Why protein is the priority
Your DEXA showed you lost 7.5 lbs of lean tissue vs. only 2.6 lbs of fat (JanβMar 2024). That's a muscle-wasting pattern from restriction without resistance training. We've set your calorie floor at 1,850/day β going below this isn't helping, it's hurting. 130g protein daily reverses this.
Why Zone 2, not HIIT
Your VOβ Max came in at 29.2 β below average for your age. Your fat-burning zone sits under 125 bpm. Zone 2 at this heart rate builds your aerobic base, improves metabolic efficiency, and is more effective for visceral fat right now.
Why we're watching your hormones
Your SHBG came back at 86.5 β elevated. This means a lot of your testosterone is being bound up and can't be used. Your free testosterone is at the floor of the normal range. This can explain the fatigue, irregular cycles, and low drive. Your NP is reviewing this.
The good news on inflammation
Cardiac CRP was 0.23 β well below 1.0. Inflammation levels are excellent. Glucose (71) and HbA1c (5.0%) are ideal. Your metabolic foundation is solid β we're building on strong ground.
Why breathwork isn't optional
Nervous system calm scored 4.1/10 β one of your lowest domains. Your freeze/fawn stress pattern means your nervous system shuts down under pressure. Breathwork directly trains this. It's one of your highest-leverage interventions.