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Generation Health Pre-Pregnancy Platform
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🌱 Evidence-Informed  ·  Free  ·  Based on ACOG · SOGC · WHO Guidelines

Your pre-pregnancy
health snapshot

A free, evidence-informed assessment across 10 areas of preconception health — reviewed by licensed physicians, designed to empower you and your provider to optimise maternal and neonatal health before conception begins.

🌐 Available in Hindi, Tamil, Telugu, French, Spanish & more — tap the language button

No account required
Your responses stay on your device — never transmitted. Anonymous score only if you choose to contribute.
3 free downloadable PDF reports
Evidence-aligned · Used globally

10 domains of preconception health

Tap any area above to learn what it covers · Scroll down to begin

🌱 Before We Start

A few quick questions

🔒 Your answers stay on your device only — nothing is transmitted.

This platform is designed for adults 18+. If you are under 18, please use it with a trusted adult or healthcare provider.

These help us personalise your assessment experience. Your answers stay on your device — they are never transmitted.

What best describes your current situation?

Have you ever been diagnosed with, or do you currently have, an eating disorder?

Your answer ensures we show you content that is safe and supportive for you. "Prefer not to answer" is always available.

Which country are you completing this assessment from?

Your postal or zip code (optional — for regional health mapping)

First 3 characters only e.g. V6B for Vancouver. Used to map health patterns by neighbourhood. Never linked to your name.

Your Progress 0 of 10

Your Preconception Health Snapshot

Assessment complete across all 10 domains. Here's what your responses show — and your personalised next steps, ready to discuss with your provider.

About your scores: Domain scores are educational indicators derived from clinician-developed weightings aligned with ACOG, SOGC, and WHO guidelines. They are not validated clinical thresholds and do not constitute a clinical diagnosis. Use them as a starting point for conversation with your provider.

Your 10-Domain Overview

📄 Your Free PDF Reports

Three reports generated from your assessment — download each for your own records or to share with your healthcare provider. All processing happens in your browser; nothing is uploaded.

🌿
PDF 1 of 3 — For You
Patient Education Report
Your scores, tier results, personalised next steps, and evidence-informed education for each domain.
🩺
PDF 2 of 3 — For Your Provider
Provider CDS Snapshot
A clinical summary with flags, lab discussion points, and domain scores for your healthcare provider — bring this to your appointment.
📋
PDF 3 of 3 — Clinic Use
Clinic Workflow Summary
Triage flags, rapid action items, referral triggers, and EMR documentation template for clinical workflow.
📊 View My Health Dashboard

🌿 Contribute to population health research? (DPDP Rules 2025 compliant · Voluntary · Withdraw anytime)

Research goal: 2,000 participants · Will publish findings when reached

Your anonymous contribution helps researchers understand preconception health trends. Anonymous data is retained for up to 10 years for research continuity. Your contribution includes: overall score, age range, region, device type, and anonymised health indicators (which domains were flagged, mental health screening band, approximate completion time). No personal information, no responses, no identity is ever collected. Data is used only in aggregate.

No name, email, IP address or device ID is ever collected. Your score cannot be traced back to you. Used only for population health research.

Your Personalised Next Steps

Tap any domain below to see your personalised next steps, based on exactly what you told us. Start with your 🌷 Nurture areas — these are where a conversation with your provider will have the most impact.

📚 Evidence Base & References

Generation Health is built on peer-reviewed evidence and international clinical guidelines. Below are the key references underpinning each domain of your assessment.

