Introducing Sage - The operating system for biologically aligned nutrition
01 · Signals

Numerous data points, summarized into 7 signals.

Your body · your life · your world
ContextYour needs & preferences
RegulateMood, hormones & digestion
RecoverSleep & rest
MoveActivity & movement
ConnectRelationships & support
SignalSymptoms & measurements
PlaceEnvironment & location
ContextYour needs & preferences
RegulateMood, hormones & digestion
RecoverSleep & rest
MoveActivity & movement
ConnectRelationships & support
SignalSymptoms & measurements
PlaceEnvironment & location
S
One living profile of you.
S
Ancient wisdomTurmeric & cumin ease digestion
+
Modern scienceOmega-3s in salmon, antioxidants in kale
Salmon, kale & quinoa, spiced with turmeric & cumin.
Delivered at 6:30pm

Turmeric-cumin salmon with kale & quinoa

610 kcal · 39g protein
Your preferencesYour budgetYour evening
Personal fit · illustrative score82 /100
How did that feel?
Feedback saved → tomorrow's plan keeps a similar portion and builds on what you enjoyed.
One collective demand signal. Aggregated + anonymized · no individual profiles
Grocer view · what to stock next
Leafy greensIncrease stock ↗
Whole grainsIncrease stock ↗
SalmonPlan supply ↗
Sage
Strictly confidential

The operating system for biologically aligned nutrition. Connecting human needs to food industry decisions.

Sage combines ancient wisdom and modern evidence with a living understanding of your biology, health, lifestyle, and changing context to identify the right food, at the right dose, in the right moment. As individual needs aggregate, they become a new demand signal that helps shape what gets stocked, grown, and made.

Consumer wellbeing, the market signal that finally drives the food industry.

Context

What Sage is seeking to capture
Sample logged data
Safety & interactions
Checked before anything else, separately
  • Medication interactions Does anything here conflict with what you take.
  • Contraindicated conditions Ruled out for this diagnosis, this labs panel, this life stage.
  • Allergies & sensitivities Never overridden by evidence quality or tradition.
Amino acids

S
Sage
Strictly confidential
01

Sage, that's the company

00Problem

02

The problem

Feeling unwell has become normal.
It shouldn’t be.

Poor health affects millions, much of it is preventable, and the cost reaches every part of daily life.

The health gap
93%

93 percent lacked optimal cardiometabolic health

Only 6.8% of U.S. adults met all five optimal criteria in a national study. Nearly everyone falls outside that category.

Only 6.8% of U.S. adults met all five optimal criteria in a nationally representative study using 2017–2018 data. That leaves approximately 93% outside the optimal category.

JACC 2022 ↗

Human scale
~½ of U.S. adults

117 million people were estimated to have at least one preventable chronic disease.

Poor eating patterns and physical inactivity contribute to rising rates of conditions such as obesity, type 2 diabetes, and heart disease, underscoring the need for nutrition guidance that fits each person’s needs and daily life.

The 2015–2020 Dietary Guidelines reported this historical estimate. Many of these conditions were associated with poor diet and physical inactivity; the figure does not measure disease caused by nutrition alone.

Dietary Guidelines for Americans 2015–2020 ↗

Globally, 70% of new type 2 diabetes cases were estimated to be attributable to poor diet, representing 14.1 million cases. Published in Nature Medicine in 2023, this modeling study used 2018 data.

Read the Nature Medicine study ↗

Explore diet and health research from IHME ↗

The economic cost
$1.6T

The cost extends far beyond feeling bad

Nutrition-related chronic disease costs working-age Americans an estimated $1.6 trillion a year. People pay with their money, their time, and their ability to participate fully in life.

An analysis of nutrition-related chronic diseases among working-age Americans estimated $16 trillion in costs over 2011–2020, including healthcare, lost productivity, and lost wages. The annual figure is an average for that period, not a current out-of-pocket spending estimate.

American Action Forum ↗

Statistics retain their original populations and dates.

