Robby Wade

I started 2023 with the goal of finishing my first Ironman and ended 2023 as the #1 🇦🇺 | #9 🌎 30-34 @IRONMANtri All World Athlete. Three lessons: 1. Set bigger goals. 2. Plan your training in advance, and put it in your calendar - @zeitcalendar 3. Follow the script. I've followed first my lesson & set bigger goals for this year: 1. @UTMBWorldSeries – Canyons 100-mile run - Finish 2. @IRONMANtri Cairns - Kona qualification. 3. Break the longest single event triathlon world record @GWR Two thank yous: @kelsm994 for being my biggest fan, patient nurse, and best friend. 2.@CochraneSimon for coaching me and showing me how it's done.

@FindLiaison @rythmhealth Thank you!

Very impressed with @rythmhealth

If this excites you, we are hiring @rythmhealth - rythm.to/careers.

@nikunj If this excites you, we are hiring @rythmhealth - rythm.to/careers.

If I was a young ambitious person today, I’d try to go work at a vertically integrated company (hardware, software and/or ops).. The sheer complexity of problems that you have solve in the moving world truly makes you better at thinking through second & third order effects. The world of bits will seem FAR easier when you conquer the world of atoms.

@joshuavoydik @mattwelter @rythmhealth Happy to answer any questions. We have a money back guarantee so it’s worth giving rythm a try.

@mattwelter @rythmhealth Yes, they are very accurate. You should sign up. @RobbyWade6 can tell you more if interested.

Got my third results from @rythmhealth My apoB shot back up to 123 from 86... not good. But I figured out that it's mostly diet and lifestyle The month where it was 86 (lower is better) was because i had cut out all sat fats and did lots of leafy greens and more zone 2 cardio. The issue tho, was that my T levels started to tank and I had way less energy. So I reincorporated sat fats and haven't been doing much zone 2 cardio. So now the number is back where we started (the red zone) Controlling my ApoB is entirely a symptom of diet and lifestyle (which is fantastic). I got my LP(a) done, the genetic marker, and I was extremely low (which is fantastic). So just going to modify my diet / lifestyle to get this number consistently under 90 (ideally) Basically my results are showing that I have an under active thyroid aka hypothyroidism. Which directly contributes to energy, T levels, and everything else. My mom has an under active thyroid, and some results I had done last year also warned me that my thyroid was underperforming. The solution? Steak and eggs. Seriously. I haven't been eating much red meat, or eggs, and i'll be reintroducing MUCH more of them back into my diet. I've probably had an under active thyroid because i'm low in iron, b12, tyrosine. (been taking zinc exogenously) Had a big steak last night and slept wonderfully. Had 6 eggs for brunch. Going to work on getting my fiber up so that I can manage sat fat intake and balance my ApoB. But honestly the primary goal is the get thyroid under control, which should then stimulate everything else, like my testosterone. (even tho i found my T levels to be on the lower side this T, i do have fantastic "available free T" meaning I am making great use of the testosterone that i do have) -- it's just that i want a bigger "reservoir" of T so that i'm generally more stable Other than that, going to focus on losing 10-15lbs which should help with overall T levels too. Not drastically but a 500 cal deficit daily. I was eating breakfast which I was experimenting with. Not for me... I like not eating breakfast and having a window from 12-8 ish. Just an easier way to control my intake while allowing me to eat more calories for dinner. Oh, and incorporating more steps. Working on getting out of the house first thing in the AM to get some steps in.. 15-30 min walk to help start the day while cortisol is high (and not checking my phone etc). Very happy with Rythm because I do all of this at home instead of going into the clinic every single time. They have it nailed down. Will report back on results after my next test in November.

@anothercohen @boneGPT Howie is incredible.

@boneGPT Yes I use Howie.ai probably like 5x per day

CEO of Perplexity is an angel investor in Howie and waited to launch their email scheduling assistant the same day that Howie announced their fundraise and public launch. Not a great look!

@sweatystartup Agree. I’d love to send you a @rythmhealth test to try, we test monthly from home. DM me if you’re interested. I have a slightly different perspective on the utility of cortisol blood testing due to it being acute and sensitive, but that’s just semantics.

A while back I encouraged folks on twitter to get bloodwork 2x a year. A doctor friend of mine started arguing with me. "No need for this. If there are no symptoms, why look for problems?" I asked him when the last time he got bloodwork was. He said 7 years. These are the doctors who are arguing with you telling you you don't need to know your ApoB, fasting insulin, testosterone, etc. WAKE UP. Being a self respecting person with a family or business and not knowing your LDL, ApoB, Fasting Insulin, Testosterone, Cortisol, Vit D and others is negligent, reckless and inexcusable.

