Higher Mirtazapine Intake Predicts Slightly Lower Calories Burned for Population

Higher Mirtazapine Intake Predicts Slightly Lower Calories Burned for Population

Contents

Variables

A
Mirtazapine 190
A
Calories Burned 878

Categories

A
Treatments 9356
A
Physical Activity 1719

Actions

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Your Data

Tags

High Confidence
Very Weak Effect Size
Negative Relationship
Population Study
cause image gauge image effect image
Participants reported a 18.8% average increase in Calories Burned following above average Mirtazapine Intake.

Abstract

<h5>Not Enough Shared Data</h5>Please create a study and share it with your friends so we can collect enough data to determine the effect of Mirtazapine on Calories Burned. <a href="https://web.quantimo.do/#/app/study-creation" title="Create a Study" class="create-study-button"> Create a Study </a> <h5>Solution: Create a Study</h5>Please create a study and share it with your friends so we can collect enough data to determine the effect of Mirtazapine on Calories Burned. <a href="https://web.quantimo.do/#/app/study-creation" title="Create a Study" class="create-study-button"> Create a Study </a>

Calories Burned was generally 22% higher than average after a total of 0 milligrams of Mirtazapine over the previous 7 days.

Aggregated data from 2 study participants suggests with a HIGH degree of confidence (p=0.0001, 95% CI -74.486 to 74.261) that Mirtazapine has a weakly negative predictive relationship (R=-0.113) with Calories Burned.

The highest quartile of Calories Burned measurements were observed following an average 0.931 milligrams Mirtazapine per day.

The lowest quartile of Calories Burned measurements were observed following an average 0.256 milligrams of Mirtazapine per day.

After an onset delay of 30 minutes, Calories Burned is typically 4% lower than average over the 7 days following around 0.256 milligrams of Mirtazapine Mirtazapine.

Keywords: Mirtazapine, Calories Burned, N-of-1 trials, real-world evidence, causal inference, observational study

Preliminary: Based on 2 participants. Results may change as more data is collected.

Results

Primary Findings

Analysis of 718 paired observations from 2 participants revealed a minimal reduction in Calories Burned following above-average Mirtazapine exposure.

0.0%
Change from Baseline
Minimal effect on Calories Burned
0.01
Predictor Impact Score
Insufficient evidence for causal relationship

Supporting Statistics

High
Confidence
-0.113
Correlation (r)
p = 0.924
Significance
z = 0.00
Effect Magnitude
φ = 0.86
Temporality

What This Means

When participants had above-average Mirtazapine:

  • Calories Burned decreased by 0.0% on average
  • Temporal analysis supports Mirtazapine as the predictor (not the outcome)

Interpreting the Predictor Impact Score

The Predictor Impact Score (PIS) integrates multiple Bradford Hill causal criteria into a single metric. Use this guide to interpret the score:

PIS Range Interpretation Recommended Action
≥ 0.5 Strong evidence High priority for RCT validation
0.3 - 0.5 Moderate evidence Consider for experimental investigation
0.1 - 0.3 Weak evidence Monitor for additional data
< 0.1 Insufficient evidence Low priority; may be noise

Note: PIS is a prioritization heuristic, not proof of causation. High scores indicate relationships worth investigating, not confirmed causal effects. With only 2 participants, these scores are preliminary and will become more reliable as additional data is collected.

Optimal Daily Values (Precision Dosing)

Based on the observed relationship, we can estimate the predictor values associated with the best and worst outcomes. These values enable personalized dosing recommendations.

⚠️ Preliminary Data: With 2 participants and 718 observations, these optimal values are preliminary estimates. As more data is collected, precision will improve significantly.

0.0 mg
Value Predicting Higher Calories Burned
Average Mirtazapine when Calories Burned exceeded its mean
0.0 mg
Value Predicting Lower Calories Burned
Average Mirtazapine when Calories Burned was below its mean

What This Suggests

Calories Burned tended to be lowest (best) when Mirtazapine was around 0.0 mg.

