Lowest of the year — was 74 in Sept. The lever is the T taper, not another supplement.
Homocysteinetarget14.1 µmol/L → 7–8
Was 7.1 in Sept; OMAD dropped the methylated B stack. Restarted with food — confirm on the next panel.
Hematocritconfirm52.1% → confirm
Just over. Retest hydrated FIRST — could be a draw/hydration artifact. If real: T taper + hydration, donate if it climbs.
Triglyceridesconfirm196 mg/dL → confirm
Was 43–99 all year, then 196 in June — outlier, not a trend. Recheck fasted before treating it as a target.
Estradioldecide71.1 pg/mL → decide
71 on TRT. Open question — do you even want it lower? E2 supports libido, joints, mood. Not chasing 40 unless symptoms say so.
ALTmonitor39.1 U/L → monitor
Normalized 90→39. Largely muscle/training, not hepatic. No action — just keep an eye on it.
8-OHdG (oxidative DNA)target7.5 ng/mg → <5
High end of range, flagged on your DUTCH. Levers: finish the kratom taper, deepen sleep, glutathione/NAC, polyphenols, dial back over-training.
Kratom taper — the #1 lever: pull one 500mg cap from half your doses, hold a few weeks to a month, pull from the other half, hold, repeat. Slow and non-disruptive — felt-state gates every step, not the calendar. This is the convergence fix behind HDL, hematocrit, E2 and EQ.
Intimacy tracker
Log it in the morning check-in and it feeds the weekly correlation sweep against felt-state, HRV, RHR and sleep. Any pattern that shows up gets flagged as a hypothesis with the confounders named, not stated as fact.
Intimacy — last 7 days (• yes · ○ no · — awaiting data)
EQ score
Morning erection quality & persistence — Nick scores it /10 each morning, logged with intimacy + food. No scores logged yet.
Awaiting today’s score
Last 7 days (score /10 · • noted · — awaiting)
AM erection
—
Clench release
not tracked daily
Angion
not logged
Daytime / intimacy-session score — separate /10 rating for how it holds up during actual intimacy, not just on waking. Not logged yet — add it to the morning check-in.
Floor is hypertonic — the goal is release, not squeeze. Standard kegels are off-limits; they make it worse.
Morning routine · 5–7 min, before coffee
1
Diaphragmatic breath → PF drop
Belly expands, floor descends and opens. The inhale IS the reverse kegel — 10 reps.
4s in · 2s hold · 6s out
2
Active CS release / reverse kegel
Lie flat, knees bent. On the inhale, push down and out through the perineum — 10 reps.
10 reps
3
Body scan
Check and unclench: jaw · abs · glutes · thighs.
30 sec
All-day habits
Urinary relaxation drill
Every void — let it flow from relaxation, no pushing.
Arousal rehearsal
During AM3 — exhale and release instead of bracing.
Pre-intimacy down-regulation
Physiological sigh × 4–5 rounds — double-inhale through nose, slow exhale through mouth. Flips parasympathetic.
Supplements
Tadalafil 5mg daily L-Citrulline 7g/day LCLT 2g with food Pycnogenol 100–200mg with food Omega-3 / DHA
Daily tracking
AM erection quality
Strong / Moderate / Weak / None
Persistence
Held / Faded <5min / Faded <15min
Weekly (Friday): EQ 1–10 + one line of context. Scoreboard = persistence, not presence.
The big lever
The kratom taper is the master lever behind EQ — opioids directly suppress erections. The live daily work is the Angion + pelvic-floor down-training + parasympathetic prep. The T taper (315 → 285 → 250) rides behind the kratom taper, but with E2 down (71) and DHT good, it's now mainly a lipids / hematocrit lever — not the EQ engine. Felt-state is the verdict.
Appearance & skin protocol stabilize skin first · most items owned
Reframe (Jul 9): left temple looks worse since TRT (~Nov’25); local scalp DHT is now a live driver — the old “5β protects the scalp” read is retired.
Jul-9 photo baseline: temple + frontal-corner recession (left temple more affected); crown is reasonably dense. So the focus is the non-hormonal core + the frontal hairline — judged on the 6-mo photo gate.
MaybeTretinoin as a minoxidil-support adjunct — topical retinoids can enhance minoxidil absorption/response, so it’s a possible future adjunct on the beard-minoxidil side. Same cautions as the face: only a tiny, intermittent, open-air trial gated on stable skin + a stable nervous-system window + a mood tripwire — the high-dose back-slather pattern is permanently retired (it caused the Apr–May depression cascade). Not current, not a firm rec. See the research note →
Source: health-full.md “Open Physical Optimization / Research Threads” (~L601–603) · nick-protocol-what.md Lane 5 P2 · tretinoin-dose-mechanism-2026-07-09.md.
BeardDHT 1274 = favorable tailwind · owns the toolkit, no buys↗
Doing — owned
Microneedle ~0.5mm (shallower than scalp — avoids collagen over-production)
Minoxidil — foam, now on scalp AND beard
GHK-Cu (shared 303 Peptides 100mg vial)
Flags
Coordinate with scalp — don’t over-needle face + scalp the same week
Never finasteride / dutasteride (would tank DHT → hurt the beard)
Awaiting Nick’s photos + goal specifics before a committed protocol
Source: nick-protocol-what.md Lane 5 P2 (~L316) · health-full.md (~L603).
Back / Acnepigment-first (PIH/PIE on tan) · clear acne + SPF · laser held in reserve↗
Skin stabilization — active
Ketoconazole 2% shampoo, 5-min contact, daily → 2–3×/wk (Malassezia folliculitis — contact time is the variable)
Azelaic acid — as needed (barrier-safe, helps pigment)
Not clearing in 2–4 wk → oral fluconazole 150mg weekly ×4
Jul-9 photo verdict — it’s PIGMENT, not deep scars
Predominantly post-inflammatory hyperpigmentation (brown macules) + erythema (flat red/pink, PIE) on tanned skin, plus a few residual active spots. No deep atrophic craters, no raised/keloid scars visible (provisional lay read — in-person derm + raking-light exam still needed).
