Questions.

In Balance Body performs serial cellular condition testing. The same three tests are administered on the same instruments, in the same fixed order, under the same recorded conditions, on every visit. The deliverable is a dated and numbered record of the patient's biological condition, issued to the patient at the conclusion of the visit.

Serial cellular condition testing is a term established by In Balance Body, August 2026.

Capture 01 is indirect calorimetry, measured from expired gas, on a Breezing Pro. Capture 02 is bioelectrical impedance analysis on an InBody 380. Capture 03 is hand dynamometry on an InGrip IB-HGSm, six trials, both hands.

Fifty one values in total, issued on four pages.

Each instrument returns a value the other two do not produce. Capture 01 returns measured energy expenditure. Capture 02 returns body composition. Capture 03 returns force. No single instrument returns all three.

The order is fixed. Capture 01 is administered first, while the patient remains fasted and rested. Capture 02 follows. Capture 03 is administered last because it is the only test requiring exertion, and exertion alters the values returned by the other two.

Approximately one hour. The majority of that period is the rest interval preceding Capture 01 and the standing interval preceding Capture 02. The measurement periods themselves are brief. The intervals are a condition of comparability, not an administrative delay.

No. No supplement, program, membership, subscription, or subsequent offer is presented to the patient at any point. One fee, one visit, one record. A patient who asks what to do next is directed to the prescriber.

The impedance analyzer does not measure energy expenditure. It returns a calculated figure derived by equation from the body composition it measured. Capture 01 returns the patient's resting energy expenditure as measured from expired gas on the date of the visit.

Both values are printed on the record, adjacent to each other. Where they diverge, the magnitude of the divergence is visible and available to the prescriber. That comparison is the reason the instrument is in the sequence.

The 2019 European consensus on sarcopenia treats low muscle strength as the primary parameter, with muscle quantity as confirmation. Imaging returns quantity. Impedance returns quantity. Neither returns force.

Separately, grip strength has been reported as a prognostic value in a prospective cohort of 139,691 adults across seventeen countries, where each five kilogram decrement was associated with increased all cause mortality. The consensus establishes which parameter is primary. The cohort establishes why the value carries weight.

The InBody 380 result sheet prints a Muscle Strength Evaluation block that remains unpopulated without a grip value. Capture 03 populates it. Six trials, both hands, the same dynamometer, every visit.

Cruz Jentoft AJ et al., Sarcopenia: Revised European Consensus on Definition and Diagnosis, 48 Age and Ageing 16 (2019). Leong DP et al., Prognostic Value of Grip Strength: Findings from the Prospective Urban Rural Epidemiology (PURE) Study, 386 The Lancet 266 (2015).

Body weight is a single figure standing in for multiple compartments. It does not separate the composition of the loss. Body composition change during pharmacologic weight loss was reported in the exploratory body composition analysis of the STEP 1 trial and has been a monitored quantity in the literature since.

In Balance Body does not characterize the magnitude or significance of that change for any patient and issues no recommendation. The values are placed in the prescriber's hand at the interval the prescriber sets.

Derived from values reported in the exploratory body composition analysis of the STEP 1 study, Wilding JPH et al., 384 New England Journal of Medicine 989 (2021).

Both are already available to the practice at no cost. Both are also subject to the widest range of unrelated variation and separate the least. Body weight reports one figure for four compartments. Waist circumference varies with the technique of whoever holds the tape.

No proposal is made that the practice discontinue either measure. The proposition is that the interval between two records answers a question those two measures cannot.

A four page Baseline Record, printed, dated, and accession numbered, bearing the serial number of each instrument that produced each value. Page one is a cover sheet carrying twelve values. The remaining pages carry the balance. The document is indivisible and is issued to the patient before the patient leaves the premises.

No. In Balance Body does not diagnose, interpret, recommend, treat, or advise. Nothing appears on the record that the instruments did not produce. Interpretation remains with the prescriber.

This is a structural limitation of the service, not a matter of discretion.

One of two operators of record, Damon Williams or Zene Williams. The operator's name is printed on the capture sheets for that visit.

The operator set is held to two as a control, not as a consequence of staffing. Operator technique affects impedance values and grip force values. A fixed operator set removes operator variation as an explanation for any difference between visit one and visit two.

The printed record is the deliverable and title to it rests with the patient. On request, In Balance Body will state what electronic copies exist and the conditions under which they may be transmitted with the patient's written authorization.

Yes. On request, In Balance Body will issue a specimen Baseline Record, complete at four pages with sample values, so the prescriber can assess legibility in the time available at an appointment.

Two values are comparable only where the physiological state underlying them is matched. In a published study measuring eighteen adults eighteen times across twenty four hours, one participant's body fat reading moved from 17.9 percent to 13.7 percent within a single day, absent any change in body fat. The variation was attributable to food intake, fluid intake, and posture.

