Continuous health intelligence

For athletes whose doctors say they're fine.

Marrow reads your wearables, your training, and your labs as one continuous record — and watches for the patterns that precede injury, burnout, and illness.

A pattern

Serious athletes are the most quantified people on earth — and some of the worst served by healthcare.

A 46-year-old woman running 50 miles a week sees her doctor once a year. Her resting heart rate is 42 and her cholesterol is great, so her doctor tells her she's healthy as a horse. Her ferritin is 38, which reads as normal on the lab report. Her HRV has been drifting down for two months. Her period has been irregular since January. She feels tired in a way she can't explain.

None of this shows up anywhere. Her training app tells her to hit Tuesday's intervals. Her wearable tells her she had 87 percent recovery. Her doctor told her she's fine. And somewhere in the space between all of them, she's quietly breaking down.

Marrow is for her.

01 / Patterns

Four patterns that precede the thing you feel.

Iron drift

The ferritin drop before the fatigue.

Serum ferritin reads "normal" long after it matters for athletes. We track the slope, not the snapshot — and flag the trend weeks before the wall.

Window12mo
Shift−38%
SignalEarly
1:41100
Ferritin
Measured mar 24
42ng/mL
100 50 0
3M
12M
All

Ferritin dropped 44% since last spring. Most of the decline came in the past three months.

TodayTrendsLibraryYou
Recovery

The HRV softening before the cold.

A two-week drop in heart rate variability, cross-referenced with sleep and load, often precedes illness by four to seven days. We don't wait for the cough.

Baseline84ms
Today74ms
Lead4–7d
1:41100
Overnight
A pattern this week
Your HRV is softening before a heavy week.

A 12% drop over 14 days, paired with elevated resting HR. Consider a lighter Tuesday.

Look closer
TodayTrendsLibraryYou
Cycle

The cycle disruption before the injury.

Menstrual irregularity under high load is a red flag for energy availability and bone health. We watch cycle phase alongside training and ask the right questions early.

Cycle length38d
Prior29d
StatusWatch
1:41100
Trends
What's moving
What this week shows
Three signals, one direction.
Cycle length, HRV, and RHR are each shifting in a way that warrants attention.
Cycle
Cycle length
Last 3 cycles
38d
Luteal phase
Shortening
9d
Recovery
HRV
Measured this morning
74ms
TodayTrendsLibraryYou
Load

The accumulating load before the burnout.

Acute:chronic load ratios, resting heart rate creep, sleep debt. Individually quiet. Together, the signature of an athlete on the way to a bad month.

A:C ratio1.42
Sleep debt6.2h
RHR Δ+4bpm
1:41100
Load
Last 28 days
High Low
A:C ratio
1.42
Sleep debt
6.2h
TodayTrendsLibraryYou
What you'll see

A finding, not a dashboard.

Most health apps hand you a wall of charts and leave the reading to you. Marrow hands you the pattern — named, sourced, and written in plain language — and lets you open the chart if you want to see it.

Every finding cites the specific metrics behind it, the window it covers, and the action worth discussing with your physician. No diagnosis. No alarms. Just what's quietly moving.

02 / How it works

Three quiet jobs, running in the background of your training.

i.

Connect what you already wear.

Garmin, Apple Health, Whoop, Oura, TrainingPeaks, and quarterly blood panels flow into a single longitudinal record.

APL
GRM
WHP
OUR
LAB
M
ii.

Watch for patterns worth naming.

A deterministic rules engine — authored by sports physicians, not a language model — scans your record for the dozen patterns that actually matter.

rule.hrv_softeningpass
rule.rhr_creeppass
rule.ferritin_driftflag
rule.sleep_debtpass
rule.cycle_lengthwatch
iii.

Speak plainly when something moves.

When a pattern emerges, Marrow tells you in one sentence, cites the data, and suggests a next step — usually a conversation with your physician.

Finding · 12707:02
Sources: ferritin (lab, mar 24) · HRV 7d · RHR 14d
03 / Sources

Everything you already track, in one place.

Marrow
Apple Health connecting
Strava connecting
Garmin soon
Whoop soon
Oura soon
TrainingPeaks soon

Lab results via manual entry today; direct integration with quarterly blood panels is on the roadmap.

04 / Principles

What Marrow will and won't ever do.

01

Health, not optimization.

We don't tell you how to train. We tell you whether the way you're training is building you up or wearing you down.

02

Deterministic findings.

The rules engine is written by clinicians and auditable by you. Language models never decide what to say about your health — only how to say it.

03

Cite the reasoning.

Every finding points to the specific metrics and windows behind it. No black boxes. You can always see the chart under the sentence.

04

Sex and cycle are first-class.

HRV baselines shift across the cycle. Energy availability matters. We treat women's physiology as a starting point, not an afterthought.

05

No alarms. No exclamation marks.

We write in sentence case, in a warm declarative voice, about what's quietly moving. Tone is part of the product.

06

Your data stays yours.

Export anything, any time. Delete anything, any time. We will never sell your health data. Full stop.

Important

Marrow is not a medical device.

We describe patterns; we do not diagnose conditions. Findings are prompts for a conversation with a qualified physician, not a substitute for one. If a pattern concerns you, we will tell you — plainly, and without drama — and we will suggest you bring it to your care team.

Early access

For the way you already train.

Marrow is pre-launch. We're onboarding a small group of endurance athletes, masters athletes, and design partners. Leave your email and we'll be in touch when a seat opens.

marrowhealth.app · no spam, ever