---
title: "High Performance Medicine"
date: "2025-01-20"
modified: "2026-03-07"
medically_reviewed: "2026-03-07"
canonical_url: "https://www.threeriversmedicine.com/what-we-do/high-performance-medicine"

# Service / MedicalProcedure
schema_type: "MedicalProcedure"
procedure_type: "NoninvasiveProcedure"
service_name: "High Performance Medicine"
service_description: "Nutrition counseling at Three Rivers Concierge Medicine provides personalized dietary plans, lab testing, and ongoing support to help you achieve your health goals."

# Provider
organization: "Three Rivers Concierge Medicine"
organization_type: "MedicalBusiness"
service_area: "Greater St. Louis, Missouri"
medical_specialty: "Primary Care, Endocrinology"
practice_model: "Direct Primary Care - Membership Based"

# Patient Reviews
aggregate_rating: "5"
review_count: 7
---

# High Performance Medicine

## Table of Contents
* [High Performance Medicine](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#high-performance-medicine)
* [High Performance Medicine Q & A](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#high-performance-medicine-q-amp-a)
* [What is High Performance Medicine?](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#what-is-high-performance-medicine)
* [What Services Does High Performance Medicine Provide?](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#what-services-does-high-performance-medicine-provide)
* [What Happens During a High Performance Medicine Appointment?](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#what-happens-during-a-high-performance-medicine-appointment)
* [What Are the Follow-Up Appointments Like?](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#what-are-the-follow-up-appointments-like)
* [Frequently Asked Questions](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#frequently-asked-questions)
* [Other Services](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#other-services)
* [Optimizing physical and cognitive performance through advanced diagnostics and individualized protocols.](https://www.threeriversmedicine.com/what-we-do/high-performance-medicine#optimizing-physical-and-cognitive-performance-through-advanced-diagnostics-and-individualized-protocols)

---

![Woman on treadmill with sensors, doctor monitoring data on tablet.](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-925425890.jpg)

Optimize fitness and performance through personalized care

## High Performance Medicine

![Middle-aged man exercises with his personal trainer](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-1327278366.jpg)

![Woman on treadmill with sensors, doctor monitoring data on tablet.](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-925425890.jpg)

High performance medicine at Three Rivers Concierge Medicine offers a personalized approach to achieving your best health. Under the care of your physician, we combine preventive care, stress management, nutrition counseling, and advanced diagnostics to help you optimize your physical and mental performance.

## High Performance Medicine Q & A

## What is High Performance Medicine?

High performance medicine is an individualized, science-based approach focused on optimizing your overall health and performance. By understanding your unique genetics, lifestyle, and biochemical makeup, your physician can design a personalized treatment plan to overcome health obstacles and enhance your wellness. This approach empowers you to reach your full potential, whether you’re aiming to improve athletic performance, mental clarity, or overall health.

![Man in a gym, smiling, sitting beside medical equipment.](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-01/iStock-518149043.jpg)

## What Services Does High Performance Medicine Provide?

In a high performance medicine appointment, we address key factors that contribute to your well-being:

- **Diet and nutritional counseling** to fuel your body for peak performance
- **Habit journaling** to track exercise, nutrition, and sleep
- **Stress management** techniques to improve mental health and resilience
- **Preventive medicine** to catch health concerns before they become issues
- **Hormonal optimization** for better physical and mental balance
- **Genetic testing** to identify personalized treatment approaches
- **Medications and nutritional supplements** to enhance your health

By addressing these factors, we help you achieve and sustain high performance in all areas of life.

## What Happens During a High Performance Medicine Appointment?

Your initial high performance medicine appointment includes a comprehensive physical exam and an in-depth review of your health history and habits. Your physician will evaluate your current lifestyle and determine areas for improvement. Alongside the exam, we may order laboratory tests, such as blood work and urinalysis, to detect imbalances like high cholesterol, vitamin deficiencies, or hormone imbalances.

After reviewing the test results, we’ll create a customized action plan tailored to your specific goals. This plan will address your unique needs and help you achieve optimal health.

## What Are the Follow-Up Appointments Like?

Follow-up visits focus on reviewing your progress. You’ll track your habits, such as exercise, nutrition, and sleep, in a journal. Your physician will assess the impact of these habits on your health and adjust your plan as necessary. These ongoing appointments help ensure that your action plan stays on track and continues to drive you toward your health goals.

High performance medicine is a personalized, **data-driven approach** to optimizing your physical and cognitive function — not just treating illness, but actively enhancing how you feel and perform. At Three Rivers Concierge Medicine in Creve Coeur, Dr. Shoemaker combines advanced diagnostics, hormonal evaluation, genetic testing, nutrition planning, and targeted supplementation into a unified strategy. It's for people who don't just want to be "not sick" — they want to operate at their best.

What is high performance medicine?

**No** — it's for anyone who wants to optimize energy, mental clarity, body composition, sleep quality, or resilience to stress. Business executives, professionals managing demanding schedules, and adults noticing age-related declines in performance all benefit from this approach. At Three Rivers in St. Louis, most high performance patients are driven people who've outgrown what standard healthcare offers.

Is high performance medicine only for athletes?

The initial evaluation includes **comprehensive bloodwork** (metabolic panel, inflammatory markers like hs-CRP and homocysteine, full thyroid panel, vitamin D, B12, iron studies), hormonal panels, body composition analysis via InBody, and potentially *Tempus xG+* genetic testing to identify your unique biochemical profile. Dr. Shoemaker uses this data — not guesswork — to design a targeted plan addressing specific deficiencies, imbalances, or untapped potential. Follow-up testing tracks your progress objectively so adjustments are based on evidence, not assumptions.

What kind of testing is involved?

Personal trainers and nutritionists don't have access to your labs, medical history, hormonal data, or genetic profile — and they can't prescribe medications, order diagnostics, or diagnose conditions that may be limiting your performance. High performance medicine at Three Rivers integrates all of these under **physician oversight**, creating a plan that's medically informed rather than generically aspirational. Fitness and nutrition guidance are part of it, but they're built on clinical data.

How is this different from working with a personal trainer or nutritionist?

Your plan may include hormonal optimization, targeted supplementation, nutrition protocols, exercise programming, sleep optimization strategies, stress management techniques, and **ongoing lab monitoring** — all tailored to your specific goals and data. Dr. Shoemaker adjusts the plan at regular follow-ups based on your results and feedback. Everything is coordinated through your concierge membership, so there's one physician managing the complete picture.

What does a high performance care plan include?

These are among the most common reasons patients seek high performance care — and research in the *[Journal of Clinical Endocrinology & Metabolism](https://academic.oup.com/jcem)* confirms they're often traceable to specific, correctable causes like hormonal imbalances, nutritional deficiencies, poor sleep architecture, or **chronic low-grade inflammation**. Dr. Shoemaker runs targeted diagnostics to identify the root cause rather than masking symptoms with stimulants or supplements. Most patients at Three Rivers in Creve Coeur report meaningful improvement once the underlying issue is addressed.

Can high performance medicine help with brain fog and low energy?

## Frequently Asked Questions

## Other Services

## Optimizing physical and cognitive performance through advanced diagnostics and individualized protocols.

Nutrition counseling at Three Rivers Concierge Medicine provides personalized dietary plans, lab testing, and ongoing support to help you achieve your health goals.