🌸 D1 — Reproductive Biology
  • ACOG Committee Opinion No. 762. Prepregnancy Counseling. Obstet Gynecol. 2019.
  • ACMG. Carrier screening — 2021 revision & 2024 tier updates. Genet Med. 2021/2024.
  • WHO. Interpregnancy interval recommendations. 2018.
❤️ D2 — Cardiometabolic Health
  • Tita AT, et al. CHAP Trial — mild chronic hypertension in pregnancy. N Engl J Med. 2022;386:1781–1792.
  • ADA Standards of Care in Diabetes — 2025. Section 15: Pregnancy. Diabetes Care. 2025.
  • Lloyd-Jones DM, et al. Life's Essential 8. AHA Presidential Advisory. Circulation. 2022.
🥦 D3 — Nutrition & Micronutrients
  • USPSTF. Folic Acid Supplementation to Prevent Neural Tube Defects 🇺🇸 US/International — 2023 Reaffirmation. JAMA. 2023.
  • Middleton P, et al. Omega-3 supplementation in pregnancy. Cochrane Database Syst Rev. 2018.
  • Schisterman EF, et al. FAZST Trial — zinc + folic acid in men. JAMA. 2020;323(1):35–48.
🌿 D4 — Environmental Exposures
  • Woodruff TJ. Health effects of fossil fuel–derived endocrine disruptors. N Engl J Med. 2024.
  • Chiu YH, et al. Pesticide residue intake and ART outcomes. JAMA Intern Med. 2017.
🌙 D5 — Lifestyle & Circadian Health
  • ACOG Committee Opinion No. 804. Physical Activity During Pregnancy. 2020.
  • Yang Z, et al. Mendelian randomisation — chronotype × insomnia, OR 1.61, P=0.01. 2024.
💙 D6 — Mental & Emotional Health
  • USPSTF. Screening for Depression in Adults. 2023.
  • Kroenke K, et al. PHQ-9 validation. J Gen Intern Med. 2001.
  • Spitzer RL, et al. GAD-7 validation. Arch Intern Med. 2006.
🦠 D7 — Gut & Immune Health
  • Cochrane. Probiotics for prevention of gestational diabetes mellitus. 2024.
  • Sammaritano LR, et al. ACR Guideline — reproductive health in rheumatic diseases. Arthritis Rheumatol. 2020.
💊 D8 — Medication Safety
  • Cesta CE, et al. Safety of GLP-1 receptor agonists in early pregnancy. JAMA Intern Med. 2024;184(2):144–152.
  • Pack AM, et al. AAN/AES Guideline — epilepsy in pregnancy. 2024.
  • FDA. Category X teratogens — isotretinoin, valproate, methotrexate, ACE-I/ARB, statins.
🏭 D9 — Occupational Health
  • ACOG Committee Opinion No. 733. Employment during pregnancy. 2018.
  • NIOSH. Reproductive health and the workplace. CDC/NIOSH.
  • ASCO. Antineoplastic drug safe handling. 2018.
🌱 D10 — Supplement Safety
  • Mahadevan U, et al. ACG 2025 Global Consensus — IBD in pregnancy. 2025.
  • Spencer JP, et al. Herbal supplements during lactation. Am Fam Physician. 2022.
  • Nassan FL, et al. Diet quality and sperm quality. JAMA Network Open. 2020.

Share your score

Help a friend or partner take their preconception health seriously too.

Your individual answers are never shared — only your overall score and summary.

👨‍👩‍👧

Your partner's health matters too

Sperm quality is affected by diet, alcohol, heat, stress, and nutritional status — and it takes ~74 days to produce new sperm. Share our free Father Ready assessment with your partner.

🌱 Father Ready Assessment →

Free · Evidence-informed · 7 domains of male preconception health

🗓

Your Personal 90-Day Plan

AI generates a specific action plan based on your actual results — Month 1, 2, and 3 priorities tailored to you.

Recommended every 6 months to track your progress

Your next step — book your preconception visit

Download your PDF reports and bring them to a dedicated preconception appointment. Your family physician can use your results to create a personalised plan.

🍁 In Canada (BC): A dedicated preconception visit is covered by MSP. Indigenous patients in BC can also access preconception care through First Nations Health Authority (FNHA) — fnha.ca — which offers culturally safe health services. You can request a 30-minute preconception appointment — just tell your GP's receptionist it is for preconception planning. No referral needed.

🇮🇳 In India: Ask your gynaecologist or family physician for a preconception consultation. Bring your PDF reports — they provide a complete health summary. Government hospitals offer free preconception counselling through the RMNCH+A programme. ASHA workers can also help connect you with your nearest Primary Health Centre.
🏥 Book a Preconception Consultation

📅 Reminder: Retake this assessment in 6 months to track your progress — scores improve with focused action.

Looking for a different clinic? Any family physician, nurse practitioner, or OB/GYN can conduct a preconception visit. Your Provider PDF report (PDF 2 above) gives them everything they need.

