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The Big Three: A Framework for Prioritizing Health

There is no shortage of health information.

Open your phone, turn on the television, browse social media, or walk through a bookstore, and you’ll find an endless stream of advice.

Most of it isn’t wrong. In fact, much of it is genuinely useful. The problem is that it all competes for the same attention. When every article, podcast, influencer, and advertisement claims to hold another important piece of the puzzle, it becomes increasingly difficult to distinguish the foundational from the optional.

Some people become overwhelmed and stop trying altogether.

Others head in the opposite direction—pursuing increasingly smaller optimizations while overlooking the habits that produce the greatest return.

Health itself hasn’t become more complicated.

The human body hasn’t fundamentally changed.

Our attention has.


Most people already possess a surprising amount of health knowledge.

Ask someone what contributes to good health and you’ll likely hear familiar answers:

  • Sleep
  • Exercise
  • Eat well
  • Manage stress
  • Don’t smoke
  • Limit alcohol

They’re not starting from zero. The challenge isn’t a lack of information. It’s understanding the hierarchy of that information. Not all health information deserves the same amount of our attention. Some ideas meaningfully shape health. Others produce modest improvements. Some are only relevant under specific circumstances.  And some simply distract from what matters most.

When we lose sight of those differences, everything begins to feel equally important. Ironically, that’s when progress often slows.

Because when everything becomes a priority…

Nothing really is.


Rather than asking, “What’s the best thing I can do?”

a better question might be: “What are the largest things I can influence?”

That distinction matters.

Not everything that influences health is within our control.
Genetics matter. Environmental exposures matter. Access to healthcare matters. Life circumstances matter. Randomness matters.

But many of those variables are only partially—or not at all—under our control.

Instead of chasing complete control over our health, we should focus on maximizing the variables we can meaningfully influence.

Our goal isn’t perfect health.

It’s to consistently move the odds in our favor with the variables we can actually influence.


This idea resembles the logic behind Maslow’s Hierarchy of Needs. Before pursuing higher-level goals, we first satisfy the foundation. You don’t build a house starting with the roof. You don’t install drywall before pouring the concrete. The foundation isn’t exciting. But it determines how well everything else performs.

Health works much the same way. There is a difference between building health and optimizing health.

Optimization has become incredibly popular.
Cold plunges. Continuous glucose monitors. Supplement stacks. Longevity protocols.

Many of these have contexts where they may provide value. But they should never compete with the foundation for your time, attention, or energy.

The foundation comes first.

Everything else is built upon it.


For most people, three habits account for a disproportionate share of the health we can actually influence.

The Big Three

  • Sleep
  • Movement
  • Nutrition

Surprised? Probably not.

Good.

This isn’t about introducing something you’ve never heard before. It’s about revisiting familiar ideas and organizing them into a clearer hierarchy.

These aren’t the only things that influence health. They’re simply the best place to start. Because they influence nearly everything else.

Energy. Recovery. Mood. Metabolic health. Hormonal regulation. Cognitive performance. Physical function.

Sleep provides the opportunity for the body and brain to recover, repair, regulate hormones, consolidate memories, and prepare for the demands of the next day.

Movement preserves physical function, improves cardiovascular and metabolic health, strengthens muscles and bones, supports mental well-being, and helps maintain independence throughout life.

Nutrition supplies the energy and building blocks the body needs to function, recover, adapt, and protect itself from disease.

We’ll explore each of these topics in much greater depth throughout the following articles.

Without first addressing the Big Three, trying to identify the source of a health problem can become like searching for the source of a smell in a landfill.

The problem isn’t that the answer isn’t there. It’s that too many variables are competing for your attention before the foundation has been addressed.

The signal is buried beneath unnecessary noise.


Knowing what matters is only half the equation. The other half is understanding how to approach it.

Nearly every practical recommendation we’ll discuss can be filtered through three simple questions:

How well?

How much?

How often?

Or, stated another way:

Quality.

Quantity.

Consistency.

Let’s refer to this as The Health Triad.

This isn’t another rule. It’s a lens. A framework for evaluating nearly every future health discussion.

Whenever new information appears, ask yourself: Is this improving the quality, quantity, or consistency of one of the Big Three? Or is it simply another variable competing for attention?


Health recommendations are built around patterns that consistently help the greatest number of people.

They are probabilities—not absolutes. There will always be exceptions. Some people become ill despite doing almost everything right. Others remain healthy despite years of poor habits.

Individual stories matter. But they don’t replace population-level evidence.

Our responsibility is to make decisions based on what reliably shifts the odds in our favor, while remaining humble enough to recognize that certainty doesn’t exist.


Health information will continue to grow. New supplements will appear. New diets will emerge. New technologies will promise better outcomes.

