FRIDAY · MAY 15, 2026
Good morning, Stewart.
Today's mission
Do your first strength session - even a 20-minute lower-body workout.
Green recovery is a green light. Starting from zero, any session counts.
PUSH HARD
HRV 21 ms · RHR 63 bpm · Sleep 5h 35m
OUT OF KETOSIS
GLU 138 mg/dL
KETONES LO (0.0) mmol/L
DAILY NUTRITION
No data yet
No data yet
No data yet
No data yet
WEEKLY ACTIVITY
0%
9%
92%
67%
Today's checklist
Strength session
Protein≥ 162 g
0 / 162 g
—
Hydration≥ 3.5 L
—
Source not configured. Enable dietary_water in Health Auto Export or log manually.
Glucose + Ketones test
Steps≥ 7,500
0 / 7,500
Yesterday score
Score: 0 / 100
✅ Best: — (nothing fully cleared its target yesterday)
❌ Drag: Protein 0g (target ≥162g — 100% under)
Macros yesterday
| Macro | Yest | Goal | Δ |
|---|---|---|---|
| Protein | — | 162 g | no data |
| Net Carbs | — | ≤35 g | no data |
| Fat | — | 188 g | no data |
| Sugar | — | ≤25 g | no data |
Lean / fat loss
Since Sept 17, 2025 baseline (148.2 kg / 33.5% BF):
Weight+0.6 kg (148.8 today vs 148.2 baseline — net 0 honestly)
Fat mass<pending fresh scan>
Lean mass<pending fresh scan>
Lean loss ratio<awaiting second body comp scan>
iDay 12 on Mounjaro 2.5 mg. Down 4.5 kg from baseline - primarily water/glycogen. Sustained fat-loss begins ~week 3.
iLatest Keto-Mojo: glucose 138 mg/dL · BHB 0.0 mmol/L · logged May 13.
+Recovery 89% (green). Ideal day for first strength session.
!HRV averaging 18 ms. Low for adults but in line with 8-week baseline.
PROGRESS · SCORE 26/100
Long-term arc.
Today 148.8 kg → M6 122 kg by Nov 13, 2026 → M9 114 kg → M12 107 kg → M15-18 102 kg. Body fat 33.5% → <20%. Strength + protein floor are the muscle-preservation levers on GLP-1.
26
out of 100 · weighted across 7 goals
Milestone trajectory · Withings history + projected curve through M6 -> M15-18
Stars mark the four named milestones: M6 (Nov 13, 2026 · 122 kg · 28% BF), M9 (Feb 13, 2027 · 114 kg · 25% BF), M12 (May 13, 2027 · 107 kg · 22% BF), M15-18 (mid-2027 · 102 kg · <20% BF). Dashed line is the projected path from today; reassess every 4 weeks.
30-day habit streaks
Protein
≥130g
Steps
≥7.5k
Sugar
≤25 g
Ketones
0.5-2.5
Milestone strip · M6 -> M15-18
May 15, 2026
148.8 kg
NOW · 33.5% BF
Nov 2026 · M6
122 kg
+26w · 28% BF
Feb 2027 · M9
114 kg
+39w · 25% BF
May 2027 · M12
107 kg
+51w · 22% BF
Sep 2027 · M15-18
102 kg
+71w · 20% BF
~1.0 kg/wk to M6 (Mounjaro dose escalating), tapering to ~0.5 kg/wk by M12 and ~0.3 kg/wk to M15-18 (realistic floor). Real curves bend - reassess every 4 weeks.
Goal cards
Weight
Just started14.4% to M6 · need ~26.8 kg over ~26 weeks.
Body fat
Awaiting reweighLast reading Sep 2025. Reweigh on Body Scan to refresh.
Ketosis (BHB)
Just startingIn-band 0/2 logged days (30d). Pending Dr. Kanjanee SGLT2+keto safety review.
Strength
Restart pendingDr. Muscle program restart pending.
Protein floor
On track75% of logged days hit floor.
