—
Good morning,
Deck family
—
Health
Today’s 3 reps
Body open ↗
Softening smile lines + crow’s feet
Softening smile/nasolabial lines + crow’s feet — fold into the 4pm block.
Mind open ↗
Release trapped trauma — Subtle Body Method
Leslie Huddart’s body-up flagship behind the inner work — sit with it, don’t analyze.
Today’s anchor
“Which decisions are reversible, and which are merely postponable?”
Protocol & recommendations
Nick’s protocol — your full day, tap to check it off ↗
- On wakingGallon (sip through the morning): citrulline 7g · creatine 10g · methylene blue ~5–6mg (tapering) · 40k Volts electrolytes · Baja Gold salt · taurine 3g (new)
- On wakingTadalafil 5mg (10mg on sex days)
- MorningSun exposure · breathwork · meditation
- Angion daysAM1 (main, ~15–25min) → AM3 Vascion finisher (~3–5min) · MyHexel ring
- 7:30–8:15amMorning walk · ballistic stretching + reverse-kegel down-training
- Post-walkIce bath, ~2–3 min (3–4x/wk)
- 4pm, fasted8min cardio → lift 30–45min → 8min cardio → stretch
- Dinner startOmega-3 (krill) · Arterosil + Vascanox · citrus bergamot · methylated B-complex + TMG · plasmalogens (Prodrome Neuro + Glia) · PLC + ALC · CoQ10 + Urolithin A · mag threonate + citrate
- ~7pmGlycine 5g
- Standing / weeklyTRT 315mg/wk · Retatrutide ~1mg/wk · Modafinil 75–100mg (tapering) · Kratom 15g/day (#1 taper lever) · ketoconazole shampoo
Coming next
- Finish the kratom taper (315→285→250)
- Hydrate + consider donation if HCT climbs
- Keep dropping body fat to lower E2
- Repeat ANA · book male pelvic-floor PT
Priorities & action items
1high
Finish the kratom taper
#1 lever — HDL, HCT, E2 and EQ converge as T comes down
2high
MB taper — small first drop NOW
Overstimulated lately + saffron will read faster anyway → start the drop, don’t wait. −0.5–1mg/step, hold 1–2 wks, read felt-state. Watch: cognition, energy, morning clarity, mood, AM erections (MB inhibits NOS — dropping it may help EQ).
3high
Start taurine 3g in the gallon
One-at-a-time variable, starting now. Watch 10–14 days: daytime anxiety, pelvic-floor clench during arousal + the no-push urinary drill, training feel; flag flatness/over-sedation. Don’t start another osmolyte within 3–4 days of an MB step-down.
4med
Start finger-stick glucose tracking
New self-tracking, 3x/day: pre-dinner, right after dinner, after the post-dinner walk. Reporting the post-meal-crash pattern (glucose-driven vs. cerebral-hypoperfusion type).
5med
Hematocrit 52.1 — over the line
TRT erythrocytosis; hydrate + donate if it climbs; the taper brings it down.
6med
Book pending tests
Stays on the list until each pending test is booked/checked off.
7low
Book the male pelvic-floor PT
Root driver of the EQ + bladder + bowel pattern.
Active experiments — how’s it going?
PLC + ALC (EQ stack)since Jun 25
Watching: morning erection persistence + EQ (give 4–6 wks)
Retatrutide dose bumpsince ~Jun 24
Watching: energy / mood on inject vs. off days
Methylated B-complex + TMGJun 26 · 4 days in
Watching: homocysteine 14→<10; taken w/ dinner — recheck next draw
Saffron (Nootropics Depot) M/W/Fsince Jun 29
Watching: serotonin balance / settle the overstimulated feeling — watch the prior loopy reaction + MB serotonergic caution
Ask-Skippy chat isn’t wired into this app yet — a real “Discuss” action needs that built first, so it’s left off here rather than faked.
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.
Goals & projections your targets, not lab ranges
HDLtarget36.4 mg/dL → 50–60
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)
—
d-6
—
d-5
—
d-4
—
d-3
—
d-2
—
d-1
—
d-0
EQ score
Morning erection persistence — rate /10 each morning, logged with intimacy + food. No scores logged yet.
AM erection
fades fast
Clench release
improving
Angion
AM1 focus
Daytime / intimacy-session score — separate /10 rating for how it holds up during actual intimacy, not just on waking. No scores logged yet.
Daytime persistence
not logged
During intimacy
not logged
83
Readiness
▲ 5 vs. yesterday
87
HRV balance
▲ 9 vs. yesterday
7h42
Sleep (total)
▲ 30m vs. yesterday
7.0
Felt-state
▲ 0.2 vs. yesterday
Arrows compare today vs. yesterday.
Food tracker
Total burned
3,103 kcal · 812 active (Oura)
BMR 1,991 kcal + ~300 ring-off est · 7-day avg 3,242 kcal burned/day
Consumed
log via check-in
OMAD — one meal, dinner window ~5–6pm
Patterns we’re tracking
Emotional safety → felt-state → whole body
strengtheningSafety downregulates the nervous system → clarity, mood, appetite lift together. Biggest daily non-pharma lever.
Better on retatrutide inject days
testingConsistently better on inject days — acute glucagon-arm bump at low dose. Logging to confirm.
Systems-building as avoidance of inner work
leaning confirmBuild-energy flows to the in-control domain while the vulnerable reaches stay parked.
Moving toward discomfort
winDrew the liver labs you’d deferred — pain-avoidance running the right way.
Your week
Strong week. Felt-state ran high — Father’s Day breakthrough (Jun 21), a one-day anxious dip (Jun 23) that resolved with no protocol change, then back to himself Jun 24–25. Readiness held mid-80s; HRV eased from low-90s toward high-70s. New labs: liver normalized (ALT 90→39), E2 down 123→71. Cognition ~75% with less stimulant reliance.