  1. 1JACC 2022: Cardiometabolic health study; 2017–2018 prevalence.
  2. 2Dietary Guidelines for Americans 2015 to 2020: Historical 117 million estimate; preventable chronic disease.
  3. 3American Action Forum: Economic costs of poor nutrition; 2011–2020 analysis.
03

The shift

The conditions for change are here.

Consumer demand, nutrition research, and connected health are creating an opportunity to make personalized food guidance accessible.

01 / People are investing in wellness
$6.8T+7.9% in one year

People are investing in feeling better

The global wellness economy reached $6.8 trillion in 2024 and is projected to reach $9.8 trillion by 2029. People are spending on products, services, and tools to improve their health. The opportunity is to turn that willingness to invest into personalized food guidance that helps them understand what works for their body and see how their investment translates into progress over time.

The global wellness economy reached $6.8 trillion in 2024, growing 7.9% year over year, and is projected to reach $9.8 trillion by 2029.

Global Wellness Institute ↗

02 / Food is recognized as healthcare
9.5%projected annual growth

Food is now part of treatment

The food-as-medicine market is projected to grow from $254 billion to $401 billion by 2031. As investment grows, so does the need to understand which foods can help each person and how to make those choices part of daily life. The opportunity is to translate evidence and individual health data into a personalized food prescription: the right food, at the right dose, at the right time.

The broadly defined food-as-medicine market is projected to grow from $254.15 billion in 2026 to $400.81 billion by 2031, a 9.5% compound annual growth rate. It includes functional foods, medical foods, nutraceuticals, personalized nutrition, and therapeutic food products.

Medical education is moving with it. In March 2026, HHS announced voluntary commitments from 53 medical schools to provide 40 hours of nutrition education or an equivalent competency, beginning that fall.

Together, these developments point to growing recognition of nutrition’s role in care, creating an opportunity to translate that recognition into personalized, everyday food guidance.

MarketsandMarkets ↗

HHS March 2026 ↗

03 / Medications are changing how people eat
1 in 8

New treatments are changing how people think about food

One in eight U.S. adults reports using a GLP-1 medication. These treatments change appetite, digestion, and food intake, creating a need for personalized guidance on what to eat and how much to support the body during and after treatment.

KFF reported that 12% of U.S. adults were currently using a GLP-1 medication in March 2026, double the share in May 2024. A 2025 clinical advisory emphasizes personalized nutrition during treatment to help manage digestive side effects, prevent inadequate nutrient intake, and support muscle preservation alongside strength training.

KFF GLP-1 use data ↗

Nutritional priorities during GLP-1 treatment ↗

04 / Personal health data is going mainstream
Nearly 60%

The signals for personalized nutrition are already part of daily life

Nearly 60% of U.S. adults own a wearable or connected health device. As tracking sleep, activity, glucose, and other health signals becomes part of everyday life, the data needed to deliver personalized nutrition guidance at scale becomes more readily available.

Rock Health’s 2025 survey found that 57% of U.S. adults owned a wearable or connected health device, including watches, rings, continuous glucose monitors, connected scales, and blood-pressure monitors. Wearable ownership alone rose from 13% in 2015 to 46% in 2025. These are distinct measures.

The global wearable technology market is projected to grow from $103.1 billion in 2026 to $229.9 billion by 2033.

Rock Health ↗

Grand View Research ↗

Spotify knows your taste. Netflix curates your night. Amazon predicts what you’ll buy next. Food is the last daily domain that’s still one-size-fits-all.

Research is moving
$170M
NIH · five years

The direction is clear: understanding what to eat requires understanding the person.

In 2022, NIH announced $170 million over five years to study individual responses to food, signaling recognition that generalized guidance alone cannot meet everyone’s needs. The next step is translating that understanding into everyday food decisions tailored to the person. Every body is unique, and nutrition guidance needs to reflect that.

The initiative connects nutrition research with genomics, health records, and daily life experiences, and is developing algorithms for personalized recommendations.

Vanderbilt January 2022 ↗

People are already wearing biosensors, uploading lab results, and asking apps what to eat.

The next step is a decision people can act on, personalized to them.

Statistics retain their original populations and dates. Market values are third-party estimates or forecasts, not Sage’s addressable market. Device ownership does not establish clinical accuracy or sufficient data for any particular recommendation.

