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The decision framework: which metric should guide your goals Use this framework to decide whether to track absolute pounds, relative percentage, or both: Track absolute loss primarily if: Your main goal is cardiovascular risk reduction You have joint pain (knees, hips, ankles) limiting mobility You have sleep apnea and want to reduce CPAP pressure requirements You're preparing for orthopedic surgery and need to reduce surgical risk You have a specific weight-dependent physical goal (running a 5K, fitting in an airplane seat, carrying a child) Track relative loss primarily if: Your main goal is diabetes remission or improved glucose control You have fatty liver disease and want to reduce liver fat percentage You're focused on metabolic health markers (insulin sensitivity, triglycerides, HDL) You want to compare your response to published trial averages You're deciding whether to escalate to a higher dose Track both if: You have multiple health goals spanning cardiovascular and metabolic outcomes You're starting at a high BMI and want to celebrate both the large absolute losses and the metabolic improvements You're working with a provider who uses both metrics to guide treatment decisions You want the most complete picture of your treatment response Most patients benefit from tracking both but emphasizing one based on their primary health goal