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.
First 10 reports free · $20 a test after · no protocol changes · works with your cart's export
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…
Aevox has streamlined report generation, saving our lab personnel considerable time. Compared with the standard reports from our metabolic testing system, these reports provide greater depth and more meaningful insight, in a format that is clear, visually accessible, and easier for clients to understand.
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. For 180 minutes just under this athlete's second threshold, it prescribes 106 g/h, 1.8× the top of that range.
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; their picks are the ticks on the axis. 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. This is the real one, on a treadmill test of mine, with “Your Lab” where your name goes.
Open the full sample report ↗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.
Same cart, same test, a different report. Aevox was designed by an exercise physiologist who ran the tests and read the reports before writing a line of code.
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 partner labs.
Live in pilot at the Hybl Performance Center via CommonSpirit Health, alongside EXOS in Colorado Springs. Real athletes, real reports, real clinician sign-off.
Co-branded PDF and athlete page, your domain on shares, white-label across multi-site networks. More tests through the same staff, because nobody is scoring by hand.
Built by Jack Mislinski, exercise physiologist — MSc Applied Physiology. About Aevox →
Self-serve, on the cart you already own. No setup fee, no contract, no re-training your staff. Your first 10 reports within 60 days are free; after that, $20 a report billed monthly on the 1st, never more than $1,000 a month, and you can stop any time.
A card at sign-up, nothing charged today. Your lab's name goes on every report and every athlete page from the first upload.
COSMED, MGC, PNOE, VO2 Master, KORR and ParvoMedics exports read natively. An unfamiliar format is mapped and checked against the physics of the data before anything is shown.
The report is on screen about a minute after the upload. You confirm the thresholds, add a note, and the athlete's page goes out when you say.
Every athlete page carries a 'your next test' card that books through your own scheduling, so a test ends with the retest already in front of them.
The price is the same for every lab, whatever the cart, so there is nothing to negotiate before the first upload.
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.
Sign up, drop in an export from a test you have already run, and read the report with your lab's name on it. Prefer to see one first? Here is a sample on a treadmill test of mine.
Rather start by 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.
It can, under license. The same engine that writes every Aevox report can sit inside a device maker's or platform's own software: it reads your breath-by-breath record and returns the thresholds with their confidence, substrate oxidation, zones, fueling and economy, as data or as a white-label report and athlete page. The device and the data path stay yours; Aevox is the read. Talk to Jack.
COSMED (K5, Q-NRG, OMNIA exports), MGC Diagnostics, PNOE, VO2 Master, KORR CardioCoach and ParvoMedics TrueOne 2400 exports read natively. Any other breath-by-breath export is mapped on upload and checked against the physics of the data before anything is shown. When a new cart needs engine work, support often ships the day the lab sends the file.
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.
Sign up at labs.aevox.health with a card (nothing is charged today), drop in an export from a test you have already run, and the report is on screen in about a minute with your lab's name on it. You confirm the thresholds and sign off before the athlete's page goes out. Your first 10 reports within 60 days are free; after that, $20 a report billed monthly, never more than $1,000 a month, and you can stop any time. Institutions and multi-site programs get an embedded start instead: see the institutions page.
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.