In recent years, the connectivity of a new dimension has been brought to Wireless Body Area Networks (WBANs) through the concept of the Wearable Internet of Things (WIoT). WIoT offers valuable functionalities like data collection, analysis, and transmission for real-time health monitoring services. However, WBANs are characterized by a large number of battery-powered sensor nodes, making them resource-constrained. While keeping standard WSN abilities, WBAN's significant obstacles are data communication, social mobility, high interference in dense deployment, latency, and energy consumption of sensor nodes. As a result, the implementation and design of an application require dependable data transfer and an energy-efficient architecture. It proved critical to have as little delay as possible while delivering correct data. To overcome these issues, this study developed a novel energy-efficient clustered and optimized routing scheme in WBAN. Due to its effective scalability, this work employs an Improved Self-Executing Active Cross-Propagated (ISAC) clustering approach to form clusters in Wireless Body Area Networks (WBANs). Subsequently, the selection of the best Cluster Heads (CHs) is facilitated by the Levy Flight-based Momentum Search Algorithm (LFMSA). The Circle Rock Hyrax Swarm Optimization (CRH) algorithm is then utilized for energy-efficient routing. In determining the CH in each cluster, consideration is given to both residual energy and connectivity. The proposed framework minimizes the number of transmissions and overall transmission distance, optimizing inter and intra-cluster transmission distances. Additionally, the framework ensures energy-efficient packet delivery from CHs to the sink node. Performance comparisons, conducted using various statistical measures and simulated on the NS-2 platform, demonstrate that the proposed framework outperforms existing routing protocols and clustering methodologies. In comparison to previous methodologies, the proposed framework consistently achieves superior results.