Methodology

The rules behind your plan

Most supplement quizzes are sales funnels that harvest your health data. Almavivo is different: it runs in your browser, keeps your answers on your device, screens for safety first, weighs the evidence honestly, and tells you when a supplement isn’t worth it for your profile.

Every answer, lab value, and generated plan stays in your browser. The recommendation engine runs on your device — not on a server we operate. Data only leaves your device when you choose to export or share at the end of the flow.

Every supplement we recommend has published human evidence behind it. Each item shows its evidence tier and links to the underlying source so you can read it yourself.

Most supplements have smaller effects than the marketing suggests. We label effect size honestly — modest, moderate, promising, or mixed — instead of treating every option as a breakthrough.

Pregnancy, blood thinners, kidney or liver history, thyroid and autoimmune conditions, and medication load all change what's safe to recommend. We screen for these before we score anything.

We aim for a simple morning pack and a simple evening pack. A stack that fits two moments a day is one you'll still be doing in three months.

Every supplement on your list is tied to something specific you told us — a goal, a symptom, a lab result, a lifestyle factor. If we can't explain why it's on your list, it doesn't go on your list.

Evidence tiers

How we weigh the research

Every supplement in your report carries a tier so you can see at a glance how strong the evidence behind it is.

Multiple high-quality human RCTs and meta-analyses converge on a clear benefit. Effect sizes are well-replicated.

Examples: Creatine monohydrate, iron in deficiency, B12 in deficiency, plant sterols for LDL.

Supportive human trial data with some inconsistency or narrower indications. We're confident enough to recommend in the right context.

Examples: Magnesium, omega-3 EPA/DHA, melatonin for sleep onset, riboflavin for migraine, lavender (Silexan) for anxiety.

Smaller trials, narrower use cases, or mixed results. Useful in specific contexts; not blanket recommendations.

Examples: L-theanine, citicoline, glycine for sleep, taurine, MSM, NAC.

Long history of human use but limited modern RCT evidence. We'll surface them as options to explore, not as pillars of a regimen.

Examples: Reishi, holy basil, schisandra, eleuthero, lion's mane.

What we exclude

Things you won’t see in our recommendations

We’re explicit about what we won’t list and why — zeolite, colloidal silver, MMS, glandulars, and other products that don’t meet our evidence or safety bar.

See the full exclusion list →

Safety matrix

Every safety gate, every supplement it gates

Every safety check the engine runs — drug classes, conditions, allergies, life stage — with the supplements excluded or routed to clinician review because of it. Generated from the rules so it can’t drift from what actually runs.

See the full safety matrix →

Open source

The engine is published openly. Read it. Argue with it.

Every question in the intake, every supplement rule, every excluded item with reasoning, every safety guard — published under Apache 2.0 at github.com/almavivo/open-health-engine. Editorial decisions in this codebase are public artifacts. If you find a mistake, open an issue. If you have evidence we should be using, open a PR with the citation. The repo includes a clinician-review PR template that asks for the DOI / PMID and a conflict-of-interest disclosure.

Important

We’re not your doctor

Almavivo is an educational tool, not medical advice. If you take prescription medication, are pregnant or breastfeeding, or have a chronic health condition, talk to a qualified clinician before starting any new supplement.

Start the intake →