Integrative Performance Evaluations — New Orleans
By application · New Orleans · In partnership with Ochsner Executive Health
A full medical and performance workup, then a custom program built from your data — for people who want to stop renting their health and take ownership of it.
What this is
Not a workout plan. Not a diet.
Integrative Performance is a multi-disciplinary evaluation — cardiology, body composition, lab chemistry, physical therapy, and nutrition — synthesized into one integrated performance plan built specifically for you.
I deliver this in partnership with Ochsner Executive Health. You get the medical infrastructure of one of the country's leading health systems, and you get a coach who knows how to translate the data into a real program — not a PDF and a handshake.
The lineage
43 years. 3,000+ professional athletes.
Integrative Performance is the model my father, Mackie Shilstone, built and ran across multiple hospital-affiliated programs over a 43-year career working with more than 3,000 professional athletes and high-performing individuals — from world champion boxers to Hall of Fame quarterbacks to Fortune 500 executives.
I'm now delivering that model through Ochsner Executive Health, with the same standard of work and the same expectation: data first, program second, results that hold up.
The process
Six steps. One integrated plan.
A one-time evaluation, not a recurring service. Expect 2–4 visits to Ochsner depending on scheduling, plus working sessions with me to build your plan.
Medical clearance & lab work
You'll need clearance from your physician before testing. If you don't have one, we set you up with an Ochsner doctor. Comprehensive labs are run so we know your starting chemistry — lipids, hormones, inflammation, metabolic markers.
CPX stress test (12-lead EKG)
A cardiopulmonary exercise test that measures your VO₂ max, anaerobic threshold, and full heart rate zones — fat-burning, cardiovascular, and high-intensity. Done on a 12-lead EKG and reviewed by an Ochsner cardiologist. This is the cornerstone of how your training is dosed.
DEXA scan
Body composition with the precision the scale can't give you — lean mass, fat mass, visceral fat, and bone density. This drives the nutrition prescription.
Nutrition assessment
An initial nutritional assessment with an Ochsner-affiliated nutritionist — not me. The output of that assessment feeds directly into the integrated plan.
Physical therapy assessment
A movement and orthopedic screen with a physical therapist. We surface muscular imbalances, mobility restrictions, and any prehab or corrective work that has to be in your program from day one.
Your Integrative Performance Plan — built by Spencer
I take the cardiology, the labs, the DEXA, the nutrition assessment, and the PT findings and synthesize them into one custom program — training, conditioning zones, nutrition, recovery, and prehab. Built around your data, not a template. You can run it anywhere — at home, at your gym, on the road.
Is this you?
Built for some people. Not for others.
Who this is for
- High-performing executives and operators who treat their body like a long-term asset and want a benchmark, not a guess.
- Tactical professionals — military, federal, NOPD, NOFD — preparing for a selection, a school, or a return-to-duty standard.
- College and professional athletes in off-season build-ups, in-season programming, or post-injury return-to-performance.
- Anyone who has hit a ceiling with generic programs and wants the data to know exactly what's holding them back.
Who this isn't for
- Anyone looking for a quick fix. If the goal is to drop 10 pounds before vacation, this is the wrong tool.
- Anyone who wants an online-only program. Most people are better served by MaxWell Nutrition Unlimited — every program we've built, delivered through the MaxWell App, ships nationwide.
- Anyone needing medical nutrition therapy — eating disorders, kidney disease, post-bariatric, oncology nutrition. We are a performance company, not a clinical practice. We'll refer you to one of the Registered Dietitians at Ochsner.
- Anyone outside the New Orleans metro who can't travel for the medical workup.
The deliverable
What you walk away with
- A full picture of your cardiovascular ceiling — VO₂ max, anaerobic threshold, true heart rate zones
- A baseline body composition and visceral fat read
- Lab chemistry reviewed alongside the rest of the data — not in isolation
- A movement profile with the specific corrective and prehab work you need
- An integrated performance plan built from all of it — the program, the nutrition framework, the recovery prescription
- The clarity to train with intent instead of guessing
Apply
Every application is reviewed personally.
If you're a fit, we'll schedule the medical workup and onboard you into the MaxWell App. If you're not, you'll get a real reply pointing you somewhere better.
Slots are limited. This is not first-come-first-served.
Not local? Most people start with MaxWell Nutrition Unlimited — every program, delivered through the MaxWell App, ships nationwide.