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
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
Anxiety / Energy
—/10
single reading
opt lower (anxiety) / higher (energy)
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.
Recovery
Readiness
HRV balance
Resting HR (inv)
Sleep
Sleep efficiency
Total sleep
Activity
Activity score
Steps (÷150)
Correlation matrix
Sleep↔Readiness
0.6
Sleep↔HRV
0.5
Readiness↔Resting
0.5
Body↔Total
0.6
Deep↔REM
0.5
Deep↔Sleep
0.6
Steps↔Active
0.7
Activity↔Sleep
0.7
Individual markers full history · tap to chart
Thyroid
TSH
2.7mIU/L
Sep’25 2.0 → Dec’25 2.7
opt 1–2 · Sep’25–Dec’25
Free T4
1.1ng/dL
Sep’25 1.3 → Dec’25 1.1
opt 1–1.5 · Sep’25–Dec’25
Free T3
3.5pg/mL
Sep’25 3.7 → Dec’25 3.5
opt >3.7 · Sep’25–Dec’25
TPO antibodies
<1IU/mL
single reading · Sep’25
negative
Thyroglobulin antibodies
<1IU/mL
single reading · Sep’25
negative
Adrenal
Cortisol serum AM
6.3mcg/dL
Sep’25 9.1 → Dec’25 6.3
opt 10–18 · Sep’25–Dec’25
Cortisol clearance
4.4(severely low)
single reading
opt 8.5–17.5 · Oct’25
Metabolized cortisol
2374ng/mg
single reading — below range
opt 4550–10000 · Oct’25
Total cortisol production
2955ng/mg
single reading · Oct’25
opt 1000–5500
24hr free cortisol
122.6
single reading · Oct’25
opt 75–300
24hr free cortisone
419.2
single reading · Oct’25
opt 220–550
β-THF
1224.4(low)
single reading · Oct’25
opt 1750–4000
β-THE
904.1(low)
single reading · Oct’25
opt 2350–5800
α-THF
245.6
single reading · Oct’25
opt 175–700
Cortisol waking
18.5ng/mg
single reading
opt 13–80 · Oct’25
Cortisol morning
65.7ng/mg
single reading
opt 35–180 · Oct’25
Cortisol afternoon
31.6ng/mg
single reading
opt 10–45 · Oct’25
Cortisol night
6.8ng/mg
single reading · Oct’25
opt 0–20 · appropriately low
Cortisone waking
86.7ng/mg
single reading · Oct’25
opt 40–160
Cortisone morning
224.6ng/mg
single reading · Oct’25
opt 80–240
Cortisone afternoon
63.5ng/mg
single reading · Oct’25
opt 40–130
Cortisone night
44.4ng/mg
single reading · Oct’25
opt 0–70
DUTCH — sex hormone metabolites (Oct’25)
Estrone E1 (DUTCH)
3.54(below)
single reading · Oct’25
opt 4–16
Estradiol E2 (DUTCH)
0.64
single reading · Oct’25
opt 0.5–2.2
Estriol E3 (DUTCH)
2.9
single reading · Oct’25
opt 2–8
Total estrogen (DUTCH)
13.1
single reading · Oct’25
opt 10–34
Testosterone (DUTCH)
48.07
single reading · Oct’25
opt 25–115 · reflects TRT dose
Epi-testosterone (DUTCH)
28.9
single reading · Oct’25
opt 25–115
DHEA-S (DUTCH)
130.8(low-end)
single reading · Oct’25
opt 30–1500
5α-DHT (DUTCH)
11.1
single reading · Oct’25
opt 5–25
5α-Androstanediol
77.6
single reading · Oct’25
opt 30–250
5β-Androstanediol
225.5
single reading · Oct’25
opt 40–250
Androsterone
1576.8
single reading · Oct’25
opt 500–3000
Etiocholanolone
1247.7
single reading · Oct’25
opt 400–1500
β-Pregnanediol
218.4
single reading · Oct’25
opt 75–400
α-Pregnanediol
53.9
single reading · Oct’25
opt 20–130
DUTCH — estrogen metabolites (Oct’25)
2-OH/16-OH-E1 balance
11.76(above)
single reading · Oct’25
opt 2.85–9.88 · protective skew
2-OH-E1
2.94
single reading · Oct’25
opt 0–5.9
4-OH-E1
0.3
single reading · Oct’25
opt 0–0.8
16-OH-E1
0.25
single reading · Oct’25
opt 0–1.2
2-Methoxy-E1
1.49
single reading · Oct’25
opt 0–2.8
2-OH-E2
0.9
single reading · Oct’25
opt 0–1.2
4-OH-E2
0.16
single reading · Oct’25
opt 0–0.25
2-OH/4-OH-E1 ratio
9.8
single reading · Oct’25
opt 6.44–12.6
2-Methoxy/2-OH ratio
0.51
single reading · Oct’25
opt 0.4–0.7
Liver
ALT
39.1U/L
Dec’25 28 → Feb’26 58.8 → Mar’26 90.1 → Jun’26 39.1
opt <25 · Sep’25–Jun’26
AST
40.6U/L
Dec’25 30 → Feb’26 47.7 → Mar’26 49.9 → Jun’26 40.6
opt <25 · Sep’25–Jun’26
