There is increased recognition in the health, medical and fitness industry of the unique need for customized fitness programs geared towards treatment and mitigation of injury and diseases contributed to by sedentary high stressed lifestyles and occupational strain. Type 2 Diabetes, high blood pressure and many cancers can be successfully approached using integrative medical priograms that include fitness and nutrition services. Metabolic training for fat burning includes high intensity interval training, general circuits and strength training for muscular hypertrophy and endurance.