The open ledger · H1 2026 · updated Jan 21

A peak is a moment.
A peakspan is a decision.

The decision is to keep measuring — and to publish what the measurements say. An open N=1 experiment: half-yearly biomarker drops, every intervention logged, every number — good, null, or unflattering — in public view. Not a protocol. Not evidence. An anecdote, open-sourced.

Open the dashboard Read H1 2026 drop
N=1 · Anecdote, not evidence. One body, one timeline, one subject. Published because the honest path is the public one — not because it generalises. Always talk to a clinician before acting on anything here.
Live readout

Latest snapshot · Jan 21, 2026.

· YEARS · Berlin
APOB
84
mg/dL
▼ FROM 93 · 12 MO
VO₂ MAX
42.0
ml/kg/min
▲ 98% PREDICTED
HS-CRP
<0.2
mg/L
OPTIMAL < 1.0
LP(A)
251
nmol/L
GENETIC · WATCHING

+ full panel on the H1 2026 drop · lipids · inflammation · gut · thyroid · hormones · HRV · grip & fitness · body comp

Why this exists

Three years. One goal ladder.

The project didn't start from peak health. It started from the opposite. A panic disorder in early 2025, a gut on fire, a body that dropped 12 kg of muscle and a VO₂max that collapsed. Peakspan is the ledger of what came next.

2024 · goal
Fine and healthy again.

Berkeley exchange semester. Extreme stress. Severe dizziness attacks, ER visit, cardiac workup clean. Back to Germany with a nervous system running on alarm. Panic disorder diagnosis Q1 2025. Weight slid from 98 kg to 86 kg — most of it muscle. Gut inflammation severe: calprotectin 434 µg/g at the Feb 2025 annual, first signs of Morbus Crohn on colonoscopy.

Survived. Rock bottom mapped.
2025 · goal
Rebuild the foundation.

Therapy for the nervous system. Gut protocol: anti-inflammatory diet, six weeks strict keto, zinc-L-carnosine, turmeric, L-glutamine. Not all evidence-grade — the mix worked. By Q3 2025 calprotectin was 9 µg/g, symptoms gone. Jogging returned mid-year. Strength training end-of-year, starting from near-zero.

Foundation laid.
2026 · goal
Reach peak and stay there.

95 kg, muscle back, VO₂max 42.0 at 98% predicted. HRV climbing on every axis. Panic resolved. ApoB dropping. Next: Ezetimib for the genetic Lp(a) wall, B-complex for elevated homocysteine, omega-3 toward the 10–12 % index band. The peak is the span to hold — the reason this is called Peakspan.

· Live · most important year
Latest drop

H1 2026 · Year one of the ledger.

All drops
Posted 2026-01-30 · ~12 min read

From 434 to 9. From 33 to 42. From panic to peak — the year a nervous system got rebuilt.

Fourteen months of biomarkers, across two continents and three clinics. What moved, what didn't, what the numbers say about the gut protocol that wasn't fully evidence-based but worked — and the genetic Lp(a) wall that lifestyle can't touch alone.

Read the full drop
Calprotectin 9 µg/g ▼ 48×
VO₂ max 42.0 ▲ from >33
Grip R/L 76.5 / 80.8 kg ▲ +12 kg
ApoB 84 mg/dL ▼ from 93
HOMA-IR 2.3 ▼ from 2.8
Return on Health · the podcast

Niko's conversations on preventive medicine — recent episodes.

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Signal, not supplements.

A new drop every six months — methodology updates in between, honest answers about what moved and what didn't. Same newsletter as nikohems.de — one signup covers both. No affiliate links, ever.

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