One connected record. Built around the care you provide.
Explore how CHAI connects lab trends, protocols and daily health data across different areas of care. Examples use synthetic patients.
On a GLP-1, adequate intake stays in view.
Sarah, 45, takes semaglutide and hormone therapy. She texts each meal to CHAI, or photographs it. CHAI estimates the foods and portions, reads them against targets set for her, and brings intake, weight, symptoms and activity into one review. When nausea repeats in her log, CHAI asks whether it has affected how much she can drink and flags a possible hydration concern for her care team — in the evening message and on Monday’s practice card, not as real-time monitoring.
- Meals by text or photoon Today; a meal can be corrected from its entry
- Targets set for herCHAI’s defaults until her care team sets their own, and every screen says whose number it is
- CHAI AI at noon and in the eveningwhat the day still needs, whether the log is complete, and the hydration concern when nausea repeats
- The practice sees the numbersunder-floor days and GI symptoms on the clinician card and the weekly report; meal photos are visible only to the patient
See the pattern across successive lab draws.
Michael, 43, has no active protocol. Across three consecutive draws, several markers are worsening. CHAI brings the pattern into view for clinical review.
- ApoB, lipids and Lp(a)against targets your practice sets
- HbA1c, glucose and insulinwith HOMA-IR derived when fasting pairs exist
- Liver and inflammationALT, AST, GGT and hs-CRP, with the rule that fired
- What's missing gets addedLp(a) on the next requisition, a coronary calcium (CAC) scan to schedule
- GLP-1 and peptide protocolsdose ranges and titration in the cycle builder
The cuff, the dose, and what changed.
Alex’s morning cuff comes through Apple Health. CHAI reads the 7-day and 30-day means against the target his practice set, marks every dose change of a blood-pressure medicine on the trend, and says what the two weeks before and after looked like. On his record: telmisartan 40 to 80 mg on Aug 30; the two weeks before 129/81, the two weeks after 115/75.
- Means against the practice’s target7 and 30 days, from the cuff, with the number of readings
- Every dose change on the chartwith the two weeks before and after it
- The safety gatea systolic reading at 180 or above stops everything until it is reviewed
- On the clinician card and the Monday reportone line per patient, in plain words
One marker, two labs, one honest trend.
Alex draws at Quest through Ulta Lab Tests and at home with Rythm Health. CHAI fits the trend within one lab and shows the other lab’s points beside it, unfitted, because the assays differ. The last three Rythm draws take ApoB from 77 to 97.5 mg/dL, above range, and the next requisition is where it gets confirmed.
- Trend basis, statedwhich points were fitted and which were only shown
- Different assays, never mixed“values are not exactly interchangeable”, in the legend
- Protocol events on the chartanastrozole, testosterone and Primobolan at their dates
- The clinical lab weighs morePhenoAge counts a Quest value twice against an at-home one
TRT and HRT with clear targets, checkpoints and review.
Alex follows a supervised testosterone protocol. CHAI connects his dose history with hormone levels, monitoring markers and scheduled checkpoints.
- Targets with a reasonfree T, hematocrit and estradiol bands, each noting who set it and why
- Cycles with checkpointseach rule marked evaluated or not evaluated at every draw
- Dose changes proposedcomputed from the labs; a clinician or practice admin accepts or declines
- Assay limits respecteda result above the lab's range is treated as censored, not as a number
A ceiling, a tier, and the draw that decides.
Testosterone raises hematocrit. CHAI reads each result against the ceiling set for the patient (52 unless the care team sets another), places it in a tier, and says what the tier asks for. A blood donation logged after the draw is shown on the timeline; the current hematocrit stays unconfirmed until it is measured again. The 54 gate follows the Endocrine Society 2018 guideline (pause testosterone above 54 until it falls), and the tier reads exactly that — never “keep the dose”. The 52 ceiling and the watch tier from 50 are a practice default, not clinically validated; the care team can set the ceiling per patient, and the sheet says whose number it is and where each tier comes from. Alex’s record: 50.7% on Aug 18, up from 48.1; donated Sep 12, after that draw; testosterone cypionate 43 mg a day; the week-12 draw overdue.
- Four tiers, one ceilingclear · recheck in 4–6 weeks · phlebotomy within 2 weeks and no testosterone increase · at 54, hold the dose
- Donations on the recordlogged from the marker sheet; a donation after the draw leaves the value unconfirmed until the next one
- The next draw, countedthe checkpoint that resolves it, with days to go or days overdue
- Proposed, not appliedat the ceiling the sheet, the clinician card and the Monday report carry the proposal; the prescriber decides
Built from a template. Reviewed before it continues.
