Posts

Data-driven stories, experiments, and honest takes on body metrics from Chicago.

Why Medicare's $50 GLP-1 Copay Is a BMI Calculator's Biggest Test

Why Medicare's $50 GLP-1 Copay Is a BMI Calculator's Biggest Test

The Medicare GLP-1 Bridge starts July 2026. I ran the numbers on who qualifies, what BMI thresholds mean, and why this changes everything.

I Tried Oral GLP-1 Foundayo for 30 Days. The Spreadsheet Doesn't Lie.

I Tried Oral GLP-1 Foundayo for 30 Days. The Spreadsheet Doesn't Lie.

Eli Lilly's Foundayo hit the market in April 2026. I tracked weight, BMI, side effects, and cost for 30 days. Here's the raw data.

Smart Rings vs Bathroom Scales: A 60-Day Data Experiment

Smart Rings vs Bathroom Scales: A 60-Day Data Experiment

I wore a smart ring and stepped on a smart scale every morning for 60 days. The correlation was weaker than I expected.

Why Your Wearable's Glucose Trend Is Probably Wrong

Why Your Wearable's Glucose Trend Is Probably Wrong

Non-invasive glucose monitoring is the hottest wearable feature of 2026. I tested the claims against a real CGM. The results were messy.

GLP-1 Eligibility by BMI: Who Actually Qualifies?

GLP-1 Eligibility by BMI: Who Actually Qualifies?

BMI 27, 30, or 35? I parsed the Medicare GLP-1 Bridge criteria, FDA labels, and real-world prescribing data. The spreadsheet is ugly.

I Tracked My Heart Rate at 6 Austin Coffee Shops

I Tracked My Heart Rate at 6 Austin Coffee Shops

From Houndstooth to Mozart's, I sat in six Austin coffee shops with my wearable running. The heart rate data says more about ambiance than caffeine.

Austin's 110°F Summer: How Heat Changes Your BMI and Workout Data

Austin's 110°F Summer: How Heat Changes Your BMI and Workout Data

Austin's 110°F Summer: How Heat Changes Your BMI and Workout Data

CagriSema and the 22.7% Question: What It Means for BMI

CagriSema and the 22.7% Question: What It Means for BMI

Novo Nordisk's CagriSema combo showed 22.7% weight loss in Phase 3. I modeled what that does to BMI distributions. The outliers are wild.

Waist Vs Bmi 60 Days

Waist Vs Bmi 60 Days

I Tracked My Waist and BMI for 60 Days. Only One Mattered. James Whitfield I ran the numbers. That is what I do. I am a data guy. I used to build dash...

Why I Stopped Trusting My Fitness Tracker's Calorie Burn

Why I Stopped Trusting My Fitness Tracker's Calorie Burn

My watch said 4,200 calories. My spreadsheet said 2,890. After three months of daily comparisons, I stopped looking at the number entirely.

The GLP-1 Price War: From $1,899 to $50 in 18 Months

The GLP-1 Price War: From $1,899 to $50 in 18 Months

I tracked list prices, cash prices, and Medicare copays for every GLP-1 on the market. The price collapse is real. The data is stranger than fiction.

Austin Heat Fitness Wearable Lies 2026

Austin Heat Fitness Wearable Lies 2026

My fitness tracker said I burned 4,200 calories yesterday. I was so proud. I posted a screenshot in my group chat. My friend Sarah, who actually knows...

I Ate at 8 Austin Food Trucks and Tracked Everything

I Ate at 8 Austin Food Trucks and Tracked Everything

Tacos, BBQ, vegan bowls. I ate exclusively from Austin food trucks for two weeks and logged every macro. My BMI was... surprisingly stable.

Non-Invasive Glucose: The Promise, The Hype, The Reality

Non-Invasive Glucose: The Promise, The Hype, The Reality

Smart rings and watches claim they can track glucose trends without a needle. I tested three devices against a Dexcom G7. Here's what actually works.

Retatrutide: When Will BMI Calculators Become Museum Pieces?

Retatrutide: When Will BMI Calculators Become Museum Pieces?

Eli Lilly's triple agonist showed 24% weight loss in Phase 2. If drugs can reshape bodies this dramatically, does BMI even matter anymore?

