Milli Polinsky

@kritarthmittal crazzzzzzzzzzzzzzzyyy

> born in India > grew up in a middle-class family > did btech from srm chennai > started his career at microsoft > built windows azure > filed multiple patents > moved to facebook > lead multiple $1 billion+ businesses > created & scaled facebook audience network > moved to snapchat > built snap's direct response business > moved to twitter > lead core consumer product teams at Twitter and contributed to 20% annual growth > became an angel investor > made early investments in Figma, Notion, Cameo, Coda, SpaceX and Cred > joined a16z as a general partner > led investments in several ai, web3, and other emerging technologies > became active public speaker and contributor to tech discourse, shaping policies and narratives > led a16z's first non-US office in London > started cohosting a podcast with his wife > got 1 million+ downloads by early 2023 > got appointed as senior white house policy advisor on AI by donald trump > driving administrative and innovation strategies with the likes of david o. sacks, michael kratsios, and elon musk Shriram Krishan for you, ladies and gentlemen.

We reviewed 800+ health startups in India this year. Met 200+ founders in person. These are entrepreneurs building across health tech, fitness, nutrition, software for doctors, diagnostics, healthy food, longevity, sports, elder care, women health, lifestyle management & more. This is a long post on everything we've seen and observed in 2024. If you're an entrepreneur, investor of health enthusiast, this is for you. 1) There is a telemedicine fatigue- The post-pandemic boom in telemedicine has plateaued. While accessibility improved, sustainable consumer engagement still remains a challenge due to weak doctor-patient relationship and lack of differentiation. Patients want emotional and personalised engagement. Most companies are overusinng AI in the disguise of scale. Opportunity is to solve for depth (chronic disease management) rather than breadth (generic consultation marketplaces). 2) Overload of premium fitness and wellness Apps- Apps targeting high-income urban users are oversaturated. Most startups overestimate the willingness of users to pay for digital fitness content. Opportunity is to focus on communities, hybrid models (offline + online), or affordable mass-market solutions. India is still not ready for Peloton content. We breathe YouTube. 3) Selling SaaS tools to Doctors- Doctors in India are notoriously price-sensitive. Most SaaS products fail due to limited willingness to adopt technology and low ROI visibility. Maybe companies should emphasize on simplicity and immediate value delivery. Job of a Doctor is to deliver treatment to patients and not learn how to use software. Need to huamnise software in primary and secondary health care. 4) Longevity buzz- Longevity startups sound exciting but cater to a niche. Everyone loves the idea of a pill or device that adds 50 years to life. But longevity is 80% lifestyle and 20% intervention. Startups chasing the 20% often overpromise and underdeliver. Without a strong clinical base or mass appeal, they will remain limited to aspirational urban elites. Opportunity is in integrating into broader wellness solutions rather than standalone ventures. 5) Healthy food & nutrition- Overcrowding of “healthy snacks” and “superfoods” where differentiation is low and margins are squeezed by Quick commerce and logistics. Maybe companies should move beyond buzzwords like “organic” or “keto” and solve for authentic, local, and culturally aligned nutrition. India is a country of a million palates. 6) Chronic disease management- Diabetes, hypertension, Weight loss and mental health requires long-term engagement and behavior modification. While the space is competitive, there is room for solutions that prioritise patient journeys and retention over time. Driving outcome has to be the focus. Everything else is a vanity feature that doesn’t earn trust. Paid marketing will get expensive customers who won’t stick around. 7) Health Literacy for Tier 2 & Tier 3 Cities - Bridging the gap between urban, asemi-urban or rural populations can unlock massive markets. People in these areas need better education on health, nutrition, and fitness. Someone should build a scalable vernacular platform that combine tech and offline models. 8) Elder Care- There are 150 million people over the age of 60 in India. 30% live in metros, thats 45million elders. Majority of them don’t go to a gym today. I think there is an opportunity to create specialised fitness solutions to this audience. This is a largely untapped market. There can be an opportunity to build services for affordability and trust, with models combining human touch and technology. As the awareness amongst millennials and Genz increase towards health, more money will be spent towards keeping their parents health. 9) Affordable diagnostics - There’s growing demand for diagnostics in areas beyond urban cities. Setting up lab infrastructure and technicain talent is not easy to setup. Plus availability of non-invasive testing can increase the velocity of frequent checkups. I think the opportunity is to create AI and point-of-care solutions to reduce dependency on expensive labs. This may help build focus on distributed networks that simplifies diagnostic processes. 10) Women’s health beyond maternity - Women’s health startups are slowly moving beyond maternity and fertility into under-discussed areas like menopause, PCOS, period care and hormonal health. These are still early but promising markets. Companies should focus to build communities around taboo topics and prioritise education-first models. 11) Sports academies- Most academies target middle-class parents eager to involve their children in sports but offer basic coaching across multiple sports. The majority lack specialised training, proper infrastructure, and long-term athlete development frameworks. This leads to high churn and low impact. Should focus on actual program quality and coach the coach rather than brand optics. Using video analysis, wearables, and performance tracking apps can improve training outcomes. 12) Sports arena- Pay-and-play arenas are booming, especially in metro areas, but most operators overestimate demand sustainability. These spaces often struggle with with repeat customers and operational costs - rent and maintenance. Feels like the market is saturated in metros. Scalability lies in Tier 2 and Tier 3 cities, but with pricing that aligns with affordability. 13) Software for mid-sized Hospitals - While big hospital chains dominate headlines, mid-sized hospitals and clinics in India are ignored and under served for efficient software solutions. Tools that can improve operations, patient flow, and billing. There could be an opportunity to build modular, cost-effective products that solves for topline and bottomline of these customers. 14) Community-led health- Platforms that anchor health-related communities (e.g., for runners, fitness enthusiasts, or chronic condition patients) will gain more traction. Communities drive retention and trust. Companies who leverage storytelling and peer accountability can find it easy to launch products to monetise at scale. Macro Observations 1) Indian consumers value trust over tech. While technology enables scale, trust remains critical, especially in health-related services. Building authentic brands is as important as the product itself. 2) Price sensitivity is real- Products must balance affordability with value. Startups relying solely on urban elite segments risk missing India’s massive middle-income market. 3) Hybrid models work better. A blend of online tools and offline touchpoints could be more effective in healthcare, especially for diagnostics, elder care, and fitness solutions. 4) Distribution trumps product- A great product means little without effective distribution channels, Founders who build distribution first create a unbreakable moat. Thoughts for- Entrepreneurs: Focus on solving real problems, not creating aspirational solutions for a niche urban market. Investors: Look for startups with distribution moats, affordability, and customer stickiness. Avoid overcrowded, fad-driven sectors. Health enthusiasts: There has been never a better time than now to build your own health system with so many tools and solutions available in India. Become a user and give feedback to the creators to make a better and healthy India. If you find this useful, share it with someone you know who could also benefit. I'm at @kmr_dilip for any comments and thoughts you like to share. At @Rainmatterin we are always open to cheer for entrepreneurs solving for health in India.