AST/ALT ratio
1.04
Nov’25 0.87 → Feb’26 0.81 → Mar’26 0.55 → Jun’26 1.04
informational
GGT
14.7U/L
Dec’25 16 → Feb’26 17.5 → Mar’26 21.6 → Jun’26 14.7
opt <20 · Sep’25–Jun’26
ALP
57.9U/L
Dec’25 70 → Feb’26 63.5 → Mar’26 62.4 → Jun’26 57.9
opt 40–129 · Sep’25–Jun’26
Total protein
7.0g/dL
Dec’25 6.7 → Feb’26 7.0 → Mar’26 7.2 → Jun’26 7.0
opt 6.5–7.5 · Sep’25–Jun’26
Bilirubin (total)
0.3mg/dL
Dec’25 0.5 → Feb’26 0.4 → Mar’26 0.4 → Jun’26 0.3
opt <1 · Sep’25–Jun’26
Direct bilirubin
0.14mg/dL
Nov’25 0.19 → Feb’26 0.2 → Mar’26 0.2
normal
Indirect bilirubin
0.24mg/dL
Nov’25 0.13 → Feb’26 0.19 → Mar’26 0.24
normal
Albumin
4.7g/dL
Dec’25 4.5 → Feb’26 4.7 → Mar’26 4.7 → Jun’26 4.7
opt 4.5–5 · Sep’25–Jun’26
Globulin
2.41g/dL
Sep’25 2.3 → Feb’26 2.27 → Mar’26 2.41
normal
A/G ratio
1.97
Sep’25 2.0 → Feb’26 2.06 → Mar’26 1.97
normal
Hormones
Testosterone
>1500ng/dL
Nov’25 3843 → Jun’26 >1500
opt 1000–1500 (TRT) · Sep’25–Jun’26
Free T
795.8pg/mL
Sep’25 80.4 → Dec’25 795.8
opt high (TRT goal) · Sep’25–Dec’25
SHBG
46.2nmol/L
Sep’25 91 → Dec’25 65 → Jun’26 46.2
opt 30–50 · Sep’25–Jun’26
DHT
1274pg/mL
Sep’25 67 ng/dL → Jun’26 1274 pg/mL
opt high-normal (TRT)
Estradiol
71.1pg/mL
Nov’25 71.5 → Dec’25 174 → Mar’26 123 → Jun’26 71.1
opt 20–40 · Sep’25–Jun’26
LH
<0.30IU/L
Nov’25 <0.30 → Dec’25 <0.2 → Mar’26 0.30 → Jun’26 <0.30
opt suppressed (TRT) · Sep’25–Jun’26
FSH
<0.30IU/L
Nov’25 0.6 → Dec’25 <0.7 → Mar’26 <0.30 → Jun’26 <0.30
opt suppressed (TRT) · Sep’25–Jun’26
Prolactin
14.8ng/mL
Sep’25 5.57 → Nov’25 11 → Mar’26 11 → Jun’26 14.8
Sep’25–Jun’26
IGF-1
122ng/mL
Sep’25 122 → Dec’25 122
Sep’25–Dec’25
Progesterone
0.55ng/mL
Nov’25 0.44 → Mar’26 0.44 → Jun’26 0.55
normal male range
DHEA-S
3.14ng/mL
Sep’25 118 mcg/dL → Nov’25/Mar’26 3.14 ng/mL
different assay scale between draws
Androstenedione
3.5ng/mL (high)
Sep’25 86 ng/dL → Nov’25/Mar’26 3.5 ng/mL
flagged high both draws
PSA total
0.5ng/mL
Sep’25 0.5 → Dec’25 0.5
excellent, stable
PSA free
0.3ng/mL
single reading · Sep’25
normal
PSA % free
60%
Sep’25 60 → Dec’25 60
normal
Cardio
Total chol
211mg/dL
Dec’25 202 → Feb’26 120 → Mar’26 215 → Jun’26 211
opt <200 · Sep’25–Jun’26
LDL-C
135mg/dL
Dec’25 135.4
opt <130 · Sep’25–Jun’26
Triglycerides
196mg/dL
Sep’25 54 → Nov’25 45 → Feb’26 43 → Mar’26 99.2 → Jun’26 196
opt <80 · Sep’25–Jun’26
Non-HDL
175mg/dL
Jun’26 175 (was 116–155)
opt <130 · Sep’25–Jun’26
HDL-C
36.4mg/dL
Dec’25 58 → Feb’26 73.4 → Mar’26 59.8 → Jun’26 36.4
opt >45 · Sep’25–Jun’26
VLDL
39.2mg/dL
Dec’25 9 → Feb’26 8.6 → Mar’26 19.8 → Jun’26 39.2
opt <30 · Nov’25–Jun’26
ApoB
90mg/dL
Sep’25 88 → Dec’25 90
opt <80 · Sep’25–Dec’25
ApoA1
160mg/dL
single reading
opt >140 · Dec’25
sd-LDL
5.4
Nov’25 0.6 → Feb’26 0.6 → Mar’26 1.7 → Jun’26 5.4
opt <3.5 · Nov’25–Jun’26
Total chol/HDL ratio
3.72
Sep’25 2.9 → Dec’25 3.0 → Jun’26 3.72
informational — tracks HDL slide
LDL/HDL ratio
3.72
Nov’25 1.42 → Feb’26 1.63 → Mar’26 2.26 → Jun’26 3.72
trending up with the HDL drop
Atherogenic index
3.6
Nov’25 2.54 → Feb’26 2.75 → Mar’26 3.6
trending up
Lp(a)
<10nmol/L
Sep’25 <10 → Dec’25 <10
opt <75 · excellent, genetics in his favor
LDL particle number
1435nmol/L
Sep’25 1522 → Dec’25 1435
opt <1138 · above
LDL small
233nmol/L
Sep’25 232 → Dec’25 233
opt <142 · above
LDL medium
345nmol/L
Sep’25 363 → Dec’25 345
opt <215 · above
HDL large
6525nmol/L
Sep’25 6830 → Dec’25 6525
opt >6729 · slightly below
LDL pattern
A
Sep’25 A → Dec’25 A
favorable pattern — worth a recheck given the recent TG spike
LDL peak size
220.4Å
Sep’25 220.5 → Dec’25 220.4
opt >222.9 · just below
Lp-PLA2 activity
155nmol/min/mL
single reading · Dec’25