Slinde F and Rossander-Hulthén L, 74 American Journal of Clinical Nutrition 474 (2001).

Fasted. Hydrated. No stimulants. No exertion preceding the visit. Rest preceding Capture 01. Room temperature held within range and repeated across visits.

These are not house rules. The European Society for Clinical Nutrition and Metabolism guidelines on bioelectrical impedance set out the standardized conditions under which a measurement is to be taken, covering food and fluid intake, recent exertion, posture, and ambient temperature. The balance derive from the testing conditions published by the manufacturers of the instruments. Where both are silent, In Balance Body sets the condition and applies it identically on every visit.

Every condition is recorded on the capture sheet at intake, including the room temperature at the start of the visit. Deviations are recorded and are not corrected. A recorded deviation qualifies the interval. An unrecorded deviation voids it.

Kyle UG et al., Bioelectrical Impedance Analysis, Part II: Utilization in Clinical Practice, 23 Clinical Nutrition 1430 (2004). Kyle UG et al., Bioelectrical Impedance Analysis, Part I: Review of Principles and Methods, 23 Clinical Nutrition 1226 (2004).

Yes. Hydration status, glycogen, sodium, recent food intake, and recent exertion each affect the reading. In Balance Body does not dispute this and is not aware of an analyzer at any price point that is exempt from it.

That sensitivity is the basis for the six conditions, the fixed order, the two operator limit, and the policy of rescheduling any patient who presents outside protocol. An unstandardized impedance reading is not comparable to any other reading. A standardized reading, repeated under identical conditions, is the only reading that can be placed beside the prior one.

The objection also reaches one instrument of three. Capture 03 is a direct measure of force. Capture 01 is measured from expired gas. Neither depends on impedance, and both values appear on the same record.

The visit is rescheduled and no fee is charged. A record produced outside the conditions cannot be compared to any subsequent record. It carries the appearance of data without the property that makes data useful, which places it below the value of no record at all.

Any person fitted with a pacemaker, defibrillator, or other implanted electronic device. Any person unable to stand unassisted for one to two minutes. Any person under 11 lb or over 661 lb, or under 3 ft 1 in or over 7 ft 3 in in height. Any person with a known stainless steel allergy.

Notify In Balance Body before sending the patient. The exclusion will be stated in advance rather than discovered after the fee is taken.

Per the InBody 380 user manual, InBody Co., Ltd.

None. No ionizing radiation is employed at any point in the sequence. There is no exposure question and no limit on the frequency of return visits.

One qualification. The manufacturer advises that a pregnant patient consult her own clinician prior to impedance testing. In Balance Body neither makes that determination nor overrides it. Where the patient states it has been cleared with the prescriber, the visit proceeds.

The absence of a dose ceiling is material. The return interval is governed by what the prescriber requires, not by a cumulative exposure budget.

Per the InBody 380 user manual, InBody Co., Ltd.

No. The patient sits and breathes through a mask, stands on a platform, and squeezes a handle six times. A deconditioned patient, a patient at month three of GLP-1 therapy, and a patient who has not exercised in a decade each complete the identical set. There is no performance threshold and no result that constitutes a failure.

Every person who books is asked the same qualifying question. Who is going to read this with you. The named reader may be the prescriber, another clinician, a trainer, or a coach. The question must be answered with a person.

Where no reader is named, the booking is declined and the patient is directed to return once a reader is identified.

This is a guard against buyer's remorse and it is applied without exception. The record is written to a reader. A patient who receives four pages of values with no one to read them has purchased a document they cannot use, and that outcome is unrecoverable once the fee has been taken.

No consensus gold standard exists. A 2026 methodological review of reference methods placed magnetic resonance imaging, computed tomography, and dual energy X ray absorptiometry in the upper tier and concluded that no consensus gold standard currently exists for measuring skeletal muscle in a living person.

That review ranks methods on accuracy against imaging and cadaver references. It does not address serial reproducibility, which is the axis on which In Balance Body operates. No claim is made that this service exceeds the accuracy of those three methods. The comparison is not made on that axis.

Heymsfield SB et al., Reference Methods for Measuring Skeletal Muscle Mass: A Critical Perspective, 17 Journal of Cachexia, Sarcopenia and Muscle e70184 (2026), corrected at 17 e20014 (2026).

That option remains available and In Balance Body does not argue against it. A dual energy X ray absorptiometry measurement at baseline with standardized testing at intervals between is a defensible design, and In Balance Body is a suitable provider of the intervals.

