. That picture is what we work from.

Phase 02

I Tell You What I Found and What We're Going to Do

No vague recommendations. A clear, prioritized plan based on what your body actually needs, in an order that makes sense for your life and schedule.

Phase 03

We Work Through It Together

Regular check-ins. Adjustments when something isn't working. Direct access when you have questions. I stay in it with you through the full program, not just at the start.

Phase 04

We Reassess and Keep Going

Your body changes. The plan changes with it. We reassess regularly, look at what's improved and what hasn't, and keep refining. This isn't a 12-week program. It's an ongoing relationship.

Self-Guided Programs

The framework in a self-guided format. For when you want structure without the advisory engagement.

Same clinical thinking as the advisory program. Different format and price point. These are built for people who want access to the work at their own pace.

01
The Executive Performance Blueprint
8 Modules  ·  Self-Guided

A comprehensive eight-module program built around the five-domain framework. Covers structural health, recovery, metabolic function, cognitive performance, and long-term durability. Built for high performers 40 and older who want the full clinical framework in a self-directed format.

$497 One-time  ·  Lifetime access Coming Soon Join Waitlist
02
The 5-Day Executive Reset
5 Days  ·  Rapid Protocol

A focused five-day protocol to recalibrate sleep, nutrition, and movement within a single work week. If you are running depleted and need a structured reset before a major period, this is where to start. Concrete results in five days.

$47 One-time  ·  Immediate access Coming Soon Join Waitlist
03
The Performance Longevity Field Guide
Reference Guide  ·  Self-Directed

A practical decision guide for sequencing protocols across all five performance domains based on your specific lab markers and lifestyle indicators. If you have heard the longevity science on popular podcasts and want to know what I actually use clinically, this is that document.

Coming Soon   In Development Get Notified
The Podcast

How I think about this work, out loud.

Spotify  ·  Episode 01
Structural to Cellular

Why high performers decline in ways standard care never catches, and what 17 years of clinical practice actually looks like.

Listen on Spotify →
Episode 02
Why I Built PerformanceOpto

The clinical reasoning behind the six formulations and why the existing supplement market didn't meet my standard.

Listen →
Episode 03
The Advisory Model

What the PerformanceOS program is, how it works, and who it is built for.

Listen →
Writing

What I actually see clinically.

I write about the gap between what popular podcasts recommend and what 17 years of practice has actually taught me. Published on Substack.

Read the Articles →
Latest Article
From Structural to Cellular: The Framework Behind Everything I Do
Structural to Cellular  ·  Dr. Andre West Read →

Does any of this sound familiar?

Most of my clients recognize themselves in at least one of these.

"My recovery just isn't what it used to be."

Hard weeks used to sort themselves out. Now the fatigue carries forward.

"My back or joints won't fully resolve."

Not a dramatic injury. Something persistent that never fully clears up.

"My energy is inconsistent and I can't explain it."

Labs come back fine. But something is off and nobody has a straight answer.

"I can feel the gap widening."

Still performing. But running below capacity and you know it.

"I'd rather manage this now than react to it later."

Nothing is seriously wrong. But you want a system before it becomes a problem.

If this sounds like you, apply →
Who This Is For

This works for some people. Not everyone. Here's how to tell the difference.

You're probably a good fit if:

  • +You're running hard professionally and starting to feel it physically. You're not looking for a generic program. You want to understand what's actually happening and deal with it properly.
  • +You've been dealing with the same issues for a while, back pain, fatigue, inconsistent energy, and the standard responses haven't solved them. You're ready to look deeper.
  • +You want someone who will give you a straight answer, not a program or a sales pitch. You can handle the truth about what's going on with your body.
  • +You're willing to follow a structured plan consistently. Not perfectly. But consistently. The people who get the most out of this are the ones who actually do the work.
  • +You're ready to take your physical health as seriously as you take everything else in your life. That's the level I work at, and it's what I ask of the people I work with.

This probably isn't right for you if:

  • −You're looking for a quick fix, a motivational push, or a wellness program you can mostly ignore.
  • −Your primary goal is how you look rather than how your body is actually functioning. That's a different kind of work and there are better people for it than me.
  • −You want someone to just tell you what to do without understanding why. I'm going to explain what I'm finding and why it matters. That's part of how this works.
  • −You're not in a position to be consistent right now. Life happens, and I understand that. But this requires real engagement to work. If the timing isn't right, that's okay.
How I Think About This Work

A few things worth understanding before we talk.

These are the ideas that shape how I approach every client. Not a philosophy statement. Just the things I've found to be true after 17 years of doing this work.

Recovery

Your body doesn't fail suddenly. It fails through a long sequence of small things nobody managed.

In 17 years of practice I have not seen many dramatic breakdowns. What I have seen, repeatedly, is the slow accumulation of unmanaged load. A back that gradually tightened. Recovery that slowly shortened. Energy that quietly declined. The pattern is almost always the same. The intervention point is almost always later than it needed to be.

Apply for advisory →
Structural Health

Most recurring pain is a management problem, not a diagnosis problem.

The majority of people I see with chronic back pain, joint pain, or recurring soft tissue problems have had the same thing treated multiple times without anyone addressing why it keeps coming back. The diagnosis is usually not the missing piece. The missing piece is a sustained, structured approach to the underlying mechanics.

Apply for advisory →
Performance

The people who age best are not the ones who try harder. They're the ones with a system.

Effort alone does not preserve capacity. The executives and professionals I have worked with who are still physically sharp in their 60s and 70s are not the ones who pushed through everything. They are the ones who treated their physical health as something to be managed deliberately, with the same rigor they brought to everything else.

Apply for advisory →
Apply for the Advisory

If your body is the platform
your work depends on,
it deserves a system.

I read every application myself. If it sounds like a good fit, we start with a full intake and assessment so I actually understand your situation before we do anything else. I take a limited number of clients at a time, so if you're serious, apply sooner rather than later.

Submit Your Application Contact Directly

andrewestconsulting.com  ·  performanceopto.com  ·  info@andrewestconsulting.com