Updated 10 September 2026
At a glance
- Start with period start/stop, flow heaviness, pelvic pain or pressure, and what you cancelled — not ten synced apps on day one.
- Uterine fibroids affect up to 80% of women by age 50, and surveys show many delay care for years while symptoms shape work and daily life (Mayo Clinic News Network).
- About one to two minutes can date flow, pain, energy, and one work or plan limit.
- One home history beats a period app + pain app + notes app you abandon mid-cycle.
- Uterine Fibroids Journey keeps Period Tracker, Daily check-in, and Flare Tracker ready so early weeks stay on one history. Your Journey can hold dated notes.
Ten trackers feel organized until a flooding Tuesday. Soft: one small week of heaviness, pain, energy, and cancelled plans beats a dashboard you never open.
Uterine fibroids are common benign growths of the uterus. They can cause heavy menstrual bleeding, pelvic pressure, and fatigue that shape work and home life (Mayo Clinic, NICHD). This guide is educational first-week tracking — not a diagnosis, treatment plan, or replacement for gynecologic care.
Start with a small fibroids week
A small week dates cycle start and stop, flow heaviness, pain or pressure, and what you limited without building a second job. Soft: four fields you will still open after a heavy morning beat twenty empty columns.
A Mayo Clinic–linked survey reported that fibroids affect up to 80% of women by age 50, that women delayed seeking treatment an average of 3.6 years, and that 66% were concerned about missed days from work (Mayo Clinic News Network). Soft: you are not alone in needing a usable record.
Evidence summaries note that an estimated 26 million U.S. women ages 15–50 have uterine fibroids, and that by about age 49 more than 70% of white women and 84% of African American women have fibroids documented by imaging or surgical records (AHRQ / NCBI Bookshelf — Management of Uterine Fibroids). Soft: prevalence is high enough that personal logs fill gaps clinic notes miss between visits.
NICHD describes uterine fibroids as common noncancerous growths that can cause heavy bleeding, pelvic pain, and other symptoms. Soft: the first fields should cover bleeding and life cost, not only a single pain number.
Week-one fields that still teach
- Period start and stop dates
- Flow heaviness in plain words (light / medium / heavy / flooding)
- Pelvic pain or pressure word or score
- Energy or fatigue line
- What work, errands, or plans you limited
You do not need a finished surgical plan to start dating symptoms while you wait for evaluation. Soft: clinicians still own diagnosis. Soaking through protection hourly, dizziness with heavy bleeding, severe one-sided pain with vomiting, or a change that scares you needs urgent care — not another spreadsheet.
In Uterine Fibroids Journey, open Period Tracker on day one of flow and finish a short Daily check-in for pain, energy, and limits. Use Flare Tracker when the day is clearly worse than your baseline week. Insights can show early patterns once a few cycles stack — without demanding ten synced apps first.
What to log on early heavy or painful days
You will not fill five apps during a flood. Soft: heaviness, pain, energy, and one cancelled task beat reconstructed Sundays.
| What to date | Why it matters | Optional plain example |
|---|---|---|
| Flow heaviness | Anchors the day | Flooding by noon |
| Clots / protection changes | Shows bleeding load | Clots; changed pad hourly |
| Pain / pressure | Names pelvic cost | Pressure 7/10; low back |
| Energy | Shows fatigue load | Napped; left work early |
| Cancelled / limited | Shows life cost | Skipped gym; short meeting |
| Context one-liner | Optional early clue | Day 2; iron tablet taken |
A minimum that still teaches
- Date and cycle day if known
- Heaviness word
- Pain or pressure word
- One energy line
- One cancelled or limited task if any
Keep the same short fields on quieter days as on loud ones. Contrast is what makes a spike readable. If you only write on the worst uterine fibroids days, every visit story sounds the same and pacing choices stay guesswork.