Weekly steps
Just startedAerobic base is the HRV lever.
Sleep 7-9 h
On track4/7 nights in band.
Hydration
On trackHabitual. SGLT2 increases water loss.
BODY COMPOSITION
148.8 kg · 33.5% body fat
BMI 36.8 · healthy at 201 cm is 75-101 kg. Body fat reading is stale from Sep 2025 · reweigh on Body Scan to refresh.
+
Weekly progress photos
Drop into
Health Dashboard/05 Progress Photos/YYYY-MM-DD/front.jpg · same time, same lighting, same pose.Week 1
+
drop front.jpg
Week 2
+
drop front.jpg
Week 3
+
drop front.jpg
Week 4
+
drop front.jpg
Once 2+ weeks of photos exist, a slider/morph component (v2.2) will populate this section. Optional side.jpg and back.jpg for multi-angle morph.
Muscle WatchWhere you stand on muscle preservation — the #1 risk factor on GLP-1 therapy
Lean mass stale · reweigh due
93.8kg
From Withings body comp scan
Reading: Sep 2025
Lean loss ratio
—
Awaiting fresh scan. Two body-comp readings 2+ weeks apart needed.
Target: keep <15%
Fat mass stale · reweigh due
49.7kg
Baseline reading Sep 2025
Reading: Sep 2025
Hydration stale · reweigh due
67.1kg
Watch on SGLT2 — fluid loss
Reading: Sep 2025
Walking speed
1.88 mph
Target ≥ 3.0 mph · last 30 days
Walking step length
25.8 in
Target ≥ 26 in · last 30 days
Walking asymmetry
0.0%
Target < 5% · last 30 days
Double support
35.1%
Target < 25% · last 30 days
Protein adherence (7-day avg)
123g/day
vs 162 g target · 3/7 days ≥130 g this week
Last 14 days
Strength sessions this week
0/ 3 target
Whoop activities: Weightlifting / Strength / Crossfit / Functional
Week of May 08–May 14
Recovery quality (7-day avg)
72%
3/7 days in green (≥67%)
From Whoop daily recovery
Weight trajectory · Withings history
Body composition
Last reading Sep 2025 · Reweigh due
Fat mass
49.7 kg
Muscle
93.8 kg
Hydration
67.1 kg
Bone
3.5 kg
BMI
36.8
Healthy range 75-101 kg at 201 cm
Current vs start
-4.5kg
Since Mounjaro start (May 4) - mostly water in week 1
To M6 milestone
26.8kg
Remaining to 122 kg by Nov 13, 2026
Blood pressure · Beurer BM Elite 950
127/80mmHg
Latest May 13, 2026 10:03 AM · pulse 73 bpm · MAP 95.7
ACTIVITY · LAST 14 DAYS
Build the base.
Strength 0/3 this week. Steps 5,172 vs 55k floor. Exercise 17 min vs WHO 150 min/wk.
Recent workouts
| Date | Activity | Duration | Strain | kcal | Avg HR | Max HR |
|---|---|---|---|---|---|---|
| Wed May 13 | Walking | 13 min | 4.6 | 64 | 108 bpm | 140 bpm |
| Wed May 13 | Walking | 25 min | 5.9 | 168 | 113 bpm | 153 bpm |
| Sun May 03 | Walking | 22 min | 3.2 | 44 | 96 bpm | 108 bpm |
| Sat May 02 | Walking | 15 min | 4.9 | 98 | 116 bpm | 130 bpm |
Recovery · HRV · RHR · last 14 days
Strain vs Sleep · last 14 days
Steps · last 14 days
Daily exercise minutes (WHO 150/wk = ~21/day)
FUEL
Protein-first · sugar-low.
Mounjaro suppresses appetite. Floor: 130 g protein, <30 g sugar, ≥30 g fiber. Front-load 40 g protein at breakfast - afternoon nausea common in early weeks.
