What happens in an appointment?

You complete a health and lifestyle questionnaire before you arrive. In the clinic you have an InBody 270 body composition scan, which takes about 15 seconds, then a 45-minute one-to-one consultation. Dr Hiscutt PhD reads your scan alongside your history and symptoms, and you leave with a personalised metabolic action plan you can start the same day.

Men's metabolic health · Root Cause Clinic

The male menopause, without the hype

Tired, thicker round the middle, and not quite yourself

You are knackered in a way sleep does not fix. The waistband is tighter. Drive is down, mood is flat, and you have been told it is just your age.

Some of that is age. Most of it is your metabolic health, and that is something you can change. The symptoms men describe as the male menopause, the andropause or the manopause are real. The cause is usually metabolic: blood sugar, the fat that gathers around your organs, muscle you have quietly lost, stress and broken sleep. A sudden drop in testosterone is rarely the main driver.

I am Dr Rebecca Hiscutt PhD, a registered dietitian. I run the Root Cause Clinic across North Somerset and online. I read your body composition alongside your history and symptoms, find what is actually driving how you feel, and give you a plan you can start the same day.

Enquire about an appointment

Root Cause Clinic, metabolic health support for men in midlife

Does this sound like you?

This clinic is a good fit for men in their 40s and 50s who want to feel like themselves again. It tends to ring true if you recognise:

Energy that does not come back Tired through the afternoon, flat in the evening, and waking up unrefreshed even after a full night.
Weight settling around the middle A waistband that keeps moving despite the gym, the running, or eating much as you always have.
Low drive and flat mood Less interest in sex, less get-up-and-go, shorter fuse, and a general sense of going through the motions.
Broken sleep Waking in the night, snoring, or sleeping the hours but never feeling rested.
Numbers creeping up Rising blood pressure, blood glucose or cholesterol, or a pre-diabetes letter you were not expecting.
Low testosterone on a blood test Already investigated, already on treatment, and still wanting the metabolic side handled properly.

Enquire about an appointment

What is really going on

The male menopause, looked at properly

The headline version says your testosterone has fallen off a cliff and you need to top it up. The evidence is quieter than that. In men, testosterone declines slowly, around one percent a year from your late thirties, and on its own that rarely explains feeling wrung out. The NHS makes the same point: lifestyle and metabolic factors are usually doing most of the work.

Most of what men call the manopause is metabolic. And metabolic is fixable.

Here is the loop that catches men in midlife. Visceral fat, the fat that packs around your organs, drives up inflammation and pushes blood sugar the wrong way. That same fat lowers testosterone, which makes muscle harder to hold and fat easier to gain. Less muscle means a slower metabolic rate, which means more fat, and round it goes. Pull on the right thread, the metabolic one, and the loop starts to unwind.

That is the work this clinic does. We find which part of the loop is loudest for you, and we change it.

How the clinic works

One focused appointment, built around real data rather than guesswork.

Step 01 · Before your session

The clinical head-start

Once you book, I send a health and lifestyle questionnaire. Your history, medications and current diet reach me in advance, so we use every minute well.

Step 02 · The InBody scan

Your metabolic picture, in 15 seconds

You stand on the InBody 270 barefoot and hold two handles for about 15 seconds. It measures visceral fat level, skeletal muscle mass, body fat percentage and metabolic rate. The numbers behind how you feel, made visible.

Step 03 · The consultation

Joining the dots

Across 45 minutes we work through your scan and history together and connect them to your symptoms. Ask anything: training, supplements, what to eat for a demanding week. We build the plan together.

Step 04 · What you leave with

A plan personalised to you

You go home with a personalised metabolic action plan: the specific nutrition, movement and lifestyle changes most likely to shift your picture, in an order you can actually follow.

Included with every appointment

See exactly what you get: your body composition report

Each scan maps your muscle, visceral fat and metabolic engine score, visit by visit. The numbers power the advice: Dr Rebecca Hiscutt PhD reads them alongside your history and symptoms, so your plan is personalised to you.

Explore a sample report →

The sample uses fictional data. Yours is private, behind your own access code.

Sample body composition report: metabolic engine score with an interactive figure showing skeletal muscle, body fat, visceral fat, body water and lower limb metrics

Honest about scope

Where I can help, and where I will send you on

I am a registered dietitian with a PhD, so I work on the metabolic and lifestyle causes of how you feel: body composition, blood sugar, nutrition, movement, sleep and stress load. That covers the ground underneath most midlife symptoms, and it is ground the hormone clinics often skip.

What I do not do is prescribe. If your story points to testosterone deficiency that should be investigated or treated, I will say so directly and point you to your GP or a hormone specialist. Plenty of men do best with both: the medical side handled by a prescriber, the metabolic side handled here. You will always know which is which.

Practical details

Where

In person across North Somerset and Bristol: Portishead, Clevedon and Nailsea. Online appointments are available UK-wide.

What you get

InBody 270 body composition scan (in person)
45 minutes of focused clinical consultation
A personalised metabolic action plan to take home
Online booking only

Cost

£95 per in-person appointment, including the InBody scan.
Returning patients: £85.
Virtual appointments: £60.

How to book

All bookings are online. Choose a clinic or a virtual slot, and you will receive your questionnaire straight after.

FAQ

Common questions

Is the male menopause real?

The term male menopause, sometimes called the andropause or the manopause, is a loose label for a real set of midlife symptoms: low energy, weight around the middle, poor sleep, low mood and reduced drive. Testosterone in men falls slowly, around one percent a year from your late thirties, so it rarely explains the whole picture on its own. A sudden hormone cliff is the exception, not the rule.

More often the drivers are metabolic: blood sugar, visceral fat, lost muscle, stress and sleep. That is the part this clinic addresses, and the part you can change.

Do you prescribe testosterone or TRT?

No. I am a registered dietitian, not a prescriber. This clinic works on the metabolic and lifestyle causes of how you feel. If your history suggests testosterone deficiency should be investigated, I will tell you plainly and point you to your GP or a hormone specialist. The two approaches sit well alongside each other.

I have been told my testosterone is low. Is this still for me?

Yes, and often it is the missing half. Body fat, particularly visceral fat, lowers testosterone, and low testosterone makes muscle harder to hold and fat easier to gain. Improving the metabolic picture supports the whole system, whether or not you are also being treated with hormones.

I already train hard. Why am I still gaining round the middle?

Training matters, but you cannot out-train blood sugar that is swinging all day, broken sleep, or a diet that looks healthy but spikes you repeatedly. The scan shows where your muscle and visceral fat actually sit, so we can target the lever that is holding you back rather than adding more of what is already working.

What does the InBody scan involve?

The InBody 270 is a medical-grade body composition analyser. You stand on it barefoot and hold two handles for about 15 seconds. It measures visceral fat level, skeletal muscle mass, body fat percentage and estimated metabolic rate, separately for your arms, legs and trunk. No preparation needed. I interpret the results with you and use them to build your plan.

Where and how much?

In-person appointments run across North Somerset and Bristol and cost £95, including the InBody scan. Returning patients pay £85. Virtual appointments are £60 and available UK-wide. All bookings are made online.

Metabolic health, not TRT

Ready to feel like yourself again?

You do not have to guess your way through midlife, and you do not have to settle for it either. Book an appointment and start making sense of what your body is telling you.

“Dr Rebecca Hiscutt has been instrumental in supporting me in my metabolic health journey. Her practical advice on how to interpret data from cholesterol tests has been invaluable. She is super-approachable, friendly and knowledgeable.”

— Colin, Google review

Enquire about an appointment I look forward to meeting you.