  1. 4Global Wellness Institute: 2025 Global Wellness Economy Monitor.
  2. 5MarketsandMarkets: Food as Medicine Market; 2026–2031 forecast.
  3. 6HHS March 2026: Medical school nutrition education commitments.
  4. 7Vanderbilt January 2022: Participating center report on NIH’s $170 million initiative.
  5. 8KFF March 2026: GLP-1 use and prescription drug costs.
  6. 9Rock Health: 2025 Consumer Adoption Survey; wearable and device ownership.
  7. 10Grand View Research: Wearable Technology Market; 2026–2033 forecast.
04

The gap

Today’s solutions fall short. The burden falls on the person trying to feel better.

Access to dietitians is limited, and doctors may lack the time or specialized nutrition training to provide ongoing guidance. The food environment too often works against good choices. Many technologies capture pieces of a person without connecting the whole and turn data into charts rather than actions. People are left to make sense of disconnected insights and advice, decide what to eat, and make it happen as their bodies and lives change.

People don’t fail at nutrition because they don’t care, they fail because the system demands too much thinking, too much time, and too much expertise, every single day.

The people landscape

Dietitians and doctors are traditional sources of nutrition guidance. Doctors often lack the time or specialized nutrition training to provide wholistic recommendations. Dietitians’ support reaches only a fraction of people and a fraction of everyday food decisions. That guidance needs to extend beyond scheduled sessions into the moments when choices happen: in the grocery aisle, while ordering, or when preparing a meal.

Too few experts
~1:3,000

Expertise has a capacity limit.

Registered dietitians relative to U.S. residents. Expertise needs to reach the decisions between appointments.

114,107 registrants in September 2026 compared with approximately 341.8M residents in July 2025. Illustrative ratio, not appointment availability. Self-pay consultations can cost $150+, while insurance-covered care can cost far less.

CDR registry ↗

Pricing context ↗

Left out of care
<1%

Medical training has historically given nutrition little room

Medical schools historically devoted well under 1% of lecture hours to nutrition, a gap that’s beginning to close.

An older estimate cited by the American Medical Association found 19.6 hours of nutrition education across four years of medical school, less than 1% of estimated lecture hours. Training is beginning to change. The historical gap helps explain why practical food guidance has often been difficult to find in routine care.

American Medical Association ↗

The product landscape

The food people actually encounter, and the businesses that sell it, are not built around individual health.

Stacked against health
53%

The food environment makes the decision harder

Ultra-processed foods make up 53% of calories U.S. adults eat, and 62% for children and teens.

In 2021–2023, ultra-processed foods provided 53% of the calories U.S. adults consumed. For children and teenagers, the figure was 62%. People need guidance that works in the food environment they actually encounter, with options they can afford, find, and enjoy.

CDC Data Brief 536 ↗

Not built for health
70%

Grocery stores are not built around your health

70% of the products stocked in major U.S. grocery stores are ultra-processed. Category placement, promotions, and assortment are optimized for sales per square foot and margin, not for what best serves each shopper’s body.

Researchers at Northeastern University analyzed over 50,000 products across Target, Whole Foods, and Walmart and found that ultra-processed items make up roughly 70% of what’s stocked. Health isn’t typically the mission a store is run against; assortment and shelf placement follow sales and margin.

Ravandi et al., Nature Food (2025) ↗

The technology landscape

Today’s apps track and inform. The friction between insight, decision and action remains.

Feature MyFitnessPal[16] Cronometer[17, 18] ZOE[19] Levels[20] Sage
Nutrient & habit tracking ✓ ✓ ~ ✓ ✓
Personalized recommendations ~ ✓ ✓ ✓ ✓
Whole-person profile (labs, symptoms, cycle, recovery, environment) – – – – ✓
Turns insight into everyday food action ~ – – – ✓
Aggregated demand signal for grocers & producers – – – – ✓
Sage is being built to bring these capabilities together in one connected system.

