I would definitely rate this under the category "privacy nightmare" even though they might be super awesome. I'd still have to trust Apple to keep their word and not just that, i additionally habe to trust in their security never being compromised.

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In which case would you not have to trust the provider (just for informational purposes)?

There are a very minor amount of open source services that you can run yourself on a server in your basement. I'm sure they do nothing like Apple will do for you with fancy dashboards and stats but they can collect the data you create.

Here' a bunch of them (pardon the reddit link): https://old.reddit.com/r/selfhosted/comments/14wxful/open_source_fitness_tracker_w_self_hosted_fitness/juswr05/

Thanks man, will look into this