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Pokémon Go- How Does Adventure Sync Work?

I just turned on Adventure Sync for Pokémon Go, but there’s two things I’m kind of confused in regards to how it works:
  1. I know you need to have Pokémon Go completely shut off for Adventure Sync to work, but if you have an iPhone do you at least need to have Apple Health open?
  2. Does Adventure Sync only take information from Apple Health on Mondays?