above — vascular inflammation
Myeloperoxidase (MPO)
474pmol/L
single reading · Dec’25
above — oxidative stress
OxLDL
43U/L
single reading · Dec’25
normal
TMAO
3µM
single reading · Dec’25
normal
Fibrinogen
282mg/dL
single reading · Dec’25
normal
hs-CRP
0.69mg/L
Sep’25 0.2 → Dec’25 0.4 → Jun’26 0.69
opt <0.5–1 · trending up
Omega-3 index
5.6%
single reading · Sep’25
opt >5.5 · borderline (EPA 1.0, DHA 3.1)
Homocysteine
14.06µmol/L
Sep’25 7.1 → Nov’25 12.62 → Jun’26 14.06
opt <10 · climbing, needs attention
MMA serum
164nmol/L
Sep’25 117 → Dec’25 164
B12 marker
Blood
RBC
5.4M/µL
Nov’25 4.8 → Dec’25 5.3 → Jun’26 5.4
opt 4.5–5.5 · Sep’25–Mar’26
Hemoglobin
17.3g/dL
Nov’25 15.6 → Dec’25 16.7 → Mar’26 17.4 → Jun’26 17.3
opt 14–17 · Sep’25–Jun’26
Hematocrit
52.1%
Dec’25 50 → Feb’26 50.6 → Mar’26 52.4 → Jun’26 52.1
opt <50 · Sep’25–Jun’26
MCV
97.4fL
Nov’25 96 → Dec’25 103.7 → Mar’26 97.4
opt 80–100 · Sep’25–Mar’26
MCH
32.3pg
Sep’25 33.7 → Dec’25 32.4 → Mar’26 32.3
normal
MCHC
33.2g/dL
Sep’25 33.4 → Feb’26 33.0 → Mar’26 33.2
normal
RDW
14%
Sep’25 11.7 → Dec’25 13.1 → Mar’26 14
climbing — watch
Platelets
289K/µL
Sep’25 267 → Dec’25 286 → Feb’26 277 → Mar’26 289
opt 150–300 · Sep’25–Mar’26
WBC
6.4K/µL
Dec’25 6.7 → Feb’26 8.3 → Mar’26 10 → Jun’26 6.4
opt 4–8 · Sep’25–Jun’26
Lymphocytes
43.6%
Sep’25 47.0 → Feb’26 45.7 → Jun’26 43.6
normal
Monocytes
13.8% (high)
Sep’25 9 → Feb’26 11.5 → Jun’26 13.8
Sep’25–Jun’26
Eosinophils
0.7%
Sep’25 0.2 → Feb’26 1.1 → Mar’26 0.7
normal
Neutrophils
47%
Sep’25 43.6 → Dec’25 55.6 → Mar’26 47
normal
Creatinine
1.3mg/dL
Nov’25 1.0 → Feb’26 1.0 → Mar’26 1.1 → Jun’26 1.3
opt 0.8–1.1 · Sep’25–Jun’26
BUN
23mg/dL
Dec’25 14 → Feb’26 20.8 → Mar’26 21.0 → Jun’26 23
opt 10–23 · Sep’25–Jun’26
Urea
49.2mg/dL
Nov’25 29.3 → Feb’26 45 → Jun’26 49.2
rising with BUN
eGFR
69mL/min
Dec’25 88 → Feb’26 90.7 → Mar’26 87.6 → Jun’26 69
Sep’25–Jun’26
Metabolic
Glucose
91.2mg/dL
Sep’25 77 → Dec’25 95.7 → Feb’26 91.7 → Jun’26 91.2
opt 70–95 · Sep’25–Jun’26
HbA1c
5.0%
Sep’25 5 → Dec’25 4.7 → Feb’26 5.0 → Mar’26 5.0
Sep’25–Mar’26
Uric acid
6.3mg/dL
Sep’25 5.6 → Dec’25 4.6 → Feb’26 4.9 → Mar’26 6.3
opt <5.3 · Sep’25–Mar’26
Leptin
0.5ng/mL
Sep’25 0.7 → Dec’25 0.5
opt <6 · Sep’25–Dec’25
OGTT fasting
96.6mg/dL
single reading · Nov’25
normal start point
OGTT 1-hr glucose
79.3mg/dL (low)
single reading · Nov’25
reactive-hypoglycemia curve
OGTT 2-hr glucose
55mg/dL (reactive low)
single reading
opt >70 · Nov’25 — reactive hypoglycemia confirmed
Insulin
1.2µIU/mL
Sep’25 4.9 → Dec’25 1.2
opt <5 · Sep’25–Dec’25
Insulin resistance score
2
single reading · Dec’25
low risk
C-peptide
0.53ng/mL (below)
single reading · Dec’25
low insulin output — consistent w/ low insulin above
Creatine kinase
361U/L (exercise)
Nov’25 391 → Dec’25 314 → Feb’26 374 → Jun’26 361
opt exercise-dependent · Nov’25–Jun’26
LDH
168U/L
Nov’25 161 → Feb’26 165 → Mar’26 193 → Jun’26 168
normal
Amylase
82.7U/L
Sep’25 55 → Feb’26 89.1 → Jun’26 82.7
normal
Lipase
46.7U/L
Sep’25 32 → Feb’26 62.7 → Jun’26 46.7
normal
Nutrients
Ferritin
109ng/mL
Sep’25 123 → Nov’25 29 → Feb’26 50.5 → Jun’26 109
opt 80–150 · Sep’25–Jun’26
Iron serum
107µg/dL
Sep’25 93 → Dec’25 98 → Mar’26 107
normal
TIBC
409µg/dL
Sep’25 290 → Feb’26 362 → Mar’26 409
climbing
Iron saturation
23.8%
Dec’25 29 → Feb’26 38.1 → Mar’26 26.2 → Jun’26 23.8
opt 20–40 · Sep’25–Jun’26
Transferrin
343mg/dL
Nov’25 229 → Feb’26 300 → Mar’26 343
climbing with TIBC
Zinc
89mcg/dL
Sep’25 86 → Dec’25 89
opt >85 · Sep’25–Dec’25
Vitamin D
55ng/mL
Sep’25 54 → Dec’25 55
opt >50 · Sep’25–Dec’25
Magnesium (serum)
2.22mg/dL
Sep’25 5.7 → Feb’26 2.32 → Jun’26 2.22
