Full pre-v1.9 Health system archive at systems/70-health/old-zips/. Contains: 08_Medical_Details_v1.5.md (backfilled to domain 08/23/26, ids 3-10), 03B_USER_PROFILE (backfilled here), old GYM_LOG_v1.0 (backfilled here), AI technical diary 07B_DIA_AI_Health_Cla_v1.5.md (GCO/governance history 02/28-06/15/26, mostly obsolete mechanics, not backfilled -- see zip if needed), and a large daily backup log 06_BACKUP_Health_v1.5_02.28-06.19.26.md (~90 entries, mostly granular day-to-day health-data entries already reflected in the medical/weight backfills -- not individually backfilled, available in zip for deep-dive if ever needed).

From old GYM_LOG_Health_v1.0.md (superseded by current frontend Gym Logger app). Key PRs set in this window: Pec Fly/Rear Delt 130x10 (06/21/26, up from 100x10 on 06/18); Pulldowns 55x10 (06/18/26); Shoulder Press 30x10 (06/18/26); Leg Extension 70x10 (06/18/26); Seated Leg Curl 60x10 (06/21/26); Biceps Curl 40x10 (06/24/26, up from 30x20 max). Location throughout: EoS Fitness, 9930 Alabama St, Redlands CA. NOT YET CROSS-CHECKED against whether these specific dates/sessions exist in the current Gym Logger's live gym.db -- worth reconciling before treating as duplicate-free.

Direct and concise, minimal output preferred. Confirm before writing -- echo back for confirmation. MD format for documents unless Word explicitly requested. No unsolicited file presentations. NOTE: cross-check against current userPreferences -- this is a 06/19/26 snapshot and may have evolved.

Weight goal ~150 lbs, starting point ~179 lbs (post-holidays 2025). Body scan device: Fitdays scale. As of 06/18/26 (first full Fitdays scan): 168.3 lb / 25.9% body fat. Down from 255 lbs ~2 years prior (83+ lb total loss).

Home: Crestline, CA 92325 -- 5,000+ ft elevation. Household: Vilma (wife/partner, involved in cleaning work/education/caregiving), Markus (household member, shared cleaning jobs/expenses). Timezone Pacific. Communicates via voice-to-text -- expect transcription artifacts.

01/26/26 CBC: MCHC 32 (low), Lymphocytes 15% (low), Monocytes 7% (high), Platelets 394 (high). 01/26/26 Lipid: LDL 109 (high, optimal <100), otherwise normal. 09/22/25 CBC: Lymphocytes 18% (low), Monocytes 9% (high); A1C 5.2% normal. VZV IgG 01/26/26: positive (immune to chickenpox, does not prevent shingles). Mumps IgG 06/10/25: NOT immune -- MMR booster discussed, status of booster unconfirmed. Cologuard 06/18/26 collection: NEGATIVE (dual-confirmed via lab + PCP portal), next screening due 06/2029.

02/23/26: 173.0lb. 02/24/26: 171.8lb. 02/25/26: 170.0lb. 02/28/26: 171.5lb. 06/13/26: 171.0lb. 06/18/26: 168.3lb (Fitdays scan, first-ever full composition scan) / 169.5lb (gym scale same day). Context: down from 255lb ~2 years prior (83+ lb lost) and from ~179lb post-holidays 2025 (weight goal ~150lb).

Readings 85/48 and 80/52, pulse 56, tunnel vision/dizziness/weakness, resolved w/ food + electrolyte water. Likely cause: accidental double-dose of BP meds + dehydration (HCTZ diuretic + overnight fasting/urination). Prevention: 16oz water at first sign of episode (confirmed effective). Flagged for PCP: 4 BP meds (2 at max dose) + gabapentin 1800mg/day possibly contributing to slow heart rate (baseline pulse ~50-60). BP also notably low (107/63) at 06/11/26 ortho visit -- flagged for Dr. Luong, unclear if ever discussed.

01/26/26 XR (wrist/lumbar/hip): severe end-stage right 1st CMC OA, lumbar fusion hardware intact w/ severe L3-L4 narrowing + L3-on-L4 subluxation, severe LEFT hip OA (new finding, not yet operated). 02/18/26 aortic duplex: minimal aneurysmal dilation 2.8cm (monitor, well below 5.5cm intervention threshold). 06/11/26 lumbar XR + ortho consult (Dr. Jonathan Allen): stable vs 01/26, Failed Back Surgical Syndrome dx, NOT a surgical candidate, conservative care only, cleared to keep working out avoiding heavy back pressure. 06/30/26 hand XR + consult: end-stage right thumb CMC OA confirmed, Velcro spica brace fitted, cortisone injections short-term then eventual surgery likely.

Pain: Gabapentin 600mg 3x/day, Diclofenac Sodium DR 50mg 3x/day, Baclofen 20mg 3x/day, Kratom (green strain, 3-4 doses/day ~9.6-13g total, 5+ yrs stable use). BP: Amlodipine 10mg, Atenolol 25mg, Benazepril 40mg, HCTZ 12.5mg -- all morning. Other: Hydroxyzine 25mg 2x/day, Trazodone 50mg night, Docusate 50mg 1-2x/day. As-needed: ibuprofen 800mg, Tylenol, Albuterol inhaler. Supplements: Vitamin D3 2000IU, Vitamin E, testosterone booster (ASKA), electrolyte powder. NOTE: verify against current med list -- this is a 06/20/26 snapshot, 2+ months stale as of this backfill.

Chronic back pain (post L5-S1 fusion + L3-L4 laminectomy, multi-modal mgmt: gabapentin/diclofenac/baclofen/kratom/topicals/TENS). Hypertension (4 meds, 2 at max dose -- amlodipine 10mg, atenolol 25mg, benazepril 40mg, hydrochlorothiazide 12.5mg). Respiratory issue onset ~Mar 2026 post-viral illness, improving, rescue inhaler added. Anxiety (hydroxyzine). Insomnia (trazodone). Nocturia 3-4x/night typical. Right thumb CMC bone-on-bone arthritis (see separate domain entry id 1).

1) Total Right Hip Replacement 01/15/2021 -- end-stage OA, successful recovery. 2) L5-S1 ALIF (anterior lumbar interbody fusion) 01/15/2023 -- chronic back pain/disc degeneration, fusion stable, ongoing pain mgmt. 3) L3-L4 Laminectomy + right discectomy 06/28/2024 -- nerve compression, most recent, ongoing recovery.

David Lester Moore, DOB 05/27/1960 (age 65). MRN M002245400. PCP: Jennifer Luong, DO. Location: Lake Arrowhead/Crestline CA. Height 5'6" (168cm), Fitdays; 5'5" per 06/11/26 ARMC vitals -- minor discrepancy across sources. Build: muscular/robust frame.

5 sessions logged 06/13-06/27 at EOS Fitness — Gym Logger v5.2 live at yttcom.net/05-Front_end/70-Health/Gym/

Bone-on-bone confirmed at ARMC — removable Velcro thumb spica brace fitted — medical clearance required before dental work