Launch HN: Mighty Health (YC S19) – Health coaching for people over 50

134 points by minibronco88 ↗ HN
Hey HN!

We’re James, Felipe, and Bernard, founders of Mighty Health (https://mightyhealth.com/gift), a personal coach that helps people over 50 become healthier through exercise, nutrition, and wellness.

With Father’s Day coming up, we thought some of you might be in the same position as we are, worrying about our parents and loved ones, wanting to do more to help out in these uncertain times.

A few years ago, my dad was rushed to the hospital for emergency heart surgery. Though he luckily survived, this was quite the wakeup call—he had to change his lifestyle habits immediately, or else he’d have to deal with painful, worsening chronic issues for the rest of his life.

These changes—exercise, nutrition, sleep, and reducing stress—are hard as is, but even more so for folks over 50. Most wellness apps are designed for motivated millennials, making them feel less relatable to older adults. They don’t take into account evolving health needs, joint issues, or technical limitations. Personal trainers and nutritionists are expensive long-term and often inaccessible. And because our older loved ones are at higher risk of COVID complications due to their age, they won’t be able to return to gyms for the foreseeable future.

That’s why we started Mighty Health. Everything is designed intentionally for people over 50:

1. Coaching: A personal coach keeping them motivated through SMS, providing a real human relationship

2. Exercise: At home workout videos that are easy on the joints, led by top-rated certified trainers

3. Nutrition: A personalized plan and grocery list designed by cardiologists for heart health

4. Reminders: Preventative health checkup notifications (based on their age and gender) and medication reminders

5. Celebrations: Texts to family members about milestones in the program so you can celebrate together

Our app is simple to set up and use, accommodating large and high contrast text. We chose SMS (through Twilio/Front) for coaching because it’s a more familiar medium, like texting with your family. We integrate with Apple Healthkit and Google Fit, as well as a number of cellular blood pressure cuffs and scales.

Dr. Bernard Chang, our medical co-founder, is the Vice Chair of Research at Columbia University’s Department of Emergency Medicine and leads our team of physicians, trainers, and coaches who develop our plans and content.

These plans are optimized for health goals specific to people over 50, such as losing weight to prevent chronic diseases, becoming stronger/decreasing joint pain, or reducing their risk of heart disease. On average, 85% of our users stick to our plans for at least 12 weeks and lose ~10 pounds.

We’d love for you to check out our website at https://mightyhealth.com/gift and are eager to hear your feedback and ideas below. Feel free to reach out directly at james@mightyhealth.com as well!

78 comments

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I’m not the target audience right now, but someday I might very well be. This is one of those ventures that I’m glad exists.

Thank you for doing this.

Appreciate the support. For Father's Day, we've added the ability to gift a membership, in case there's anyone that comes to mind that could benefit!
I'm glad to see people building for this audience. I have to say I'd be a little reluctant to gift this to someone for fear of offending them. That said, it seems like it would be a great addition to a doctor's available interventions or a workplace wellness program.
Thanks for the feedback! We’ve been surprised by the number of users who have told us they couldn’t relate to other exercise programs. You bring up a great point about potentially offending -- we feel it comes down to how close you are with the person and if they know you’re coming from a good place. We just added a 30-day guarantee to the site as well in case they don't end up liking it!
Just gifted it for my mom. Hoping it kick-starts some better habits for her.
Awesome, excited to hear what she thinks about it.
I was just thinking about how great it would be to have something like this for my mom! Especially the low-impact exercises. Do you have coaches in any other languages outside of English?
Currently, we offer coaching in English and Portuguese -- we'd love to add more in the future though! What language would your mom prefer?
Vietnamese, although Spanish might be helpful if you had to prioritize. Lots of kids of immigrants in the US where our parents don’t read English well enough to participate in things like this.
I agree, I would love to get a subscription por my parents but I’m sure they will not stick to it unless Spanish is supported.
Got it, we'll be sure to add Spanish and let you know. Thanks!
Congrats James! This would indeed make a great last-minute father’s Day gift. Good timing on the launch!
Thanks Jay - always appreciate your support!
My mom is one of the first members of the program; it helps her a lot already!
Wow, glad she's liking it! Let us know if she has any other feedback for how we can improve.
What did you guys use to build the landing page? Looks nice.
Hey! CTO here. First, thanks.