Important: These values reflect correlations, not guaranteed causal effects. Individual responses may vary. Use as a starting point for personal experimentation, not as a definitive prescription. Consult healthcare providers before making treatment decisions.

Population Correlation

Mirtazapine Distribution

Calories Burned Distribution

Relationship Analysis

Statistical Summary

Relationship Statistics

Property Value
Cause Variable Name Mirtazapine Intake
Effect Variable Name Calories Burned
Sinn Predictive Coefficient 0.010196394869251
Confidence Level HIGH
Confidence Interval 74.373807382593
Forward Pearson Predictive Coefficient -0.1125
Critical T Value 1.646
Total Mirtazapine Intake Over Previous 7 days Before ABOVE Average Calories Burned 0.931 milligrams
Total Mirtazapine Intake Over Previous 7 days Before BELOW Average Calories Burned 0.256 milligrams
Duration of Action 7 days
Effect Size weakly negative
Number of Paired Measurements 718
Optimal Pearson Product 0.017084192847698
P Value 0.0001
Statistical Significance 0.9241
Strength of Relationship 74.373807382593
Study Type population
Analysis Performed At 2026-01-04
Number of Participants 2

Mirtazapine Info

Property Value
Variable Name Mirtazapine
Aggregation Method SUM
Analysis Performed At 2022-11-18
Duration of Action 21 days
Filling Value 0
Kurtosis 51.319066719681
Mean 11.938439090909 milligrams
Median 10.909090909091 milligrams
Minimum Allowed Value 0 milligrams
Number of Aggregate Predictors 0
Number of Aggregate Outcomes 190
Number of Measurements 200
Number of Measurements (including those generated by tagged, joined, or child variables) 1935
Public true
Onset Delay 30 minutes
Standard Deviation 4.933372527053
Unit Milligrams
User Variables 19
UPC 035127699356
Variable Category Treatments
Variable ID 1378
Variance 54.601582698496

Calories Burned Info

Property Value
Variable Name Calories Burned
Aggregation Method SUM
Analysis Performed At 2020-09-23
Duration of Action 7 days
Kurtosis 10.719482104079
Maximum Allowed Value 20000 kilocalories
Mean 1693.6119981094 kilocalories
Median 1643.7344918892 kilocalories
Minimum Allowed Value 100 kilocalories
Number of Aggregate Predictors 667
Number of Aggregate Outcomes 211
Number of Measurements 122895
Number of Measurements (including those generated by tagged, joined, or child variables) 21949
Public true
Onset Delay 0 seconds
Standard Deviation 420.78331639612
Unit Kilocalories
User Variables 393
UPC 0
Variable Category Physical Activity
Variable ID 1280
Variance 236738.41913029

Introduction

Background

Mirtazapine (Treatments) and Calories Burned (Physical Activity) are both important factors in understanding human health and well-being. This study investigates the relationship between these two variables using real-world observational data.

Traditional randomized controlled trials (RCTs), while the gold standard for causal inference, are often impractical, expensive, or unethical for studying many health relationships. Aggregated N-of-1 observational studies offer a complementary approach that leverages within-subject comparisons across large populations to identify meaningful patterns.

Research Question

Does Mirtazapine affect Calories Burned?

Additionally, we seek to determine:

  1. What is the direction and magnitude of any effect?
  2. How confident can we be in this relationship based on the available data?
  3. What are the optimal levels of Mirtazapine for maximizing Calories Burned?

Study Objective

The objective of this study is to determine the nature of the relationship (if any) between Mirtazapine and Calories Burned. Additionally, we attempt to determine the Mirtazapine values most likely to produce optimal Calories Burned values.

Study Overview

This is a population-level observational study using aggregated N-of-1 methodology. By aggregating individual N-of-1 experiments, we can identify population-level patterns while accounting for the substantial individual variation that exists in most health relationships. Effect sizes are reported as percent change from baseline, enabling intuitive interpretation and comparison across different measures.