Macro targets · 2,600 kcal
Strict keto
160 g protein
≤30 g net carbs
200 g fat
Moderate low-carb (start)
160 g protein
75 g carbs
180 g fat
Safety: Pending Dr. Kanjanee review of SGLT2 (Jardiance) + keto safety. Start with moderate low-carb; escalate to strict keto only after sign-off.
Calories · in vs burned
Macros vs targets · last 14 days
Protein · target: 162 g
Net Carbs · target: ≤35 g
Fat · target: 188 g
Sugar · target: ≤25 g
Fiber (g) · target ≥30 g/day
Glucose (mg/dL) · Keto-Mojo · last 30 days
Week averages (MFP days)
Cal in1934
Protein122 g
Burn2869
Deficit935
Protein adh75%
Daily nutrition · last 7 days
| Date | Calories | Protein | Carbs | Fat | Sugar | Fiber |
|---|---|---|---|---|---|---|
| Sat May 09 | 1995 | 144 g | 156 g | 77 g | 18.7 g | 9.3 g |
| Sun May 10 | 1838 | 161 g | 77 g | 91 g | 0.2 g | 1.1 g |
| Mon May 11 | 2462 | 137 g | 245 g | 115 g | 137.2 g | 31.5 g |
| Tue May 12 | - | - g | - g | - g | - g | - g |
| Wed May 13 | - | - g | - g | - g | - g | - g |
| Thu May 14 | - | - g | - g | - g | - g | - g |
| Fri May 15 | - | - g | - g | - g | - g | - g |
NINJA CREAMI DELUXE · 14 RECIPES
Dessert without the damage.
No/low sugar, dessert-sweet, 200–250 cal per serving with 25–32 g protein. Each pint = 2 servings. Allulose stays scoopable; xanthan gum is the secret to creaminess. Run Lite Ice Cream, respin once if powdery, add mix-ins after the first spin.
Base ratio
1 cup Fairlife skim + ½ cup unsweetened almond milk + 1 scoop protein + ¼ tsp xanthan + 3 tbsp allulose.
Freeze time
Minimum 24 hours flat. Skip the rush — partial freeze ruins texture.
Mode
Lite Ice Cream for protein bases. Respin once if powdery. Mix-ins always after first spin.
Sweetener stack
Allulose is the bulk (doesn’t refreeze hard). 5 drops liquid stevia boosts perceived sweetness.
All recipes
Peanut Butter Fudge Swirl
01
220 cal32 g protein3 g sugar
Ingredients
- 1 cup Fairlife skim milk
- ½ cup unsweetened almond milk
- 1 scoop chocolate protein
- 3 tbsp PB2 / peanut butter powder
- 3 tbsp allulose + 5 drops stevia
- ¼ tsp xanthan, pinch salt, 1 tsp vanilla
- Mix-in: 1 tbsp SF hot fudge + 1 tsp natural PB
Directions
Blend base, freeze 24h. Run Lite Ice Cream, respin if needed. Drizzle fudge + PB into the well and run Mix-In.
Salted Caramel Macadamia
02
245 cal26 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop unflavored protein
- 3 tbsp allulose
- 1 tsp SF caramel syrup (Jordan’s Skinny)
- ½ tsp vanilla, ¼ tsp xanthan, ¼ tsp flaky salt
- Mix-in: 2 tbsp chopped macadamias + 1 tbsp ChocZero caramel
Directions
Blend, freeze 24h. Lite Ice Cream, respin once. Add nuts + caramel sauce, run Mix-In. Finish with extra flaky salt.
Butterscotch Pecan
03
235 cal25 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop unflavored protein
- 1 tbsp SF butterscotch pudding mix (Jell-O)
- 3 tbsp allulose, 1 tsp vanilla
- ¼ tsp xanthan
- Mix-in: 2 tbsp dry-toasted pecans
Directions
Toast pecans in a dry pan 3 min — transforms them. Blend base, freeze 24h, run Lite Ice Cream. Add pecans, Mix-In.