None of those things are inherently bad.
But they should always be evaluated in relation to the foundation.

When the foundation is strong, optimization becomes more meaningful.
When the foundation is weak, optimization often becomes distraction.

We don’t control every outcome.
We influence the probability of outcomes.

And for most people, very few habits influence those probabilities more than sleep, movement, and nutrition. Everything that follows builds from that foundation.

Health doesn’t become confusing because we know too little.
It becomes confusing because we struggle to distinguish the foundational from the marginal.

The purpose of the Big Three isn’t to tell you everything that matters.
It’s to make sure you never lose sight of what matters most.
To restore hierarchy to the countless ideas competing for your attention.

Hyperoptimization and Diminishing Returns

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“The perfect is the enemy of the good.” — Voltaire

Sometimes the pursuit of health starts to shift focus.

We begin by wanting to feel better. More energy. Less pain. Better mobility. Improved labs. More experiences. More years with the people we love.

These are reasonable goals.

But somewhere along the way, many people drift from pursuing health toward pursuing optimization. Those are not always the same thing.

Modern health culture often creates the impression that every variable and topic deserves equal attention. Every ingredient, every supplement, every meal timing strategy, every recovery tool, every environmental exposure, and every new biological “hack.”

But the human system does not weigh everything equally.

Some variables matter tremendously.

Others matter only slightly—if at all.

The difference between sleeping four hours and sleeping eight hours.

The difference between being sedentary and moderately active.

The difference between eating mostly nutrient-dense foods and eating mostly ultra-processed foods.

These are among the highest-return investments we can make in the health of the human system.

Yet once our foundational needs are reasonably met, the return on additional optimization often begins to shrink.

Not because nuance is meaningless. Not because marginal variables are useless.

But because our biology appears to reach a point of diminishing returns.

The foundational improvements tend to create the largest changes. Later improvements often require more effort for increasingly smaller outcomes.

This pattern is not unique to health.

The difference between no maintenance and routine maintenance on a vehicle is enormous.

The difference between routine maintenance and elite performance modifications is comparatively small.

Yet modern health culture frequently convinces people that the performance modifications are the priority.

This inversion creates confusion.

People begin obsessing over electrolyte packets, supplement stacks, peptides, cold plunges, seed oils, greens powders, red light therapy, and countless other strategies that promise incremental improvements.

Experimentation on top of a foundation of fundamentals is perfectly reasonable.

Deprioritizing adequate sleep, regular movement, sound nutrition, stress management, and other foundational behaviors in favor of that experimentation is not.

We also must consider the cost of optimization.

Every health strategy requires an investment of time, money, energy, attention, or mental bandwidth. As those investments grow, we should continually ask whether the benefits are truly worth what they displace.

Sometimes they are.

Often, they probably aren’t.

The body is influenced by nuance, but it is governed by fundamentals.

And unfortunately, fundamentals are difficult to market.

Sleep is not exciting.

Walking is not exciting.

Managing stress is not exciting.

Eating enough protein and vegetables is not exciting.

Consistency is not exciting.

These things are simple, repetitive, and often unremarkable. There is no secret knowledge attached to them. No exclusive club.

Marginal optimization, however, feels advanced. It creates endless discussion. Endless products. Endless content. And endless opportunities for monetization.

There was a demand for optimization, and naturally, a market emerged to meet it.

This is where the topic can easily start to sound cynical or conspiratorial, but that’s not necessarily the case. It’s simply the reality created by the right combination of variables.

As discussed in Back to the Primitive: Swapping Intensity for Intent

These systems didn’t emerge from a singular malicious intent.

They are the natural result of:

  • Consumer preference
  • Technological advancement
  • Economic incentive

This is where many people unknowingly become trapped. Not necessarily in poor health behaviors, but in the psychological burden of excessive optimization.

This happens when our perspective causes us weigh everything equally.

Diminishing returns are not just physiological.

They can become psychological. Logistical. Financial. Social.

A strategy that provides a tiny physiological benefit may simultaneously increase stress, consume time, create anxiety, complicate schedules, strain relationships, or reduce enjoyment of life.

At that point, we have to ask an important question: Is the tradeoff worth it?

Because health does not exist in isolation from life.

The purpose of health is not to become imprisoned by routines, fear, or perfectionism.

The purpose of health is function. Freedom. Resilience. Presence.

The ability to participate more fully in life.

Optimization becomes problematic when the pursuit itself begins consuming the life it was meant to improve. It can also become self-perpetuating as people lose sight of the difference between foundational practices and marginal refinements.

This idea echoes Goodhart’s Law: “When a measure becomes a target, it ceases to be a good measure.”

Health metrics are useful because they point us toward better health. But when optimizing the metrics becomes the primary objective, it’s easy to lose sight of why they mattered in the first place.