Pigment-first plan (the low-risk track)
1. Clear active acne + folliculitis first — new pigment keeps forming while spots keep coming (ketoconazole above).
2. Sun protection is THE crux — cover the back / strict broad-spectrum SPF. Every unprotected sun exposure re-darkens the marks in Riviera UV.
3. Gentle tyrosinase inhibitors for the brown macules: azelaic acid · tranexamic acid · vitamin C · alpha-arbutin (NOT aggressive hydroquinone/tretinoin).
4. PIE (red flat marks) is vascular — fades with time + sun avoidance + barrier care; vascular laser (pulsed-dye/KTP) only if persistent.
5. Owned levers that fit: GHK-Cu, red light, niacinamide/azelaic. Optional gentle mandelic/azelaic peels once acne is clear.
Held in reserve — ablative CO2 / TCA CROSS / heavy subcision (were for deep atrophic scarring, which isn’t the picture; high PIH risk on tan). Only if an in-person derm finds specific deep scars.
MaybeTretinoin — the high-dose back-slather pattern is permanently retired (it caused the cascade). The only possible future path is a tiny, intermittent, open-air facial micro-trial, supervised, gated on stable skin + a stable nervous-system window + a mood tripwire. Not current, not a firm rec. See the research note →
Back laser hair removal — bundle, easy win
Nd:YAG 1064nm (tan-safe) · find the vendor + book (Wax Center Playa) — Aaron places bookings
Crows feet + smile lines + forehead lines — now a real priority (were “lower”). Minox lowers collagen, and the (NOT-yet-started) hair/beard plan would put it on your face + scalp — so IF/WHEN you start, the lines would be part aging, part minox-collagen hit (“minoxidil face”). Right now: natural aging only — nothing started.
The counter is already in your stack — GHK-Cu · microneedling · red light are collagen-INDUCERS that directly offset the minox collagen loss (gentle, skin-stable). Facial-fascia + mewing is shared with the nasal-breathing / NS Recovery lever.
Lines — owned levers (collagen-counter to minox)
Crows feet — physiological-first: ease peri-orbital tension via facial-fascia release + expression-muscle relaxation; GHK-Cu · microneedling · red light = collagen-inducers that offset minox (once skin’s stable). No aggressive tretinoin.
Smile lines (nasolabial folds) — midface support via mewing / tongue posture + facial-fascia release; GHK-Cu + microneedling + red light (owned) as the collagen-counter. Injectables not planned (confirm).
Highest-yield facial move stays SPF + pigment care — the lateral sun-mottling / lentigines are more treatable than the lines themselves.
Pigment / planning — gated
Sun-mottling / sunspots — SPF is the crux; topicals meanwhile: azelaic acid · tranexamic acid · vitamin C
Face IPL — tan-gated (IPL contraindicated mid-tan; ~4wk no-tan before & after + SPF; a Q-switched / pico route may beat IPL if he tans darker)
Teeth whitening — in-chair Zoom, standalone / low-stakes, book whenever
MaybeTretinoin — aggressive/high-dose is OFF (caused the Apr–May depression cascade). The only path on the table is a maybe / future supervised facial trial: tiny, intermittent, open-air only, gated on stable skin + a stable nervous-system window + a mood tripwire. Not current, not a firm rec. See the research note →
Daily balance is computed once a day is done — burn (Oura) + what you ate (logged next morning).
Consumed
log via check-in
OMAD — one meal, dinner starts ~6pm
What you ate — last 7 days (est. calories)
Loading your food log…
Patterns we’re tracking
Emotional safety → felt-state → whole body
Safety downregulates the nervous system → clarity, mood, appetite lift together. 3+ confirmations incl. Jun 29 in reverse (conflict Sunday → mood 5). Biggest daily non-pharma lever.
strengthening
Better on retatrutide inject days
Consistently better on inject days — acute glucagon-arm bump at low dose. Slight dose bump chosen; ~2 wks of logged felt-state confirms or kills it.
testing
Systems-building as avoidance of inner work
Build-energy flows to the in-control domain while the vulnerable reaches stay parked. Jul 1: you named it yourself — “need to be more present and just relax a bit.”
self-caught
Late eating close to bed → lighter sleep
Your Jul 1 read: eating near bedtime may drive the wakings + lighter sleep. Confounders: OMAD pushes dinner late; standing nocturia. Test = dinner-end time vs. Oura sleep score.
unconfirmed
Reflection silence = wellness on family days
Blank check-ins kept landing on the best-recovery family days — but a broken prompt confounded the run. Prompt fixed Jun 30; this week is the clean test.
retesting
Your week
Steadier week on ordinary days. Mood dipped to 5 on Jun 29 (Sunday family friction), then rebounded cleanly to 7 by Jul 1 — resilience, not a slump. Cognition ~78%, food control 8/10 on OMAD, kratom holding flat at 15g (taper green-light still open). EQ about the same; Angion off its usual MWF timing this week, back on next. Sleep running lighter — testing whether eating too close to bed is the driver.
Biological age
36vs 39 actual
~3 yrs younger
range 33–39
Held young by CV fitness (RHR 53–54, HRV 87) + clean glucose/insulin. Levers dragging it up now: creatinine/eGFR, CRP 0.69, triglycerides & HDL.
Levine PhenoAge (9-marker) on Jun’26 labs + Oura. Was 33.6 in Dec’25 — the mid-year metabolic drift narrowed the gap. Confidence: high inputs, ±3yr band.
Insights auto-surfaced from your data
Steps and Active cals move together — r=0.93 across 65 shared readings in this window.
Free T is the biggest mover on record — up 890% (80.4 → 795.8 pg/mL), the right way.