Strawberry Cheesecake
04
210 cal28 g protein4 g sugar
Ingredients
- 1 cup low-fat cottage cheese (blend smooth first)
- ½ cup Fairlife skim
- 2 oz fat-free cream cheese
- 3 tbsp allulose, ½ tsp lemon juice
- ¼ tsp xanthan
- ¼ cup crushed freeze-dried strawberries
Directions
Blend cottage cheese first until smooth (no curds), then add the rest. Freeze 24h, run Lite Ice Cream, respin once. Cheesecake density — you’d never know.
Chocolate Fudge Brownie
05
230 cal30 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop chocolate protein
- 2 tbsp unsweetened cocoa (Dutch-process)
- ¼ cup allulose, ¼ tsp xanthan
- Pinch salt, ½ tsp vanilla
- Mix-in: 2 tbsp ChocZero chips + chopped Quest brownie (optional)
Directions
Whisk cocoa with hot water first to bloom it, then blend with rest. Freeze 24h, Lite Ice Cream. Add mix-ins, run Mix-In.
Vanilla Bean Bourbon
06
195 cal28 g protein3 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop unflavored protein
- 3 tbsp allulose, 5 drops stevia
- 1½ tsp pure vanilla extract
- Scrape of vanilla bean if you have one
- ¼ tsp xanthan, pinch salt
Directions
The control recipe. Blend, freeze 24h, Lite Ice Cream. Scoops like premium vanilla. Pairs with anything you want to add later.
Mint Chocolate Chip
07
215 cal29 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop unflavored or vanilla protein
- 3 tbsp allulose
- ¼ tsp peppermint extract (start with ⅛)
- ¼ tsp xanthan
- Mix-in: 2 tbsp ChocZero mini chips
Directions
Peppermint is potent — underdose, you can always add more on respin. Freeze 24h, Lite Ice Cream. Add chips, Mix-In. Don’t blend chips into the base or they’ll seize.
Maple Walnut Praline
08
240 cal26 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop unflavored protein
- 2 tbsp SF maple syrup (Lakanto)
- 2 tbsp allulose, ½ tsp maple extract
- ¼ tsp xanthan, pinch salt
- Mix-in: 2 tbsp walnuts tossed with ½ tsp allulose + cinnamon
Directions
Toast the walnut/allulose mix in a dry pan until fragrant and glossy. Cool. Blend base, freeze 24h, Lite Ice Cream. Add candied walnuts, Mix-In.
Chocolate Peanut Butter Cup
09
250 cal32 g protein3 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop chocolate protein
- 2 tbsp PB2, 1 tbsp cocoa
- 3 tbsp allulose, ¼ tsp xanthan
- ½ tsp vanilla
- Mix-in: 1 tbsp natural PB + 1 tbsp ChocZero chips
Directions
Blend, freeze 24h, Lite Ice Cream. Drop frozen-spoon dollops of PB into the well plus chips, run Mix-In. The PB stays in chunks for that Reese’s effect.
Raspberry Dark Chocolate
10
210 cal27 g protein3 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop chocolate protein
- 3 tbsp allulose, 1 tbsp cocoa
- ¼ tsp xanthan
- ¼ cup crushed freeze-dried raspberries
- Mix-in: 1 tbsp ChocZero 70% chips
Directions
Crush the freeze-dried raspberries into a powder, stir into the base. Freeze 24h, Lite Ice Cream. Add chips, Mix-In. Raspberry/dark chocolate completely hides the protein flavor.
Banana Cream Pie
11
220 cal26 g protein4 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop vanilla or unflavored protein
- 1 tbsp SF banana cream pudding mix (Jell-O)
- 3 tbsp allulose, ½ tsp vanilla
- ¼ tsp xanthan
- Mix-in: 2 crushed Quest vanilla cookies or 1 tbsp toasted pecans
Directions
No actual banana — keeps sugar minimal. The pudding mix carries the flavor. Blend, freeze 24h, Lite Ice Cream, then Mix-In.
