Intelligence for life

Your Biological
Operating
System.

The whole patient.
A clearer picture, every day.

Labs, protocols, wearables, meals and symptoms—read together, so your practice can see what changed and what needs attention.

For practices advancing healthspan. Demos available now.

Your biology, connected.ILAI · BODY
Anatomical illustration of the torso, with the brain, heart, adrenals and kidneys drawn in

A pattern to review

ApoB is rising across four draws.

72 → 77 → 90.6 → 97.5 mg/dL on at-home draws. Confirm on the next Quest panel, then review with the clinician.

Illustrative presentation of the founder’s recorded data. Select a measure to explore.

One connected record.
  • Labs
  • Protocols
  • Wearables
  • Nutrition
  • Symptoms

Health happens
between appointments.

ILAI connects the daily record to the clinical conversation. Your team stays in control of the next step.

One record. Every part of it read against the others, every day.

Most health data lives in pieces: a lab portal, a watch, a pharmacy, a food app, a note to self. Each piece is seen alone, if at all. ILAI compares them as one record every morning and says what they mean together.

Labscompares each result with the draws before it, within its own lab, across years
Wearablessets the week’s sleep, HRV, resting heart rate, steps and VO₂ from Apple Health against the month before
Mealsweighs each meal, logged by photo or text, against the day’s calorie ceiling and protein floor, and asks whether the log is complete before judging low logged intake
Protocollines every lab change up with the dose that changed before it: medications, hormones, peptides, GLP-1s, supplements
Symptomsplaces a symptom, in the person’s own words, beside the dose and the draw of the same weeks
One readevery morning: what changed, what it means for this person, and what to raise with the clinician

Every app holds a piece of the patient. ILAI reads it as one, every morning. Years of labs from any lab, the doses confirmed, what the watch recorded, what was eaten, what was felt. ILAI lines them up, flags what changed, says what it means for this patient, and shows the figures behind every line. Practice demonstrations are available now; first practice deployments are being prepared, and ILAI for iPhone is coming.

Ask a question. See the patient data behind the answer. ILAI answers from the patient’s own draws, doses, symptoms and wearable data, and shows the results it used beside the answer.

Ask ILAIWhat has changed across Michael's last three draws, and what should we check before his next one?

Recorded ILAI response · Synthetic patient

Today is where the facts come from. The morning brief is what ILAI makes of them.

A patient confirms a dose, logs a meal, notes a symptom or messages the practice from Today. ILAI lines each one up with the labs and the night’s data.

Behind it sits the whole record. Every morning ILAI compares it against itself: which marker moved since the last draw, which dose changed before it, what the watch and the meals of the same weeks say. The practice sees the read, with the data behind each line.

ILAI’s Today screen on a phone in the afternoon: a To review button holding ILAI’s open questions, one box to log a meal, ask ILAI or message the practice, and ILAI’s read of the day so far: calories against the ceiling, protein against its floor and target, steps and today’s session
Today: the morning brief, the open questions and the next action, with protein and steps against the floors set for this patient and the doses still to confirm.
ILAI works from what your patients already haveLab PDF importQuest ordering codesAt-home panelsApple HealthApple WatchOura and Whoop, via Apple Health
The daily story · patients on a GLP-1

Sarah’s appetite changed. Her care team needs the full picture.

Sarah, 45, takes semaglutide and hormone therapy. She logs meals by text or photo so ILAI has the facts. ILAI weighs her intake against the floors set for her, beside her weight, her activity and the nausea she reported, and says when the record disagrees with itself. On a GLP-1, falling intake is the thing to watch, and ILAI watches it between visits.

Synthetic patient. Real ILAI workflow. ILAI’s own words.