Existing products show momentum, but two gaps remain:

1

Understanding the whole person

Your body doesn’t work in silos. Your nutrition guidance shouldn’t, either. Biomarkers, goals, and activity each tell part of the story. What you need also depends on your sleep, stress, hormones, environment, and daily life. Guidance needs to connect those factors and evolve with you.

2

Making action seamless

Healthcare lives in appointments, portals, and reports. Life happens in kitchens, grocery aisles, and daily routines. Even useful insights can leave people with too much to figure out: what to buy, how to prepare it, and how to fit it into everyday life. Guidance needs to reach beyond charts and reports into grocery aisles, menus, and kitchens, making the next decision clear and easy to carry out.

Sage connects understanding to action.

Sage is being built to close both gaps in one connected system. A comprehensive, evolving picture of you informs what to eat, how much, and when. Those recommendations become meals you can prepare, groceries you can order, and dining choices you can make. Your body’s response feeds back into the system, refining what comes next.

One belief

When people know what their bodies need and the friction of acting on it is removed, behavior changes. Everyone wins.

Consumers feel better.
Grocers sell better.
Producers grow smarter.

Statistics retain their original populations and dates.

  1. 11Commission on Dietetic Registration: Registry statistics as of September 14 2026.
  2. 12US Census Bureau: July 2025 population estimate, reported January 2026.
  3. 13Fay Nutrition: Self-pay and insured consultation pricing examples.
  4. 14American Medical Association: Historical nutrition instruction estimate; not a current census.
  5. 15CDC Data Brief 536: Ultra-processed food consumption, August 2021–August 2023.
  6. 16MyFitnessPal: Premium+ product documentation.
  7. 17Cronometer: Crono Coach capabilities.
  8. 18Cronometer: Oura cycle integration.
  9. 19ZOE: Product overview including app and gut testing.
  10. 20Levels: Product overview and connected health capabilities.

Technology comparison reflects public information reviewed in September 2026. “–” means a capability was not documented in the reviewed sources, not proof that it is unavailable. Sage’s capabilities describe the product being built.

Sage product reference: Sage_Philosophy_v9 (1).pdf, supplied by the founder.

05

The solution: Sage

The operating system for biologically aligned nutrition.

The right food, at the right dose, in the right moment, for your body.

Sage brings together ancient wisdom and modern scientific evidence with your biology, daily context, and health goals to understand what your body needs and translate that understanding into everyday food decisions.

One shared intelligence layer connects consumers, grocers, and producers, making personalized guidance easier to act on and helping the food system respond to real human needs.

Consumer wellbeing becomes the market signal the food system runs on.

Understands the whole person

Your biology, sleep, stress, activity, hormonal patterns, and environment form an evolving picture of your needs. Your preferences, budget, behavior, and access shape the recommendations.

Makes the next step actionable

Specific guidance on what to eat, how much, and when becomes a meal, grocery order, or dining choice, with a clear explanation of why it fits your needs and how to prepare it.

Learns what works for you

Your feedback and responses help Sage learn what works for your body and refine recommendations as your needs, routines, and circumstances change.

Connects individual needs to collective demand

Aggregated, de-identified* needs and food choices help grocers anticipate what to stock and producers plan what to grow and make, aligning supply with the people they serve.

One intelligence layer, three interfaces.

For consumers

Know what to eat and make it easier to act.

Personalized food decisions that respond to biology, goals, symptoms, behavior, environment, and what is happening right now.

For grocers

Know what your community will need.

Use community demand to inform stock, purchasing, fulfillment, marketing and waste prevention.

For producers

Know what the market will need next.

Use forward demand to inform sourcing, growing, production, and capacity planning.

The goal isn't a model that's right on average.

It's a model that's right about you.

*Individual health information remains private; industry tools receive only aggregated demand insights.

06

Share your signals

To know what you should eat, Sage first has to know you.

Your biology is only the beginning. Sage brings together numerous data points other nutrition systems leave unexplored, and resolves them into one living picture of you, shaping what your body needs right now.

Seven areas
One living profile
Context
Regulate
Recover
Move
Connect
Signal
Place
Seven areas, one profile Every data point, self-reported or passively gathered through integrations, folds into a single, continuously learning picture of you. Nothing sits in a silo, and nothing is ever asked for twice.