BMI 27: The Magic Number That Isn't Magic

BMI 27: The Magic Number That Isn't Magic

BMI 27 is the new threshold for GLP-1 eligibility. I pulled NHANES data and found something disturbing. The number is arbitrary, but the consequences ...

I Ditched My Smartwatch for a Smart Ring. Here's the Data.

I Ditched My Smartwatch for a Smart Ring. Here's the Data.

After two years of Apple Watch data, I switched to a smart ring for 90 days. Sleep, HRV, and step counts changed more than I expected.

The $10 Billion Pill: What Pfizer's Metsera Deal Means for Weight

The $10 Billion Pill: What Pfizer's Metsera Deal Means for Weight

Pfizer bought Metsera for $10 billion in November 2025. I read the pipeline data. The oral amylin-GLP-1 combo could change everything about how we mea...

East Austin Running Clubs: 90 Days of Community Fitness Data

East Austin Running Clubs: 90 Days of Community Fitness Data

I joined three East Austin running clubs and tracked pace, heart rate, and BMI changes over 90 days. Community beats solo every time.

Austin Heat Fitness Wearable Lies

Austin Heat Fitness Wearable Lies

My Fitness Watch Said I Was 'Overreaching' During Austin's Hottest Week. It Was Wrong.

Bmi Normal But Feel Like Garbage

Bmi Normal But Feel Like Garbage

The scale in my bathroom is a liar. Not the digital kind of lie where you shift your weight to the left and shave off two pounds. I mean the deep, str...

Oral vs Injectable GLP-1: The Real Spreadsheet

Oral vs Injectable GLP-1: The Real Spreadsheet

Foundayo vs Wegovy. Orforglipron vs semaglutide. I built a comparison matrix of efficacy, cost, side effects, and adherence. The winner depends on you...

Why Your BMI Changes When You Move Cities

Why Your BMI Changes When You Move Cities

I moved from Denver to Austin and my BMI shifted 0.4 points without me changing a thing. Altitude, humidity, and water weight are real confounders.

Survodutide: The Dual Agonist and Body Composition

Survodutide: The Dual Agonist and Body Composition

Boehringer Ingelheim's dual GLP-1/glucagon agonist is in Phase 3. I modeled the body composition changes. Muscle preservation is the story no one is t...

I Tracked My Sleep at 5 Austin Hotels

I Tracked My Sleep at 5 Austin Hotels

From the Driskill to a motel on I-35, I slept in five Austin hotels with my ring running. Sleep score, HRV, and BMI the next morning. The data is weir...

From Wegovy to Foundayo: A Transition Diary

From Wegovy to Foundayo: A Transition Diary

I switched from weekly injections to daily pills. The first two weeks were chaos. Weeks three and four were fascinating. Here's the daily log.

My Fitness Tracker Said I Burned 4200 Calories

My Fitness Tracker Said I Burned 4200 Calories

My fitness tracker said I burned 4,200 calories. My spreadsheet said 2,890. The truth was messier.

The Week I Ate Nothing But Food Truck Tacos

The Week I Ate Nothing But Food Truck Tacos

The Week I Ate Nothing But Food Truck Tacos — Here's What the Data Said I had a theory. A stupid theory, but a theory nonetheless. I call it the

WHOOP's FDA Warning and What It Means for Your Health Data

WHOOP's FDA Warning and What It Means for Your Health Data

WHOOP got an FDA warning letter in 2025 for cuffless blood pressure claims. I dug into what this means for the wearable data you trust every morning.

The BMI Calculator Every Clinic Should Use (But Doesn't)

The BMI Calculator Every Clinic Should Use (But Doesn't)

I built a clinical-grade BMI calculator with waist circumference, age adjustment, and ethnicity-specific thresholds. Here's why most clinics are still...

Intermittent Fasting for 60 Days: My BMI Barely Moved

Intermittent Fasting for 60 Days: My BMI Barely Moved

16:8 for 60 days. I tracked weight, BMI, body fat, and mood. The scale moved. The BMI didn't. Here's why that actually makes sense.