Birthday Cake
12
225 cal28 g protein2 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup almond milk
- 1 scoop vanilla protein
- 3 tbsp allulose
- 1 tsp butter extract, 1 tsp vanilla, ¼ tsp almond extract
- ¼ tsp xanthan, pinch salt
- Mix-in: 1 tbsp sprinkles + 1 tbsp crushed SF vanilla wafer
Directions
Butter + vanilla + a touch of almond extract is the “cake batter” trinity. Blend, freeze 24h, Lite Ice Cream, then Mix-In.
Lemon Cheesecake
13
200 cal27 g protein4 g sugar
Ingredients
- ¾ cup nonfat Greek yogurt
- ½ cup Fairlife skim
- 2 oz fat-free cream cheese
- 1 scoop unflavored protein
- 3 tbsp allulose, zest of 1 lemon, 1 tbsp lemon juice
- ½ tsp vanilla, ¼ tsp xanthan
Directions
Blend everything until completely smooth, freeze 24h, Lite Ice Cream, respin once for that cheesecake density. Best after a heavy meal.
Toasted Pecan Praline
14
240 cal25 g protein3 g sugar
Ingredients
- 1 cup Fairlife skim, ½ cup half-and-half (or all skim)
- 1 scoop unflavored protein
- 2 tbsp SF maple syrup, 2 tbsp allulose
- ½ tsp vanilla, ¼ tsp cinnamon
- ¼ tsp xanthan
- Mix-in: 3 tbsp pecans toasted with ½ tsp allulose + salt
Directions
Toast pecans + allulose + salt in a dry pan until they smell candy-like and the allulose has melted onto them. Cool, then add at the Mix-In step.
DATA · SOURCE OF TRUTH
Where the numbers come from.
Seven data streams. Re-export weekly. Empty-state cards below show what's still pending - blood work, glucose/ketones, BP, PWV.
Source-of-truth policy
WHOOPRecovery · Strain · HRV · RHR · Sleep stages
WITHINGSWeight · Body composition · Hydration
APPLESteps · Exercise minutes · Active energy
MFP via APPLECalories · Protein · Carbs · Fat · Sugar · Fiber · Net carbs
KETO-MOJOGlucose · Ketones (BHB) - GK+ meter device readings
BEURER BM Elite 950Systolic · Diastolic · Pulse · MAP
MANUALBloodwork PDFs · PWV · Mounjaro log
Refresh cadence
Re-export Whoop from app, Withings from Health Mate, Apple Health via HealthAutoExport to 02 Stew/ weekly. Scheduled rebuild runs every 6 hours.
Data Quality
Pending data streams
Bloodwork
Pending
Waiting for April panel PDF. Drop it in
02 Stew/06 Bloodwork/ when ready.- Lipid panel (total chol, LDL, HDL, triglycerides)
- HbA1c, fasting glucose
- Kidney function (creatinine, eGFR, BUN)
- B12, vitamin D, ferritin
Glucose & Ketones
Active
Keto-Mojo GK+ meter export now ingesting. Latest reading shown on Today tab. Drop new CSV in
02 Stew/05 Keto-Mojo/ after each batch of readings.- Fasting AM glucose target < 100 mg/dL (ideal), < 130 OK
- Ketosis band 0.5-2.5 mmol/L BHB
Blood Pressure
Active
Beurer BM Elite 950 export ingesting from HealthManager Pro. Charted on Body tab. Drop fresh CSV in
02 Stew/06 Beurer/.- Target band 110-130 / 70-85 mmHg
- Morning + evening readings preferred
Vascular Age (PWV)
Manual
PWV is not in the Withings export - read it from the Withings Health Mate app and log manually.