Privacy Policy  ·  Terms of Use  ·  Contact

This platform is educational only. It does not diagnose conditions, prescribe treatment, or replace professional medical advice. Generation Health is designed in accordance with CPSBC/CMPA educational platform standards, PIPEDA (Canada), and DPDPA 2023 (India). © 2026 Generation Health Inc.
Powered by Generation Health Global

Evidence Base

Our Evidence Base

Generation Health is built on Grade A and B evidence from international clinical guidelines. Every recommendation links to a peer-reviewed source or authoritative guideline body.

📅 Clinical content last reviewed: March 2026 · Next scheduled review: March 2027 · Report an error
Our mission: Generation Health exists to improve neonatal outcomes and reduce long-term maternal comorbidities — starting before conception. This platform is the first step: connecting women and their providers with the evidence, the tools, and the data needed to act before pregnancy begins. About this platform: Generation Health Inc. is a health technology company. This platform is free to all users. Generation Health's business model includes anonymised population health data licensing — only with explicit user consent, only in aggregate, never at the individual level. Under DPDP Rules 2025 (Rule 12), anonymous research/statistical data processing is exempt from individual data principal rights requirements when data is minimised, protected, and limited to research purposes — which this platform's data collection satisfies. The clinical content was developed by licensed physicians and reviewed against published international guidelines. Generation Health has no financial relationships with pharmaceutical companies, supplement manufacturers, or diagnostic laboratories that influenced this content. Contact us with any concerns.
🔬 Live PubMed
Developed by: Generation Health Medical Team.
Guideline authorities: ACOG · SOGC · FOGSI · USPSTF · WHO · ADA · AHA · ASRM · ACMG · ACR · AAP · AAFP · Endocrine Society · Cochrane Collaboration.
Compliance: Designed in accordance with CPSBC/CMPA educational platform standards · PIPEDA (Canada) · DPDPA 2023 / DPDP Rules 2025 (India).
All content is educational. It does not diagnose conditions or replace professional medical advice.
📋 ACOG
🍁 SOGC
🇮🇳 FOGSI
🏛 USPSTF
🌍 WHO
🫀 AHA
🔬 ADA
🧬 ASRM / ACMG
📐 Platform Methodology & Scoring Transparency

How domain scores are calculated

Each domain contains 5–10 questions. Each question response is assigned a point value (0–3) reflecting evidence strength and clinical impact, developed by licensed physicians and reviewed against ACOG, SOGC, FOGSI, and WHO guidelines. Higher point values indicate responses associated with greater preconception health risk.

Domain scores are calculated as: (1 − raw points / maximum possible points) × 100, producing a score from 0–100 where higher scores represent better preconception health. This inversion ensures that a score of 100 means all responses were optimal and a score of 0 means all responses indicated maximum clinical concern.

Tier thresholds (Flourishing / Room to Grow / Nurture)

Band thresholds were set by clinical expert consensus and are designed to guide educational conversation — they are not validated clinical cut-offs derived from population normative data or outcome studies. A validation study against clinical outcomes and validated preconception health instruments is planned as a future research priority.

Validated instruments within this platform

PHQ-9 (Patient Health Questionnaire-9): Validated depression screening tool (Kroenke & Spitzer, 2001). Scores 0–27. Thresholds: 0–4 minimal, 5–9 mild, 10–14 moderate, 15–27 severe. GAD-7 (Generalised Anxiety Disorder-7): Validated anxiety screening tool (Spitzer et al., 2006). Scores 0–21. Thresholds: 0–4 minimal, 5–9 mild, 10–14 moderate, 15–21 severe. Both are used here as educational screening aids — not diagnostic instruments.

Population scope

This platform is designed for individuals planning pregnancy in Canada and India, with relevance to international users. It is designed for adults aged 18+. The clinical content has been developed primarily for individuals capable of pregnancy who are planning conception. Questions use inclusive language ("partner") and the platform is designed to be relevant to people in diverse relationship structures. Not all guidance will apply equally to all users — discussions with individual providers who know your specific situation are always recommended.