- Onset or start window (clock time, after meal, after exertion, after sleep)
- Severity in your usual 0–10 or mild/moderate/severe words — stay consistent week to week
- One function limit (work block, care task, walking, eating, intimacy, concentration)
- Optional stack word already in your care picture (sleep, meds timing as prescribed, cycle day, stress load)
Skip inventing a single villain from one Tuesday. A dated stack (sleep + load + symptom) is enough for Uterine Fibroids Journey Insights to show whether louder how to Start Tracking Uterine Fibroids Without Overwhelm clustered with the same pattern — a pacing clue you can use with your care team.
With Uterine Fibroids Journey, capture that pass in Period Tracker and Daily check-in, and Flare Tracker when needed. Use Daily Journal voice when typing hurts. Insights can separate a one-off heavy Tuesday from a repeating day-two flood once more cycles land.
What to keep between louder days
Quieter cycle days teach too. Soft: without them, every flood looks inevitable and iron or pacing habits never get credit.
Keep a light energy and pressure line a few times a week even when bleeding is softer. Soft: baseline days are part of fibroids history.
A light mood or stress line on calmer days can later show whether heavy weeks also carried higher emotional load. Soft: one optional field is enough.
- Onset or start window (clock time, after meal, after exertion, after sleep)
- Severity in your usual 0–10 or mild/moderate/severe words — stay consistent week to week
- One function limit (work block, care task, walking, eating, intimacy, concentration)
- Optional stack word already in your care picture (sleep, meds timing as prescribed, cycle day, stress load)
Skip inventing a single villain from one Tuesday. A dated stack (sleep + load + symptom) is enough for Uterine Fibroids Journey Insights to show whether louder how to Start Tracking Uterine Fibroids Without Overwhelm clustered with the same pattern — a pacing clue you can use with your care team.
When this section is about visits, bring two protected questions plus the dated window — not a full diary dump. A one-pager or short list of louder days with function marks usually fits a short specialty slot better than a long narrative.
Inside Uterine Fibroids Journey, still open Daily check-in on quieter days and keep cycle marks in Period Tracker. Weekly Goals can hold “log every heavy day the same day for two weeks.” Insights can show whether quieter stretches followed steadier energy or lighter flow marks.
Why one home beats overwhelm
Period dates in one place, pain in another, work notes in email, and iron labs in a portal is how a cycle disappears. Soft: one history lets insights see stacks.
In the Mayo-linked survey, 24% of employed respondents felt symptoms prevented them from reaching their career potential (Mayo Clinic News Network). Soft: the log should be light enough to open on those limited days.
Your Journey can hold a short dated note. Soft: the format matters less than same-day marks you can still read next month.
Signs your system is already too big
- You opened three apps and closed them without saving
- Fields you never fill sit next to the ones you need
- Sunday rebuilds replace same-day marks
- Guilt about the log is louder than the bleeding note
Skip inventing a single villain from one Tuesday. A dated stack (sleep + load + symptom) is enough for Uterine Fibroids Journey Insights to show whether louder how to Start Tracking Uterine Fibroids Without Overwhelm clustered with the same pattern — a pacing clue you can use with your care team.
When this section is about visits, bring two protected questions plus the dated window — not a full diary dump. A one-pager or short list of louder days with function marks usually fits a short specialty slot better than a long narrative.
Red-flag change that is new for you (sudden severe pain, chest pain, fainting, one-sided weakness, vision loss, breathing trouble, suicidal thoughts) belongs on urgent pathways first. Resume thin same-day marks in Uterine Fibroids Journey when you are stable so follow-up has context.
In Uterine Fibroids Journey, cycle, pain, energy, and journal lines share one timeline. Insights can show whether afternoon crashes rose on heavier flow days without you rebuilding five apps every Sunday.
Meds and labs when you already have them
Log medicines you actually take as prescribed — including iron or hormonal options your clinician directed — and labs or ultrasound results you already have. Soft: apps do not prescribe, interpret scans, or start procedures.
When this section is about visits, bring two protected questions plus the dated window — not a full diary dump. A one-pager or short list of louder days with function marks usually fits a short specialty slot better than a long narrative.
