The speaker doesn't wear permanent trackers due to the obsession with metrics being a real problem. They've observed that some individuals use trackers as a stimulus to focus on lifestyle changes, while others get stressed and check their metrics excessively, which leads to more stress. The speaker uses trackers to understand their own physiology over time, rather than modifying their daily activities. The speaker also emphasizes the importance of wearables being valid and reliable, not relying on a single metric, considering frequency, duration, and intensity, and being cautious about estimates.

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