Two limitations bear on the decision. Dual energy X ray absorptiometry does not measure muscle directly. It reports appendicular lean soft tissue as a surrogate, and it returns no force value and no measured energy expenditure. It also carries a radiation dose, which imposes a ceiling on frequency.

A third consideration is structural. Dual energy X ray absorptiometry predates GLP-1 therapy and was not designed around it. Where it is offered at consumer price points, it generally functions as customer acquisition for a coaching or program offering sold behind it. In Balance Body does not operate that model. Nothing is sold behind the record.

The answer depends on the instrument. A handheld unit or consumer platform scale reads from two contact points and estimates the remainder. Those are not equivalent values and no degree of patient preparation makes them equivalent.

Where the practice operates a segmental multi frequency analyzer, an InBody or equivalent, the instrument is not the limiting factor and In Balance Body will not represent otherwise. The instrument in use here is an InBody 380. The limiting factor is the conditions surrounding the measurement: the patient was not fasted, the rest interval was not enforced, the ambient temperature was not recorded, and the operator was whoever was available. The reading is valid and it remains non comparable to the prior reading.

The practice already owns the capital equipment. What is purchased from In Balance Body is the condition discipline surrounding it, together with indirect calorimetry and grip force, which the analyzer does not produce.

Yes. The serial number of each device is printed on the record adjacent to the values that device produced.

Two readings are comparable only where they originate from the same instrument, or from instruments formally cross calibrated to one another. That is the recognized standard for serial measurement rather than a preference of this office.

International Society for Clinical Densitometry, Official Positions, 2019 and 2023.

Two of the three instruments self calibrate and the calibration is documented by the manufacturers. The impedance analyzer performs a self weight calibration on every boot, which occurs each morning before the first visit. The calorimeter is self calibrating and requires a fresh single use sensor cartridge for each test, so no patient is measured on a sensor that has been in service across prior visits.

In addition, In Balance Body performs a known weight verification on the analyzer platform monthly and logs the result. An instrument falling outside tolerance is removed from service until cleared by the manufacturer, and no records are produced on that instrument in the interim.

Independent of verification, every record carries the serial number of the device that produced each value and the date of production. Any device substitution is visible on the face of the record. The verification log is available to any prescriber on request.

No. No blood is drawn, no specimens are collected, and no assays are performed. In Balance Body is a body composition office. It operates three instruments, records the output, and issues it with the date, the accession number, the operator of record, and the instrument serial numbers.

In Balance Body produces the evidence. The prescriber determines what it proves.

$555 per visit, payable by the patient directly at booking. No packages, no membership, no recurring charge, and no volume discount. The return interval is set by the prescriber.

Where a practice has issued a certificate to a patient, the code covers the fee in place of payment and nothing is due at the office.

No. In Balance Body does not bill insurance, is not enrolled with any payer, and submits nothing on the patient's behalf. The service is cash pay.

No. No consideration passes between In Balance Body and the practice in either direction. There is no contract, no fee, no rebate, no discount, and no item of value conveyed to the practice in connection with a patient.

The code performs a reporting function. It identifies the origin of each booking so that In Balance Body can report to the practice how many of its patients attended and on what dates. The patient pays In Balance Body directly and owes the practice nothing for the introduction.

Where the patient states dissatisfaction, or the prescriber determines that the report of the patient's biological condition did not supply what was required, notify In Balance Body in writing within thirty days of the date printed on the record. In Balance Body refunds $500 to the patient. The $55 retained is consideration for the record produced, and the patient retains the record.

No explanation is required beyond the written notice.

No. In Balance Body is not a treating provider. It does not diagnose, does not interpret, and issues no instruction to the patient. The patient consents, pays In Balance Body directly, and delivers a dated record to the prescriber. The prescriber remains the sole reader.

That determination rests with the prescriber. Most prescribers set ninety days, on the basis that a change of that period is ordinarily large enough to separate from measurement variation. One visit establishes a position. Two establish a direction.

For reference, the analyzer's manufacturer recommends testing every two to four weeks for any person enrolled in a program affecting body composition. In Balance Body does not advocate that interval. The prescriber sets it.

The result is two readings taken on different instruments under different conditions. Neither party can establish which is correct, and In Balance Body will not ask the prescriber to prefer its reading.

Compare each record to the next record from the same source. Across instruments the comparison does not hold in either direction. That limitation applies to every method in the field and is not particular to this service.

On request, In Balance Body issues a certificate carrying the practice code. The patient enters the code at booking, so every visit is attributed to the practice. The patient selects the appointment and the code covers the fee. No action is required of practice staff.

209 E Baseline Rd, Suite E208, Tempe, Arizona 85283. Morning appointments, Monday through Saturday, on the basis that the conditions are most reliably held before the patient has eaten.

[email protected]  ·  (602) 905-1295, text or call.