Extend Podcast with Darshan Shah, MD

112. Josh Clemente: Why Energy Crashes Keep Happening and How to Stop Them

Nov 13, 2025
In this engaging discussion, Josh Clemente, founder of Levels and a former SpaceX life support engineer, dives into the transformative power of continuous health monitoring. He shares how personal experiences led to the adoption of continuous glucose monitors, empowering individuals to take ownership of their health data. Josh explores the comparison of biomedical observability to engineering telemetry, the potential of multi-molecule monitoring, and the shift towards preventive healthcare. Learn how AI and real-time data can optimize personal biology and prevent chronic diseases.
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ANECDOTE

Denied CGM Sparked A Movement

  • Josh asked his doctor for a CGM in 2016 and was dismissed for not being 'sick enough'.
  • That rejection pushed him to obtain the device himself and sparked Levels' mission to democratize health data.
INSIGHT

Measure Health, Not Just Disease

  • Engineers monitor machines continuously to detect drift; medicine measures rarely and for disease.
  • Josh argues we must flip to health-state monitoring to detect problems early.
INSIGHT

Observability Enables Control

  • Observability means measuring enough outputs so you can model a complex system and identify cause and effect.
  • With observability you gain control over biology by linking inputs to outputs.
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