We used a custom design by our great designer, meaning the rest of the landing page is CSS and HTML.

We used a few css libs, for the sake of helping us making it responsive, but that is all.

The overall design is nice, but you may want to reconsider the combination of Visuelt and Helvetica Neue. Not only are they just different enough to noticeably clash; what's worse, I thought the Helvetica was (unstyled, fallback-stack) Arial at first, which looked like carelessness. For Helvetica to look sharp, you need to really commit to the Swiss look, headings and all.
Got it. Appreciate the feedback and will incorporate into our future iterations.
I’m pleasantly surprised you went with 50, as opposed to Medicare age. It just shows you aren’t going after only the easy Medicare dollars. Of course you can still capture that too (see the Silversneakers program as an example).

Just like economic gap that is growing in the US there is a major health gap growing too. For those with resources 50 is like the new 20 as many of men are now “juiced to the gils“ with testosterone provided by their doctors (I see it a lot in Miami, and I’m sure it’s proliferated in tech companies/cities too, just something about money and ego I think), then for the have nots it’s this age where many are just holding out to become Medicare eligible to begin treating their chronic conditions and they are only suffering and getting worse in the meantime.

One day, if I am ever financially independent (unlikely), I have resolved to dedicate my life to health/wellness for children, with a very specific goal of type 2 diabetes prevention. I really have no idea why, I never got T2D, but it breaks my heart especially in children. If you ever expand in this direction, I’d be the first to apply in any capacity.

Good luck!

Thanks for sharing! We've definitely seen a bit of the same. The economic gap leads to an access to care gap, especially in more rural areas. That's before even factoring in lack of access to fresh, non-processed foods, which is a key part of nutrition especially at an older age. We hope that services like ours (and your much-needed T2D concept) can help close that gap!
This is an excellent idea! In the US, there's a culture/mind-set within this age group that going to the doctor is a waste of time or that they're "stronger" for not having to see a doctor, which only allows pain/injuries to linger or grow before they get too far out of hand that a doctor MUST be consulted.

I think there's an interesting angle to attract a wider audience here too – if your claim of losing ~10 pounds in 12 weeks is true, maybe there's an opportunity to be a "weight loss service" masquerading as a "wellness service." The difference being that well-being is a lifelong goal and weight loss is not.

Agreed! It's such a struggle encouraging people to take preventative health seriously, even as chronic issues start creeping in. Rising insurance deductibles in the US certainly don't help as well. We've found that the members who are must successful are those who have received some kind of "warning" from their doctor -- "if you don't lose the weight, you're going to need back surgery" -- or worse yet, people like my dad who had a near brush with death before realizing he needed to take his health into his own hands.
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Love the idea! Honestly health is often taken for granted and we need more things in tech pushing health forward
Agreed! Unfortunately, most people don't think of it as an acute problem until it's too late.
Love this idea and I can totally see my parents using something like this! What's been the most interesting insight you guys have learned so far while building Mighty Health?
Our older users have been much more tech-savvy than we anticipated when we first started working on this. Roughly 10k people turn 65 each day, and many of them are in the generation that is used to relying on an iPad every day. That said, we've tried to incorporate tiny UX considerations wherever we can, such as adapting with the phone's text size settings and increasing the size of touch targets.

We've also found that folks are generally overconfident but misinformed about nutrition (probably due to the overwhelming amount of information online and in the media) but anxious and risk-averse when it comes to trying new forms of exercise.