Austin's Wellness District: A Data Nerd's Field Notes

Austin's Wellness District: A Data Nerd's Field Notes

The new wellness corridor on East 6th Street has cryo, float tanks, and IV bars. I tried six modalities and tracked my metrics. Most were noise.

The 200-Year-Old BMI Formula: Still Here in 2026

The 200-Year-Old BMI Formula: Still Here in 2026

Adolphe Quetelet invented BMI in the 1830s. Two centuries later, we're using it to approve $1,000 drugs. I ran the historical data. The regression is ...

Why Your Weight Swings 5 Pounds Overnight (And How to Track It)

Why Your Weight Swings 5 Pounds Overnight (And How to Track It)

I weighed myself every hour for 72 hours. The variance was shocking. Here's the moving average method that actually smooths the noise.

GLP-1 and Muscle Loss: What the Data Actually Shows

GLP-1 and Muscle Loss: What the Data Actually Shows

The muscle loss panic is everywhere. I read the sarcopenia studies, the Phase 3 appendicular lean mass data, and the protein intake trials. It's compl...

Can't Afford Wegovy? Here's What the Data Says

Can't Afford Wegovy? Here's What the Data Says

I spent two months digging through GLP-1 alternatives. Repurposed generics, supplements, and lifestyle interventions.

I Built a Custom BMI Dashboard. Here's What I Learned.

I Built a Custom BMI Dashboard. Here's What I Learned.

I spent three weekends building a personal BMI tracking dashboard with moving averages, trend lines, and anomaly detection. The insights were unexpect...

The Butler Trail Bike Experiment: 45 Days of Commute Data

The Butler Trail Bike Experiment: 45 Days of Commute Data

I biked the Butler Trail to work every day for 45 days. I tracked speed, heart rate, and BMI. The data has a story about consistency vs intensity.

Three Small Data Changes That Moved My BMI

Three Small Data Changes That Moved My BMI

Three data hygiene fixes that moved my BMI from 26.8 to 25.9. No diet changes, no exercise fads. Just better data.

What the Plant-Based Trend Means for Your BMI

What the Plant-Based Trend Means for Your BMI

I bought 20 plant-based products from H-E-B and compared them to animal-based equivalents. The sodium was shocking.

It Is 105°F in Austin. How I Adjust My Workout Data.

It Is 105°F in Austin. How I Adjust My Workout Data.

Your fitness tracker lies above 95°F. Here is how I adjust my calorie burn, heart rate zones, and recovery metrics when Austin turns into an oven.

Why Your BMI Calculator Is Probably Lying to You

Why Your BMI Calculator Is Probably Lying to You

I have seen people celebrate 'normal' BMIs while their metabolic panels told a completely different story. Here is what most calculators get wrong.

Meal Prep Did Not Work for Me. So I Built an Algorithm.

Meal Prep Did Not Work for Me. So I Built an Algorithm.

Meal prep did not work for me. So I built an algorithm instead. It is not pretty, but it works better than Sunday batch cooking.

What 15 Years of Metabolic Data Actually Looks Like

What 15 Years of Metabolic Data Actually Looks Like

After reviewing over 12,000 patient records, one pattern is clear: BMI tells you almost nothing about metabolic health without context.

The Asian BMI Threshold: Why American Doctors Get It Wrong

The Asian BMI Threshold: Why American Doctors Get It Wrong

My mother has a BMI of 23.4. In American medicine, that is 'normal.' In reality, she is pre-diabetic. Here is why the Asian BMI threshold matters.

I Lost 40 Pounds but My Data Looks the Same

I Lost 40 Pounds but My Data Looks the Same

The email I get every week: someone lost weight but their BMI barely moved. Here is why that happens, and why it is actually a good thing.

Pediatric BMI: Why Adult Calculators Harm Children

Pediatric BMI: Why Adult Calculators Harm Children

A parent recently told me their 8-year-old was 'obese' because an adult BMI calculator said so. The child was in the 85th percentile — overweight, not...

BMI vs Body Fat Percentage: The Real Debate

BMI vs Body Fat Percentage: The Real Debate

Body fat percentage is more accurate than BMI. But it's also harder to measure accurately, more expensive, and not always more clinically useful. Here...