@TarunAmasa @OpenAI Would love an invite

It’s official. We’ve raised $14m led by @OpenAI Startup Fund to bring AI to Excel. Endex is the first AI agent to live inside Excel. For the past year, we've been working with financial firms. Today we’re releasing it to the world. Our capacity is limited; comment below for an early invite 🧵

@anothercohen Congrats!

Signing a lease for a new office in the heart of downtown Austin starting in September as we grow the team from 13 -> 30 this year. Floor to ceiling windows with almost 360 degree views of all of Austin and a gym in the building. Very excited

Incredible!

After I got my first blood draw with @rythmhealth, I became interested in ApoB and Lp(a) (pronounced El-pee little a) These two proteins are the leading causes for ASCVD (aka heart disease). If you're over 25, it's worth getting regular blood tests. Highly recommend looking at your ApoB and Lp(a) numbers to determine how "safe" or how aggressive you might need to be in mitigating heart disease. I just really don't want a heart attack. 50% of heart attacks happen before age 65. And 50% of heart attacks end in death. My ApoB number was in the 80th percentile, really high: 123mg/L (healthy range is under 80). Good news is that with diet and lifestyle you can bring down your ApoB number by quite a lot. But if I cannot bring it down under 80-100 then I may need pharmacological treatment. The other protein Lp(a) is 100% genetic and diet & lifestyle have little to no effect of reducing this number. If both your ApoB and Lp(a) are high, then you should be seriously concerned. I took another blood test for Lp(a). 0-75nmo/L is considered low risk, 75-150 is medium risk, and 150+ is high risk. I'm 32.2nmo/L which is on the low end of low risk! This is excellent news. So now, I am going to monitor my ApoB on a monthly basis and see how much of a dent I can put into this number. (I also think the original reading might have been slightly elevated because of a recent 60 hour fast I had done a couple days before). Wish me luck & I'll report more findings soon.

100% Fact

@nicochristie Can I get access?

It’s a bizarre sensation seeing the future on your screen and knowing that the world is not quite prepared. Ramping up access

@joshm @julianlehr @diabrowser @joshm I love DIA but I’m dying without a 1password integration. Is it coming?

@julianlehr @diabrowser I like to add an extra line to the prompt that asks it to suggest a few ingredient tweaks/additions, and explain how those remixes might changed the dish.

Favorite @diabrowser skill so far: /recipe to get a list of ingredients and step-by-step instructions from cooking videos on YT.

@finbarr @joshuavoydik @rythmhealth @PeterAttiaMD This isn’t unusual for younger individuals this risk gets exponentially higher with age. Something worth keeping an eye on. Have you tried @rythmhealth yet?

@joshuavoydik @rythmhealth @PeterAttiaMD I've had a CAC scan. My score was zero despite elevated ApoB and LP(a). I think you need a CT angiogram to see the soft plaques.

Got my first blood results from @rythmhealth: I have high apoB (apolipoprotein B) which @PeterAttiaMD says is causally related to increased risk of heart disease / atherosclerosis. Meaning, the higher the apoB number, the faster plaque buildup and calcification happens in your arteries. His analogy is similar to smoking: we don't tell smokers to keep smoking, and only until they do enough "damage"/risk, do we tell them to stop. No, we tell them to stop now, so the damage doesn't progress. Same goes for heart disease, which is the leading cause of death globally. Need some help here... anyone here else get a CAC scan? I'm going to get one soon. (Also getting an LP(a) test to figure out how "genetic" it is.) Depending on the results, I think it will determine how aggressive I should be with getting my apoB down. Peter recommends getting this number down as low as humanly possible, especially if you're at increased risk (genetics). From my research, it seems that you can "reverse" damage done at or below 60-70mg/l. I don't want to be on statins. That said, Peter does recommend taking a PCSK9 inhibitor to get this number down even lower, like 30mg/l. Will continue to investigate & report back. Open to any and all opinions, data, feedback. Thx!

@brady_h 😍

@nicochristie Would love to try

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Worlds easiest blood test

@darshil @superpower @rythmhealth Worlds easiest blood test

having tried both @superpower and @rythmhealth, there is a clear winner one took over a month to create an action plan the other i didn't even have to leave the house for

This was so incredibly fun– thanks to everyone who came out and made today such a mindblowing experience And special thanks to all of our presenters: @benjileibo / Pump Science @trevor_klee / NeutraOat @kubla / Fulcra @EvanZhao6 / Pacagen @RobbyWade6 / Rythm @oldestasian / Chargerless @kenneth_lou / Mito @bryan_johnson / Don't Die

@anothercohen Second time I've heard this, had a close friend say the same thing last week.

I’ve had pretty severe shoulder pain for weeks, likely from disc compression in my neck. Tried PT, stretching, a special pillow and nothing worked. One week on BPC-157 injecting into my delt and I’m basically 100%. Peptides are fucking amazing