February 9, 2026

#325: Geoff Cook, CEO of Noom

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Today, I’m joined by Geoff Cook, CEO of Noom.

Evolved from behavior change app to clinical health platform, Noom combines personalized coaching with medications like GLP-1s to forge health habits and drive long-term health outcomes.

In this episode, we discuss using medication as a catalyst for behavior change.

We also cover:

  • Shifting revenue from medicated plans
  • Microdosing GLP-1s
  • Building the “Duolingo of Health”

The Fitt Insider Podcast is brought to you by EGYM. Visit EGYM.com to learn more about its smart fitness ecosystem for fitness and health facilities.


Chapters:
(00:00) Introduction
(01:30) What’s changed at Noom
(02:00) Revenue shift
(03:25) GLP-1s as catalyst
(04:20) Food noise silence
(05:35) Discontinuation rates
(06:35) Medication to maintenance
(07:00) Microdosing GLP-1s
(08:35) Challenges and strategies
(09:50) Self-experimentation & preventative health
(12:20) Other supplements
(14:05) Stacking habits
(15:35) What belongs in clinical care?
(16:20) Litmus test
(17:20) Research investment and peer-reviewed studies
(18:25) Largest microdose dataset in the world
(19:30) Virtuous loop
(20:30) Cue, micro-habit, reward framework
(21:25) Gamification
(22:32) Behavior change foundation
(24:00) Condition advantage over competitors
(26:00) Women’s health, blood testing, & category expansion
(26:35) Behavior, diagnostics, and clinical care
(28:15) Blood testing for proactive health
(29:20) Care stacks and vertical integration trends
(31:10) IPO timeline and public market readiness
(32:35) 2026 goals
(33:40) Conclusion

Strategic intelligence for the future of health.

We break down how fitness, wellness, and healthcare are converging — and what it means for business, culture, and capital.

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