Daily metrics recovery · sleep · activity · mind
Recovery
Readiness
83
26 Jun 85 → 27 Jun 84 → 28 Jun 78 → 29 Jun 83
opt higher · Mar’26–Jun’26
HRV balance
87
26 Jun 89 → 27 Jun 87 → 28 Jun 78 → 29 Jun 87
opt higher · Mar’26–Jun’26
Resting HR
61bpm
26 Jun 58 → 27 Jun 59 → 28 Jun 76 → 29 Jun 61
opt lower
Body temp Δ
−0.14°F
26 Jun +0.02 → 27 Jun +0.05 → 28 Jun −0.07 → 29 Jun −0.14
opt 0 · Mar’26–Jun’26
Sleep
Sleep debt
0h
23–26 Jun 0h → 29 Jun −0.14h
opt <2 (need 7.5h) · Mar’26–Jun’26
Total sleep
7h42m
26 Jun 7h18 → 27 Jun 6h54 → 28 Jun 7h12 → 29 Jun 7h42
opt 7.5–9 · Mar’26–Jun’26
REM sleep
1h44m
26 Jun 1h44 → 27 Jun 1h11 → 28 Jun 1h28 → 29 Jun 1h44
opt 1.5–2h · Mar’26–Jun’26
Sleep efficiency
93%
26 Jun 90 → 27 Jun 86 → 28 Jun 90 → 29 Jun 93
opt higher · Mar’26–Jun’26
Deep sleep
1h11m
26 Jun 1h20 → 27 Jun 1h11 → 28 Jun 1h23 → 29 Jun 1h11
opt 1.5–2h · Mar’26–Jun’26
Breathing · sleep-apnea screen
Avg SpO2
—
opt ≥95% · nightly avg, not the low
Breathing disturbance
—
opt low · Oura BDI
Breath rate
—
opt 12–20 /min
Screening…
Sleep-apnea screen — a screen, not a diagnosis. Oura reports an average SpO2 (not the overnight low) and infers disturbance, so a clean read lowers the odds of apnea but doesn’t rule it out. If nocturia + broken deep sleep persist, a home sleep study is the definitive next step.
Activity
Activity score
87
26 Jun 85 → 27 Jun 88 → 28 Jun 89 → 29 Jun 87
opt higher · Mar’26–Jun’26
Steps
11,195
26 Jun 12,090 → 27 Jun 12,777 → 28 Jun 13,309 → 29 Jun 11,195
opt 15–20k · Mar’26–Jun’26
Active cals
812kcal
26 Jun 1,052 → 27 Jun 1,024 → 28 Jun 1,409 → 29 Jun 812
opt higher · Mar’26–Jun’26
Mind
Felt-state
5/10
23 Jun 4.5 → 24 Jun 8.5 → 25 Jun 8 → 29 Jun 5
opt higher · Jun’26, 5 pts
Sleep (felt)
8.3/10
single reading
opt higher · Jun’26
Mood
5/10
25 Jun 7.5 → 29 Jun 5
opt movement · Mar’26–Jun’26
Cognition
78%
24 Jun 75 → 25 Jun 75 → 29 Jun 78
opt higher · Jun’26, 3 pts
Food control
8/10
single reading
opt higher · Jun’26
Energy
—/10
awaiting your daily check-in
opt higher · from your daily check-in
Trends grouped · normalized 0–100
Showing the last 4 daily readings synced so far — 1M/3M/6M/1Y/All fill in as more days land from the daily Oura pull. This is not padded with invented history.
vs Chantelle's 0.0022 — worth investigating shared exposure
Biometric
Biological age
-1.4yrs younger
Sep’25 -11.2 yrs → Dec’25 -1.4 yrs
still younger than chronological age
HRV (Function draw)
35ms
single anomalous reading · Dec’25
Oura history shows 70s–90s typical — don’t treat as representative
Derived & composite computed from your markers
TG:HDL
5.4
optimal <2
Insulin-resistance & small-dense-LDL proxy (optimal <1.5). Skewed by the June trig spike — at your usual trig it’s ~1.4.
HOMA-IR
0.27
optimal <1.5
Fasting insulin resistance. Under 1 = excellent sensitivity.
ApoB:ApoA1
0.56
optimal <0.5
Best single CV ratio — atherogenic vs. protective particles.
BUN:Creatinine
17.8
optimal 10–20
Hydration/protein vs. renal. In-band confirms the creatinine bump is muscle, not kidney.
Free-T : E2
11.2
informational
Androgen : estrogen balance.
Cortisol slope AM:night
2.7
informational
DUTCH waking vs. night free cortisol — healthy = high morning, low night.
Vascular-risk flags
3/5
3 of 5 past optimal
Atherogenic markers past optimal: ApoB, homocysteine, hs-CRP, Lp(a), TG:HDL.
Inflammation flags
1/3
1 of 3 past optimal
How many inflammation markers are elevated. 0 = quiet immune system.
Fed from CLAUDE.md, memory/health-full.md, oura_data.md, connections.md, state-reflections.md, daily-state.md. Every marker shows its full panel history. Auto-refresh: refresh-health-command-center (daily 7:30am).
Today’s 3 reps
Physical
Barefoot + sun on waking
Step barefoot on the earth and get the morning sun in your eyes right after you wake — grounds the nervous system and sets your body clock.
Emotion you can’t think your way out of, you move out through the body — a short release for anger/grief held in the fascia.
Parenting
Be the calm
When the house is getting loud or charged, be the one who brings the energy DOWN — a deliberate pause beats pushing through the noise.
Today’s anchor
“There is nothing wrong with me. There never was.”
These are your daily reps. Each morning you get one Physical, one Emotional, and one Parenting rep, plus a little anchor to hold for the day. They rotate, so you’re never doing the same thing twice in a row.
No pressure and no streak to keep — do the ones that fit, skip the rest. Tap a rep to check it off. Use the thumbs to tell me what you love (I’ll bring it around more) or what doesn’t land (I’ll ease it out).
And if you come across something you want in the mix — a practice, a quote, a reel — just send it to me and say if it’s physical, emotional, or parenting. It’s yours to shape.
Biological age
~36vs 43 actual
~7 yrs younger
range 33–39
Driven young by excellent metabolic markers (glucose 91, A1c 4.8, insulin 7.1) + very low inflammation (CRP 0.3, clean 8-OHdG). Lp(a) 161 is genetic and diet-resistant — monitored, not a priority (she’s diligent on cardio).
PhenoAge composite — 4 of 9 inputs (albumin, creatinine, RDW, WBC) estimated, so this is directional. Lower confidence. A full metabolic panel + CBC would firm it up.