Tap any area to see what Sage captures there, and what it's logged so far

One living profile
The single record synthesized at the center of the signal map at left, continuously updated as each of the seven areas feeds into it.
Your bodyConditions, medications, labs, wearables, sensitivities, life stage, hormonal cycle.
Your lifeSleep, stress, activity, schedule, relationships, budget, preferences.
Your worldLocation, season, climate, food access and environment.
Your historyWhat you've eaten, tried, responded to, and returned to.
07

Weigh the evidence

Two bodies of knowledge. One recommendation that has to satisfy both.

Sage brings together traditional wisdom and modern evidence, applies both to your profile, and learns from what actually happens next.

Inherited knowledge

Ancient wisdom

  • Generations of observationTraditional Chinese Medicine, Ayurveda, and folk practice refined over centuries.
  • Food traditionsCultural cuisines, and what people eat when unwell.
  • Seasonality & preparationWhat the land offers now; fermentation and methods passed down.
  • Patterns worth testingInherited hypotheses, not settled conclusions.
Sage weighs both
SupportedHow strong is the evidence?
RelevantDoes it fit this person's biology and context?
LearnedWhat has actually worked for this person before?
Measured knowledge

Modern evidence

  • Clinical researchWhat holds up when it is tested.
  • Nutrient scienceBioavailability, dose, timing.
  • BiomarkersLabs and trend lines from this body.
  • Population evidenceWhat holds across large cohorts.

No single source has the full picture.

Weighed together, ancient and modern evidence add up to what's right for you.

08

Turn insight into action

The same recommendation. A different way to make it happen.

Sage adapts when guidance arrives, how it's presented, and the language it uses, to fit each person's behavior and real life. Behavioral science sets the starting point; what helps someone act shapes what comes next.

Same need
Same recommendation
Folate intake below target · Preparing for pregnancy
Add ½ cup of cooked lentils to dinner. To help close the folate gap and support preconception nutrition goals.
29 · Planner

Maya

Plans ahead and wants clear targets. Reassurance and a simple routine help her follow through.

When & format

Sunday meal planning
A meal-plan card with an optional explanation

Warm & specific

"Let's add ½ cup of cooked lentils to tomorrow's dinner to help meet your folate target as you prepare for pregnancy."

Add to dinner plan
Turn intention into a planAction planning + repeatable routines
31 · Explorer

Gemma

Enjoys trying new meals and loses interest in repetition. A little choice keeps the next step appealing.

When & format

When she opens dinner ideas
Two recipe cards using the same portion

Inviting & choice-led

"Lemony lentil salad or lentil tacos? Each includes ½ cup of cooked lentils toward your preconception folate goal."

Choose tonight's recipe
Make room for preferenceChoice + a concrete next step
27 · Improviser

Sam

Decides dinner in the moment and often defaults to the easiest option after a busy day.

When & format

On her walk home, with permission
One timely prompt and a shopping shortcut

Brief & practical

"Passing the grocer? Grab ready-cooked lentils. Add ½ cup to dinner for your preconception folate goal."

Add to shopping list
Reduce the work of actingTimely cues + practical support
41 · Connector

Priya

Organizes meals around her family. One dinner that works for everyone is easier to sustain.

When & format

Before the household grocery shop
A shared recipe and quantities for the family

Supportive & family-minded

"Lentil tacos for everyone tonight? Your portion includes ½ cup of cooked lentils toward your preconception folate goal."

Update family plan
Build on a shared routineSocial support + action planning

Personalize the path from knowing to doing.

Sage learns which timing, tone, and level of support help each person follow through, and adapts as life changes.

09

Fill your plate, grow your roots

Capacity, not streaks. Return, not perfection.

We make it easy to track your progress in a day, and over time.

Monday
82

Tap any capacity to see what's inside it

Tuning In
Building Rhythm
Finding Balance
Flourishing
Tuning In Beginning to understand the body and the signals that matter.
Sage measures return. Progress includes how naturally you come back after disruption.

The plate resets. The roots don't.

Daily scores change quickly. Lasting capacity changes slowly.