This does not mean nuance is irrelevant.

Elite athletes may care deeply about marginal gains. Certain medical conditions may require highly specific strategies. Some people genuinely enjoy optimization as a hobby.

There is nothing inherently wrong with that.

But for most people, the overwhelming majority of meaningful health outcomes are likely driven by foundational variables:

Sleep.

Movement.

Nutrition.

Stress management.

Relationships.

Purpose.

Avoiding major destructive behaviors.

These are the big rocks.

Everything else exists around them, like sand and pebbles that fill in the spaces between the monoliths.

Modern wellness culture often sells the final 5% as though it were the first 95%.

But most people would experience dramatically greater benefit by improving the fundamentals they already know matter.

Not perfectly. Just consistently.

Because the goal is not perfect health.

The goal is to build a life that health supports—not one that health consumes.

To use health as a means of better experiencing life.

Sometimes the healthiest thing we can do is stop trying to optimize every variable and start living the life our health was meant to support.

After all, the perfect is often the enemy of the good.

Health Isn’t Magic — It’s Maintenance

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It’s easy for health to feel almost magical—
as if it lives somewhere between science and superstition.
This is especially true when health products are dramatized and oversold.
We can start to believe that health requires the right spells, potions, and rituals.

But it’s not magic or mystical.

It’s mechanistic.

Witchcraft and wizardry don’t apply.

Now, to be fair—
the human body is incredibly complex. That reality can’t be overstated.
The systems that sustain life in this biological machine are precise, adaptive, and deeply nuanced.
Not perfect—but remarkably capable.

And yet…

The inputs required to support that system are much more pragmatic.
And, at times, a bit boring.
Health doesn’t require perfection.
It requires sufficient input within a functional range.

We don’t need optimized nutrition—
we need nutrition that adequately supports our needs.

We don’t need optimized exercise—
we need movement that supports our function and capacity.

We don’t need perfectly optimized sleep—
but we do need sleep that is consistently sufficient.

One of the most effective ways to understand health—
and to protect yourself from misinformation—
is to view it through a simple lens:

Maintenance.

When people define health, they often say:
“I want to feel better.”
“I want to avoid disease.”
“I want to be around for my grandkids.”
“I want to enjoy life when I retire.”

These are all valid.
But they are outcomes.

They describe what health gives you—
not how it actually works.

A more useful model is this:

Health is vehicle maintenance.

We want our vehicles to be:

  • Functional
  • Reliable
  • Capable of performing when needed
  • And relatively inexpensive to maintain

We understand that if we want those outcomes,
we have to take care of the vehicle:

  • Oil changes
  • Tire rotations
  • Routine maintenance

Not because it’s exciting—
but because it works.

We understand the high-leverage, best practices for maintaining that system.
The same is true for the body.

Whether we like it or not, we inherit responsibility for the system we exist in.
Not by choice.
But we’re here.
Living in this biological machine.

These systems evolved under conditions very different from the modern world, a concept we explored in Primitive Beings in a Modern Age.

And to our knowledge—
we may not get another.

So we must accept the system.
Its strengths.
Its limitations.

And we move forward.

We learn.
We experience.
We grow.
We feel.

We live.

If we want this system to be:

  • Functional
  • Reliable
  • Capable

Then we invest in maintenance.

Sleep, movement, and nutrition
are simply the equivalents of:

  • Oil changes
  • Tune-ups
  • Tire rotations

Different domain—
same principle. Same relationship.

If we provide the right inputs, consistently enough, the system is far more likely to function well.

And here’s where choice comes in.
Not everyone needs—or wants—to maintain their system the same way.

Some people will pursue optimization:
Dialed in. Structured. Precise.

Others will aim for high-quality, consistent basics,
and spend the rest of their time, energy, and attention on other areas of life.

All paths are valid.
There is no universal rulebook.

But there is a reality:

The more you understand what matters most,
the more intentional your choices can be—
and the more likely your energy and focus are able to provide a return on investment.

Context, not commands.

There’s another layer to this.
One that matters just as much.

Mark Manson discusses a useful distinction between fault and responsibility.
Something may not be your fault.
But it is still your responsibility to decide how you respond to it.

You don’t get to choose:

  • Your genetics
  • Your starting point
  • Your environment

But you do get to choose how you interact with those realities.

You’re here. In this system.
So the question becomes:
What do you want to do with it?

The terrain of life doesn’t get easier.
But it becomes more manageable when the system carrying you through it is capable.

So we learn to maintain the machine.

Not out of obligation.
Not out of fear.

But because:

Everyone deserves
functional independence,
quality of life,
and the freedom to pursue meaning, fulfillment,
and the life they want to live.


Suggested reading: Purpose and Burden

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