- Onset or start window (clock time, after meal, after exertion, after sleep)
- Severity in your usual 0–10 or mild/moderate/severe words — stay consistent week to week
- One function limit (work block, care task, walking, eating, intimacy, concentration)
- Optional stack word already in your care picture (sleep, meds timing as prescribed, cycle day, stress load)
Red-flag change that is new for you (sudden severe pain, chest pain, fainting, one-sided weakness, vision loss, breathing trouble, suicidal thoughts) belongs on urgent pathways first. Resume thin same-day marks in Uterine Fibroids Journey when you are stable so follow-up has context.
Name the body site when it matters for uterine fibroids: which joint, which gut window, which side, which part of the cycle. Vague whole-body labels hide whether the same place keeps repeating beside the same stack.
In Uterine Fibroids Journey, keep timing in My Meds and results in My Labs. Insights can weigh those entries next to the bleeding and pain weeks you lived.
Build a habit that survives a flood day
Link the log to something you already do — morning bathroom routine, evening meds, or the first sit after work. Soft: catch-up lines the same calendar day still count.
If you miss a day, restart the next one without rebuilding the template. Soft: a gap is common; a perfect streak is not the goal.
Habits many people date
- Same-day heaviness and pain mark even if short
- Period start logged the day it begins
- Two-week stretch in one format before adding fields
- A small weekly goal instead of a perfect rebuild
Red-flag change that is new for you (sudden severe pain, chest pain, fainting, one-sided weakness, vision loss, breathing trouble, suicidal thoughts) belongs on urgent pathways first. Resume thin same-day marks in Uterine Fibroids Journey when you are stable so follow-up has context.
Name the body site when it matters for uterine fibroids: which joint, which gut window, which side, which part of the cycle. Vague whole-body labels hide whether the same place keeps repeating beside the same stack.
If medication timing is already part of your plan, date the dose as prescribed next to the symptom window — do not change medicines from an article. The value is seeing whether louder days lined up with missed timing, sleep loss, or a different load.
With Uterine Fibroids Journey, hold that habit in Weekly Goals. Ask AI companions for calmer visit wording when you want help. Insights against real check-ins show whether the habit held.
When early tracking needs clinical care
A fibroids log supports gynecology, primary care, or related follow-up. Soft: it does not triage emergencies or replace evaluation for severe bleeding, anemia symptoms, or acute abdomen.
Seek urgent or same-day care when
- Soaking through pads or tampons every hour for several hours, or passing very large clots with dizziness or fainting
- Sudden severe pelvic pain with fever, vomiting, or fainting
- Chest pain, trouble breathing, or confusion unlike your pattern
- Thoughts of self-harm — use local emergency resources or the 988 Lifeline in the U.S.
When the visit is about patterns, Doctor Report can export a one-pager from the history you already logged. Soft: use it when you want that page. My Care Team can hold short notes about what your clinician tends to ask.
Name the body site when it matters for uterine fibroids: which joint, which gut window, which side, which part of the cycle. Vague whole-body labels hide whether the same place keeps repeating beside the same stack.
- Onset or start window (clock time, after meal, after exertion, after sleep)
- Severity in your usual 0–10 or mild/moderate/severe words — stay consistent week to week
- One function limit (work block, care task, walking, eating, intimacy, concentration)
- Optional stack word already in your care picture (sleep, meds timing as prescribed, cycle day, stress load)
If medication timing is already part of your plan, date the dose as prescribed next to the symptom window — do not change medicines from an article. The value is seeing whether louder days lined up with missed timing, sleep loss, or a different load.
For uterine fibroids, treat when early tracking needs clinical care as a dated clinical note, not a vibe. Write clock time or part of day, what changed in the body, and one ordinary task that got harder or easier. That trio turns “how to Start Tracking Uterine Fibroids Without Overwhelm” into something a clinician can compare across weeks.
How Uterine Fibroids Journey can help when you start tracking
Your Journey can hold a short dated note. Soft: digital history helps when you want correlations across bleeding, pain, energy, and work limits without rebuilding the story each Sunday.
Uterine Fibroids Journey is a personal uterine fibroids tracker from Health Journey Labs on the App Store and Google Play. For first tracking weeks it keeps period heaviness next to pain and energy — so insights can show early stacks without an overbuilt system. Below is what you can use and how each part helps.
