Dr. Allan Mottram isn't waiting for disease to strike. As founder of Perennial Wellness & Longevity, a new addition to the Middleton health scene, he's built a medical practice around a simple but radical premise: the best time to address health problems is years before they appear. His approach? Longevity medicine, a discipline built on precise, personalized prevention that utilizes evidence-based tools to formulate a plan around you.
Dr. Mottram spent nearly two decades practicing traditional medicine, specializing in emergency medicine and medical toxicology. His experience includes extensive clinical work, teaching medical students and physicians in training, and research. During his emergency medicine career, he performed countless diagnostic workups and treatment plans, during which he kept seeing the same critical pattern repeat. "I was practicing reactive medicine, patching problems after they'd appeared," Dr. Mottram recalls, “I wanted to move further upstream, using detailed testing and monitoring to spot changes earlier and help people preserve their health before problems take hold.”
These frustrations ultimately drove him to leave traditional medicine for a practice model focused entirely on proactive care. It may be hard to fathom why someone would leave a secure career with such hard-earned esteem, but for Dr. Mottram, the decision wasn't a rejection of his training; it was an extension of it. "Everything I learned in emergency medicine taught me how to save lives in crisis," he says, "now I'm trying to prevent the crisis altogether."
Dr. Mottram designed Perennial Wellness & Longevity to eliminate the barriers inherent in traditional care and streamline the path to wellness. As the sole physician, he emphasizes an accessible partnership built around patient convenience, offering virtual appointments, mobile at-home visits, and care at his new downtown Middleton clinic space, opening in February. The experience is centered on active dialogue, with appointments structured to allow for true depth, often lasting 60 to 90 minutes, rather than the rushed 15-minute standard.
Perennial Wellness & Longevity operates with the philosophy that if you don't measure health, you can't reliably change it. The detailed, scientific approach tracks core biomarkers of metabolic health, cardiovascular risk, and inflammation. Alongside measures of biological age, body composition, genetics, and epigenetics, these advanced diagnostics measure health trajectory and identify risks to enable strategic intervention.
Biomarker & Genetic testing provide a scope of health insights to direct specific care plan recommendations. Biomarker panels measure 100+ markers, including fasting insulin, ApoB, lipoprotein(a), high-sensitivity CRP, hormone status, and nutrient deficiencies. Genetic testing examines your DNA to identify inherited risk. Lifestyle genetics analyzes your genes to predict how your body will respond to varying inputs like nutrition, exercise, and sleep. Epigenetic testing evaluates how your lifestyle and environmental factors influence your gene expression over time, determining your biological age.
VO₂max testing measures cardiorespiratory fitness, which is recognized as one of the strongest predictors of longevity, often surpassing traditional metrics like cholesterol, blood pressure, and BMI. This short, intensive test establishes a ‘fitness age’ to provide a clear, actionable training guideline. “The good news,” Dr. Mottram emphasizes, “is that VO₂max is highly trainable at any age with targeted exercise.”
DEXA scans provide a precise body composition analysis, measuring essential factors such as muscle mass, bone density, and visceral fat, a significant predictor of metabolic diseases.
With the intention of making longevity medicine accessible, Dr. Mottram shares, "there’s an entry point for everyone serious about their health," offering several tiered membership programs and à la carte options.
At the entry level is Perennial Assurance, providing foundational longevity care through bi-annual advanced labs with physician-interpretation consults, ongoing health tracking through HeadsUp, and access to all clinic resources for $150 per month. For a more intensive focus, Perennial Elevate and Perennial Performance each offer a higher-touch, $400-per-month program.
Perennial Elevate focuses on comprehensive optimization with four physician visits per year, twice-yearly advanced labs, DEXA body-composition scans, VO₂max testing, and continuous monitoring through the patient portal.
Perennial Performance is built for serious athletes, layering in exercise genetics, DEXA, an INSCYD metabolic performance profile, and structured training data tracking through platforms like TrainingPeaks.
At the top end, Perennial Concierge is for patients who want a fully managed medical relationship, offering year-round physician collaboration, urgent care, plus an increased frequency of labs, scans, and testing. True peace of mind through concierge-style medicine.
For those seeking baseline insight before committing to a membership, many tools are available à la carte, paired with physician result interpretation. From lab panels to VO₂max testing, DEXA scans, INSCYD metabolic profiling, urgent care visits, and more. Underpinning every test is a promise for clear explanation, context, and next steps, turning data into tangible plans.
Ultimately, all advanced testing and protocols are built on the principles of lifestyle medicine, focusing on exercise, nutrition, sleep, social connectedness, stress management, and avoiding risky behaviors. “Without that foundation, the supplements and medical advice are going to be minimally impactful,” Dr. Mottram states. For fitness guidance beyond the results, Dr. Mottram’s collaboration with local performance experts ensures the medical data translates directly into a training prescription. “It’s the best of both worlds - data-driven optimization plus expert coaching,” shares Dr. Mottram.
Now, less than a year and a half after opening, Dr. Mottram is already finding his stride, and the payoff of this dedication is clear: “I get to watch patients reverse aging markers and reclaim their energy,” proving informed direction can yield fast-acting results.
With a patient ear and an observant eye, Dr. Mottram represents a new kind of physician, here to empower our community to redefine aging. He serves as a trusted beacon, guiding us through the complexity of health data. Whether training for a race or looking to increase daily energy, Perennial Wellness & Longevity offers a way to measure where you are and deliberately shape where you're going. Taking the first step to personal wellness is easy, knowing Dr. Mottram has our best interests in mind.
Traditional medicine is reactive. Longevity medicine flips that; we optimize health years before symptoms show.
Your health is the foundation of everything you care about. You can’t buy back lost health, but you can invest now and reap decades of benefit. Decline isn’t inevitable.