Fat vs carbs, across the intensity spectrum.
Where does fat oxidation peak? Where does the crossover happen? At what HR does carb burn dominate? The substrate curve answers all three — and tells the athlete how to fuel it.
A maximal CPET produces tens of thousands of data points; the standard report collapses them to a single number. Aevox surfaces what gets discarded — substrate oxidation, threshold confidence, glycogen-aware fueling, training zones anchored to physiology — in a report your clinicians can defend.
Free · two weeks · no protocol changes · works with your current cart
Not a clinic? Aevox for athletes →
“The Aevox platform has completely streamlined our performance testing and data interpretation, saving time for our coaches to do what they do best. But the real difference maker is the customization and quick turnaround — they have added immense value to our workflow over the course of the first week alone…”
Most reports stop at “consume 30–60 g/h.” Aevox derives a per-athlete glycogen pool from VO₂max, body comp, and substrate oxidation — then tracks depletion across the event distance and intensity the athlete is actually training for.
Same model in the live tool. Glycogen pool scales with VO₂max, mass, age, and sex; depletion follows a published intensity-and-duration curve. Adjust intensity or duration to re-score the prescription in real time.
VE/VO₂ and VE/VCO₂ scatter, with VT1 and VT2 placed by an ensemble of detectors and surfaced with a confidence score. Where detectors disagree, the band widens. Where they agree, you sign off and move on.
Four detectors — V-slope, VE/VO₂ nadir, VE/VCO₂ nadir, excess CO₂ — vote on each threshold. Confidence = % agreement, with a draggable override and full audit trail.
Each card is interactive in the live report and exportable as PDF, JSON, or signed share link.
Where does fat oxidation peak? Where does the crossover happen? At what HR does carb burn dominate? The substrate curve answers all three — and tells the athlete how to fuel it.
Six zones placed off VT1, VT2, fatmax, and peak — not 220-minus-age. Translate physiology into the prescription a coach hands an athlete.
Running economy is the oxygen cost to cover one kilometer. The biggest predictor of race performance after VO₂max — and the only metric that tells you whether your training is making you faster for free.
Aevox was designed by an exercise physiologist who ran the tests and read the reports before writing a line of code. It exists because the interpretation layer was missing — not as a SaaS retrofit of a startup idea.
Substrate oxidation and threshold scoring were calibrated against Douglas-bag gas collection — the gold-standard reference method. Formal multi-site validation is a planned next step with our pilot partners.
Live in pilot at the Hybl Performance Center via CommonSpirit Health, alongside EXOS in Colorado Springs. Real athletes, real reports, real clinician sign-off.
Built by Jack Mislinski, exercise physiologist — MSc Applied Physiology. About Aevox →
Threshold confidence scoring, audit trails, methods you can stand behind. The pipeline doesn't replace your clinical judgment — it puts it on a foundation you can sign your name to.
Manual scoring is the bottleneck on a clinical-grade test. Aevox compresses report turnaround from days to minutes — and the report your clinic ships looks like it was built by a research lab.
The pilot is free and runs on the cart you already own. No new hardware, no protocol changes, and no re-training your staff — the only thing we need from you is an export file you've already generated.
A single breath-by-breath file from a test you've already run. We confirm we can read your cart's format — usually same day.
Your reference equations, your protocols, your altitude. We score three of your historical tests so you can compare our output against interpretations you already trust.
New tests scored as they come in. Every threshold stays editable and every report waits for a clinician's signature before it goes anywhere.
We hand you a written summary of throughput and scoring time across the two weeks. Continue or walk — either way the reports you generated are yours to keep.
We quote your specific number during the pilot, once we know your monthly test volume — pricing a lab before we've seen its throughput just produces a number we'd both have to redo.
We serve performance centers and cash-pay clinics. If you bill insurers or sit inside a hospital system, tell us before onboarding so the required agreements are in place first.
Tell us which cart you run and we'll confirm we can read its export — usually the same day. If we can't, we'll say so rather than sell you a call.
Prefer email? jack@aevox.health
No. Your cart still runs the test and exports the breath-by-breath data. Aevox reads that export and produces the interpretation report — substrate, thresholds, fueling, zones, economy. You keep your existing protocols and reference equations.
COSMED (K5, Quark, Omnia), ParvoMedics TrueOne 2400, Vyaire Vmax & OxyConPro, MGC CCM Express, Cortex Metalyzer 3B, Geratherm Ergostik, plus generic breath-by-breath CSV. New carts added on request — typically a 2–3 day turnaround.
Once the CSV is uploaded, the full pipeline — threshold detection, substrate oxidation, fatmax search, zone derivation, fueling estimation, and economy quantification — runs in parallel and a clinician-ready report is back in minutes, not days.
As sensitive health data, whether or not HIPAA applies to you. Identified reports are stored encrypted on US infrastructure, visible only to your clinic, deleted on request, and never used to train shared models. Reports reach the athlete platform only when the athlete ticks a consent box on their own report page, and that consent is recorded with the transfer. Research analytics are de-identified before storage. We serve performance centers and cash-pay clinics that are not HIPAA covered entities; if you bill insurers or sit inside a hospital system, tell us before onboarding so the required agreements can be put in place first.
Yes. Every threshold, every formula, every classification has a citation and an audit trail in the report. Detectors and confidence scores are visible — overrides are first-class and recorded with the clinician's name.
Two weeks. Week 1: connect your cart export, configure your reference equations and protocols, cross-check against three of your historical tests. Week 2: live shadow-scoring on new tests with a clinician sign-off step. Then you're in production.
Reference equations are configurable per-protocol. We support pediatric percentile norms (Cooper Institute, Wasserman), and the threshold detector ensemble works the same way at any size — confidence scoring tells you when a test is unusual.
Question we missed? jack@aevox.health.