Full Methodology: Framework for Real-World Evidence-Based Pharmacovigilance: Aggregated N-of-1 Trials for Quantifying Treatment Effects

Discussion

Interpretation of Findings

Participants experienced a 0.0% reduction in Calories Burned following above-average Mirtazapine exposure. The Predictor Impact Score (PIS) of 0.01 indicates insufficient evidence for a causal relationship.

Statistical Significance

Using a two-tailed t-test with alpha = 0.05, it was determined that the change in Calories Burned is statistically significant at a 95% confidence interval. The p-value of 0.9241 indicates there is less than a 92.41% probability that this result occurred by chance.

T-Test Details
Observed t-value: 9.078
Critical t-value: 1.646

Since t = 9.08 > 1.65, we reject the null hypothesis.

Biological Plausibility

A plausible bio-chemical mechanism between predictor and outcome is critical for interpreting observational findings. This is where human judgment excels beyond statistical analysis.

Community feedback on the biological plausibility of this relationship is still being collected. Consider the known mechanisms by which Mirtazapine might influence Calories Burned.

Bradford Hill Criteria Assessment

The Bradford Hill criteria provide a framework for assessing causality in observational studies. Our methodology operationalizes six of the nine criteria through the Predictor Impact Score (PIS):

Criterion How Addressed Metric
Strength Effect size magnitude Percent change from baseline (Δ%), z-score
Consistency Cross-participant replication Number of users (N), number of pairs (n)
Temporality Predictor precedes outcome Temporality factor (φ), onset delay (δ > 0)
Biological Gradient Dose-response relationship Gradient coefficient (φgradient)
Plausibility Biological mechanism assessment Community votes on mechanism plausibility
Specificity Category appropriateness Interest factor (finterest)

Predictor Impact Score (PIS)

The PIS integrates multiple Bradford Hill criteria into a composite metric quantifying how reliably a predictor affects an outcome. Higher scores indicate stronger evidence:

Population-Level PIS:

$$\text{PIS}_{\text{agg}} = |r_{\text{forward}}| \cdot w \cdot \phi_{\text{users}} \cdot \phi_{\text{pairs}} \cdot \phi_{\text{change}} \cdot \phi_{\text{gradient}}$$

Where φ-factors are saturation functions approaching 1 as evidence accumulates:

  • φusers = 1 - e-N/10 (user saturation)
  • φpairs = 1 - e-n/nsig (pair saturation)
  • φchange = 1 - e-Δspread/Δsig (effect spread saturation)
  • w = weighted average of plausibility votes

Temporality Assessment

We assess evidence for correct causal direction using the temporality factor:

$$\phi_{\text{temporal}} = \frac{|r_{\text{forward}}|}{|r_{\text{forward}}| + |r_{\text{reverse}}|}$$

Values approaching 1 indicate the predictor precedes the outcome (supporting causation); values near 0.5 suggest ambiguous directionality; values near 0 suggest reverse causation or confounding by indication.

Limitations

The accuracy of this study may be limited by the fact that <h5>Not Enough Shared Data</h5>Please create a study and share it with your friends so we can collect enough data to determine the effect of Mirtazapine on Calories Burned. <a href="https://web.quantimo.do/#/app/study-creation" title="Create a Study" class="create-study-button"> Create a Study </a> <h5>Solution: Create a Study</h5>Please create a study and share it with your friends so we can collect enough data to determine the effect of Mirtazapine on Calories Burned. <a href="https://web.quantimo.do/#/app/study-creation" title="Create a Study" class="create-study-button"> Create a Study </a> . A greater amount of data and more variance in the data would help to resolve this issue.

As with any observational study, correlation does not prove causation. Key limitations include:

  • Unmeasured confounders: Variables not tracked may influence results
  • Self-selection bias: Health trackers may differ from the general population
  • Measurement error: Self-reported data may contain recall bias
  • Confounding by indication: Sicker individuals may use more treatments

However, within-subject comparison and temporal precedence analysis partially mitigate these limitations. If the relationship is merely coincidental, as participants independently modify their Mirtazapine values, the observed strength will decline over time. Spurious correlations naturally dissipate as more data is collected.