Sarah’s Today screen after lunch: the meal she logged by text, its row open with the items and ILAI’s estimate, today’s totals against the calorie ceiling and the protein floor
After lunch, ILAI has estimated the meal: the items, the figures, and the day so far against the ceiling and the protein floor. A photo of the plate is handled the same way, and “it was two fillets” corrects the same meal.
Today’s log for Sarah Mitchell: meals 541 of 1,680 kcal, protein 35 of 125 g, with ILAI’s three lines: protein 35 g against a 125 g floor; 540 kcal logged, under the 1,250 floor, third day running, days this low put lean mass at risk; nausea logged 2 of the last 3 days, has it affected how much she can drink, her care team should hear about persistent nausea
1ILAI checks each meal against her floorsToday’s log carries ILAI’s read: protein 35 g against a 125 g floor, and 540 kcal logged, under the 1,250 floor for the third day running, with the question of whether the log is complete. Repeatedly low intake puts lean mass at risk; her care team can look at nutrition and training with her.View full screen
Sarah’s Fitness tab on her phone, Sunday Sep 27: In 108 of 1,680 kcal, 1 meal; Burn (est.) 1,926 kcal, Apple Health estimate, rest day; Left today 1,572 kcal; Protein 16 of 125 g, floor 125 g, set by the care team; Weight 137.1 lb, 12.1 to go to 125; Today, rest. ILAI, noon: Protein 16 g so far; the day needs 125. The next meal is the moment, aim for about 54 g there.
2Fuel and training, one readILAI’s noon line: protein 16 g so far, the day needs 125, the next meal is the moment. The ceiling comes from her own burn and the day’s session; the floor was set for her; ILAI says what is left against both, with hydration, symptoms and activity in the same line.View full screen
ILAI’s evening recap on Sarah’s Today at 8:35 pm: 650 of 1,680 kcal so far, protein 46 of 125 g; 650 kcal logged, under the 1,250 floor, third day running; nausea logged 2 of the last 3 days, has it affected how much she can drink, keep fluids going through the day, and her care team should hear about persistent nausea or trouble keeping fluids down
3When the symptoms show up, so does the concernSarah logged nausea on two of the last three days. That evening ILAI’s line on her Today asks whether it has affected how much she can drink, asks her to keep fluids going, and says her care team should hear about persistent nausea or trouble keeping fluids down.View full screen
Ask ILAI: Is Sarah eating enough on semaglutide? What should we change this week? The recorded answer: going by her logs, no; she averaged 476 kcal and 34 g of protein a day for 7 days, far under her floors of 1,252 kcal and 125 g. But her weight hasn’t moved, so the logs and the scale disagree. Three plausible explanations, and the data can’t tell them apart yet: she isn’t logging everything; she really is eating very little; some of each. The nausea is not in doubt.
4Is she eating enough?A clinician asks. ILAI says the logs and the scale disagree, lays out the plausible explanations the data cannot yet tell apart, treats fluids as a concern to raise with her rather than a finding, and notes that the nausea is not in doubt. Any dose change is for her prescriber to consider.View full screen
Clinician dashboard card for Sarah Mitchell, 45, Perimenopause Hormonal Optimization week 6 of 52: Needs you. Nausea or vomiting logged 3 of the last 7 days on a GLP-1, fluids logged 0.7 L a day; ApoB, DHEA-S, SHBG and homocysteine findings; bio age 36.2; blood pressure 7-day mean 118 systolic against a 120/80 target; Nutrition, last 7 completed days (logged intake): avg 537 kcal on 6 logged days, protein 38 g of 125, 6 under the protein floor, 6 under the calorie floor (GLP-1); active today
5The practice sees the numbersOn Monday ILAI puts her under “Needs you” for the practice: nausea or vomiting logged three of the last seven days on a GLP-1 with fluids logged at 0.7 L a day, and six completed days logged under the protein and calorie floors (today’s partial log excluded), beside her labs and recovery signals. The practice sees totals; her meal photos are visible only to her.View full screen

ILAI proposes. The dose stays where it is until an authorized practice account records acceptance. ILAI records which account accepted it and when. Which accounts are authorized is the practice’s own setting; ILAI checks the account role, and prescribing responsibility remains with the treating clinician. Follow Sarah in the ILAI tour → See this workflow for your practice → Interested in ILAI for yourself? Join the interest list →

From the pattern ILAI finds to the draw it proposes.

Michael, 43. No active protocol. Three consecutive lab draws show a worsening pattern.

Follow his case. ILAI flags the pattern, lays the draws side by side, and drafts the next order with the reason for each test. The clinician decides.

Synthetic patient. Real ILAI workflow.