Known limitations

  • Domain scores have not undergone formal psychometric validation against clinical outcomes
  • Platform content does not address Indigenous preconception health frameworks (Canada) — a gap we acknowledge and plan to address through community co-design partnerships
  • Intimate partner violence and domestic safety are not screened — these are clinically important determinants of preconception health that require in-person assessment by a qualified provider
  • Content reflects primarily SOGC, ACOG, FOGSI, and WHO guidelines; some guidance may not be directly applicable outside Canada and India
  • Platform is available in English with Google Translate support; translated versions have not been independently clinically validated

Our research vision — improving neonatal outcomes

Why this data matters: Preconception health is the strongest modifiable predictor of neonatal outcomes and long-term maternal comorbidities. Low folate, untreated thyroid disease, uncontrolled diabetes, untreated mental health conditions, STIs, and environmental exposures before conception are directly linked to preterm birth, low birth weight, congenital anomalies, and long-term maternal conditions including postpartum depression, metabolic syndrome, and cardiovascular disease. Population-level preconception data — which does not currently exist at scale — would allow health authorities to allocate resources, design interventions, and track the impact of preconception care programmes. Generation Health's anonymous dataset is designed to become that resource.

With explicit opt-in consent, anonymised aggregate data (no personal identifiers) is collected for population health research. The platform aims to reach a dataset of 2,000 consenting participants before publishing population health findings. A UBC Research Ethics Board (REB) determination has been submitted to confirm that anonymous aggregate data collection under these conditions qualifies as non-research (quality improvement) or to guide a formal research protocol.