This week’s recs for your review — hypotheses, not adopted protocol
Chantelle’s family-optimization recs will appear here after the Sunday review.
Actively using what she’s on now · as of Jul 9
Chantelle’s current protocol — tap to see the full day ↗
Morning ritualGuided meditation / visualization / journaling · barefoot on earth + sun in eyes on waking · 750ml water in the first hour · ballistic stretches
AM supps2 DFH multi · gut peptides · 2 digestive enzymes · mag L-threonate · selenium · aloe · 2 marshmallow · 3 slippery elm
Wind-down10 physiological sighs · gratitude reflection · affirmations/meditation to sleep, no screens
Timing varies by day (chantelle-full-profile.md §3b): the live “Right now” card above already shows today’s schedule — Mon/Wed/Fri Pilates/strength timing (pre-workout meal 1hr before, post-meal within 20–30min of class), Tue/Thu cardio (AM bike, then wait 30–60min to eat; a fasted 10min PM bike). Pre-workout hormones/peptides (T cream, MOTS-c) go ≥1hr before class/cardio. On topical testosterone + progesterone — the likely source of her high total-T (0.58) and erythrocytosis (HCT 48.7). T started after her DUTCH (so that panel is her clean pre-T baseline); progesterone is recent. Retatrutide is NOT current — it’s on-deck / testing (to bring in ~1–2 wks after more hormone balancing). Creatine is not in her stack — her own read is it irritates her urinary tract.
Testing / recommending recommended changes · not yet adopted
Fable recommendations — tap to review ↗
Nervous system is the constraint (cortisol 18.4→5.4 in a year). Protect the cortisol floor first; layer composition work on top. Change one variable at a time. None of these are live yet.
Topical T: is 1 pump still too high?monitor
She’s already at 1 pump AM (corrected Jul 9 — was mislogged as 2). Two markers on that dose still read supraphysiologic — serum T 0.58 (HIGH) + erythrocytosis (HCT 48.7, male-range). Open question is whether even 1 pump runs high; monitor HCT. Retest serum T + CBC on the current 1-pump dose.
Progesterone: keep, confirm the mgphase 1
Direction is right — low DUTCH b-pregnanediol (543.9) + low serum progesterone (4.18) = genuinely low, GABAergic/calming for anxiety. Can’t map “0.54 units” to mg without the cream concentration — get that, weight toward luteal (days ~17–28).
Retatrutide — on-deck, not started~1–2 wks out
Corrected Jul 9: reta is NOT current. Plan is a tiny fraction of Nick’s ~1mg/wk for light body-comp, brought in only after more hormone balancing settles. Her metabolic panel is pristine (A1c 4.8, insulin 7.1) — a gentle lever, not a fix.
Push daily protein higherphase 2
60g at dinner is one meal’s contribution, not the day’s total. Perimenopausal + training (+ reta once it’s on board, which blunts appetite) → aim 1.6–2.0 g/kg/day to protect lean mass.
Lactoferrin for ferritin — on holdphase 3
Ferritin 44 is functionally low (opt 50–70) and drags fatigue + T4→T3. Use lactoferrin (not iron). Hold until HCT confirms trending down after the T cut — don’t feed RBC production while it’s high.
Cardio / training intensityongoing
Near-floor cortisol — hold intensity where recovery keeps up. The training skeleton (3 strength + 2 cardio + 2 rest) is sound; it’s the intensity dial that protects the floor.
Testing priorities
Cortisol recheck
Morning serum (or a 4-pt salivary if local) — the HPA-collapse rate-limiter (18.4→5.4). DUTCH is pre-TRT/stale; get a current read.
first
CBC + serum T (total & free)
On the current 1-pump dose — validates serum T (0.58 H) + erythrocytosis (HCT 48.7).
first
Day-21 luteal serum progesterone
Cycle-timed — re-confirms the low luteal progesterone driving PMS/anxiety.
next
Omega-3 index recheck
Was low (5.3%); confirm the krill oil moved it.
add-on
Reverse T3
Add to next thyroid draw — FT3 still low-normal (3.2).
add-on
Repeat ANA (+ titer/pattern)
Clean re-run of the Feb’26 positive 1:80 homogeneous, given family autoimmune loading.
next
Cycle-timed hormones / Mira monitor
Daily-resolution LH/FSH/E3G/PdG. If the friend can bring it back.
if avail
Physician flag: the erythrocytosis / male-range CBC pattern (Hgb 16.5, HCT 48.7) on topical T is a doctor conversation, not a self-managed item. On hold (whole-family detox policy — treat, don’t test): GI-MAP repeat + MycoTOX. Ahead of everything: get the mg/pump concentration of both the T and progesterone creams.
Goals & projections your targets, not lab ranges
Ferritin → 7044 — low for energy + thyroid conversion
Free T3 → ≥3.7TSH great now (1.29); push free T3 up
Lp(a) — monitor161, genetic, not directly movable — manage what's around it
Cycle & hormone optimizer set manually until Mira syncs
Read first
You’re on topical testosterone (1 pump AM) + progesterone (0.54 PM) — your high total-T (0.58) and erythrocytosis (HCT 48.7) are most likely exogenous, not endogenous. You started the testosterone after your DUTCH test (so that DUTCH is your clean pre-T baseline); the progesterone is more recent. Reviewing the T dose is the first move before tuning anything phase-by-phase.
Cycle day 14Ovulatory
Last known period start: unknown — cycle length likely irregular per June 2026. Drag the slider to reflect where she actually is; tell Skippy the start date once known and this becomes automatic.
Protocol — Ovulatory
Tightens every cycle as Mira + daily feedback come in — the goal is a locked protocol per phase.
Mira hormone curves
Daily E3G · LH · PdGdevice on order
Daily estrogen (E3G), LH, and progesterone (PdG) curves will plot here once Mira arrives — overlaid on her cycle phase and against an optimal curve. Structure’s ready; turning the feed on is one step once the device lands.
Daily feedback from Gracie
Gracie’s morning check-in logs her felt-state + symptoms against her cycle phase; the protocol course-corrects from what actually helps. Awaiting first entries.
