Good morning, Max
Monday, February 23, 2026
Dr. Judah's Health Narrative
Last updated February 22, 2025
Max, your health trajectory over the past two years tells a compelling story of aggressive, data-driven optimization that's paying off. Your cardiovascular risk profile has transformed — LDL from 140 to 44, ApoB at 52 — putting you in elite territory. Your body composition is steadily improving with VAT down 35% from peak. The main challenge remains your L4-L5 stenosis limiting daily mobility, and your free testosterone staying stubbornly low despite everything else trending right. Your protocol is working — the question now is whether it's time to address the hormonal piece.
Latest Signals
82
Solid night. Your deep sleep was 1.4hrs, above your 30-day average. Recovery is on track.
174.2 lbs
Down 0.8 lbs from last week. Zepbound is maintaining your trajectory toward the 170 target.
58 bpm
Stable and within your optimal range. Consistent with good cardiovascular fitness.
94 mg/dL
Time in range at 92%. No significant spikes this week.
18 days ago
All markers stable. Next draw recommended in ~2 months.
Your Story in Data
The Lipid Transformation — LDL (mg/dL)
LDL has been below 50 for 3 consecutive draws — your protocol is elite-level.
Body Composition Journey — VAT (cm²)
VAT down 35% from peak. Trending toward your goal of 150.
Cardiac Risk Watch — Calcium Score
Slow progression at ~5%/year. Your aggressive lipid management is the best defense.
Liver Recovery — ALT (U/L)
Complete normalization. ALT has been in range for over a year.
The Hormone Question — Free T & SHBG
Free testosterone has declined 24% while SHBG continues to climb. This is your biggest optimization opportunity — the one area where your protocol hasn't moved the needle yet.
Inflammation & Recovery — hs-CRP (mg/L)
Systemic inflammation down 84% from peak. EPA/DHA and body composition improvements are driving this — a strong foundation for longevity.
Dr. Judah Recommends
Personalized insights based on your complete health profile
It's Time to Seriously Consider TRT
Your free testosterone has dropped 24% over 3 years while SHBG keeps climbing — a pattern that won't reverse on its own. At 6.2 pg/mL, you're well below optimal range. TRT could improve energy, focus, recovery, and body composition gains. Discuss with Dr. Geiler — your cardiovascular profile (LDL 44, ApoB 52) is strong enough to support it safely.
Targeted Hydration: 64oz Electrolyte Water Daily
Your hematocrit has been running in the upper range, and your aggressive supplement protocol (creatine, high-dose fish oil) increases hydration demands. 64oz of electrolyte water daily — not plain water — will support kidney function, reduce blood viscosity, and improve nutrient absorption. Consider LMNT or similar.
Schedule Your Overdue Brain MRI
Your meningioma has been stable for 7+ years, which is excellent — but your last brain MRI was December 2023, over 2 years ago. Given the 12-18 month recommended monitoring interval, this is overdue. It's almost certainly fine, but confirmation beats assumption. Call Pueblo Radiology.
Add Targeted Spine-Stabilization Exercises
Your L4-L5 stenosis is your primary quality-of-life limiter, but your treatment log shows mostly passive treatments (massage, BPC-157). The evidence strongly supports active spine stabilization — McGill Big 3, dead bugs, bird dogs — 3x/week for measurable pain reduction. Consider adding a PT who specializes in spinal stenosis.
Get Your Calcium Score Rechecked
Last scored at 49 in August 2023 — nearly 2.5 years ago. At your ~5%/year progression rate, you're likely around 55-60 now. A recheck will confirm whether your aggressive lipid protocol is slowing progression. This is the most important single number for your cardiovascular future.
Alerts & Reminders
Brain MRI (Meningioma Monitoring) — Overdue
4mm left frontoparietal meningioma — stable
Colonoscopy — Overdue
Age 51 — should schedule if not done
Dermatology Screening — Overdue
No record on file — schedule
Brain MRI Overdue
Your brain MRI for meningioma monitoring was due December 2025. The 4mm left frontoparietal meningioma was stable at las...
HRV Improving with Better Sleep
Over the past 7 days, nights where your sleep score exceeded 80 correlated with HRV readings 15% higher the following mo...
Colonoscopy Overdue — Schedule Soon
At age 51, a colonoscopy screening is recommended. You have no record of a prior colonoscopy. Consider scheduling with a...
DHT Elevated
Your DHT level of 71 ng/dL is above the reference range of 12-65 ng/dL. This may be worth discussing with your physician...