Fitness trackers are everywhere now. Watches, rings, bands, all promising to make us healthier. But researchers are finding the opposite may also be true for a growing number of users. A Harvard and Mass General Brigham study found over a third of Americans now track their sleep with a device. A University of South Australia study of 237 wearable users found these devices also produced guilt and anxiety, especially when the numbers came in low. There's a word for one version of this: orthosomnia, an obsession with a perfect sleep score that wrecks the sleep itself, coined by Northwestern researchers in 2017. A study in the Journal of the American Heart Association found that patients using wearables to track real heart conditions got more anxious, not less, the closer they watched their data. There's a broader word for the unease: technohypochondria. You can't stop checking. A bad score wrecks your whole day. Dr. Amitha Kalaichandran is a physician and epidemiologist. The same system that trained her to interpret health data almost broke her own. During a residency she calls genuinely toxic, she developed disordered sleep, rising cholesterol, and an anxiety she couldn't name. She had every number a person could ask for, and no idea what any of it meant. It took her four to five years to close that gap, through integrative medicine and the Andrew Weil Fellowship at the University of Arizona, where she brought her cholesterol down without a statin. She wrote about it in her book, On Healing. The distinction at its center: healing isn't curing, it's restoring wholeness. Then she built Evra Health, a company built around a goal that's almost radical in tech right now. Not to keep you on the app. To help you need it less.
Why more data can make you feel worse, not better, and the inverted U curve that explains it
Why your health app is quietly running on shame, the same red-pen conditioning most of us picked up in grade school
How she trained her own AI to call dessert an occasional treat instead of flagging it red
What a 12-city book tour and 500 conversations with everyday Americans taught her about the real gap in healthcare
What she learned trying hypnosis and therapeutic MDMA to process her own trauma
Your tracker isn’t supposed to be your judge. It’s a data point. Nothing more.
Live well and RAK ON,
-Dr. Rak👊🏽
Timestamps
00:00:Intro About Dr. Amitha Kalaichandran Dr. Amitha Kalaichandran trained in global health and epidemiology before medical school. A brutal residency left her with sleep debt, rising cholesterol, and an anxiety she couldn't name. That sent her looking for the missing translation between raw health data and an actual changed life. She completed the Andrew Weil Fellowship in integrative medicine at the University of Arizona and wrote about her recovery in On Healing. She also spent years writing freelance health journalism for major outlets including the New York Times, Washington Post, and Wired. She is now the founder of Evra Health, which connects wearable data, lab results, and medical records into one personalized action plan, without the shame mechanics built into most health apps. Evra launched about six weeks before this conversation and is already live in 175 countries.
00:03 Cold open: is your fitness tracker making you sicker?
02:25 The stats: orthosomnia and technohypochondria explained
05:19 The dumb watch trend, and the report card problem
07:30 Red, green, and the shame built into app design
10:10 What has to exist between a number and a lasting habit
13:51 When Amitha first realized data needs meaning
15:44 Residency, sleep debt, and a genuinely toxic culture
18:19 Reversing her own cholesterol without medication
20:26 Why the book is called On Healing, not curing
22:31 Hypnosis and therapeutic MDMA: what most doctors won’t discuss
25:09 The book tour that led to building Evra
25:36 Inside Evra: what it actually does for a user
33:44 Training the AI to never flag food as bad
35:04 Building a tool that isn’t designed to be addictive
39:20 Why Evra measures outcomes, not engagement
42:14 Why change has to come from an intrinsic place
46:09 Fixing healthcare as this generation’s moonshot
50:59 Life philosophy: trusting and letting go
52:17 How Amitha makes her own life a health feast
Connect with Dr.Amitha
Website: evrahealth.com
Book: On Healing
LinkedIn: linkedin.com/in/amithakalaichandran
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The Health Feast is the podcast where health stops feeling like a chore and starts feeling like a joyful and abundant feast. Hosted by Dr. Rak Jotwani, a board-certified Lifestyle Medicine and Internal Medicine physician. New episodes every week (or two). Subscribe on your favorite podcast app, join the conversation on YouTube, and if this episode was useful, leave us a review and share with others! These are the best ways to help the show reach more people.
Live well and RAK ON.
Dr. Rak
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Disclaimer: This episode is for informational and educational purposes only. It is not medical advice and does not replace a conversation with your own physician or healthcare provider. Always consult a qualified professional before making changes to your exercise, nutrition, or health routine.

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