Individual markers full history · tap to chart
Cardiovascular / Lipids (genetic) — the headline, additive risk
Lp(a)
161nmol/L
single reading · Feb’26
monitor only · genetic, diet-resistant · not a priority
ApoB
77mg/dL
single reading · Feb’26
opt <90 · good
hs-CRP
0.3
Feb’25 0.48 → Nov’25 0.40 → Feb’26 0.3
excellent · low inflammation
Total cholesterol
147mg/dL
Feb’25 139 → Feb’26 147
functionally low for hormones
LDL-C
79mg/dL
Feb’25 69.7 → Feb’26 79
good range
HDL-C
54mg/dL
single reading · Feb’26
opt >60 for women · borderline
Triglycerides
56mg/dL
Feb’25 70.5 → Feb’26 56
excellent
LDL pattern
B
single reading · Feb’26
atherogenic — small/dense skew (LDL small 256, peak size 215.3Å)
Omega-3 index
5.3%
single reading · Feb’26
opt >5.5 · EPA low (0.3), Omega-6/3 ratio 7.3
Blood / CBC — erythrocytosis pattern
Hemoglobin
16.5g/dL (H)
single reading · Feb’26
opt 11.7–15.5 · male-range
Hematocrit
48.7% (H)
single reading · Feb’26
opt 35.9–46.0
RBC
5.13(H)
single reading · Feb’26
opt 3.80–5.10
MCV
94.9fL
Feb’25 94.3 → Feb’26 94.9
normal
Platelets
243K/µL
Feb’25 280 → Feb’26 243
normal
Likely driver: her own testosterone (0.58, above range) stimulating red-cell production — same mechanism as Nick's TRT-driven HCT. Needs a repeat draw to confirm the pattern.
Adrenal / HPA — exhaustion arc complete
AM cortisol
5.4mcg/dL
Feb’25 18.4 → Feb’26 5.4
ceiling → near-floor · exhaustion arc complete
HTMA Na/Mg
0.10
single reading · Aug’25
opt 4.00 · 2.5% of optimal — worst adrenal marker
HTMA Ca/K
92.50
single reading · Aug’25
opt 4.00 · 23× over — HPA/thyroid burnout
HTMA Na/K
1.00
single reading · Aug’25
opt 1.40 · Slow Oxidizer Type 1
HTMA Uranium
0.0022
single reading · Aug’25
in range — no toxic burden
DUTCH Complete — pre-TRT baseline (DUTCH, Nov 2025) · cortisol & metabolism baseline, not current state
Metabolized cortisol
3372
single reading · Nov’25
opt 2750–6500 · low-end total output
Cortisol clearance
6.9
single reading · Nov’25
opt 6–12.5 · low-end, slow metabolizer
24h free cortisol
109.9
single reading · Nov’25
normal
24h free cortisone
376
single reading · Nov’25
normal
a-THF
193
single reading · Nov’25
cortisol metabolite
b-THF
1052
single reading · Nov’25
low-end
b-THE
2127
single reading · Nov’25
cortisone metabolite
DUTCH Complete — diurnal curve (Nov’25)
Cortisol · waking
47.0
single reading · Nov’25
opt 10–50 · high-end
Cortisol · +2h
48.6
single reading · Nov’25
peak of curve
Cortisol · dinner
11.7
single reading · Nov’25
normal taper
Cortisol · bed
2.7
single reading · Nov’25
appropriately low
Cortisone · waking
148
single reading · Nov’25
opt 40–120 · above range
Cortisone · +2h
133.4
single reading · Nov’25
peak of curve
Cortisone · dinner
72.7
single reading · Nov’25
normal taper
Cortisone · bed
21.9
single reading · Nov’25
normal
Morning-heavy curve, low total output — matches the serum arc (18.40 Feb’25 → 5.4 Feb’26). Slow cortisol metabolizer.
DUTCH Complete — pre-TRT baseline (DUTCH, Nov 2025) · sex hormones & androgen metabolites baseline, not current state
Testosterone (DUTCH)
2.90
single reading · Nov’25
low-normal endogenous — confirms serum 0.58 is exogenous (topical)
Low endogenous estrogen (E2 1.71/total 34.7 below, AMH 0.60, FSH 4.7) plus low-normal endogenous androgens (T 2.90) — perimenopause profile. Her elevated serum total-T and erythrocytosis are exogenous (topical), confirmed against this baseline.
DUTCH Complete — estrogen metabolites & other markers (Nov’25)
2-OH-E1
8.54
single reading · Nov’25
protective pathway
4-OH-E1
0.57
single reading · Nov’25
minor pathway
16-OH-E1
1.04
single reading · Nov’25
proliferative pathway
2-Me-E1
4.46
single reading · Nov’25
methylated, protective
2-OH-E2
0.88
single reading · Nov’25
protective pathway
4-OH-E2
0.17
single reading · Nov’25
minor pathway
2-OH/16-OH ratio
8.21
single reading · Nov’25
protective skew — good
2-OH/4-OH ratio
14.98
single reading · Nov’25
opt 5.4–12.62 · above range
2-Me/2-OH ratio
0.52
single reading · Nov’25
methylation ratio
6-OH-melatonin-sulfate
14.3(low)
single reading · Nov’25
opt 10–85 · low-end
8-OHdG
2.3
single reading · Nov’25
clean oxidative stress — much better than Nick's 7.5
MMA (DUTCH)
1.1
single reading · Nov’25
B12 marker, normal
HVA
4.8
single reading · Nov’25
dopamine metabolite
VMA
2.3(low-end)
single reading · Nov’25
norepinephrine metabolite
Quinolinate
4.8
single reading · Nov’25
tryptophan metabolite
Full raw DUTCH Complete panel (Precision Analytical, collected Nov 3–4 2025, LMP Oct 18 2025, luteal) is her pre-topical-testosterone baseline — canonical source memory/lab-history.md.
homogeneous pattern — worth a follow-up autoimmune workup
eGFR
107.21mL/min/1.73m²
single reading · Feb’25
excellent kidney function
Gut / GI-MAP — organisms & function (Aug’23) — no repeat since
Citrobacter spp.