Sep/Dec use a different assay scale
Calcium
9.41mg/dL
Sep’25 9.5 → Feb’26 9.4 → Jun’26 9.41
normal
Sodium
138.5mmol/L
Sep’25 139 → Feb’26 140 → Jun’26 138.5
normal
Potassium
4.75mmol/L
Sep’25 4.4 → Feb’26 4.59 → Jun’26 4.75
normal, upper-end
Chloride
102.2mmol/L
Sep’25 104 → Feb’26 101.9 → Mar’26 102.2
normal
Immune
8-OHdG
7.5ng/mg (high-normal)
single reading
opt <10 (informational)
Rheumatoid factor
5.6IU/mL
Sep’25 10 → Feb’26 6.2 → Mar’26 7.0 → Jun’26 5.6
opt <5 · Sep’25–Jun’26
ANA
POSITIVE1:80 DFS titer
single reading
opt negative · Oct’25
IgA
195mg/dL
Sep’25 168 → Feb’26 195 → Mar’26 195
normal
IgM
91.3mg/dL
Feb’26 93.3 → Mar’26 91.3
normal
IgG
1175mg/dL
Feb’26 1145 → Mar’26 1175
normal
Celiac panel
all negative
single reading · Dec’25
Deamidated Gliadin IgA/IgG 2.1/2.1, tTG IgA/IgG <1.0/<1.0
Mercury / Lead
<4 / <1.0
single reading · Sep’25
clean, no toxic burden
Neuro
Melatonin (6-OHMS)
14.3ng/mg (low end)
single reading
opt 10–85 · Oct’25
VMA
2.7µg/mg (low end)
single reading
opt 2.5–7.5 · Oct’25
HVA
9.4µg/mg
single reading
opt 4–16 · Oct’25
MMA (organic acid)
1.4µg/mg
single reading · Oct’25
opt 0–3.5
Xanthurenate
0.48
single reading · Oct’25
opt 0.2–1.9
Kynurenate
3
single reading · Oct’25
opt 1–6.6
Quinolinate
4.8
single reading · Oct’25
opt 0–12.5
β-hydroxyisovalerate
8.3
single reading · Oct’25
opt 0–18
Pyroglutamate
58.2
single reading · Oct’25
opt 38–83
Indican
79.7
single reading · Oct’25
opt 0–131
Toxic / Trace (HTMA, Aug’25)
HTMA Na/Mg
0.51(severely depleted)
single reading · Aug’25
opt 4.00 · adrenal
HTMA Ca/K
41.00(10× over)
single reading · Aug’25
opt 4.00 · thyroid/HPA
HTMA Potassium
1(extreme depletion)
single reading · Aug’25
min ref 2
HTMA Sodium
2
single reading · Aug’25
min ref 3
HTMA Uranium
0.0092(elevated)
single reading · Aug’25
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).
Protocol & recommendations
Chantelle’s protocol — topical T + progesterone ↗
- AM2 DFH multi · gut peptides · 2 digestive enzymes · mag L-threonate · selenium · aloe · marshmallow · slippery elm · 2 pumps topical testosterone
- PM3 apigenin · L-theanine · Digestzyme · mag threonate · hydroxyzine (Rx) · 0.54 progesterone · glutamine
Coming next
- Review the topical T dose
- Run the missing female panel
- Lever Lp(a)’s modifiable load
- Adrenal/HPA recovery · ferritin to 70+
On topical testosterone + progesterone — the likely source of her high total-T (0.58) and erythrocytosis (HCT 48.7). T started after her DUTCH; progesterone is recent.
Priorities & action items
1high
Review the topical testosterone dose
Likely driving the high total-T (0.58) and erythrocytosis (HCT 48.7) — same tradeoff as Nick on TRT. First move before tuning anything else.
2high
Run the full female hormone panel (FSH/LH/AMH/free T/DUTCH)
The gap that’s never been closed — everything downstream is a guess without this.
3high
Lp(a) 161 — drive down the modifiable load
Genetic and diet-resistant, but the surrounding CV risk load is movable.
4med
Adrenal / HPA recovery — minerals + stress + circadian
Cortisol clearance 4.4 (severely low) + near-zero HTMA adrenal minerals.
5med
Confirm progesterone timing is luteal-aligned
0.54 PM, recent start — check it lines up with where she actually is in her cycle.
6low
Book a cycle-timed draw (Day 3 + Day 21)
Needed to read the female panel correctly once it’s ordered.
Pending tests (5) — tap to expand
- FSH, LH, AMH, DHEA-S, free T
- DUTCH results — locate/confirm (Nick says we have them; not in files)
- Salivary cortisol ×4
- GI-MAP
- Repeat testosterone + HCT
Active experiments — how’s it going?
None running right now.
