Sports Endocrine and Metabolism
Weight gain? Fatigue? Decreased sex drive? These are all issues related to your endocrine system and metabolism. The way your body produces certain hormones and uses nutrients can greatly affect your athletic performance and your quality of life. Scottsdale Sports Medicine Institute has a team of medical experts on staff to help identify why you’re not operating at peak performance, including tests to identify issues with muscle mass, hormones, lung and heart function. We will develop a plan to get you back to optimal health and performance, so you can start living your best life.
Available Services
Masters Athlete Program
The aging athlete is an important and popular patient profile that Dr. David Carfagno treats.
It all started back at the Cleveland Clinic Foundation during Dr. Carfagno’s residency and fellowship. At the time, there wasn’t much literature about supplementing the aging athlete with testosterone, but he had a hunch that it made sense. As studies came out showing the effectiveness of “low T” treatment, Dr. Carfagno began including it in his patients with great success.
He then created the Masters Athlete program to provide tools and treatment plans to keep the aging athlete at the top of their game. This includes evaluating the spectrum of biometric data that decline with age, including Testosterone, Aerobic Capacity (VO2 Max), Muscle Mass (DEXA Body Composition), Pulmonary Function and Renal Function.
Resting Metabolic Rate (RMR)
The Resting Metabolic Rate (RMR) is a 10-20 minute breath test to determine the amount of calories your body burns in a day at rest.
You simply sit back, relax and breathe.  During the test, the air you breathe in and out is analyzed to figure how much oxygen your body uses to maintain basic life functions.
Once completed, we use your RMR calories to provide a foundation for your calories burned during a day. We then add calories burned during activities of daily living and exercise calories to get a total calorie expenditure for the day.
This is for anyone who is interested in losing weight, gaining weight or knowing their true metabolic rate.
Download the Pre-Test Instructions to prepare for your RMR test.
DEXA Body Composition-Bone Density Scan
The DEXA (dual x-ray absorptiometry) Body Composition Scan is a painless, non-invasive procedure that scans your body as you lay down on a special table.
It is commonly used to measure bone mineral density for detecting low bone density or osteoporosis.
The DEXA is also the gold standard of estimating body composition, including your muscle mass and body fat percentage.
Download the Pre-Test Instructions to prepare for your DEXA Body Composition Scan.
Metabolic Enhancement Program
The Metabolic Enhancement Program at Scottsdale Sports Medicine Institute is designed for patients seeking to lose weight, gain weight, build muscle or enhance performance. Dr. David Carfagno created this program years ago to provide the necessary tools to give medical guidance, monitoring and accountability for those on a journey to get healthy. The doctor and his team take patients through the process of learning how to properly fuel their bodies, how to effectively burn calories without losing muscle mass, and how to be aware of the inevitable pitfalls and challenges that they may face in daily life. This includes using cutting-edge metabolic testing equipment and weekly check-ins to hold patients accountable with their food and exercise goals.Â
Before signing up the Metabolic Enhancement Program, a yearly evaluation is required with Dr. Carfagno. This will include getting a resting metabolic rate test, DEXA body composition scan, exercise consult, review of food/exercise log and wearable setup.
Membership Includes the Following:
- 1 Weekly Weigh-in/Check-in Visit w/Dr. Carfagno or Healthcare Provider
- Review Food/Exercise Logs (MyFitnessPal and Garmin Connect)
- Personal Training Sessions with an SSMI Coach (Separate Fee)
