Clinical-Grade Breath Analysis
Vitora uses PNOĒ — the world's most advanced portable metabolic analyzer — to measure 23 biomarkers through a single breath test. In under 10 minutes, we reveal what bloodwork can't: how your body actually burns fuel, ages, and performs.
The convergence of Cellular, Functional, and Regenerative Care designed to transform your performance, longevity, and aesthetics.
Non-invasive, supervised by our team, and done in under 10 minutes. No blood draws, no needles, no guesswork.
Wear the Mask
You are fitted with the PNOĒ breath analyzer — a lightweight, clinical-grade mask. You simply breathe normally. Some tests are done at rest; others involve a brief, structured exercise protocol on a treadmill or cycle ergometer tailored to your goals.
Breath Analysis
PNOĒ measures your oxygen uptake (VO₂), carbon dioxide output (VCO₂), ventilation dynamics, respiratory exchange ratio (RER), and metabolic thresholds breath-by-breath — with the same precision as a hospital-grade metabolic cart, validated at r = 0.98.
Your Full Protocol
Your Vitora team reviews your results immediately and delivers a personalized protocol — covering your exact caloric needs, optimal training heart rate zones, macronutrient targets, biological age assessment, and recovery interventions.
Every metric PNOĒ captures is grounded in direct measurement — not estimation. Here are the key biomarkers and what they reveal about your biology.
VO₂ Max
Cardiorespiratory Fitness
The gold standard predictor of longevity and cardiovascular health. Higher VO₂ max is directly associated with reduced all-cause mortality risk and better long-term outcomes.
Resting Metabolic Rate
True Caloric Baseline
The exact number of calories your body burns at rest. Critical for weight loss, performance nutrition, and preventing metabolic slowdown in GLP-1 or hormone therapy programs.
Respiratory Exchange Ratio
Fat vs. Carbohydrate Burn
Reveals whether your body preferentially burns fat or carbohydrates — the key to understanding metabolic flexibility, insulin sensitivity, and optimal nutrition strategy.
Biological Age
True Age vs. Chronological Age
PNOĒ calculates your biological age from your cardiorespiratory biomarkers. The most actionable longevity metric available — and the one most responsive to intervention.
Ventilatory Threshold
Training Zone Precision
Pinpoints your exact aerobic and anaerobic thresholds — enabling truly personalized heart rate training zones that maximize fat burn, mitochondrial function, and endurance adaptation.
Recovery Efficiency
Post-Exercise Oxygen Kinetics
Measures how quickly your cells clear fatigue metabolites and restore oxygen after exertion. Directly informs recovery protocols, sleep strategy, and training load management.
Every metabolic test at Vitora ends with a team consultation and a complete, actionable protocol — not just a report.
Full Biomarker Report
A complete breakdown of all 23 biomarkers with physician commentary — biological age, VO₂ max, RMR, RER, ventilatory thresholds, and recovery metrics.
Team Consultation
A 1:1 session with your Vitora clinician team to walk through your results and build the intervention strategy specific to your biology and goals.
Personalized Training Zones
Exact heart rate and intensity zones derived from your ventilatory thresholds — not age-based formulas. Built for your biology.
Nutrition Protocol
Precise caloric targets, macronutrient ratios, and meal timing recommendations calibrated to your RMR and fat oxidation profile.
Re-Test Roadmap
A scheduled re-test plan at 6–12 week intervals to track biological age reversal, VO₂ improvements, and metabolic adaptation in real time.
Metabolic testing is not just for elite athletes. It is the most accurate starting point for anyone pursuing meaningful, lasting change.
Performance Athletes
Stop guessing your training zones. PNOĒ identifies your exact VO₂ max, ventilatory thresholds, and fuel efficiency — so every session is optimized for your physiology, not a population average.
Weight Loss & Body Composition
Understand exactly how many calories your body burns at rest and during exercise, and whether you are burning fat or carbohydrates — the two most critical variables for sustainable fat loss.
Longevity & Healthspan
VO₂ max is the single strongest predictor of longevity available to clinicians. Knowing your biological age and cardiorespiratory fitness creates the roadmap for adding healthy decades.
Hormone & GLP-1 Programs
Metabolic testing is essential during hormone optimization and weight-loss therapy. It tracks RMR in real time — preventing the metabolic slowdown and muscle loss that silently undermine results.
PNOĒ is the world's first portable metabolic analyzer validated to clinical gold-standard precision. Peer-reviewed across multiple studies with correlation coefficients of r = 0.98 against the COSMED Quark CPET system — the same equipment used in hospital cardiology labs.
Book your PNOĒ metabolic test at Vitora. In under 10 minutes you will know more about your biology than most people discover in a lifetime.