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
Cycle day 14
Ovulatory
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 · PdG
device 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
opt <125 · genetic, diet-resistant
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 — cortisol & metabolism (Nov’25, pre-topical-T)
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 — sex hormones & androgen metabolites (Nov’25, pre-topical-T)
Testosterone (DUTCH)
2.90
single reading · Nov’25
low-normal endogenous — confirms serum 0.58 is exogenous (topical)
Estradiol E2 (DUTCH)
1.71
single reading · Nov’25
luteal opt 1.8–4.5 · below — low endogenous estrogen
Estrone E1 (DUTCH)
12.35(low)
single reading · Nov’25
low
Estriol E3 (DUTCH)
5.0
single reading · Nov’25
normal
Total estrogen (DUTCH)
34.7
single reading · Nov’25
opt 35–70 · below
b-Pregnanediol
543.9(low)
single reading · Nov’25
luteal opt 600–2000 · below
a-Pregnanediol
204.4
single reading · Nov’25
progesterone metabolite
Epi-testosterone
3.7
single reading · Nov’25
androgen metabolite
5a-DHT
2.3
single reading · Nov’25
androgen metabolite
Androsterone
762.8
single reading · Nov’25
androgen metabolite
Etiocholanolone
636.5
single reading · Nov’25
androgen metabolite
5a-Androstanediol
9.7
single reading · Nov’25
androgen metabolite
5b-Androstanediol
18.0
single reading · Nov’25
androgen metabolite
DHEA-S (DUTCH)
117.2
single reading · Nov’25
androgen precursor
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.
Immune / CBC (Feb’25) — chronic inflammatory pattern
Lymphocytes
22.3% (low)
Feb’25 23.9 → Feb’26 22.3
opt 25–40%
Monocytes
9.1% (high)
single reading · Feb’25
opt 2–8%
Eosinophils
3.4% (high)
Feb’25 3.2 → Feb’26 3.4
opt 1–3% · mild but persistent
CK
268UI/L (high)
single reading · Feb’25
opt 29–170 · thyroid/muscle-linked
Female hormones — perimenopause profile (Feb’26)
Testosterone (total)
28ng/dL
Feb’25 0.58 ng/mL → Feb’26 28 ng/dL
on topical T · exogenous, confirmed via DUTCH
Free testosterone
2.2pg/mL
single reading · Feb’26
on topical T
Estradiol (serum)
139pg/mL
single reading · Feb’26
low endogenous baseline confirmed via DUTCH
Progesterone
4.18
single reading · Feb’25
low-luteal
SHBG
93
Feb’25 86.3 → Feb’26 93
no female panel to compare against yet
DHEA-S
168mcg/dL
single reading · Feb’26
normal
FSH
4.7IU/L
single reading · Feb’26
normal for cycling
LH
2.8IU/L
single reading · Feb’26
normal
Prolactin
4.9ng/mL
single reading · Feb’26
normal
AMH
0.60ng/mL (low)
single reading · Feb’26
ref 0.01–2.99 · low ovarian reserve — fits perimenopause at 43
Thyroid — 12-month turnaround
TSH
1.29mIU/L
Feb’25 3.05 → Nov’25 2.66 → Feb’26 1.29
opt 1–2 · now optimal
Free T3
3.2pg/mL
Feb’25 2.91 → Nov’25 3.16 → Feb’26 3.2
opt >3.7 · improving conversion
Free T4
1.2ng/dL
Feb’25 1.07 → Nov’25 1.10 → Feb’26 1.2
normal
TPO antibodies
13.60IU/mL
single reading · Feb’25
negative — no autoimmune thyroid
Homocysteine
7.81µmol/L
single reading · Nov’25
opt <10 · excellent, no methylation concern
Liver — normalized
AST
22U/L
Feb’25 41.1 (mildly high) → Feb’26 22
normalized
ALT
17U/L
Feb’25 38.7 (mildly high) → Feb’26 17
normalized
ALP
76U/L
single reading · Feb’26
normal
GGT
14.0U/L
single reading · Feb’25
normal
Total bilirubin
0.50mg/dL
single reading · Feb’25
normal
Metabolic
Glucose
91mg/dL
Feb’25 92.4 → Feb’26 91
good
HbA1c
4.8%
single reading · Feb’26
excellent
Insulin
7.1uIU/mL
single reading · Feb’26
upper-normal — watch
Uric acid
3.4mg/dL
single reading · Feb’26
good, low
Leptin
5.8ng/mL
single reading · Feb’26
no red flag
Lipase
62U/L (high)
Feb’25 59.7 → Feb’26 62
mild, persistent — watch
Nutrients / Iron
Vitamin D
57ng/mL
single reading · Feb’26
opt 60–80 · below target
Ferritin
44ng/mL
single reading · Feb’26
opt female >50–70 · below target
Iron saturation
24% (down)
Feb’25 31% → Feb’26 24%
trending down — watch
RBC magnesium
5.8mg/dL
single reading · Feb’26
ref 4.0–6.4 · good
Zinc
85mcg/dL
single reading · Feb’26
good
Mercury / Lead
<4 / <1.0
single reading · Feb’26
clean, no toxic burden
Immune / Autoimmune
IgA / IgM / IgG
240 / 110 / 1096mg/dL
single reading · Feb’25
all normal
RF
7.60IU/mL
single reading · Feb’25
negative
ANA screen
POSITIVE1:80
single reading · Feb’26
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.
Age 10 · PANDAS/PANS + confirmed mold toxicity (Aspergillus). The molecular story: mycotoxins → fusaric acid blocks dopamine-β-hydroxylase → dopamine, norepinephrine and serotonin all suppressed → the OCD/anxiety loop. Two-year arc with Lauren Stone (Althea); paused April 2026 for cost, protocol continuing. June 2026: OCD substantially reduced, reconnecting with his pre-illness self. Diet: no gluten, no corn/tortillas/chips.