2.82e8(high)
single reading · Aug’23
ref <5.0e6 — overgrowth
Anti-gliadin IgA
197(high)
single reading · Aug’23
gluten reactivity
Elastase-1
>750
single reading · Aug’23
robust pancreatic function
Secretory IgA
779
single reading · Aug’23
robust mucosal immunity
Calprotectin
<dl
single reading · Aug’23
no intestinal inflammation
H. pylori
2.52e2
single reading · Aug’23
in range
Akkermansia (GI-MAP)
8.41e5
single reading · Aug’23
present — barrier-protector species
Firmicutes:Bacteroidetes
0.05(low)
single reading · Aug’23
very low Firmicutes (4.70e10)
Staph aureus
3.04e2
single reading · Aug’23
in range
Gut / Biomesight — microbiome & diversity (Dec’24)
Gut Wellness score
83.89%
single reading · Dec’24
Satisfactory
Diversity
84%
single reading · Dec’24
good
Probiotics
76.8%
single reading · Dec’24
good
Commensals
77.8%
single reading · Dec’24
good
Pathobionts
95%
single reading · Dec’24
favorable (higher = fewer pathobionts present)
Akkermansia (Biomesight)
6.119% (97th pct)
single reading · Dec’24
HIGH — strong barrier protection
Bifidobacterium
0.734% (low)
single reading · Dec’24
still low despite overall improvement
Blautia
6.18%
single reading · Dec’24
normal
Citrobacter overgrowth + gluten reactivity (2023) trending to "satisfactory" overall by late 2024, but Bifidobacterium still low. No repeat GI-MAP since 2023 — worth a follow-up given the DUTCH/hormone work in progress.
What Noah’s up to
this week · Jul 4–10
Noah’s Needs · 2 open — don’t drop these
WorkingFeels unheard — the imbalance with Willow + the unresolved walk-away / grounding.
WorkingFeels like everything he does is “wrong” — the towel / dish / vacuum corrections + feeling dismissed by Mama.
What parents saw
updates
Health Nick
Less compulsive / obsessive lately
Getting better at speaking his peace — head + heart.
Emotional Nick
Core theme: “not being heard”
Feels everyone’s frustrated at him — there’s truth to it; keep up the Needs tracker.
Pattern to watch
Dropping a supplement each dose → upset
Was very tired + having a hard time. Watch if the upset clusters with fatigue over the coming weeks. (Not a to-do.)
Skippy School
Sample
Auto-update from the tutor app
Lessons done this week4 of 5
Math — Division Queston level
Reading1 level up
Focus noterushing, not ability
4-day streak · earned “Fact Family” badge
Skippy School numbers are sample until Noah’s lesson-sync lands (per the handoff).
This week’s recs for your review — hypotheses, not adopted protocol
Noah’s family-optimization recs will appear here after the Sunday review.
Actively using current protocol & interventions
Noah’s protocol — PANS stack, by function ↗
AMChores / house help · Burbur Pinella 10 drops · Drainage Tone 10 drops · Microbinate · Akkermansia 1/day · kids probiotic 1/day · Digestzyme · aloe vera · marshmallow root · NAC · raw calcium · Prodrome Neuro 1 · mag threonate · 5-HTP 100mg · L-tyrosine 100mg · L-lysine · vitamin C · fish oil · DFH multi ×2 · ADK · Energy Bitz ×4 · electrolyte gummy · GABA · DesBio control/anxiety drops
MiddayBinder Plus ×2 (away from other supps) · vitamin C · GABA
DinnerBurbur Pinella 10 drops · Drainage Tone 10 drops · inositol 2 scoops · Digestzyme · NAC · raw calcium · fish oil · Recovery Bitz ×4 · Prodrome Glia ×4 (plasmalogens) · vitamin C · GABA
Daily symptom log — OCD 0-5, rage count, stool, sleep, focus, Willow conflict 0-5. The instrument for judging everything else while labs are blocked.
Tier B — Bring to practitioner ↗
ALCAT food panel — Zonulin stayed high despite GF/DF; something is cross-reacting (dairy most common).
Physica Mycotox + sinus sprays — Lauren’s planned next mold step, never implemented.
Tier C — Experimental practitioner sign-off · one at a time↗
Thymosin Alpha-1owned — immune rebalancer (not a kill agent), real pediatric precedent, hits the gut-immune interface. Best first candidate.
SS-31 / Elamipretideowned — mitochondrial target; maps to his OAT mitochondrial-stress marker. Strongest pediatric human-use precedent (Barth syndrome).
BPC-157 + KPV, oralowned — same oral peptides Willow is on; in-family positive signal for leaky gut / elevated Zonulin.
Cerebrolysin / VD11owned — most experimental; neurotrophic angle for the all-low neurotransmitter metabolites. Raise as a “what do you think?”
Safety: Add one at a time, low and slow — Willow had a severe reaction to a kill-phase push. Favor repair/modulate over kill/provoke, and watch the emotional read as closely as the physical one.
Nutrients — sufficient on the CMA (Feb’25) — the ~40 not flagged above
All other CMA nutrients
100–109% sufficient
single reading · Feb’25
iron, zinc, magnesium, B2/B3/B6/B9/C/D/K, glutathione, CoQ10, carnitine, choline, omega-3 EPA/DHA, most amino acids — all in sufficiency
What Willow’s up to
this week · Jul 4–10
What parents saw
updates
Emotional Nick
Getting better at speaking up
Building her voice — the family’s #1 focus for her.
Gut Nick
Fewer tummy issues
Trending right on the gentle BPC-157 / KPV reset.
Watching
Nighttime sadness (blood-sugar linked)
Frequency dropping; protein / fat bedtime snack on the nights it shows.
Skippy School
Sample
Auto-update from the tutor app
Lessons done this week5 of 5
Assessmentmaxed (confirm)
Writingvoice-first
Reading & Spanishon level
7-day streak · earned “Week Complete” badge
Sample numbers; “maxed” is still (confirm) — her tutor data is closest to real but not yet verified.
