Domains · Performance · Issue

Gut, GLP-1 & metabolic

The toilet as the first daily feedback loop for the GLP-1 era. Gut, metabolic, microbiome.

Also touches: Male Health · Female Health · Aging in Place
Biomarkers
  • Stool form (Bristol)

    Bristol stool scale. Digestion, hydration, gut motility.

  • Microbiome markers

    Indirect microbiome proxies from stool morphology, inflammatory markers, and metabolite signatures.

  • Glucose (urine)

    Spillover above the renal threshold. Tracks glycaemic control and metabolic state.

  • Weight & body comp

    Daily mass, fluid retention proxy, and trend signal for CHF, metabolic, and recovery.

  • Breath VOCs

    Volatile organic compounds in exhaled air. Metabolic state and gut signal.

Sensors
  • Stool imaging & analysis

    Bowl-mounted imaging with on-device computer vision for stool morphology (Bristol scale), frequency, colour, and gross inflammation markers.

  • Urinalysis test strip

    10-parameter reagent strip read at the seat. Captures pH, nitrites, leukocytes, glucose, blood, protein, ketones, urobilinogen, bilirubin, and specific gravity from each void.

  • Urine spectroscopy (optical / SERS)

    Non-contact optical analysis of urine in the bowl or stream. Uses vis-NIR absorbance, fluorescence, and surface-enhanced Raman spectroscopy (SERS) to fingerprint analytes without consumables. Calibrates against the same biochemistry strips read by urinalysis.

  • Load cell array

    Strain-gauge load cells in the floor mat and seat for weight, weight distribution, balance, gait timing, and sit-to-stand dynamics.

  • Breath VOC sensor

    Metal-oxide and electrochemical arrays for volatile organic compounds in exhaled breath. Useful for ketones, gut metabolites, and infection signatures.

Open questions
  1. 01

    How might we turn the toilet into the first daily feedback loop for the GLP-1 era?

  2. 02

    How might we detect IBD/IBS flares and microbiome drift from passive stool signal?

  3. 03

    How might we build the long-arc nutrition and metabolic record primary care does not hold?

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