Derek Flanzraich

We just cooked the protein bar industry. 🔥 Most are candy bars in disguise: seed oils, gums, fake sweeteners, sugar. Not @eatlineage. New Protein Bar: <200 cal 20g grass-fed whey + collagen 100% real food—no BS Tastes incredible 🍫 Who's in?

Over the past month, we (@AdamMeier20, @JTLonsdale) have been working on a state bill that would permit AI to practice medicine - prescribing, diagnosing, referring, and ordering - with some oversight and guard rails. We want the technology community to be able to solve important problems for society, and there are few matters bigger than access and cost of healthcare. We have sought feedback from different groups, but are eager to hear from more builders: does this let you harness AI for the biggest impact on the US healthcare system? We are eager to hear from states as well: what healthcare problems and patient populations are most in need? Done right, this bill should be a win for patients, taxpayers, physicians, and governments. AI should benefit ordinary Americans. Tell us what we got right, what we got wrong, and where we should go from here. We will still need federal clarity on clinical AI, but states will be important stakeholders in any regulatory regime. Reimbursement will be a topic for future discussion too.

Well this was awesome @ZReitano--such a cool breakdown. Go Ro!

@wynot1234 Clogbot

@derekflanz I love the pace of AI Allthe Icecreamiwant

Best news of the year so far

over the weekend, i built an app that i sincerely hope you will never have a need for, but if you do happen to need a friendly, free, private mri viewer designed to make it easy for you to track tumor progression, you can try it here: miraviewer.org here's the story: as some of you may know, last last september, my six year old daughter mira was diagnosed with an extremely rare brain tumor called an adamatinomatous craniopharyngioma, and since then our family has been doing everything we can possibly do to find a cure for her. we tortured chatgpt deep research, put together our own private research team, raised $1.4M and donated it all to @HankMitraLab research thanks to $MIRA, explored every remotely applicable drug whether on the market or not, and even began working with md anderson to develop a personalized vaccine that we hope can lead to a more permanent cure unfortunately, we received the devastating news last march that the tumor has continued to grow since her initial surgery, and we had to start to consider more drastic options which would have seriously impacted mira’s quality of life. thankfully, with the help of dr. sabine mueller @UCSFChildrens and the @HankMitraLab at the university of colorado, in april, we started her on an alternative but extremely experimental treatment for this disease. to our unimaginable relief, her tumor has responded extraordinarily well to this treatment which combines tocilizumab (an arthritis drug that blocks IL6 receptors) with avastin (a colon cancer drug that inhibhits VEGF proteins). we know this, because mira gets an MRI scan of her brain every few months. and every time we get a new scan, the first thing we do is compare it against her last scan. so we have to find the matching weight of the scan, and then find the same plane, and then carefully find the slices of the scan where the tumor is visible, and then find the closest match to last month’s scan, then adjust the zoom, rotation, and brightness / contrast so they all look the same. we got pretty good at this. but it shouldn't be this hard. so i built miraviewer.org last weekend using gemini 3 with some gpt 5.2 xhigh. you just import your DICOM MRI files (either zip, files or a folder), and you can align all of your scans across multiple dates instantly, just click and drag a rectangle around the tumor on any image, and it will use some very clever algorithms to automatically align up and find the closest matching slice from all your other scans, match the brightness / contrast, rotation, pan, zoom, and even shear to make sure the registration is as close as possible, and make it as easy to possible to compare tumor progression. it has a grid view so you can see all your scans for the same location all at once, and an overlay view so you can quickly compare two scans visually (by holding down the space bar to toggle quickly between two scans), along with tools to animate your scans both within the same sequence as well as over multiple scans to show progression. there is no server, it runs entirely locally on your browser - nothing ever gets uploaded and it's all open source: github.com/blader/MiraVie… if you've found this useful, please consider a donation to the @UCSFChildrens hospital foundation, who has given us extraordinary care over the past year or so: donate.ucsfbenioffchildrens.org/fund/childrens…

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Introducing: The New Pyramid

Introducing ChatGPT Health — a dedicated space for health conversations in ChatGPT. You can securely connect medical records and wellness apps so responses are grounded in your own health information. Designed to help you navigate medical care, not replace it. Join the waitlist to get early access. openai.com/index/introduc…

⬇️ If you’re curious about my latest take on GEO in healthcare

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@chrissyfarr @mavenclinic Or excited about GEO 👀

Every marketer should be worried about GEO, which is why I’m spending so much time building market maps for Second Opinion. I just asked ChatGPT for any missing names in the clearinghouse section of my upcoming provider-facing RCM market map. Its suggestion? @mavenclinic. Because of the lack of publicly available contextual info, AI is very confused.

Today Radial announced $50M in funding led by @generalcatalyst to expand access to advanced brain medicine. Read more here: endpoints.news/radial-raises-…

We tested @derekflanz 's home in Austin a couple of weeks ago, and he wrote about the experience in his 5 Healthy-ish Things newsletter. One of the main findings was elevated AC electrical fields in both of his daughters’ rooms and his wife’s office, which we’re now helping him resolve. It’s a great behind-the-scenes look at a Lightwork assessment.

While my family and friends enjoyed Mac n cheese, sweet potato with marshmallows, stuffing, and green bean casserole tonight, I followed Bryan’s advice and made my own Thanksgiving dinner. Tasted like shit but at least I saved an extra 3.72 minutes of my life 🙏

Same ⬇️

We made a bet at General Medicine that customers want broad selection, access, and convenience. Six months in, we've served customers in ~80% of counties in the US, across 800+ services, with an average NPS of 82. Onward!

Bingeing TikTok reels may be hazardous to your well-being. 71 studies, >98k people: The more short-form videos teens and adults watched, the more they struggled with attention, self-control, and stress and anxiety. Read a book. Watch a movie. Long live longform.

New @Cell_Metabolism Evidence for GLP-1 drug impact on countering body-wide aging at low doses in aged mice, brain (hypothalamus) dependent, with multi-omic assessment (RNA, methylation, and metabolomics) cell.com/cell-metabolis…

Eating only Sweetgreen protein bowls, drinking Starbucks protein cold foam, and snacking on David bars for the next 30 days