Age 7 · gut + emotional — milder than Noah, same household exposures. Oct 2025: a severe emotional crisis traced to an antimicrobial die-off reaction on Lauren’s protocol — pulled off everything by Dec 2025. Since Jan 2026 she’s on oral BPC-157 + KPV peptides and has improved in gut and mood. MycoTOX never run despite the same mold history as Noah.
This week’s recs for your review — hypotheses, not adopted protocol
Willow’s family-optimization recs will appear here after the Sunday review.
Actively using what she’s on now · as of Jul 3
Willow’s current protocol — tap to see the full day ↗
AMBPC-157 + KPV oral (¼ cap gut peptides, Limitless) · aloe vera · marshmallow · fish oil · DFH multi · pinch glutamine
PMApigenin · aloe vera · marshmallow · mag L-threonate · fish oil · ⅓ scoop inositol
TrialingElectrolytes
DietNo dairy · no gluten · simplified family meals (chicken + rice style) · avoid strong flavors
Off Lauren’s antimicrobials since Jan 2026 — BPC-157 + KPV (oral, Limitless) are the primary recovery drivers. Everything else is gut-soothing support. Improving steadily since Jan 2026. Protect the peptides; add gently.
Testing / recommending repair & reseed only · one per week · only while clearly improving
Akkermansia (owned — Pendulum)add first
Went present→absent by Aug’25. A keystone barrier organism — reseeding it supports the same gut lining BPC-157 is rebuilding, from the microbiome side. Highest-yield, lowest-risk add. Start here.
Kids probiotic / S. boulardii (owned)after Akkermansia
Broad microbiome support layer. One per week, only while she’s clearly well. Follow with IgGI Shield (owned) for the SIgA lever (267, declining).
Bedtime protein + fat snackstart now
Nick pegged the nighttime sadness as hypoglycemia — it resolves once she eats. No supplement needed, just food. Start tonight.
Low-dose butyrate (owned)add last, cautiously
Firmicutes near-absent, so butyrate helps the barrier — but it was present during the Oct’25 crisis (never confirmed causal). Add late, low, watch behavior closely; pull at any emotional flicker.
Hard rule — no kill phase, ever
NO Pathoguard. NO Smart Silver. No antimicrobials, biofilm busters, or aggressive cleanses of any kind. Pathoguard + Smart Silver directly caused the Oct 2025 crisis (suicidal-ideation language, extreme dysregulation). Strategy is repair and reseed only. Any new item that coincides with emotional regression gets pulled immediately.
Goals & projections your targets, not lab ranges
Secretory IgA → >300267 and declining — gut immune defense low
Strep → <1,000persistent overgrowth, slowly coming down
Individual markers full history · tap to chart
Gut (GI-MAP, Sep’24→Aug’25) — trending wrong pre-peptides
Streptococcus
1950
Sep’24 2280 → Aug’25 1950
persistent, coming down slowly · same organism elevated in Noah
Morganella
9.03e4(high)
single reading · Aug’25
opt <1.00e4 · emerging opportunistic, new finding
Staph aureus
2.69e3(high)
single reading · Aug’25
opt <5.00e2 · ~5× · same organism elevated in Noah
Staphylococcus spp.
1.18e4(high)
single reading · Aug’25
opt <5.00e3 · ~2× · distinct from Staph aureus above
Fusobacterium
1.36e8(high)
single reading · Aug’25
opt <1.00e8 · inflammatory
Bacteroidetes
1.01e13
Sep’24 3.81e12 → Aug’25 1.01e13
dramatically worsened · F:B ratio ~0.03–0.07, Firmicutes nearly absent
Akkermansia
absent
Sep’24 present → Aug’25 absent
opt present · same loss as Noah
Secretory IgA
267
Sep’24 288 → Aug’25 267
opt >300 · low, declining
Zonulin
151
single reading · Aug’25
opt <175 · approaching the line
Calprotectin
in range
single reading · Aug’25
no inflammation signal · win
H. pylori
cleared
Sep’24 borderline → Aug’25 cleared
win
Candida
cleared
Sep’24 approaching upper limit → Aug’25 cleared
win
Emotional / mental — protocol-driven, resolved
Crisis status
resolved
Oct’25 crisis → improved since Jan’26
die-off reaction, not a relapse pattern
Mold — assumed exposed, same as Noah
MycoTOX
not tested
single status
status: treat, don’t test
Never run — open panels (her known biomarkers are GI-MAP only)
GI-MAP retest
not done
ordered Jan’26 · never completed
would show if the peptide pivot moved Strep, S. aureus, Zonulin, SIgA, Akkermansia
OAT (organic acids)
never run
gap
Noah has one · Willow never tested
CMA (micronutrients)
never run
gap
would reveal what her immune/GI battle is depleting
Food sensitivity / ALCAT
never run
Lauren had ordered · not completed
triggers beyond dairy/gluten never pinned down
Bloodwork / CBC / serum
none on file
gap
no CBC, ferritin, vitamin D, or serum Ig ever drawn
Age ~15 · senior dachshund (Nick’s dog). Having health issues the family is actively working on — full intake pending. Current regimen, all given with food: peptides · Khavinson-type bioregulators · C60 (carbon-60 fullerene) · supplements. Vet visit Jun 24, 2026.
Recent updates
Test results, vet notes, and updates land here automatically as they come in.
Business
Weekly revenue
—
latest P&L week
Net profit / wk
—
after all expenses
Gross margin
—
before internal team
Active Heroes
—
live · Monday
Active sidekicks
—
workforce
Need attention
—
Heroes at risk / monitoring
Open ROs
—
active recruiting reqs
Billable hrs / wk
—
@ avg rate
Stripe loan left
—
paydown
SaaS / mo
—
active subscriptions
Annual run-rate
—
revenue × 52
Total payout/wk
—
sidekick + internal team
Needs your judgment
The handful of things that actually require Nick — the rest is delegated.