Future Directions

Future research should examine:

  • Subgroup analyses to identify individual differences in response
  • Potential confounders and mediators of the observed relationship
  • Optimal dosing and timing for Mirtazapine
  • Confirmation through prospective or randomized designs
  • Biological mechanisms underlying the observed effects

Conclusion

📊 Preliminary Findings: With 2 participants, these results are based on limited data. Effect sizes and confidence will improve as more participants contribute data. Consider these findings directional rather than definitive.

Above-average Mirtazapine was associated with a 0.0% reduction in Calories Burned—a minimal effect. The Predictor Impact Score of 0.01 indicates this relationship is requiring additional data before conclusions.

Bottom Line: Based on a PIS of 0.01 and a 0.0% effect size, this relationship currently lacks sufficient evidence. Continue monitoring as more data becomes available. Note: These conclusions may strengthen or change direction as more data is collected.

These findings contribute to our understanding of how Mirtazapine may influence Calories Burned in real-world conditions. While preliminary, these results may inform future research directions. As more participants contribute data, the reliability and precision of these findings will improve substantially.

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Methods

Study Design

This study is based on data donated by 2 participants. Thus, the study design is equivalent to the aggregation of 2 separate n=1 observational natural experiments.

This within-subject design is powerful because it controls for all stable individual characteristics (genetics, baseline health status, socioeconomic factors) that might otherwise confound the relationship between variables.

Data Analysis

Temporal Assumptions

The analysis incorporates temporal assumptions about the relationship between variables:

  • Onset Delay: It was assumed that 30 minutes would pass before a change in Mirtazapine would produce an observable change in Calories Burned.
  • Duration of Action: It was assumed that Mirtazapine could produce an observable change in Calories Burned for as much as 7 days after the stimulus event.

Statistical Methods

For each participant, we calculated the Pearson correlation coefficient between Mirtazapine values and subsequent Calories Burned values. Individual correlations were then aggregated using Fisher's z-transformation to produce a population-level estimate:

Individual Correlation:

$$r_i = \frac{\sum(x_{ij} - \bar{x}_i)(y_{ij} - \bar{y}_i)}{\sqrt{\sum(x_{ij} - \bar{x}_i)^2 \sum(y_{ij} - \bar{y}_i)^2}}$$

Fisher's Z-Transformation:

$$z_i = \frac{1}{2} \ln\left(\frac{1 + r_i}{1 - r_i}\right)$$

Aggregated Correlation:

$$\bar{r} = \tanh(\bar{z}) \quad \text{where} \quad \bar{z} = \frac{1}{N}\sum_{i=1}^{N} z_i$$

Effect Size Calculation

Effect sizes are reported as percent change from baseline. For each participant, we compare the outcome following above-average predictor values to the overall baseline outcome:

$$\Delta\%_{\text{baseline}} = \frac{\bar{O}_{\text{follow-up}} - \bar{O}_{\text{baseline}}}{\bar{O}_{\text{baseline}}} \times 100$$

Effect Magnitude (Z-Score)

To assess effect magnitude relative to natural variability, we calculate the z-score:

$$z = \frac{|\Delta\%_{\text{baseline}}|}{\text{RSD}_{\text{baseline}}}$$

where RSDbaseline is the relative standard deviation of outcome during baseline period

A z-score > 2 indicates statistical significance (p < 0.05), meaning the observed change exceeds typical baseline fluctuation and is unlikely due to random variation.

Statistical Significance

Correlation significance is assessed using a two-tailed t-test:

$$t = \frac{r\sqrt{n-2}}{\sqrt{1-r^2}}$$

We reject the null hypothesis (ρ = 0) at α = 0.05 when |t| exceeds the critical value, providing statistical evidence that the observed relationship is not due to chance.