Protocol & recommendations
Noah’s protocol — PANS stack ↗
- AMProdrome Neuro · L-lysine · mag threonate · Microbinate · Digestzyme · raw calcium · NAC · DFH multi ×2 · electrolyte gummy · Energy Bitz ×4 · fish oil · ADK
- MiddayBinder Plus ×2 · Akkermansia · kids probiotics
- PML-lysine · mag threonate · fish oil · Digestzyme · raw calcium · NAC · Prodrome Glia ×4 · Recovery Bitz ×4 · aloe · marshmallow · apigenin
- Daily5-HTP 100mg AM / 200mg PM · L-tyrosine 100mg · no gluten/corn
- SaturdayDesBio BOBA 10M × 12 weeks
Coming next
- Mold treatment — binders + drainage
- Candida SSR + Microbinate planned
- Glutathione support
- OCD therapy (Capanna-Hodge + EFT)
Priorities & action items
1high
Order ASO + Anti-DNase B strep titers (La Clicsa, Playa)
Confirms the PANDAS strep trigger directly.
2high
Retest GI-MAP + OAT
Last draw was Feb’25 — need current gut + neurotransmitter picture.
3med
Book the kids’ La Clicsa local draw
Unlocks the strep titers + retest above.
4med
Order GI-MAP + OAT retest kits
Rupa, once back in the US.
5med
Start OCD therapy (Capanna-Hodge / EFT)
Runs alongside the biological protocol, not instead of it.
6low
Complete BOBA Borrelia series (10M, weekly)
12-week Saturday series, in progress.
7low
Re-engage Lauren when budget allows
Paused Apr 2026 for cost — protocol continuing independently.
Pending tests (7) — tap to expand
- La Clicsa now: ASO + Anti-DNase B titers (PANDAS strep antibodies)
- Mycoplasma pneumoniae IgM/IgG
- Ceruloplasmin + copper + zinc
- CBC+diff · hs-CRP · ferritin + iron · Vitamin D
- Thyroid (TSH, Free T4, TPO) · B12/folate/homocysteine
- EBV panel · CMP · ANA
- GI-MAP + OAT retest (Rupa — back in the US)
Active experiments — how’s it going?
Prodrome Glia/Neuro (plasmalogens)since Mar 26
Watching: OCD + cognition, neuroinflammation
BOBA Borrelia seriessince Jun 26
Watching: OCD + neurological, Lyme homeopathic
Independent protocol (Lauren paused)since Apr 26
Watching: OCD trajectory holding without her
Goals & projections your targets, not lab ranges
Arabinose → <50yeast/fungal marker worsening 58→80
Zonulin → <175374 = leaky gut, lost Akkermansia feeds this
Individual markers full history · tap to chart
Mold (MycoTOX, Feb’25) — primary driver, retest needed
Aflatoxin M1
~16×over range
single reading · Feb’25
retest needed
Sterigmatocystin
~11.5×over range
single reading · Feb’25
retest needed
Ochratoxin A
~2.4×over range
single reading · Feb’25
retest needed
Gut (GI-MAP, Feb’25) — dysbiosis + leaky gut
Klebsiella
~10×over range
single reading · Feb’25
PANDAS trigger
Citrobacter freundii
~6.6×over range
single reading · Feb’25
inflammatory/autoimmune
Streptococcus
~6×over range
single reading · Feb’25
PANDAS trigger · retest needed
Staph aureus
~5×over range
single reading · Feb’25
same organism elevated in Willow
Zonulin
374(2.1× over)
single reading · Feb’25
opt <175 · leaky gut
Secretory IgA
3566(high)
single reading · Feb’25
heightened mucosal immune response
Calprotectin
80
single reading · Feb’25
borderline-normal on lab, flagged elevated by Lauren
H. pylori
trending
Feb’25 flagged → treated since May’25
Tricyclene + Mastica · GI-MAP retest pending
Akkermansia
absent
single reading · Feb’25
opt present
Firmicutes (phylum)
low
single reading · Feb’25
butyrate producers depleted, same pattern as Akkermansia loss
Enterococcus (2 strains)
mildly elevated
single reading · Feb’25
minor dysbiosis finding
Eosinophil Activation Protein
high
single reading · Feb’25
Lauren’s assessment · high gut inflammation, needs remediation
Neuro / PANS (OAT) — mold→neurotransmitter link
HVA
below mean
single reading · Sep’24
dopamine metabolite, suppressed
VMA
below mean
single reading · Sep’24
norepinephrine metabolite, suppressed
5-HIAA
below mean
Sep’24 below mean → OCD improving, reduced Jun’26
serotonin metabolite
Arabinose
80
Sep’24 58 → Feb’25 80
opt ≤50 · yeast/Candida, worsening
Pyridoxic acid (B6)
below mean
single reading · Sep’24
cofactor for all 3 neurotransmitter pathways
Pantothenic acid (B5)
below mean
single reading · Sep’24
neurotransmitter cofactor
Ascorbic acid (Vit C)
below mean
single reading · Sep’24
required for dopamine-β-hydroxylase
Organic acids (OAT, Feb’25) — mold/yeast byproducts
Oxalic acid
194
single reading · Feb’25
mold/yeast byproduct
3-Oxoglutaric
0.55
single reading · Feb’25
Aspergillus marker
3-Methylglutaric
1.5
single reading · Feb’25
mitochondrial stress
4-Hydroxyhippuric
33
single reading · Feb’25
mild bacterial overgrowth
DHPPA
0.68
single reading · Feb’25
minor, not concerning
Nutrient depletion (CMA, Feb’25) — borderline insufficiency
Vitamin B1 (Thiamine)
118%
single reading · Feb’25
opt 0–109% · neuro/energy, PANDAS-relevant
Vitamin B12
113%
single reading · Feb’25
opt 0–109% · neuro function, methylation
Boron
111%
single reading · Feb’25
opt 0–109% · bone/hormone metabolism
Calcium
111%
single reading · Feb’25
opt 0–109% · neuromuscular signaling
Cysteine
110%
single reading · Feb’25
opt 0–109% · glutathione precursor
Glycine
111%
single reading · Feb’25
opt 0–109% · glutathione precursor + neurotransmitter
Lysine
113%
single reading · Feb’25
opt 0–109% · immune function, collagen
Threonine
113%
single reading · Feb’25
opt 0–109% · neurological, PANDAS-relevant
Lipoic Acid
112%
single reading · Feb’25
opt 0–109% · glutathione regenerator
Omega 9
119%
single reading · Feb’25
opt 0–109% · anti-inflammatory, membrane integrity
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.