Clinician dashboard card for Michael Chen, 43, no active protocol: Needs you. ApoB 132 vs target 90, ALT 64, HbA1c 6.3% and hs-CRP 3.9, each three draws in a row; the next requisition adds Lp(a), and a coronary calcium (CAC) scan is listed to schedule
1ILAI flags the patternOn Monday ILAI puts him under “Needs you”: ApoB, ALT, HbA1c and hs-CRP above target, three draws in a row, with the number behind each.View full screen
ApoB marker sheet: 132 mg/dL, above range. Trend basis: fitted within LabCorp only (2 points), 1 other-lab point shown, not fitted. 118 to 132 mg/dL over the last 3 draws
2ILAI fits the trend within one labApoB 118 → 125 → 132 mg/dL across three draws. The fitted trend uses the two LabCorp draws; the earlier Quest draw is shown, not fitted.View full screen
Ask ILAI on Michael's labs: across his last three draws the lipid, glucose, liver and inflammation markers rose while the sex hormones fell, with the lipid table by draw
3ILAI connects the findingsAsk ILAI takes the three draws together: lipids, glucose, liver and inflammation rose while the sex hormones fell. Then it lists what to check before the next draw.View full screen
Requisition lines: Cystatin C with eGFR, added by rules A02 and R13, never resulted; C-reactive protein, added by R28 and F01, last measured 34 days ago via LabCorp
4ILAI drafts the next drawA lab order with the rule that added each test, when it was last measured and by which lab, and the price. Your team reviews it.View full screen

Your team reviews the next step. ILAI prepares proposed changes for review. An authorized clinician or practice administrator must accept them before they are applied. Follow Michael in the ILAI tour →

Ask across the patient’s whole history.

One question reaches across every draw, dose, wearable reading and symptom on record. ILAI computes the statistics itself, shows the draws it used, lines each change up with the dose before it, and says what the data can't answer.

  • Finds the markers you namein their own history, over the window you ask
  • Calculates the statisticssample size, span, slope per year and correlation
  • Shows the data it usedcheckable in seconds
  • Lines each change up with the protocolby date, for you to judge
  • Makes gaps visibleMissing results, limited samples and assay limits
Ask ILAI answer: six markers worsened in the last 90 days against the June baseline, with a table of three draws and the target for each
What worsened in 90 days · each marker against its target
Ask ILAI answer: the statin holds lipids below 2022–2024 levels but ApoB rose 27% since the cycle began; a table of three lipid panels
Three lipid panels · the statin and the cycle, side by side
Ask ILAI answer: when total testosterone is above 1,000 ng/dL, hematocrit sits between 48% and 52.6%; a table of draws with total T and hematocrit
Testosterone vs hematocrit · 15 draws paired by date
For your practice

ILAI finds the pattern across visits. It names the patients who need you, and why.

A marker rising across three draws. An incomplete lab checkpoint. An unconfirmed dose. ILAI finds each one, puts the number behind it, and raises it before the visit.

Calculations you can inspect.

requisitiondose changesstatisticsverdict

ILAI shows the calculation, the explanation and the results behind it.

Every result keeps its lab and method.

QuestLabCorpat-home panels

A trend is fitted within one lab.

A clear record for each patient.

patientsinvitespatient context kept

Each answer is tied to the patient it was asked about.

See which patients need review, and why.

ILAI puts the patients who need review first and states the finding under each name: the marker, the unconfirmed dose, the floor missed, with the number behind it. The same read arrives as a one-page report every Monday.

  • Who needs you, and whythe finding and the number behind it
  • Doses takenagainst what was scheduled
  • HRV, resting HR and sleep7 days against 30
  • What the next requisition addsper patient
Weekly practice report for Dr. Elena Vasquez, week of September 21, 2026: 4 patients, 94% of scheduled doses taken, 2 medications run out; each patient with findings, doses taken, HRV, resting heart rate and sleep over 7 days against 30, what the next requisition adds and any scan to scheduleThe Monday reportone page for the whole practice · open it
ILAI · Clinician dashboard
Clinician dashboard for a synthetic practice: 5 patients, 3 need you this week, 100% of scheduled doses taken, 2 medications run out; a card per patient with findings, bio age, doses, HRV, resting heart rate, sleep, what the next requisition adds, any scan to schedule, blood pressure and logged nutrition

Between visits, ILAI keeps reading.

Quiet between visits
TodayContact at the draw and the visit
With ILAIILAI asks every morning, weighs the answer with the night’s data, and follows up once when skipped
Know what’s been confirmed
TodayUnconfirmed doses require follow-up.
With ILAIThe patient confirms on Today. ILAI lines the dose record up with the labs, and by evening asks about a dose still unconfirmed, never calling it missed.
Keep refills connected to your practice
TodayReordered wherever is fastest
With ILAIDays covered. Refills route to you.
Wearables unused
TodayThe watch knows. The chart doesn't.
With ILAIILAI compares the night’s sleep, HRV and resting heart rate with the month before, and the week’s training with them.
Keep patients engaged
TodayNo visible progress
With ILAIA biological age that moves with each draw, one measure for each body system, and a morning brief that says what changed.

