The doctor for people who can't slow down.
Doctor-led performance medicine
For founders, executives and the people who carry a team. You won't be asked to stop. We measure what's draining you and rebuild the capacity so you don't break.
Start with the audit · €1,750 · Precision medicine testing & 90min appointment with Dr Miguel Damas
People like you rarely break because they are weak.
They break because demand keeps rising while biological capacity silently falls.
At first, you compensate. More caffeine. More discipline. More control. Fewer breaks. Later, the cost becomes harder to ignore: lighter sleep, slower recovery, lower focus, poorer stress tolerance, and a body that no longer responds the way it used to.
Energy drops
You can still function, but your baseline is lower and recovery takes longer.
Focus narrows
Decisions feel heavier.
Deep work becomes harder. Creativity has less room.
The margin disappears
You are still performing, but at a higher biological cost.
Burnout isn't a mental health problem. It's a metabolic one.
The system has been spending more than it stores, for long enough that the reserve is gone. There's nothing wrong with the phone. It just has no battery.
At Prime, performance is viewed through physiology: metabolism, inflammation, sleep, autonomic balance, glucose regulation, nutrient status, training load, hormones, and recovery capacity.
The goal is not to make you slow down. It's to rebuild the reserve that lets you push, and keep pushing, without breaking.
Three programs. One door.
Tell me what's wrong. Fix it.
Keep it fixed.
That's the order every client asks for, so it's the order the work is built in. Three stages.
Performance Audit · 4 weeks · €1,750
Precision medicine testing included, full blood panel interpretation, one 90-minute session with me, a written plan you own. If you go on to the Intensive or the Program within 60 days, the €1,750 comes off the price in full.
Prime Intensive · 6 months · €6,000
For when the Audit shows something that needs rebuilding right away.
Monthly sessions, two rounds of testing, a plan that changes as you do, and me on WhatsApp in between.
Prime Program · 12 months · €6,000
For staying sharp.
Quarterly sessions with me, quarterly nutrition, testing every semester, and the same direct line. “I’m in Prime.”
The Intensive and the Program cost the same. They do different jobs. The data and your goal decide decide which one is best for you.
Built for serious people.
Not for everyone.
This is for you if:
You run a company, a fund, or a team that depends on you
Your health is good enough to function, but not good enough to perform
You feel energy, focus, sleep or recovery declining
You want medical depth, not wellness noise
You are ready to treat health as infrastructure
This is not for you if:
You want a quick biohack
You want motivation without responsibility
You want generic fitness coaching
You want a lab report with no one accountable for what happens next
You are not ready to invest time, attention and money into your health
Led by Dr. Miguel Damas
Performance doctor · Founder of Prime Human Performance · Endurance athlete
I am a medical doctor focused on health, resilience and performance for people carrying high responsibility. My work sits between medicine, physiology, endurance sport and founder reality.
I built Prime for people who do not want to separate health from ambition. The goal is not to slow your life into something unrecognizable. The goal is to rebuild the capacity that lets you lead, think, train, create and live with more freedom.
People who were told they were fine.
“The impact on my ability to execute and perform has been huge: I’m now able to operate much closer to the best version of myself, especially when I’m leading demanding and complex projects. In short, it has been life changing.”
Filipa Matos
SVP Special Operations at Remote
“Dr Miguel is 10 years ahead of most medical practitioners. He connects the dots on a bespoke level.”
Marcelo Lebre
Founder and President of Remote
“With Dr. Miguel you finally feel like you're in the 21st century - and then people start noticing it too!”
Miguel Patrício
Head of Venture Capital, InnoWave
“I love having Dr. Miguel on my side. Together we tackle anything that comes up so I can perform at my best”
Cody Candee
Founder and CEO of Bounce
Not ready?
Get the Brief: one idea and three papers on performance and burnout, in your inbox. No spam, no wellness content.
Your health is not a side project.
It's the infrastructure under everything you're building.
If your energy, focus or stress tolerance no longer match the responsibility you carry, start with the Audit.
Applications are reviewed personally. If there is a fit, we will invite you to a private consultation.