This is such a great idea in a country where healthcare is so expensive, giving peace of mind for kids of aging parents, and for hopefully parents themselves. Good luck with this app!
So true -- deductibles are getting higher every year, and my parents are always facing hard decisions on whether or not they should go in for elective visits. Excited to hear your mom's feedback!
This is such a great solution in a country where healthcare is so expensive. It helps kids of aging parents, and aging parents themselves take care of their health. I bought this app for my mum on mothers day, and she's been using it!
This sounds great. I'm 47, but have physical limitations due to truamas earlier in life. I love the idea of a service tailored to older folk, and may participate.

The one thing from your description that threw me off was " it’s a more familiar medium, like texting with your family."

I don't text with my family. Or with anyone, really. It is a running joke that the last way you'd want to get in touch with me is by text. My kids text me just to take bets on how many days will go by before I see it. Maybe I'm the exception... but I'd encourage you to re-visit whether that really is how people who are 50+ would prefer to communicate.

Thanks for the great feedback. We started with text as it seems more integrated with daily life than in-app chat, but we'd love to expand out channels in the near future. Would love to hear what method you'd prefer instead so I can pass it along to the team!
I like emails and video calls. If I need to communicate in real-time, I prefer to just have a call and do it. If not in real-time, email feels the least invasive to me, and is my preference.
Isn't part of the idea here to _be invasive_ though? If part of the intent of the service is change behavior then the coach must interject themselves into the clients' lives in order to create action.

How would you see the minimal invasiveness of email aligning with such a call to action?

(hope this doesn't come across as an attack as it is not intended to. Just trying to understand how you see these two ideas as compatible since I see them as opposing and so wanting to know what angle I'm missing)

I see your point, but I believe your goal is to be visible, not invasive. You are trying to help people along a path that they want to be on, not force people on a path that doesn't feel right to them.

For me, texting is a path I won't walk. Email is a path I walk multiples time a day. Talk to me there, I'll see it, it will be injected into my life.

That makes sense - thank you for your reply!
Do your trainers specialize in training older clients?
We have a couple of trainers that have focused on older clients exclusively (for example, one of our lead trainers Julie Diamond: https://www.instagram.com/juliediamondfitness/), and all of the rest have had extensive experience training clients up to their 70s. In addition to making sure the workouts are tailored to health goals and easy on the joints, we ask that our trainers offer lots of modifications in the workout videos for those who can't do specific exercises due to joint/back pain.
Have you considered expanding into ADHD coaching? I feel like it's something I could use. Since I haven't yet tried it, I don't really know how it works. It seems like something that's useful but is in its early stages, with a lot of people just relying on frequent counseling, which can be expensive. I also feel like it's something that could be mostly automated which would be ideal for a tech company.
Thanks for the idea! Definitely something to consider for the future, though we'll need to bring on a few experts to develop the content and pathways first. We've seen online solutions like https://donefirst.com/ but that seems like a more pharmaceutical approach.
This sounds great! I am on my 30s. Maybe I can't join your program right now but I can definitely share this idea with my parents. Is your app running global?
Yes, it's available on both iOS and Android in most countries. We'll refund your gift in full if we can't get it to work!
I got Mighty Health for my mom as a Mother’s Day gift and she loves it! Absolutely worth it and the content the team publishes is especially helpful.
Thanks! We've been working hard on developing our new workout videos, especially since everyone's been stuck at home with little to no equipment recently. Soup can curls look a little funky, but are still effective!
Congrats on the Launch! My mom has been using Mighty Health for about a month now, and is very happy with it. She particularly likes the accountability via text message, and nutrition coaching.
So glad to hear your mom has been finding it valuable! Will pass that along to the team.
Do you ever plan on adding live video for the coaching or trainers?

Additionally, would preventative health reminders be coordinated with the patient’s PCP in some way? For example, you wouldn’t want to tell a user to go get blood work for checking lipids when they just had it done the other day.

Yes, that's a great idea. Live video would have even more of a community feel--plus, we could probably capture and edit the streams into re-usable workouts for the future.

We'd love to integrate with provider medical records in the future, but sadly there are very few incentives in a fee-for-service environment. For now, members can just check things off or "postpone" if our cadence is off.