The loop ILAI runs with your practice.

  1. Intakeinvite · import their lab PDFs
  2. Requisitionwhat to draw, why, priced
  3. Reviewrisk per compound · every rule checked
  4. Amenddose changes proposed · clinician or admin accepts
  5. Reportprintable: protocol, labs, reads

See ILAI in action in 30 minutes.

For your patients

Your practice, in their pocket. Every morning.

Every morning ILAI takes what the night recorded, asks only for what the watch could not supply, and tells the patient what changed and the one thing to do. Patients can message their practice from Today. The clinic view puts the findings that need review first; clinical decisions stay with the care team.

The morning check-in

ILAI reads the night first. Then it asks only what it could not read.

  • Known from the nightsleep, HRV, heart rate and weight from Apple Health, each against its baseline
  • Only what didn't sync is askedblood pressure, SpO₂, temperature
  • How's this morning?one tap, or a sentence
  • A quick signal, if they wantthe questions follow the patient
  • Skip it and ILAI follows uponce, on Today
Follow-up, in the app

It asks, backs off, and stays quiet when there's nothing to say.

It asksunlogged is "unconfirmed", not "missed"
Backs off when a patient doesn't answertwo misses and it widens to weekly
A sentence is enough"all except Thursday's" is understood
Knows the calendardraw prep, "drawn?", "results?"
Knows when the watch is staleone line, no more
Quiet when there's nothingNo routine nudge when nothing is outstanding.
Morning check-in: sleep 7.62 h, deep sleep 1.08 h, REM 1.71 h, HRV 38.4 ms, resting heart rate 61 bpm and weight 182.4 lbs, each marked synced from Apple Health with its change against baseline; blood pressure, SpO2 and body temperature offered for manual entry; how's-this-morning chips and a free-text box
Morning · The check-inWhat the night recorded, and how it feels.
Today at 10:02 on a synthetic patient's phone: the morning brief card at the top of the day, with where they are, ILAI's line, the signals that moved and what is due
10:00 · The morning briefWhat changed, what it means, the one thing.
Today at 12:05: the afternoon check-in card, two morning doses still unconfirmed, the check-in question, protein so far against the floor
12:00 · Afternoon check-inWhile the morning is still fresh.
Today at 7:20 pm: the evening check card, four doses unconfirmed, a watch that has not synced in four days
7:15 pm · Daily checkOnly when something is outstanding.

In the patient's pocket.

The Care team conversation on a phone: a member’s questions about an upcoming blood draw and the clinician’s replies, each with the clinician’s name
The practice conversationA question to the practice goes from the same box.The clinician’s reply lands in the patient’s day, under the clinician’s name.
ILAI morning brief with today's read, vitals tiles and the lab read
The morning briefWhat changed since yesterday, and the one thing to do today.The night’s wearables, the dose record and the symptoms, weighed together.
Biological age card with likely range, engine and PhenoAge values and the Built-from breakdown
Biological ageThe ILAI Clock, blended with PhenoAge.It moves with each draw. ILAI shows the likely range and which markers moved it.likely 45.8–47.8 · engine 45.4 · PhenoAge 51.0
Body map with thirteen systems, each carrying one measure
Body mapThirteen body systems. One measure each.For each system ILAI picks the measure that says most: a system age, or the marker furthest from range. Where it has no data, it says so.
Requisition with package and à-la-carte lines and the ILAI review
LabsThe next lab order, with the gaps identified.ILAI adds missing markers to a draft lab order for your team to review.10 tests · $880.50 · 2 markers added
Getting started

We set up your practice. And every patient in it.

Hands-on onboarding for your practice and patients. Our team handles setup and guides each patient, or trains your staff to do it.

