Questions & Answers

What people ask
before they check in.

Physician-level answers to the questions that matter most. No fluff.

Healthcare focuses on diagnosing and treating disease. Wellness focuses on feeling good. Neither measures the space between — the territory where lab results are normal but something still feels off.

Precision Therapeutics sits in that gap: a physician-designed system that tracks six domains of health daily, using the same evidence standards as clinical medicine but applied to the patterns your doctor does not have time to measure.

The goal is not to replace either healthcare or wellness. It is to measure what both miss.
Stress does not announce itself with a single symptom. It compounds across domains — disrupting sleep, reducing movement, eroding social connection, and blunting sense of purpose. The clinical term is allostatic load: the cumulative wear of chronic stress on the body's regulatory systems.

The Alignment Pulse measures all six domains where stress manifests and detects compound patterns like System Overload (mind + recovery) or Burnout Signature (mind + purpose + recovery).

A single check-in cannot tell you much. Three days of data starts to reveal a pattern. Seven days makes it readable.
Most health apps start with engagement metrics and work backward to health claims. A physician-designed system starts with evidence and works forward to measurement.

Every recommendation in the Alignment Pulse is mapped to a specific peer-reviewed study across six domains, the majority being meta-analyses and RCTs from journals including JAMA Psychiatry, The Lancet, and BMJ.

The difference is verifiability. Every claim links to a DOI. Every pattern maps to research. Nothing is proprietary or hidden behind a paywall of trust.
Yes. The Alignment Pulse is a free, 90-second daily health check-in that scores six domains: Mind, Body, Movement, Recovery, Connection, and Purpose. It requires no account, no wearable, and no payment. Your data stays in your browser.

The assessment generates a personalized Alignment Compass showing where you are today, plus evidence-based micro-interventions for any domain that falls below threshold. It is designed to be repeated daily so that patterns become visible over time.
The Alignment Pulse measures six domains:

Mind — cognitive and emotional regulation
Body — nutrition, inflammation, interoception
Movement — exercise, mobility, physical activity
Recovery — sleep, stress physiology, nervous system regulation
Connection — social bonds, belonging, relational health
Purpose — motivation, meaning, behavioral activation

These are not arbitrary categories. Each maps to a distinct body of peer-reviewed research, and the interactions between them — compound patterns — produce clinical pictures that single-domain measurement misses entirely.
Wearables measure proxies — heart rate variability, skin conductance, motion during sleep. These are useful but incomplete. Recovery is also subjective: how restored you feel, whether your nervous system has downshifted, whether you have capacity for the day ahead.

The Alignment Pulse captures both dimensions through targeted questions calibrated against the same physiological research that informs wearable algorithms. The studies behind our Recovery domain include HRV biofeedback meta-analyses, sleep architecture research, and allostatic load modeling.

You do not need a device on your wrist to know whether you recovered. You need the right questions asked consistently.
Wearables like Whoop, Oura, and Garmin measure physiology continuously — heart rate variability, sleep stages, skin temperature. They produce a recovery score. The Alignment Pulse complements that data instead of competing with it.

Where wearables measure the body, the Pulse measures the system: not just recovery in isolation but how recovery interacts with mind, movement, connection, and purpose. A wearable can tell you your HRV dropped. The Alignment Pulse tells you whether the drop is part of an early Burnout Signature or a transient response to a hard week.

Most Pulse users keep their wearable. The two layers are complementary.
A compound health pattern is when two or more domains drift together in a clinically meaningful way. Single-domain dips are noise — everyone has them. Compound patterns are signal.

Examples: the System Overload pattern (mind + recovery declining together) usually indicates allostatic load. The Burnout Signature (mind + purpose + recovery) maps to the clinical burnout literature. The Stress-Bracing Chain (Body + Movement co-occurring) reflects autonomic nervous system tension manifesting somatically.

The Alignment Pulse detects compound patterns automatically across daily check-ins, surfacing them only when the pattern is statistically meaningful, not after a single bad day.
A single check-in shows you your state today — a snapshot. Three days of data begins to reveal a pattern. Seven days makes the pattern readable in language you can act on ("a quiet pattern is forming around recovery on long days").

Fourteen days is when compound patterns and longitudinal drift become detectable. The product is designed for daily use because daily measurement is the only reliable way to distinguish noise from signal in subjective health data — clinically the same logic that makes daily blood-pressure readings more useful than annual ones.
Yes — most users do. The Pulse layers on top of wearable data rather than replacing it. Many users describe a mismatch between their wearable's recovery score and how they actually feel.

The Pulse is designed to read both: what your physiology says and what your subjective state says. When the two agree, that confirms the read. When they disagree, the disagreement itself is informative — it usually points to a pattern the wearable cannot see (purpose, connection, mind) or a state the wearable measures but interprets reductively.
Allostatic load — the cumulative cost of chronic stress on the body's regulatory systems — is traditionally measured in research settings using composite biomarker panels (cortisol patterns, blood pressure variability, inflammatory markers, HRV).

At-home measurement uses subjective and behavioral proxies that are well-validated against the same physiological constructs: sleep quality, recovery from stressors, cognitive load, autonomic regulation indicators. The Alignment Pulse approximates allostatic load through repeated daily measurement across the six domains where chronic stress manifests, surfacing the cumulative pattern even before any single day looks alarming.
🩺
Jordan Robinson, MD MPH
Vanderbilt University Medical Center · Nashville, TN
Ninety seconds. Six domains. Evidence you can verify.
Check Your Alignment