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Is the calories burnt accurate if you have a high heart rate with no exercise?

I've started a new medication that means my heart rate is almost always in the fat burn level (orange colour)

Which means my average calories burnt has gone from n about low to high.

Is this accurate still? I'm not much more active than I was before I started this medication-

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You will have to check this yourself, but I would think that would rise your resting heart rate, and thus increase the levels of all your heart rate zones.  But it might take a few days or longer for fitbit to realize this is permanent, and not just increase your RHR based on a few days data.
But I'm not sure what that will mean for your calorie burn.  Maybe a higher RHR really does burn more more calories so will raise your BMR.

Before posting, re-read to see if it would make sense to someone else not looking at your Fitbit or phone.

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