Physiological monitoring can be provided through a wearable monitor that includes two components, a flexible extended wear electrode patch and a removable reusable monitor recorder. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline (or immediately to either side of the sternum) benefits extended wear by removing the requirement that ECG electrodes be continually placed in the same spots on the skin throughout the monitoring period. The wearable monitor can interoperate wirelessly with other physiology and activity sensors and mobile devices, and can include cellular phone capabilities. The power usage of the wireless communication can be reduced by using a low energy wireless transceiver in the monitor. The monitor detects that the monitor has been adhered to the patient and begin collecting physiological data after such detection, preserving battery power.