- Period Tracker — Log start and stop dates, flow, clotting notes, and how heavy or light bleeding felt. Insights can relate those cycle weeks to pain, energy, work limits, and what else you logged — so heavy stretches fit your full picture instead of living only as a calendar mark.
- Daily check-in — A short guided pass across physical symptoms, emotional state, nutrition, sleep, exercise, meds, and external factors — including pelvic pain or pressure, bleeding heaviness, fatigue, bloating, and what work or plans you limited. You do not need every field every day; what you keep joins the same history so insights can show links — for example a wiped afternoon after a heavy morning — that memory alone often misses.
- Daily Journal — Freer notes, including voice when pain or bleeding makes typing hard: pad or tampon changes, bathroom trips at work, partner lines, visit debriefs, leftover fear after a flood day, or a look-fine mismatch line. Those lines give insights and your later review the context scores alone cannot carry.
- Flare Tracker — Mark a day that is clearly worse than your usual hard fibroids week — flooding, clot clusters, pain that jumps above baseline, or a day you could not stay at work. Flare marks help insights separate a one-off bad day from a repeating pattern across your history.
- Weekly Goals — Set one small aim — open Period Tracker on day one of flow, log every flood day the same day, finish a soft visit ask list, or note work limits for two weeks — and see whether it held. Progress against your real check-ins shows whether a habit change helped, without blaming every rough day on that experiment.
- My Meds — Medicine names and timing (including iron, hormonal options, pain relief, or other treatments you already take as directed). When you log a med or dose, insights can relate that timing to bleeding weeks, pain, energy, and the rest of what you tracked — so you can see how treatment sits with what else is happening, not only keep a list.
- My Care Team — Add clinicians and short visit notes (for example tends to ask only about period length, not work missed or clot size). Use it to prep what to ask and what to bring, jot notes during the visit, and review afterward — so the next steps grow from your logged history and the patterns insights already see.
- Doctor Report — Export a one-page summary drawn from the history you already logged — cycle dates, heaviness, pain, energy, work limits, and meds — so a short gyn visit can open from the patterns and weeks you lived, not from rebuilding the story on the spot.
- My Labs — Result dates when hemoglobin, ferritin, ultrasound, MRI, or other fibroid-related tests are ordered. Labs join the same history as the weeks you lived, so insights and follow-up can weigh numbers next to bleeding, pain, and function.
- Learn — Short education topics and prompts on fibroids-related themes (heavy bleeding, pain, iron fatigue, visit prep, why work limits still belong in the log). Use them when you want calm context beside your own logged weeks — and when a companion already has those weeks in view.
- AI companions — Clara is the general chat; specialist companions cover major topics (knowledge, fitness, nutrition, relationships, and related). They already see your logged history — useful for visit wording, a calm work or partner script, or a listening ear after a flooding day, while insights still rest on what you logged.
- My Assessments — Structured check-ins that deepen the picture beyond daily scores (including onboarding life and social context). Together with your ongoing history they give insights more context about you, not only isolated days.
- Food Tracker — Meal or drink lines when nutrition clearly sits next to energy, iron care, or bleeding weeks your clinician already discussed. Logging food is so insights can relate meals to how you felt — not so you run a DIY diet protocol from a blog.
- Weight Tracker — Scale or body notes when weight is part of what you and your clinician are watching. Those entries join the same history as bleeding, pain, and energy weeks so insights can show how weight shifts sit with the rest of your picture.
We make Uterine Fibroids Journey at Health Journey Labs. This page is educational, not medical advice.
Sources
- Mayo Clinic News Network — Fibroids impact on quality of life and work
- AHRQ / NCBI — Management of Uterine Fibroids evidence summary
- NICHD — Uterine fibroids
- Mayo Clinic — Uterine fibroids
- Related: Best Uterine Fibroids Apps 2026
FAQ
How do I start tracking fibroids without overwhelm?
Start with period start/stop, flow heaviness, pain or pressure, and one energy or cancelled-plan line. Soft: add meds or labs once the habit sticks. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, Period Tracker and Daily check-in arrive guided. Flare Tracker is ready for flood days. Weekly Goals can hold “open the check-in on heavy days.” Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
What is the minimum on a busy flooding night?