🌸 D1 — Reproductive Biology & Fertility Grade A
Grade AACOG · ASRM · ACMG guidelines
  • 1ACOG Committee Opinion No. 762. Prepregnancy Counseling. Obstet Gynecol. 2019. Guideline
  • 2Practice Committee of the ASRM. Definitions of infertility and recurrent pregnancy loss. Fertil Steril. 2020.
  • 3ACOG Practice Bulletin No. 200. Early Pregnancy Loss. Obstet Gynecol. 2018. Guideline
  • 4ACMG. Carrier screening for genetic conditions — 2021 revision and 2024 tier updates. Genet Med. 2021/2024. Guideline
  • 5WHO. Interpregnancy interval recommendations for reducing adverse perinatal outcomes. WHO Guidelines. 2018. Guideline
  • 6ACOG Practice Bulletin No. 197. Inherited Thrombophilias in Pregnancy. Obstet Gynecol. 2018.
❤️ D2 — Cardiometabolic Health Grade A
Grade AADA · AHA · ACOG · CHAP Trial
  • 1Tita AT, et al. Treatment for mild chronic hypertension during pregnancy (CHAP Trial). N Engl J Med. 2022;386(19):1781–1792.
  • 2American Diabetes Association. Standards of Care in Diabetes—2025. Section 15: Management of Diabetes in Pregnancy. Diabetes Care. 2025. Guideline
  • 3Wyckoff JA, et al. Preexisting Diabetes and Pregnancy — Endocrine Society / ESE Joint Clinical Practice Guideline. J Clin Endocrinol Metab. 2025. Guideline
  • 4Lloyd-Jones DM, et al. Life's Essential 8 — AHA Presidential Advisory. Circulation. 2022. Guideline
  • 5International PCOS Network. International evidence-informed guideline for the assessment and management of PCOS. 2023. Guideline
  • 6Tang Y, et al. TG/HDL-C ratio as an insulin resistance marker — pregnancy outcomes. 2025; Arbib N, et al. J Matern Fetal Neonatal Med. 2020.
  • 7St-Onge MP, et al. Sleep and cardiometabolic risk in the preconception period. AHA Scientific Statement. 2025.
🥦 D3 — Nutrition & Micronutrients Grade A
Grade AUSPSTF · ACOG · WHO · SOGC · FIGO
  • 1USPSTF. Folic Acid Supplementation to Prevent Neural Tube Defects 🇺🇸 US/International — 2023 Reaffirmation. JAMA. 2023. Grade A
  • 2SOGC Clinical Practice Guideline. Pre-conception Folic Acid and Multivitamin Supplementation. 2015. Guideline
  • 3Middleton P, et al. Omega-3 fatty acid addition during pregnancy. Cochrane Database Syst Rev. 2018. (RR 0.89 preterm <37 wks)
  • 4Endocrine Society Clinical Practice Guideline. Vitamin D for prevention of disease. 2024. Guideline
  • 5Caudill MA, et al. Maternal choline supplementation improves infant processing speed. FASEB J. 2018.
  • 6Cetin I, et al. International expert consensus on micronutrients in the periconceptional period. BMC Pregnancy Childbirth. 2025.
  • 7WHO/UNICEF. Iodine supplementation in pregnant and lactating women. WHO Guidelines. 2016. Guideline
  • 8Schisterman EF, et al. (FAZST Trial) Effect of folic acid and zinc supplementation in men on semen quality. JAMA. 2020;323(1):35–48.
🌿 D4 — Environmental Exposures Grade A/B
Grade A/BEPA · WHO · ACOG · Precautionary Principle
  • 1Woodruff TJ. Health effects of fossil fuel–derived endocrine disruptors. N Engl J Med. 2024.
  • 2Chiu YH, et al. Pesticide residue intake from produce and pregnancy outcomes in ART. JAMA Intern Med. 2017.
  • 3Gore AC, et al. EDC-2: Endocrine Society's second scientific statement on endocrine-disrupting chemicals. Endocr Rev. 2015.
  • 4IARC Monographs. Lindane and other pesticides — Group 1 carcinogen. IARC Vol. 113. 2016. (Reproductive and developmental toxicity.) Regulatory
  • 5EPA. PFAS Action Plan — health effects and exposure guidelines. 2022. (PFAS classified as emerging priority contaminants; reproductive and developmental concerns.) Regulatory
  • 6Health Canada. Guidance on PFAS in drinking water — Canadian Drinking Water Guidelines. 2023 update. Regulatory
  • 7Tian Y, et al. Chemical mixture exposures and reproductive outcomes — cumulative burden evidence. 2023.
  • 8Sørensen M, et al. Danish cohort: air pollution and reproductive outcomes. 2024.
  • 9Lu C, et al. Organic diets significantly lower children's dietary pesticide exposure. Environ Health Perspect. 2006.
🌙 D5 — Lifestyle & Circadian Health Grade A/B
Grade A/BACOG · ASRM · Cochrane · Mendelian Randomisation
  • 1ACOG. Physical Activity and Exercise During Pregnancy and the Postpartum Period. Committee Opinion No. 804. 2020. Guideline
  • 2Yang Z, et al. Mendelian randomisation — chronotype and pregnancy outcomes (n=434,000+). Interaction: insomnia × evening chronotype, OR 1.61 vs 0.87, P=0.01. 2024.
  • 3Willis SK, et al. Sleep duration and fecundability: prospective cohort. Fertil Steril. 2019.
  • 4ASRM. Smoking and infertility: a committee opinion. Fertil Steril. 2018. Guideline
  • 5Christensen LB, et al. Perceived insufficient sleep and fecundability: prospective cohort, FR 0.62. 2025.
💙 D6 — Mental & Emotional Health Grade A
Grade AUSPSTF · ACOG · Validated screening tools
  • 1USPSTF. Screening for Depression and Suicide Risk in Adults. 2023. Grade B