I Spent a Week at Canyon Ranch Austin

I Spent a Week at Canyon Ranch Austin

I brought a spreadsheet to Canyon Ranch Austin. The data was fascinating, the experience was mixed, the cost was absurd.

The BMI Rebound: Why Lost Weight Returns

The BMI Rebound: Why Lost Weight Returns

I've watched hundreds of patients lose 20, 30, 50 pounds. And I've watched most of them gain it back. The metabolic adaptation that follows weight los...

Another BMI Post. But I Actually Ran the Numbers.

Another BMI Post. But I Actually Ran the Numbers.

Another BMI post. I know. But I actually ran the numbers this time. NHANES data, DEXA correlations, and a lot of spreadsheets.

Waist Circumference: The Missing Piece

Waist Circumference: The Missing Piece

I've had patients with 'normal' BMIs but 40-inch waists. Their metabolic panels looked like disaster zones. Here's why waist measurement is non-negoti...

Why I Stopped Telling Patients Their 'Ideal Weight'

Why I Stopped Telling Patients Their 'Ideal Weight'

For years, I gave patients a number. 'Your ideal weight is 165 pounds.' Then I watched them obsess, fail, and feel like failures. I don't do that anym...

The New Texas Nutrition License Law Is Coming.

The New Texas Nutrition License Law Is Coming.

The new Texas nutrition license law is coming. I crunched the numbers. It is a mess, but it is a mess with a spreadsheet.

Metabolic Health: Beyond the Scale

Metabolic Health: Beyond the Scale

I have patients who weigh 200 pounds and are metabolically healthier than patients who weigh 150. Here is what actually determines metabolic health.

I Ate Only H-E-B Prepared Meals for 30 Days

I Ate Only H-E-B Prepared Meals for 30 Days

I ate only H-E-B prepared meals for 30 days and tracked everything. The sodium numbers were shocking.

The NIH Study That Changed How I See BMI

The NIH Study That Changed How I See BMI

During my time at NIH NIDDK, I worked on a cohort study that followed 5,000 patients for 10 years. The findings challenged everything I learned in med...

BMI Calculators for Athletes: Why They Fail

BMI Calculators for Athletes: Why They Fail

A college football player came to my clinic with a BMI of 32. His coach was panicking about 'obesity.' His body fat was 8%. Here's why BMI is meaningl...

How I Use BMI in My Clinic: The Real Protocol

How I Use BMI in My Clinic: The Real Protocol

After 15 years of analyzing health data, I have developed a specific protocol for using BMI without falling into its traps. Here is exactly what I do ...

I Tried Rucking With YVO Warrior for a Month.

I Tried Rucking With YVO Warrior for a Month.

Walking with 20 pounds on the Butler Trail. Heart rate data, body composition changes, and why BMI barely budged.

The Future of BMI: What Comes Next

The Future of BMI: What Comes Next

BMI is a 200-year-old tool. In 10 years, we'll look back and wonder why we ever used it. Here's what's replacing it — and what's not ready yet.

I Moved to Austin and My Resting Heart Rate Changed

I Moved to Austin and My Resting Heart Rate Changed

Moving from Chicago to Austin changed my resting heart rate. I have the data, the graph, and some theories.

Why Austin's 'Fittest City' Label Is a Data Problem.

Why Austin's 'Fittest City' Label Is a Data Problem.

Austin keeps showing up on 'fittest city' lists. As a data guy who lives here, I have some questions about those rankings.

I Tested 5 Popular BMI Myths. Only 2 Were True.

I Tested 5 Popular BMI Myths. Only 2 Were True.

I tested 5 popular BMI myths with real data. Only 2 were true. NHANES data, DEXA correlations, and a lot of spreadsheets.

SXSW 2026 Had a Health Track. I Went.

SXSW 2026 Had a Health Track. I Went.

SXSW 2026 had a health track. I went. It was weird. Here is what happened when a data guy went to a wellness conference.

I Tracked My BMI for 90 Days Straight.

I Tracked My BMI for 90 Days Straight.

I tracked my BMI for 90 days straight. Here is the spreadsheet. Daily weigh-ins, moving averages, and the lying nature of daily numbers.

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