Alex’s 16-week blast carries five compounds and five checkpoints. CHAI AI’s review names what it found: no labs since Aug 18, the week-12 draw not yet done, hematocrit just under its 51% threshold, ApoB rising, anastrozole restarted on a screen-grade estradiol. Its verdict: the cycle can finish as planned if the week-12 Quest draw happens and estradiol is confirmed by LC/MS first.
- Checkpoints with rulesthe draw date, the marker each rule watches, evaluated or not
- Supply for the cycleneed, have, how far it covers, against a 28-day ordering lead
- A verdict derived from its own flagsapproval follows the risk flags it raised, shown as the verdict basis
- Accepted from a clinician or practice-admin accountnothing is applied until one accepts it, and CHAI records which account accepted it and when. Which roles may prescribe is the practice’s own setting; CHAI checks the account role, not prescriber authority
Her results, in the context of her life stage.
Sarah, 45, is navigating perimenopause. CHAI brings her hormone trends, symptoms and protocol history into one view, with gaps and uncertainty clearly shown.
- Menopause status on recordpre, peri or post; estradiol read against it
- Her hormones chart togetherevery protocol change marked
- Her symptoms counthot flashes, night sweats, libido
- Her body map and reference rangesfemale body map, sex-specific cutoffs
- Her protocolhormone therapy with checkpoints and review
A vital sign most records never collect.
Morning erections are a daily read on vascular and hormonal health that no draw gives you. If it hasn’t been logged in CHAI by midday, CHAI asks on Today, then puts the answer beside the labs.
- One question a day, only if not loggedyes, partial or no
- A rate over timeagainst the prior period
- Correlated with the protocoldoses, labs and wearables
- Flagged for the cliniciane.g. a clinician-set rule on the aromatase-inhibitor dose that day
- Privatein the patient's own record, to the patient only
A question between visits
Patients message the practice from Today. Replies appear there and remain available in the conversation. A member writes from the same box that logs a meal or asks CHAI; the practice answers from the clinic page’s Inbox, and the reply appears on Today with the clinician’s name. Unread replies badge the Today tab. The alert email says only “You have a new message in CHAI. Sign in to read it.”
- One box, from Todaythe badge on the composer says whether a line goes to a meal, to CHAI or to the practice; the practice mode says who answers and that it is not for emergencies
- Answered from the clinic page’s Inboxevery patient conversation, unread first, waiting-for-reply flagged, opened in place with the record beside it
- The reply, in the patient’s conversationon Today, with the clinician’s name, and it stays there
- Alerts without contentthe email carries no name and no excerpt; the message is read inside CHAI
Fitness and sleep run on the same record. Fuel, training and recovery, read together.
Fuel and training on one tab, read at a glance.
- The glanceone band, left to rightinoutleft todayproteinweighttoday’s session
- An arcweeks with a purpose, following the protocolbuildcutcruiserecovertravel
- Fuel follows the arca ceiling from Apple Health energy, targets set per patientmeals by text or photoCHAI AI at noon and evening
- Adjustments tied to the datathe value shows on the planuric acid ▼ → no intervalsHRV ▼ → lower intensityhematocrit ▲ → no VO₂ testdays under the ceiling → lower intensity
- Every session countedand kept honestfrom the watchlogged by hand when the phone was deada slow walk is an easy walk, not zone 2
Scored, correlated, and read every morning.
- Scored nightlyagainst targetsdeepREMcoreawake
- Correlated90 days of their own nightssleep → HRVsleep → resting HRr and n shown
- Highlights a practical next stepone actionlock bedtimemore sleep for REMsleep study
Weeks with a purpose, on the way to a date.
A season carries the target date. Arcs carry the work: Build, Cut · Peak, Aerobic base, Cruise, Recovery, Travel. Each sets the weekly prescription, the photo cadence, the gates from the labs and the fuel rule. Alex’s Build arc is on day 93 of 98: resting heart rate down 10 and HRV down 4.6 since it began, sessions at 25% of prescription.
- The prescription, editable per arcsessions per week and minutes each, plus a daily step floor
- Gates from the labs and recoveryuric acid, HRV, hematocrit and fuel each block or downgrade a session type
- Photo check-ins on the arc’s cadencewith a CHAI AI visual read against the scale
- Since the arc beganweight, body fat, lean mass, resting HR and HRV against the start
How long each compound lasts. When to order.
Supply reads every lot against the dose: what is on hand, what is on order, when it runs dry, and the order window ahead of a 28-day lead. Refill requests carry their status. Monday’s report and the clinician dashboard put the practice’s week in one place.
- Lots and vial lifeon hand against the daily dose, with the day it runs dry
- Orders in flightlanding dates on the timeline, incoming stock marked
- Refill requests with statusrequested, sent, delivered or cancelled, per compound
- The Monday reportevery patient’s week by email, findings first
See it for your patients.
Thirty minutes on synthetic patients, then what setup would look like in your practice.