I hope it's a PS5 🙏

Pep Guardiola on why #ManCity have sustained so many injuries: "Basically because we didn’t have training during many, many months... The demands are so high and the body cannot sustain the amount of energy or actions that you have to do when you are not well prepared..."

Merry Christmas and may you have a wonderful New Year! 🎁🎄🎅 x.com/i/grok/share/N…

@IgnitionCasino @brycebeach03

✨ 12 days of Ignition Giveaways - DAY TWELVE ✨ IT'S CHRISTMAS DAY, SO OUR FINAL GIVEAWAY IS BIG We're giving away a MacBook Pro! 🤩 To enter: 1) Follow us 2) Tag a friend 3) Retweet this post Winner announced in 24 hours! Good luck! 🎉 #giveaway #giveaways #contest

Just a girl in Maliblue 🩵

@stevewilldoit 2wNJb2LBG1pHJgGYZthcQisuz23kn78KSRkRn9VSESPe

I won 200k at casino.. so I’m Gonna GIVE away ALL of it today in real life for my video . ENTIRE $200,000 and will also give $200,000 of $HERO to you guys… just comment below your wallets . Last Vegas session I won $500,000 and only came home with $100,000 because I gave it all away to people in casino / Compton . My true actions in real life lead to why I wanted to make $HERO is a thing . Literally how I live my entire life day to day is the reason I wanna to do $HERO I’m actually a hero in real life for real

@DiscussingFilm Overrated movie, first one is better.

20 years ago today, ‘SPIDER-MAN 2’ released in theaters.

@boardzyxd Padmith pads: empress speed & balanced, crucible, temple of dreams remastered (my preference being the empress balanced) :)

Let me know which mousepads I missed

#Kalki2898AD Hindi collects 72 CR nett in 3 days. Will become #Prabhas 6th movie to enter 100 CR hindi nett Today.

PC CHECK! Who needs one? 🤚

💢ON YOUR MARKS...GET SET ... ✍️We are ready for Awka, Ogbunike, Onitsha and Asaba markets and consumers with our SEFAPCOL organic Bell Pepper and HABERENO Pepper ✍️We are also organising urgent training program to train 50 to 100 youths, that will man our greenhouse units as we rill them out .... The First 50 trainees will ne free ... ✍️Kindly book your order in Advance, notify your neighbours and Register for the training exercise in advance... ✍️The Okija, Umuahia, Ohafia, Arochukwu, Asaba, Bende and Ukwa LGA clusters are coming up soon. ✍️The 100 hectares PKM-2 Moringa farm Orchard in Ohafia will roll out soon ( after we have sorted out the little issues around some domestic bandits/miscreants wahala 😊) Contact: Miracle John on +2348036777898 Ify Morah on +2349064930898 Uchechi on : +2347089954874 Nnaemeka On 0813 444 1140 What's app 09090900989 email; sefapcol@gmail.com sefapcol.com

@brian_armstrong @stripe Bullish!

We’re partnering with @stripe, who processed the equivalent of 1% global GDP last year, to bring the benefits of faster, cheaper crypto rails to millions of businesses around the world - including with Base and USDC.

2wNJb2LBG1pHJgGYZthcQisuz23kn78KSRkRn9VSESPe

@weremeow 2wNJb2LBG1pHJgGYZthcQisuz23kn78KSRkRn9VSESPe

Doing a PPP memecoin experiment that might or might not involve airdrops. To be part of it, QT this w your address (or just RT & reply) To kick it off, here’s mine: AS3yMXa5yPRFeLgsdQkFR1KxBowExSY1JUzRGZj8iAMu If we get enough real participants, the experiment will proceed 🐱