Dr. Allan MottramMD, FACEP

Dr. Mottram focuses on cardiovascular disease risk, insulin resistance, metabolic dysfunction, sarcopenia, sleep-disordered breathing, hypertension, osteoporosis, obesity, and cancer risk. He approaches each condition through a longevity lens, looking for early trajectory changes rather than waiting for a diagnosis to declare itself. His toxicology background also allows him to address complex medication metabolism questions through pharmacogenomic testing.

Dr. Mottram spent nearly two decades practicing emergency medicine before founding Perennial. He also holds expertise in medical toxicology and has a background in academic medicine. He is board-certified and holds fellowship status with the American College of Emergency Physicians. He now applies that training upstream into longevity and preventive medicine.

Yes. Dr. Mottram is a board-certified physician and a Fellow of the American College of Emergency Physicians, designated MD, FACEP. His career spans emergency medicine, medical toxicology, and academic medicine.

Dr. Mottram selects diagnostics because results can change the plan, not as default bundles. He interprets advanced biomarkers, DEXA body composition, VO2 max, resting metabolic rate, continuous blood pressure data, sleep studies, and genetic results within the full context of each patient's history, goals, and medications. The emphasis is on clinical decisions, not test volume.

Yes. Dr. Mottram personally interprets every member's labs, diagnostics, and wearable data. He built Perennial OS specifically so that lab trends, care priorities, and messages stay connected between visits. He knows each patient's story, not just their numbers.

Dr. Mottram works with proactive adults focused on prevention, performance, metabolic health, and aging strategy. He sees patients managing chronic conditions like cardiovascular risk and metabolic dysfunction alongside high-functioning adults who want a rigorous baseline and ongoing trajectory monitoring. He cares for patients across Wisconsin, multiple U.S. states, and the United Kingdom.

Yes. Dr. Mottram's training in medical toxicology gives him a deep understanding of how medications and substances behave in individual patients. He incorporates pharmacogenomic testing when it can clarify how a patient metabolizes specific medications, which informs safer and more precise prescribing decisions.

Dr. Mottram treats longevity medicine as applied clinical timing. He focuses on cardiovascular risk before an event occurs, muscle loss before frailty, metabolic dysfunction before diabetes, and sleep disruption before it quietly affects other systems. He draws directly on his emergency medicine experience to identify what actually fails in the body and how to intervene earlier.