“Total Billing” includes Nick’s own direct client hours. Nick was billing heavily earlier in the quarter and has tapered direct work during health recovery (~2 hrs/wk now) — so a meaningful share of the Mar→Jun revenue/hours dip is Nick stepping back, a deliberate founder-hours wind-down, not market loss. Sidekick (contractor) volume also eased modestly (cost ~$20.4k→$18.9k/wk). Net: read the decline as mostly intentional, with some sidekick softness to watch.
Revenue (billing)
—
Total payout
—
sidekick + internal team
Gross spread
—
revenue − sidekick cost
Net (after all exp)
—
After loan repay
—
true take-home
Stripe avail (live)
n/a
live · Stripe Balance API
This week — P&L waterfall
Revenue & net profit — full quarter (13 wks)
Stripe loan paydown
Key ratios
Avg billing rate
Billable hours / wk
Gross margin (pre-internal)
Net margin (after all exp)
Monthly revenue run-rate
Annual run-rate
Weekly payroll (SK + internal)
Internal team cost — trend & breakdown
The “Less: Internal team cost” line from the weekly P&L — ~$1,701/wk. Per-person breakdown below is pulled from the P&L’s “Internal team cost” tab (weekly hours × each person’s internal rate).
SaaS subscriptions
Live from the Tools & Subscriptions board — the tech-stack-minimization target.
Tool
Category
Plan
Card
$/mo
Open
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Watching
Live — At Risk + Under Monitoring on the Hero Success board.
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Hero status mix
By board group (excl. archived).
New Heroes added / month
Acquisition cadence (by record creation date).
Hero roster
Hero
Status
Stage
Health
HSM
Open
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Active
—
Onboarding
—
At risk
—
excludes on-pause
Heroes : sidekicks
—
active ratio
Sidekick status
Top clients by sidekick count
Where the workforce is concentrated.
Active workforce
Active + onboarding only. Hrs = actual worked hours from Time Doctor (latest week big, prior week small) — “—” means no hours logged the last two weeks (a flag the placement may be inactive). combined = sidekick works multiple heroes and Time Doctor only gave us their total; the per-hero split is being pulled and will replace it. Refreshes Thursdays.
Sidekick
Client
Role
Status
Hrs (wk)
SSM
Open
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Active clients
—
with live sidekicks
Active sidekicks
—
Contracted hrs/wk
—
≈ billable book
Top client share
—
of total hours
Why hours, not dollars
Exact per-client $ profit lives in the weekly Xero P&L’s per-client tab (not cheaply extractable here), and the Monday sidekick rate fields are too gappy to compute reliably — many are codes (SR8/CR13) or blank, which is why a dollar view mis-stated big accounts like Spatial Vision. Billable hours per client is accurate and is the real revenue driver — so this ranks your book by hours (≈ share of revenue). Names are merged (e.g. both Paul Davis Restoration variants → one NV account; Indiana shown separately). Want true $-margin per client? Wire it if finance exposes the per-client tab as a clean feed.
Per-client footprint — by billable hours
Client
Active SKs
Hrs / wk
Share of book
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Open ROs
—
active recruiting reqs
High priority
—
Filled (Wins)
—
Oldest open
—
days since added
Open ROs
Live from the Requisition Order Tracker 2.0 board — genuinely active reqs only (excludes the evergreen “General – role” templates, filled Wins, and deprioritized). Click to open in Monday.
RO (client – role)
Stage
Priority
Needs
Days open
Open
Loading…
Recently filled — Wins
ROs marked Done on the tracker.
RO (client – role)
Added
Open
Loading…
My Work — on deck this week
Live — your tasks due by end of this week (incl. overdue). Opens the item in Monday.
Loading live from Monday…
Live from “TASKS: Recruitment” + “TASKS: Hero/Sidekick Success” boards — open items assigned to Nick, due this week. Nick’s Mind stays Personal (see To-Do tab); these two boards are the Professional/Business task pool.
Internal team cost
Per-person cost for the most recent week (weekly hours × internal rate), from the P&L internal-cost tab.
Team roster
Nick DeckCEO / Owner
High-level direction, strategic relationships, new client closes, escalation approvals.
Mae TayerOps Manager / Chief of Staff
Day-to-day ops, Nick’s calendar & tasks, standups, client comms. Also placed as Sidekick with Mitt Ray, Christian Shane, TJE Communications.
Dean YapClient Success / Account Manager
Primary client relationships (esp. Paul Davis, Aspen Ridge). Onboarding, invoice corrections, offboarding, escalations. Weekly Thu call with Nick.
Dindin GabalesRecruitment / Talent Acquisition
Sources, screens, endorses Sidekick candidates. Married to Dean.
Kimmel Advisory Services. H&S + Everglow + Nick’s personal taxes. Active IRS work.
2
Jason / Tangent Solutions
Web/data analytics, close friend in Playa. Referral relationship both ways.
3
Dom Trovato / TheHostReport.com
Active ads client — Thomas + Christine run his Meta ad acquisition.
4
Alex Kikel
Nick’s primary health-framework filter — not formal coaching, but the lens for protocol questions.
Calendar
This week
Today
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Upcoming
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To-Do
This week
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Things Noah needs us to hear, discuss, or help with. Each one is held by both Nick & Chantelle and stays here until we’ve talked it through with him and he feels good about it — then check it off.
Placeholder — a need Noah raised
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Skippy School
Skippy School
Who’s learning today?
Finances
Shopping
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Extras
Family Vault
Send any important doc, photo, or note — a bank statement, a passport, the tax PIN, a receipt. Skippy files it, and you can ask for it anytime.
…or just save a text note
Recently added to the Vault
Nothing yet — send your first file above.
Create a meditation
Write the script with Skippy. It renders on your Mac in your narration voice with a music bed, uploads to YouTube, and drops into your library below.
Meditation library
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Transcribe from YouTube
Paste video links — one per line. Each becomes a transcript, and the coach’s thinking-profile updates automatically.
Upload audio or video
Any recording — voice memo, meeting, clip. It transcribes on your Mac and files a Word doc.
Recent transcripts
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Ask Skippy
Same brain as the voice app · this chat isn’t saved
Who’s this?
I’m here. Ask me anything — a protocol call, a lab, the kids, the business, whatever’s on your mind.