Know Your Physio Case Study: Adam W

“Man, I can’t tell you how happy I am with these changes… no more phone in bed, a dialed sleep setup, and the breathwork has been a game changer. I now wake up refreshed.”

Adam’s sleep was inconsistent, and he could feel it pulling down recovery, training output, and body composition. He joined Know Your Physio because he was not looking for generic protocols. He wanted a system that worked in real life which included a busy travel schedule, late nights, and high-pressure work weeks.

Day 1: Baseline Analysis

Transitioning from scale-weight guesswork to objective biomarker testing.

Objective Data Entry

On his initial DEXA, Adam provided a concrete starting point. Instead of chasing ambiguous goals, we used precision measurement to identify exactly where his muscle and fat mass stood.

Total Weight 180 lbs Baseline Entry
Body Fat % 23% Starting Composition
Lean Mass 133 lbs Metabolic Foundation
Fat Mass ~41 lbs Independent Mass

"His visceral fat was low, which is a meaningful marker to keep low long term... That baseline gave us something concrete to build from."

Primary Longevity Marker: Low Visceral Fat

We started with baseline testing and objective feedback. On his initial DEXA, Adam was 180 lb at 23% body fat, with roughly 133 lb lean mass and ~40–42 lb fat mass. His visceral fat was low, which is a meaningful marker to keep low long term. That baseline gave us something concrete to build from, instead of chasing scale weight or guessing what was changing

Sleep & Recovery Optimization

Transitioning from autonomic volatility to consistent high-performance recovery.

Peak Recovery 92% Optimal Baseline
Previous Lows 50s System Volatility
Sleep Onset Stable Downshifted NS
Subjective Refreshed Waking State
Cleaned Sleep Environment
Dialed Evening Routine
Breathwork Downshifting
Strategic Stimulant Timing

"I haven’t used my phone in bed once... the routine became consistent enough that he could trust his sleep again."

Primary Behavioral Win

Sleep was the first priority, but the fix was not one habit. Adam’s early data showed volatility, with recovery swinging from strong nights in the 80s and 90s down into the 50s. We tightened the inputs that reliably moved sleep quality: cleaning up his sleep environment, dialing his evening routine, using breathwork to downshift his nervous system, and adjusting dietary patterns so late meals and stimulants were not working against him. Removing the phone from the bed was part of that, and Adam took real pride in it: “I haven’t used my phone in bed once.” The bigger win was that the routine became consistent enough that he could trust his sleep again, and he began waking up feeling genuinely refreshed.

Body Composition & Performance

Transitioning to a leaner, more athletic state through sustainable body recomposition.

Scale Weight 170 lbs -10 lbs Total
Body Fat % 16% -7.0% Reduction
Friction Decreased "Lighter & Athletic"
Pull-ups Easier Strength Relative to Mass

Relative Strength: As body fat dropped to 16%, Adam reported a significant reduction in "friction"—making bodyweight movements like pull-ups noticeably more efficient.

"I feel way lighter. Pull-ups feel easier. I’m like 170 at this point."

Athletic Performance Metric

As sleep steadied, his body started moving with less friction. He reported feeling noticeably lighter and more athletic: “I’m like 172 right now… I feel way lighter. Pull-ups feel easier.” The scale trend continued. By mid-July, he said, “I’m like 170 now… probably 170 at this point.”. After 6 months, Adam’s BMI dropped to 16%.

Foundations of Success: Adam

A multi-dimensional approach built on behavioral boundaries and autonomic recovery.

DEXA Data Priority

Moving beyond scale-weight guesswork to objective DEXA metrics. This provided a concrete baseline of 133 lb lean mass, focusing effort on composition over volume.

Autonomic Stability

Prioritizing sleep foundation first. Addressing recovery volatility (swinging from 50s to 90s) was the prerequisite for achieving a leaner, 16% BMI physique.

Behavioral Boundaries

Implementing strict environment controls, specifically the "phone-free" sleep zone. This high-adherence win removed friction from the autonomic downshifting process.

Longevity Anchoring

Protecting the visceral fat baseline. The strategy was not just weight loss, but optimizing for healthspan markers that would serve his daily life long-term.

Relative Performance

Measuring "friction" in bodyweight movements. As fat dropped, the ease of pull-ups served as a functional indicator that the system was becoming more efficient.

The Result of Refined Inputs

By tightening behavioral inputs and stabilizing recovery, Adam moved from volatile energy to athletic efficiency. His transformation from 23% to 16% body fat was the direct byproduct of trusting the data over the scale.

His sleep data improved in the same direction. Sleep and recovery scores were now consistent in the 90s. More importantly, Adam went from waking up groggy and heavily reliant on caffeine to waking up feeling fully refreshed. Adam’s previous morning elixir of caffeine and nicotine is now replaced with some light movement and breathwork.

Medical Disclaimer: This case study is for informational and educational purposes only and does not constitute medical advice. Individual results vary based on numerous factors including genetics, adherence, starting point, and medical history. Always consult with a qualified physician or healthcare provider before making any decisions regarding your health, nutrition, training, or supplementation. The results presented reflect one individual’s outcome and should not be interpreted as typical or guaranteed results.

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Andres Preschel

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