10

Shift the ecosystem

One person's need, multiplied, becomes the direction of the whole food system.

Today: a food system that guesses

Consumer → adapts to supply

  • Consumer: adapts to the shelf. What's available determines what gets eaten.
  • Grocer: looks backward. Stocking follows what sold.
  • Producer: looks backward. Production follows historical demand.
1
Understand the individual
Sage identifies what this person needs.
Producer
Grocer
Consumer
kale & eggs
With Sage: a system that can see need coming

Supply → adapts to consumers

  • Consumer: the shelf adapts to them. What they need is already coming.
  • Grocer: stocks toward what the community actually needs, not what happened to sell.
  • Producer: plans against forward demand, months before harvest.

Consumer wellbeing becomes the market signal the food system runs on.

Identifiable health data never travels through this loop. Only aggregated, de-identified demand signals do.

11

See it working

One intelligence layer. Three interfaces.

One intelligence layer connecting what people need with what the food system provides.

Individual
need
Community
demand
Production
demand
Healthy products, back to the person
Consumer
Grocer
Producer
For the person

Consumer

Understands your biology, lifestyle, and changing needs to help you choose what to eat, how much, and when. It turns guidance into meal plans, grocery orders, and dining suggestions, making action seamless from insight to table, with daily touchpoints to help you stay on track toward your weekly goals.

View prototype
For the grocer

Grocer

Turns aggregated, anonymized community needs into foresight on what to stock, how much to order, and when. It connects that intelligence to inventory, purchasing, fulfillment, and targeted marketing to help grocers meet demand, reduce waste, and improve profitability.

View prototype
For the producer

Producer

Helps farmers, brokers, manufacturers, and food brands anticipate what to grow, source, or make based on emerging demand. It connects planning with buyer discovery, orders, capacity management, and quality tracking so suppliers can match their supply to real needs and build stronger businesses.

View prototype
12

Change the system

When health and economics point in the same direction, the system can change.

Health
Economics

Health improves alone. There's no economic reason for the system to follow.

Consumer

Know what your body needs. Make it easy to act on.

Better decisionsKnow what to eat, how much, and when based on your biology, goals, and real-life context.
Less workTurn recommendations into meals, grocery orders, and dining choices without having to figure it out yourself.
More personal over timeSage learns from your behavior, preferences, and outcomes, continuously adapting what it recommends.
Measurable progressSee how everyday food choices contribute to your health goals over time.
Benefit

Better health decisions that become easier to make and easier to sustain.

Grocer

Know what your community needs before it reaches the shelf.

Better demand visibilityUnderstand what customers are looking for now and what they are likely to need next.
Smarter inventoryUse demand signals to inform what to stock, how much to carry, and when to replenish.
Higher sell-throughBetter match inventory to customer need, particularly across fresh and perishable categories.
More relevant merchandisingConnect products to specific customer needs, occasions, and health goals.
Less wasteImprove planning and reduce the mismatch between what gets stocked and what gets purchased.
Benefit

Healthier customer demand becomes better inventory economics.

Producer

Know what the market needs before deciding what to grow or make.

Earlier demand signalsSee emerging consumer and buyer needs before they become orders.
Better production planningUse demand intelligence to inform what to grow, source, manufacture, and in what quantities.
Buyer discoveryConnect with grocers and other buyers actively looking for what you produce.
Stronger capacity utilizationMatch production and available capacity more closely to expected demand.
Quality as an advantageMake sourcing, production, freshness, and quality attributes visible to buyers and consumers.
Benefit

Less speculative production, stronger buyer relationships, and supply built around real demand.

Healthier people create healthier demand. Healthier demand creates a healthier food system.

Everyone benefits by acting in their own best interest.

Sage: decision engine for biologically aligned eating Strictly confidential · do not share

Get in touch

More personal by the day.
More powerful at scale.

Sage understands what your body needs and turns that intelligence into better everyday food decisions. As more people use Sage, those individual needs become a collective signal that can help shape what gets stocked, grown, and made.

Interested in building, advising, investing, or partnering with Sage?
Let’s talk.

skye@hellosage.net
Strictly confidential · please do not share