  • 2Kroenke K, et al. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001. (Validated tool)
  • 3Spitzer RL, et al. A brief measure for assessing generalised anxiety disorder (GAD-7). Arch Intern Med. 2006. (Validated tool)
  • 4ACOG. Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum. Committee Opinion No. 757. 2018. Guideline
  • 5Yonkers KA, et al. Management of depression and anxiety during pregnancy and postpartum. J Clin Psychiatry. 2020.
🦠 D7 — Gut & Immune Health Grade B+
Grade B+4 key references · Cochrane · systematic reviews
  • 1Cochrane Collaboration. Probiotics for the prevention of gestational diabetes mellitus. 2024.
  • 2NiPPeR Trial. Multi-component nutritional intervention (myo-inositol, probiotics, micronutrients) and pregnancy outcomes. Lancet. 2020. (Probiotic-alone benefit cannot be inferred from multi-component trial.)
  • 3Cochrane. Vitamin D supplementation for improving health outcomes in pregnant women. 2024.
  • 4Sammaritano LR, et al. 2020 ACR Guideline for Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases. Arthritis Rheumatol. 2020. Guideline
💊 D8 — Medication Safety & Nutrient Depletion Grade A
Grade AACOG · ADA · AAN/AES · ACR · FDA
  • 1Cesta CE, et al. Safety of GLP-1 receptor agonists in early pregnancy. JAMA Intern Med. 2024;184(2):144–152.
  • 2Pack AM, et al. AAN/AES Guideline on management of epilepsy during pregnancy. 2024. Guideline
  • 3Alexander EK, et al. ATA Guidelines: thyroid disease during pregnancy. Thyroid. 2017;27(3):315–389. Guideline
  • 4FDA. Category X medications and known teratogens — isotretinoin, valproate, methotrexate, warfarin, ACE inhibitors, ARBs, statins. Regulatory
  • 5Close ED, Gunn AO, Cooke A. Preconception Counseling and Care. Am Fam Physician. 2023;108(5):508–517.
  • 6Dao K, et al. GLP-1 receptor agonist use in early pregnancy: prospective cohort. BMJ Open. 2024;14(3):e077062.
🏭 D9 — Occupational & Workplace Health Grade A
Grade AACOG · NIOSH · OSHA · WHO/ILO · ASCO · WorkSafeBC
  • 1ACOG. Employment considerations during pregnancy and the postpartum period. Committee Opinion No. 733. 2018 (reaffirmed 2022). Guideline
  • 2NIOSH. Reproductive health and the workplace — chemical hazards, radiation, and shift work. CDC/NIOSH 2023 update. Guideline
  • 3FOGSI. Occupational hazards and pregnancy — guidance for Indian healthcare workers and industrial workers. Federation of Obstetric and Gynaecological Societies of India. 2022. Guideline
  • 4ASCO/ONS. Safe handling of hazardous drugs including antineoplastic agents. 2018 (updated 2023). Guideline
  • 5WHO/ILO. WHO/ILO joint estimates of work-related burden of disease and injury. 2021. Guideline
  • 6NCRP. Radiation protection of the embryo/fetus — dose limits (<5 mSv/gestation) and pregnancy declaration. NCRP Report No. 174. Regulatory
  • 7WorkSafeBC. Pregnancy accommodation and return-to-work rights. BC Workers Compensation Act, s. 234. Regulatory
  • 8Government of Canada. Canada Labour Code, Part II — right to refuse dangerous work during pregnancy. 2023. Regulatory
  • 9Harrington JM. Health effects of shift and night work. BMJ. 2001;322(7286):604–608. (Foundational evidence; endorsed by ACOG and NIOSH.)
🌱 D10 — Supplement Safety & Transition Planning Grade A/B
Grade A/BACOG · AAFP · AAP · AACE/TOS · ACG
  • 1Schisterman EF, et al. (FAZST Trial) Zinc + folic acid in men: no benefit on live birth; increased sperm DNA fragmentation. JAMA. 2020;323(1):35–48.
  • 2Mahadevan U, et al. ACG 2025 Global Consensus on IBD management in pregnancy. 2025. Guideline
  • 3Mechanick JI, et al. AACE/TOS/ASMBS guidelines: post-bariatric surgery supplementation in pregnancy. 2020. Guideline
  • 4Spencer JP, et al. Herbal and dietary supplement use during lactation. Am Fam Physician. 2022. Guideline
  • 5Tallon LA, et al. Ashwagandha teratogenicity claims: a systematic review finding citation distortion. Phytotherapy Research. 2025.
  • 6ACOG. Marijuana use during pregnancy and lactation. Committee Opinion No. 722. 2017, reaffirmed 2023. Guideline
  • 7Nassan FL, et al. Diet quality and sperm quality — Western vs prudent dietary patterns. JAMA Network Open. 2020.

This platform is educational only. It does not diagnose conditions, prescribe treatment, or replace professional medical advice.
Generation Health is designed in accordance with CPSBC Ethical Principles for AI in Medicine (October 2024, v1.1) and CMPA 2024 medico-legal guidance on AI.
PIPEDA (Canada) · DPDPA 2023 / DPDP Rules 2025 (India) · GDPR-equivalent standards globally.
Regulatory documents: Privacy Policy · Terms of Use · Privacy Impact Assessment · Evidence Methodology · Accessibility · PIPEDA (Canada) · DPDPA 2023 / DPDP Rules 2025 (India). © 2026 Generation Health Inc.

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