Lumen breath-hold measurement
Merav and Michal invented this breath-hold hack because in normal breathing, when you burn carbs and produce more CO2, your body immediately increases ventilation to exhale it, so exhaled CO2 doesn't change. By holding the breath for 10 seconds, the CO2 in the bloodstream reaches equilibrium with the air in the lungs, and the exhaled air then accurately represents what's happening in the blood. This simple technique essentially replicates the principle of invasive arterial-venous blood gas measurement that was used historically to determine metabolic fuel, but in a non-invasive consumer device. They contrasted it with traditional indirect calorimetry that uses a metabolic cart, which can be fooled by ketone metabolism and gluconeogenesis.
The chemical reaction for carb oxidation produces more CO2 per unit of oxygen consumed than fat oxidation (RER ~1.0 vs ~0.7). By measuring the CO2 concentration after an equilibrated breath hold, Lumen estimates the respiratory exchange ratio and thus the fuel mix. Ketone oxidation also produces high CO2, which is why acetone sensing is being added to distinguish that carbon source.
Michal and Merav personally use this measurement daily to guide their training and nutrition, having originally needed data during their Ironman training when subjective feeling was insufficient.
The principle the the hack right that Maravi and I uh invent is by holding a breathing holding technique. So by asking users to inhale specific amount of air hold their breath for 10 seconds and then exhale and that time the carbon dioxide in the blood reach to equilibrium with the air in the lungs and now when I'm exhale and you will measure the carbon dioxide in my exhale air it's basically represent what is happening in the blood.

