06.42Waking protocol
Phase-shifted morning.
Your sleep was fragmented. The chronopharmacology agent shifts your morning protocol back by 45 minutes to align with your delayed cortisol spike.
Pivotical
Pivotical.
The part of your health
nobody is doing.
An autonomous engine that manages medications, interactions, cycles, nutrition, workouts, records, and environment — continuously. Not when you remember. Not when you ask.
Active health intelligence
The Engine
Autonomous observation.
A cron loop runs every 30 minutes, evaluating your data against an active trigger engine to automatically generate protocol events or suggest adjustments before you even ask.
Autonomous observation.
A cron loop runs every 30 minutes, evaluating your data against an active trigger engine to automatically generate protocol events or suggest adjustments before you even ask.
The Architecture
Twelve surfaces.
One core memory.
Each module is a full clinical feature inside the app, not a placeholder. Because they share one unified vector memory, a workout adjusts for an injury, a meal flags a drug interaction, and a cycle phase automatically shifts a fasting window.
01
ACTIVEMEDICATIONS
02
SYNCINGINTERACTIONS
03
ACTIVECYCLES
04
IDLERECORDS
05
ACTIVEGYM
06
SYNCINGNUTRITION
07
ACTIVEFASTING
08
IDLESLEEP
09
ACTIVEANATOMY
10
ACTIVEPROTOCOLS
11
IDLECAREGIVERS
12
SYNCINGWEARABLES
A Tuesday in context
The space between the appointments.
We don't expect you to hold the entire clinical graph in your head. The engine runs quietly underneath — cross-referencing variables, shifting timing, and watching the margins. Here is a routine Tuesday.
09.15The waiting room
The context, handed over.
A generated ER brief containing your active protocols, current extraction trends, and recent interactions. The clinician reads the entire graph before you sit down.
13.08Interaction check
The invisible cascade.
You scan a new supplement. The sub-agents confer and immediately flag a clearance interaction with your current stack. It doesn't ask you to guess; it simply says no.
16.30Trend detection
The 4 PM dip, quantified.
A pattern detected over 14 days. The trigger engine correlates it to an empty stomach alongside your midday dose, and suggests adding a small protein buffer at 2 PM.
20.51Environmental agent
Pressure dropping.
Open-Meteo integration catches a rapid barometric shift. The engine knows this precedes your joint flares. It prompts a protocol adjustment to get ahead of the inflammation.
23.14Extracted memory
Trending the chaos.
A crumpled lab PDF uploaded from bed. The engine extracts the iron values, trends them against last year's low, and quietly updates your underlying baseline while you sleep.
Inside the app
06:32●●●○
Intelligence Core
System Active.
Trigger Event
06:30Rapid pressure climb detected via Open-Meteo. Pre-emptive protocol initialized. Hold caffeine until 10:00.
Agents
4 Syncing
HRV
Recovered
Environment
1010 hPa
Graph
Updating
Action
Generate Clinical Brief
Live engine feed
Open it once.
It runs the rest.
The home screen shows the next dose, the body’s present signals, what’s changed in your environment, and the protocol you’re currently on. One memory underneath all of it.
- NextDose timing, with the why
- BodySleep, HRV, RHR, ABIN balance
- AroundPressure, AQI, pollen, heat
- ProtocolPhase, day, today’s adjustments
The fine print, without the fine print
Twenty docs, written like
we want you to read them.
Health data is sensitive. We treat it that way — and we say so on the record. Three concrete commitments below. The full pack, one click further on.
It’s not a clinician.
Pivotical doesn’t diagnose or prescribe. It surfaces patterns, runs the unglamorous work, and shares the record. Every clinical call stays with you and your doctor.
Your data, your control.
Encrypted at rest and in transit. Subscription model — never sold, never brokered, never used to train a public model. Export the full record, or delete everything in one click.
Compliant where you are.
DPDP, GDPR, CCPA, COPPA. Each region’s notice is a separate document, with our legal basis, sub-processors, and retention windows for that jurisdiction.
Questions
Before you ask, we probably wrote it down.
Ask your own question
Writing
From the build log.
MANIFESTO
All posts Why We Started Pivotical
Three spreadsheets, one notebook, and the realization that nobody was doing the work between appointments.
Read
CHRONOPHARMACOLOGYDrug-Nutrient Depletion
Your PPI is silently draining your magnesium. The engine catches it before you feel it.
Read
PROTOCOLSThe Polypharmacy Problem
When medications treat the side effects of other medications, the cascade compounds. Here's how we untangle it.
Read