- File:
02 Stew/03 Withings/pwv_manual.csv - Columns:
date, pwv_ms(and optionalvascular_age)
Daily snapshot · last 7 days
| Date | Recovery | Strain | HRV | RHR | Sleep | Cal in | Protein | Steps |
|---|---|---|---|---|---|---|---|---|
| Sat May 09 | -% | - | - ms | - bpm | - | 1995 | 144 g | 541 |
| Sun May 10 | 52% | 9.2 | 15 ms | 68 bpm | 8h 59m | 1838 | 161 g | 472 |
| Mon May 11 | 81% | 8.8 | 19 ms | 66 bpm | 7h 41m | 2462 | 137 g | 3,851 |
| Tue May 12 | -% | - | - ms | - bpm | - | - | - g | 18 |
| Wed May 13 | 67% | 5.6 | 18 ms | 64 bpm | 8h 33m | - | - g | - |
| Thu May 14 | -% | - | - ms | - bpm | - | - | - g | - |
| Fri May 15 | 89% | 0.1 | 21 ms | 63 bpm | 5h 35m | - | - g | - |
Medications & supplements (active)
| Name | Type | Dose | Schedule | Started | Purpose |
|---|---|---|---|---|---|
| Mounjaro (tirzepatide) | medication | 2.5 mg | weekly Sunday ~12:00 | 2026-05-04 | GLP-1/GIP agonist for diabetes + weight |
| Jardiance Duo | medication | 5/1000 mg (empagliflozin/metformin) | 2x daily after breakfast and dinner | 2026-05-04 | SGLT2 + metformin for diabetes |
| Trilipix | medication | 135 mg | 1x daily after breakfast | 2026-05-04 | fenofibrate for hyperlipidemia |
| Vitamin D3 + K2 (XTRA FUEL) | supplement | 20000 IU D3 + 200 mcg K2 | 1 cap every 3 days x 8 wks then 1 cap weekly | 2026-05-11 | severe vitamin D deficiency replenishment |
| Omega-3 Triple Strength | supplement | ~900 mg EPA/DHA | daily | - | lipid + anti-inflammatory |
| Curcumin Phytosome (CurCare Meriva) | supplement | 250 mg | daily | - | anti-inflammatory |
| Selenium (Vitamaze Selen) | supplement | 200 mcg | daily | - | micronutrient |
| Zinc (Vitamaze Zink Aktiv) | supplement | TBD - confirm from label | daily | - | micronutrient |
| Acetyl-L-Carnitine (NOW) | supplement | 500 mg | daily | - | fat metabolism + nerve support |
| Ashwagandha KSM-66 (natural elements) | supplement | TBD - confirm from label | daily | - | stress / cortisol |
| L-Glutamine (NOW) | supplement | 500 mg | daily | - | amino acid |
| L-Arginine 4500 (Vitamaze) | supplement | 4500 mg | daily | - | NO precursor / vascular |
| CoQ10 Bio-Quinone (Pharma Nord) | supplement | 100 mg | daily | - | cardiac / energy |
| Alpha-Lipoic Acid (MEGA Lipo-X) | supplement | 50 mg | daily | - | glucose / antioxidant / neuropathy |
Pill organizer · daily bands
Your container's columns are days, rows are AM / Noon / PM. Each band below = one row's contents, duplicated across every day-column. Only Vitamin D3 differs day-to-day.
AMwith breakfast11 supplements / day + 2 prescription pills
Omega-3Triple Strength softgel
CoQ10 Ubiquinol 100 mgLife Extension
Curcumin Phytosome 250 mgMEGA CurCare
Acetyl-L-Carnitine 500 mgNOW
L-Arginine 4500 mgVitamaze
Lion's Mane ExtractZENement - NGF support
L-Carnosine 1000 mgJarrow - anti-glycation
Tongkat Ali 500 mgTen Percent Club
NAC 1000 mgVegavero
Green Tea Extractnatural elements
Alpha-Lipoic Acid 50 mgMEGA Lipo-X
+ Prescriptions: Trilipix 135 mg · Jardiance Duo 5/1000 mg
Sun + Thu only: Vitamin D3 20,000 IU + K2 200 mcg - drop a 12th cap into the AM compartment on those two days for 8 weeks (loading), then Sunday-only maintenance.