Heaviness word, pain word, and whether you left work or cancelled something. Soft: date it and stop. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, finish that pass in Daily check-in or Flare Tracker. A Daily Journal voice line works when typing is too much. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Do I need a confirmed fibroid diagnosis to start?
No. Dated bleeding and pain help while you wait for evaluation. Soft: clinicians still own diagnosis — and red-flag bleeding needs urgent care. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, you can start with Period Tracker and Daily check-in without waiting for paperwork to finish. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Why is Period Tracker so important here?
Fibroid weeks often center on cycle timing and heaviness. Soft: without start/stop and flow marks, pain scores float without context. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, Period Tracker sits alongside check-ins so insights can relate heavy days to the rest of your week. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Should I build ten apps in week one?
No. Soft: one home for cycle, pain, and energy is enough when you are starting. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, keep early weeks in one history. Insights can relate those lines without a multi-app project. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Why track energy if bleeding is obvious?
Fatigue and cancelled plans capture life cost and possible iron strain. Soft: visits hear capacity better with dates. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, keep energy notes in Daily check-in beside heaviness. Insights can show which weeks limited work most. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Should meds and iron live next to bleeding scores?
Yes when you already take them as prescribed. Soft: apps do not change doses. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, My Meds keeps timing next to check-in weeks so insights can weigh both. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
How long before patterns show?
Often one to two cycles of regular notes. Soft: five clear heavy days already help a short visit. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, insights get clearer as Period Tracker and Daily check-in days stack beside flares. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
What if tracking makes symptoms feel louder?
Pause detailed fields. Soft: keep a short same-day mark for heaviness and pain. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, skip optional fields for a stretch. Period Tracker and Flare Tracker still keep the week clear. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Can an app replace my gynecologist?
No. Tracking prepares visits. Soft: treatment decisions stay with your care team. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
Keep Uterine Fibroids Journey for history between visits. Companions cannot prescribe or diagnose. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
What belongs in an early visit summary?
Cycle dates, heaviness, pain, energy, work limits, meds, and two asks. Soft: dates beat adjectives. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, Doctor Report can turn light marks into a one-pager when you want that page. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Should quieter baseline days stay in the log?
Yes. Soft: without quiet days, every flood looks inevitable. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, still complete Daily check-in on calmer days. Insights can show whether flare marks fell when flow or energy changed. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
When is fibroid bleeding an emergency?
Hourly soaking with dizziness, fainting, severe acute pain with fever or vomiting, or a change that scares you needs urgent care. Soft: apps do not triage emergencies. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
Keep Uterine Fibroids Journey for patterns. For emergencies, use local urgent care. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Is Uterine Fibroids Journey on iPhone and Android?
Yes. Both App Store and Google Play listings are live. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, the same history syncs across the platforms you can open. Insights still rest on what you logged. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
How do companions help without replacing care?
They can help you word a visit ask or talk through a heavy week using history you already logged. Soft: they do not diagnose. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, AI companions and Learn already see your logged weeks, so the conversation starts from your real pattern. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Can work limits show up in early weeks?
Yes when you date cancelled meetings or early leaves next to heaviness. Soft: without those lines, visits only hear adjectives. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
With Uterine Fibroids Journey, keep work limits in Daily check-in or Daily Journal. Insights can show which cycle days limited function most. Dated fields in Uterine Fibroids Journey keep the week comparable so Insights can show whether louder stretches of how to start tracking uterine fibroids without overwhelm repeated with the same sleep or load pattern.
Why does privacy matter for your health records?
Health notes are personal — symptoms, meds, mood, and what you cancelled. Treat any digital log as sensitive; on paper, keep the notebook somewhere only you control. Keep the answer practical: what to date, what to bring to the visit, and what to leave for urgent care. Thin same-day marks beat a long catch-up written the night before.
In Uterine Fibroids Journey, privacy is a first design priority: health data is encrypted in transit and at rest, communications are encrypted, and your data is not sold. It is built HIPAA-compliant and GDPR-ready. Share only what you choose with partners or clinicians.