Data Sources

Mirtazapine data was primarily collected using QuantiModo. QuantiModo allows you to easily track mood, symptoms, or any outcome you want to optimize in a fraction of a second. You can also import your data from over 30 other apps and devices. QuantiModo then analyzes your data to identify which hidden factors are most likely to be influencing your mood or symptoms.

Calories Burned data was primarily collected using Fitbit. Fitbit makes activity tracking easy and automatic.

Data Quality

Data quality measures were applied to ensure reliable results:

  • Minimum Data Requirement: Only participants with sufficient paired observations were included in the analysis.
  • Outlier Handling: Extreme values were winsorized to reduce the influence of measurement errors.
  • Missing Data: Days with missing values were handled using appropriate filling strategies based on the variable type.
  • Test User Exclusion: Test accounts and invalid users were excluded from all analyses.

Principal Investigator

Program & Methods

Mike P. Sinn
Sinn, M. P.

Designed and implemented data collection, aggregation, causal inference pipeline, and automated study generation framework. Developed the Predictor Impact Score methodology operationalizing Bradford Hill criteria for ranking causal relationships in observational data. When he tells people this at parties, they usually say they have to go check on their car.

Individual study outputs are automated, reproducible, and open to external audit. (Which I would seriously recommend.)

Contact

Cite This Study

APA Format
Sinn, M. P. (2026). Causal Analysis: Does Mirtazapine Affect Calories Burned?. The Journal of Citizen Science. https://studies.crowdsourcingcures.org/study/cause-1378-effect-1280-population-study
BibTeX 
@misc{sinn_cause_1378_effect_1280_population_study_2026,
  author = {Sinn, Mike P.},
  title = {Causal Analysis: Does Mirtazapine Affect Calories Burned?},
  year = {2026},
  publisher = {The Journal of Citizen Science},
  url = {https://studies.crowdsourcingcures.org/study/cause-1378-effect-1280-population-study},
  note = {Accessed: January 6, 2026}
}
Chicago/Turabian
Sinn, Mike P. "Causal Analysis: Does Mirtazapine Affect Calories Burned?." The Journal of Citizen Science. Accessed January 6, 2026. https://studies.crowdsourcingcures.org/study/cause-1378-effect-1280-population-study.
Harvard
Sinn, M.P., 2026. Causal Analysis: Does Mirtazapine Affect Calories Burned?. [Aggregated N-of-1 Study] The Journal of Citizen Science. Available at: https://studies.crowdsourcingcures.org/study/cause-1378-effect-1280-population-study [Accessed January 6, 2026].

Study Type: Aggregated N-of-1 Observational Mega-Study
Evidence Level: Level II (Real-World Evidence)
Methodology: Bradford Hill Criteria with Predictor Impact Score (PIS)

References

This framework was originally developed in 2013 based on the Bradford Hill criteria. Subsequent literature has independently validated similar approaches to causal inference from observational data:

  1. Hill, A.B. (1965). The environment and disease: association or causation? Proceedings of the Royal Society of Medicine, 58(5), 295-300. [Bradford Hill criteria]
  2. Lillie, E.O., et al. (2011). The n-of-1 clinical trial: the ultimate strategy for individualizing medicine? Personalized Medicine, 8(2), 161-173. [N-of-1 methodology]
  3. Pearl, J. (2009). Causality: Models, Reasoning, and Inference . Cambridge University Press. [Causal inference]
  4. Hernán, M.A., & Robins, J.M. (2020). Causal Inference: What If . Chapman & Hall/CRC. [Free textbook]
  5. FDA (2018). Framework for FDA's Real-World Evidence Program . U.S. Food and Drug Administration. [Regulatory context]
  6. Duan, N., et al. (2013). Single-patient (n-of-1) trials: a pragmatic clinical decision methodology . Journal of Clinical Epidemiology, 66(8), S21-S28.
  7. Platt, R., et al. (2018). The FDA Sentinel Initiative—an evolving national resource . New England Journal of Medicine, 379(22), 2091-2093.

This information is for research and educational purposes only, not medical advice. Consult a healthcare provider before making health decisions. Terms of Service

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