NOONwith lunch3 supplements / day
Selenium 200 mcgVitamaze Selen
ZincVitamaze Zink Aktiv
Potassium 99 mgNaturesPlus - cramps
PMwith dinner3 supplements / day + 1 prescription pill
Ashwagandha KSM-66natural elements
L-Glutamine 500 mgNOW
Magnesium-3 ComplexVitamaze - cramps + sleep
+ Prescription: Jardiance Duo 5/1000 mg (second daily dose)
Mounjaro injection: 2.5 mg subcutaneous, Sundays ~12:00 - not in the organizer (injection, not pill).
QUESTIONS FOR DR. KANJANEE
Running list for Samitivej visits.
Mark each as 'asked' when discussed, then 'answered' when you have a decision. State persists locally in your browser.
0
pending
0 asked · 0 answered
Cardiovascular & ED
1
Cialis (tadalafil) 5 mg daily as Viagra alternative — ED + sildenafil headaches
ED in diabetic men is often vascular; tadalafil has a different side-effect profile and may be tolerated where sildenafil isn't.
2
Latest lipid panel result from April bloodwork — is Trilipix moving triglycerides down?
High trigs drive endothelial dysfunction → ED + CV risk. Trilipix is prescribed specifically to address this.
3
Strength training clearance — any contraindications with current med stack (Mounjaro + Jardiance + Trilipix)?
Confirm clearance before ramping up resistance work.
Cramps & Electrolytes
4
Cramps workup: request serum magnesium, potassium, sodium levels
Empagliflozin (SGLT2) dumps electrolytes via urine; cramps developed during therapy. Need labs to confirm.
Keto + Medication Safety
5
Keto + SGLT2 safety: pause/reduce Jardiance Duo if pursuing nutritional ketosis?
Euglycemic DKA risk is 5-7× baseline on SGLT2 + low-carb. Need explicit clearance + ketone ceiling.
Diabetic Neuropathy
6
High-dose B6 in Re-B Forte (500 mg/day) — long-term neuropathy risk?
Pyridoxine UL is 100 mg/day; chronic excess can paradoxically cause peripheral neuropathy.
7
Restart Milgamma Mono (benfotiamine) alone — without the Re-B Forte?
Safer half of December prescription; evidence-based for diabetic neuropathy at this dose.
8
Prescription-strength alpha-lipoic acid (600 mg/day) for diabetic neuropathy?
Current 50 mg supplement is sub-therapeutic. Clinical dose is 600 mg/day.
9
Bionic Gym EMS device safety with diabetic neuropathy?
EMS in compromised nerve tissue is "consult physician." Stewart has the device; wants to use for cardio adjunct.
Vitamin D
10
Confirm Vitamin D3 protocol: 20,000 IU every 3 days for 8 wks, then weekly maintenance?
Severe deficiency at last bloodwork ("practically zero"); BMI 36+ needs higher doses than standard maintenance.
11
Re-test 25(OH)D at week 10-12 of D3 loading?
Confirm replenishment is working and adjust frequency if hypercalcemia signs.
Labs to Request
12
A1c trend from April bloodwork → next checkpoint?
Tracking Mounjaro + Metformin + SGLT2 cumulative effect on glycemic control.
13
Kidney function (eGFR, creatinine) — on Metformin + SGLT2?
Both medications require periodic renal monitoring; SGLT2 in particular can affect GFR.
14
B12 level?
Chronic Metformin use depletes B12. Independent of the discontinued Re-B Forte.
Tracking Tools
15
Continuous glucose monitor prescription — FreeStyle Libre 3?
Bumrungrad/Samitivej carries Abbott; with three glucose-lowering meds + keto attempt, CGM gives invaluable real-time data.
16
DEXA scan referral at next milestone (target Nov 2026 check-in)?
Body composition ground-truth for tracking Mounjaro muscle-preservation outcomes.
17
InBody clinical scan availability at Samitivej?
Quarterly body comp tracking between DEXAs — does Samitivej have one in-house?
Treatment Plan
18
Mounjaro titration timeline — when to step from 2.5 mg → 5 mg → 7.5 mg → 10 mg?
Sets realistic expectations for the weight-loss curve through M6 / M9 / M12 milestones.