  1. Practice setupWe set up and run your practice’s own ILAI server. You tell us which patients start first.
  2. Patient introductionEach patient receives a personal login and guided setup from our team or your trained staff.
  3. Records and protocolWe import their lab PDFs and current protocol, and check each result arrives with its lab and date.
  4. Their iPhoneWe guide patients through ILAI, secure access and Apple Health sharing on their iPhone. Daily messages arrive in the app.
  5. The first morning briefOnce ILAI has the record and the first night from the watch: what changed, what it means, the one thing to do today, and the morning check-in.
  6. Support that staysWe support patients and staff by email. Clinical questions stay with your clinicians.
What ILAI doesruns your server, imports records and protocols, trains your staff, supports patients
What your practice doeschooses patients, introduces ILAI, keeps clinical decisions
What the patient doesinstalls ILAI, sets up secure access, connects Apple Health

Patients need an iPhone with Apple Health; Android isn’t supported yet. The ILAI app is free and will be distributed through the App Store. ILAI runs alongside your EHR, not instead of it.

Dedicated practice environments. Clear data controls.

Private networkpractice deployments aren’t open to the internet
Encryptedin transit and at rest
Never soldnever used to train a model
Every change on recordan append-only log
Your team decidesdose changes wait for a clinician or practice admin to accept them
Their own conversationoutreach and clinician replies stay inside ILAI

Approvals: ILAI proposes dose and protocol changes with the calculation behind each one. ILAI prepares proposed changes for review. Authorized practice accounts record acceptance, with who and when, and prescribing responsibility remains with the treating clinician. Nothing is applied until acceptance is recorded. A signed clinician review record is in development. How ILAI handles data →

Questions practices ask.

Is ILAI available now?

Practice demonstrations are available now. ILAI is in daily use by its founder and first patients, and we’re preparing our first practice deployments. For individuals, ILAI for iPhone is coming to the App Store.

Does it replace our EHR?

No. ILAI runs alongside it. It holds and reads the longitudinal record the EHR does not: every draw from any lab, the dose record, the wearables and the symptoms, and what they mean together. There's no direct EHR connection yet; ILAI's patient reports print for the chart.

What gets imported, and how?

Lab reports arrive as PDF from any lab that issues them, and each result keeps its lab and method, so ILAI fits a trend within one lab. Wearable data comes through Apple Health. Doses are confirmed by the patient on Today, so ILAI can line the dose record up with the labs. Quest ordering codes are built into the requisition; reading Quest's own result files directly is in development.

Which devices do patients need?

An iPhone with Apple Health and the free ILAI app, which will be distributed through the App Store. For practice deployments, we set up secure private access on each patient’s phone. Apple Watch works directly, and Oura and Whoop work through Apple Health. Android isn’t supported yet. ILAI also runs in a browser on a desktop or iPad.

Where do ILAI's messages arrive?

On Today, inside the ILAI app.

Can patients message our practice?

Patients can send a message from Today. Your team replies from the clinic page's Inbox, and the reply appears in the patient's conversation.

Who does the setup, and how long does it take?

We set up your practice’s server, import patient records and train your team. Patients receive guided onboarding from us or your trained staff. We’ll agree on a rollout schedule based on your starting group.

What happens with a critical value?

Configured rules flag recorded critical values for review, such as a systolic blood pressure of 180 or higher, a resting heart rate of 120 or higher, severe kidney impairment, and a hematocrit of 54% or higher. These checks depend on the data available and do not provide emergency monitoring; urgent findings follow your practice's own process.

Who approves changes?

ILAI proposes dose and protocol changes, with the calculation behind each one. ILAI prepares proposed changes for review. Authorized practice accounts record acceptance, with who and when, and prescribing responsibility remains with the treating clinician. Nothing is applied until acceptance is recorded. A signed clinician review record is in development.

How is it priced?

Pricing is based on the number of patients using ILAI in your practice. We’ll outline pricing for your planned rollout during the demo.

For individuals

ILAI for iPhone is coming to the App Store. For your own record.

Free to download. ILAI reads your first lab report free, start to finish: what each result means, and what to raise with your clinician. A subscription adds the daily brief, Ask ILAI and your protocol record. Join the list and we’ll tell you when it’s ready.

Barry Katzman, founder of ILAI, head and shoulders, blue shirt

I've managed my own health for most of my life. No one ever had the whole picture, so I built something that does.

— Barry Katzman, founder of ILAI

ILAI reads my whole record every morning, finds what moved and what moved with it, and tells me what to raise with my clinician, with the data behind it. What needs review reaches my clinician first; the clinical decisions are theirs.

Read Barry's story →

Request a practice demo.

In 30 minutes, follow a patient from the pattern ILAI flags to the draw it proposes, ask ILAI a question of your own, and discuss a rollout for your practice.

Share a few details. We’ll email you to arrange your demo.