Protocol & recommendations
Willow’s protocol — BPC-157 + KPV ↗
- AMAloe · marshmallow · fish oil · DFH multi · ¼ cap gut peptides · pinch glutamine
- PMApigenin · aloe · marshmallow · mag threonate · fish oil · ⅓ scoop inositol
Coming next
- Gentle binders + drainage
- Recheck GI-MAP
- Keep antimicrobials gentle — she Herxed hard last time
- Confidence/safety work alongside the Noah dynamic
Trialing electrolytes. Off Lauren’s antimicrobials since Dec 2025 — BPC-157/KPV run separately.
Priorities & action items
1high
Rebuild the gut barrier — restore butyrate / Akkermansia
Went from present to absent — the biggest lever behind the declining IgA.
2med
Recheck GI-MAP — confirm the peptides are holding
BPC-157 + KPV since Jan’26 — need current numbers to confirm the trend reversed.
3med
Book the kids’ La Clicsa local draw
Unlocks the IgA/immunoglobulin panel + GI-MAP recheck.
4low
Schedule a GI-MAP recheck
Rupa, once back in the US.
Pending tests (5) — tap to expand
- La Clicsa now: serum total IgA + immunoglobulins — rule out selective IgA deficiency
- ASO + Anti-DNase B titers
- Mycoplasma IgM/IgG · EBV panel
- CBC+diff · ferritin + iron · Vitamin D · hs-CRP
- GI-MAP recheck (Rupa — back in the US)
- Cellular Micronutrient Assay (CMA) — what her immune/GI battle is depleting
- Food sensitivity panel — what specifically triggers her GI symptoms
Active experiments — how’s it going?
BPC-157 + KPV peptidessince Jan 26
Watching: gut + mood
One-new-thing-per-weekongoing
Watching: any regression when adding
SSR EBV boxes (all 3 levels)on hand, never started
Watching: not yet trialed — protocol specifics TBD
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
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.
Still needed
Full intake — exact peptide/bioregulator/C60 doses, diet, weight, labs
Monday item 12399159428.
Business
Weekly revenue
—
latest P&L week
Net profit / wk
—
after all expenses
Gross margin
—
before internal team
Active clients
—
live · Monday
Active sidekicks
—
workforce
Need attention
—
clients 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.
⚠️ Clients to watch
Live — At Risk + Under Monitoring on the Hero Success board.
Loading…
📞 Work — next 14 days
Calls, meetings & business blocks only — family time filtered out.
Loading…
✅ On deck this week
- Loading live from Monday…
Source: H&S Weekly P&L & Cashflow Report (Xero, finance@) · latest parsed week
📌 Reading the quarter trend
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
no live Stripe proxy in this app
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 |
|---|---|---|---|---|---|
| Loading… | |||||
Client status mix
By board group (excl. archived).
New clients added / month
Acquisition cadence (by record creation date).
Client roster
| Client | Status | Stage | Health | HSM | Open |
|---|---|---|---|---|---|
| Loading… | |||||
Active
—
Onboarding
—
At risk
—
excludes on-pause
Clients : 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 |
|---|---|---|---|---|---|---|
| Loading… | ||||||
Active clients
—
with live sidekicks
Active sidekicks
—
Contracted hrs/wk
—
≈ billable book
Top client share
—
of total hours
📌 Why hours, not dollars
Per-client footprint — by billable hours
| Client | Active SKs | Hrs / wk | Share of book |
|---|---|---|---|
| Loading… | |||
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.
Rizza DatuFinance Manager
Weekly invoicing, payments, invoice corrections, overdue follow-up, Sidekick payroll via Wise.
Chantelle LamoreauxBookkeeper / Finance (Internal)
H&S + Everglow bookkeeping. Works with Paul Kimmel (CPA) on tax filings.
AJ (Alexander John Murillo)Recruiter / Sourcer — pulled back
Minimal to no recruiting activity currently, cutting costs. Not active core team.
Aaron NavaContent Sidekick (not core team)
Weekly “Best Of” social posts + video edits via Planable. Serves Tech CXO, CrossVergence, Staunch, Technology Ball. Also helps Nick personally.
Bullet KHybrid Sidekick / Account Manager
Internal account manager for Spatial Vision/TengSol, leads Vanessa + Gabriel on that account.
Slack routing: Finance→Rizza/#gen-accounting · Recruiting→Dindin/#ff-recruitment · Client success→Dean/#ff-hero_success · Ops/tools→Mae.
Key external relationships
1
Paul Kimmel — CPA
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
Placeholder — Google Calendar API wired next pass.
Upcoming
- Placeholder — Google Calendar API wired next pass.
To-Do
This week
Placeholder personal task
Placeholder personal task
Placeholder personal task
Placeholder — Monday feed + personal/business field wired next pass.
Placeholder Chantelle task
Placeholder Chantelle task
Placeholder — Monday feed wired next pass.
Placeholder business task
Placeholder business task
Placeholder business task
Placeholder — Monday feed + personal/business field wired next pass.
Skippy School
Week 1
Space, Stars & Infinity
Finances
Shopping
Placeholder item
Placeholder — Monday feed wired next pass.
Placeholder item
Placeholder — Monday feed wired next pass.
Placeholder item
Placeholder — Monday feed wired next pass.
Placeholder item
Placeholder — Monday feed wired next pass.
Placeholder item
Placeholder — Monday feed wired next pass.