Augmented WellnessEp 001

Martin Varsavsky: building an AI that aims to pass the FDA — and a genuinely full life

Martin Varsavsky53 minThe LAB MiamiRecorded June 2026

Founder of six unicorns over 35 years · CEO of Certuma (medical AI)

The full conversation Download transcript (.md)

Full episode

From the conversation

Key takeaways

The ideas worth carrying into your own work.

Hard beginnings train you for risk
Founders

Hard beginnings train you for risk

Martin grew up amid real danger and lost his father young. He says it made risk relative — and that became the foundation for betting on unproven ventures ever since.

Build where you can be fully alive
Founders · Wellness

Build where you can be fully alive

He rotates across homes and time zones — cycling 14 hours a week in Spain before the US wakes, then working late into the American night. Lifestyle as an operating advantage, not a reward at the end.

Data only helps if you measure yourself honestly
Wellness

Data only helps if you measure yourself honestly

Frustrated that fitness apps rank you against everyone else, Martin coded his own to race only his 2010 self — his “U versus U” metric. At 66, he’s held the same fitness since 2010.

Make AI medicine legal, not clever
Builders · Health

Make AI medicine legal, not clever

Chatbots diagnose, then refuse to prescribe. Certuma’s bet is the hard path — passing FDA trials so an AI can prescribe responsibly, with a doctor in the loop. It’s not approved yet; that’s the goal.

Train an AI on yourself long enough, and it becomes you
Builders

Train an AI on yourself long enough, and it becomes you

“Pedro” took two months and four years of Martin’s posts; two models must agree before anything goes out. His wife often can’t tell who wrote a tweet — and Martin considers it genuinely his voice, not a fake.

Agentic doctors multiply care — they don’t replace it
Health · Builders

Agentic doctors multiply care — they don’t replace it

Certuma Link is an AI version of a specific physician that handles routine cases and escalates the hard ones — so a doctor reaches far more patients, keeps their judgment in the loop, and keeps their personal phone private.

Quotes

In Martin's words

The lines that carry the episode.

Risk is relative when you grew up facing death.

Martin Varsavsky · On a dangerous early life
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I have to build an AI that is legal — that really gives you a prescription. An AI that passes the FDA.

Martin Varsavsky · On founding Certuma (FDA approval is the goal; a physician stays in the loop)
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After you train your AI like I trained mine, over maybe four years of my activity on X, I do think it’s me.

Martin Varsavsky · On “Pedro,” his AI persona
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My wife Nina, who’s very active on X too, many times can’t tell if I posted or if Pedro posted.

Martin Varsavsky
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This allows doctors to have many more patients — and Certuma Link doesn’t live on the doctor’s phone, it runs on Certuma, so they keep their phone for friends and family.

Martin Varsavsky · On Certuma Link
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Clips

Video bites worth sharing

Each one stands on its own — built to watch, post, and pass along.

Rejected for the job, given $9M

The same bank that turned me down for a job handed me a nine-million-dollar loan.

I let the AI pick the investor

I asked the AI which VC would get it. It said 8VC — and they took the whole round.

I taught an AI to be me

I spent two months teaching an AI to post like me.

My wife can’t tell it isn’t me

Nina is very active on X too — and many times she can’t tell if I posted, or if Pedro did.

An AI that wants to pass the FDA

AI diagnoses like a doctor, then won’t prescribe. So I’m building one that passes the FDA.

Why risk feels relative

Risk is relative when you grew up facing the real thing.

Martin’s AI, in his own voice (ES)

We built a Betterness agent of Martin. Hear it speak — in Spanish.

Martin’s AI, in his own voice (EN)

The same Betterness agent of Martin — this time in English.

Show notes

In this episode, we discuss

  1. 01Why risk is relative once you’ve grown up facing real danger — and how a brutal first 25 years became the foundation for building company after company.
  2. 02The one idea from a college class — pre-money valuations — that he says changed his life, and how he turned a $9M loan into Manhattan lofts.
  3. 03His read on GLP-1s: why he’s taken Mounjaro for two years for effects “beyond weight,” and where he refuses to experiment on himself.
  4. 04How he cycles 14 hours a week at 66 — and why living in Spain while working in America is his unfair training advantage.
  5. 05Why he built his own cycling app, Stravar, on top of Strava — the “U versus U” metric that lets him race his 2010 self.
  6. 06The Certuma origin story: an AI that diagnosed him but wouldn’t write the prescription — and his decision to build an AI designed to pass the FDA.
  7. 07How he closed a $10M seed with AI as his only “co-founder” — including letting the AI pick the VC.
  8. 08Certuma Link vs Fast Doctor — and why he frames agentic medicine as expanding access, not replacing physicians.
  9. 09Pedro, his disclosed AI persona on X: how two models must agree before anything posts, and why he argues it’s still authentically him.

Chapters

  1. 00:00Welcome to Augmented Wellness — and why Martin is guest #1
  2. 00:56Origin story: a hard first 25 years in Argentina and 1970s–80s New York
  3. 04:11The bank that rejected him for a job — then handed him a $9M loan
  4. 05:20Real estate, pre-money valuations, and rezoning Tribeca lofts
  5. 10:00A full life across many homes — buying for beauty, not business
  6. 19:30GLP-1s and Mounjaro: what he takes, why, and where the science stops
  7. 22:32Cycling at 66 — 14 hours a week, no fractures, and the discipline
  8. 25:53Building his own app: “U versus U,” watts, and racing himself since 2010
  9. 32:04Data as motivation: Garmin over Apple, audio cues, a radar that talks
  10. 34:00Certuma: raising a seed round with AI as his only co-founder
  11. 39:50Certuma Link and Fast Doctor: an agentic doctor, with a human in the loop
  12. 45:02Pedro: cloning his own voice on X, and what “authorship” means now

Hosted by

Demian Bellumio — co-founder and co-CEO of Betterness, longtime Miami tech entrepreneur — has built across applied AI (his field is graph computing), media, telemedicine, and mental health. On Augmented Wellness he interviews from the inside: a builder comparing notes with the founders, healers, coaches, and operators on a mission to make the world better.

Hosted at

The LAB Miami

Recorded at The LAB Miami in Wynwood (studio partner), with on-site production by Podcast Studio Miami.

Build it yourself — the episode artifact

better-x

Martin trained an AI on four years of his X activity — today ~70% of @martinvars posts autonomously, two models sign off before anything ships, and his wife often can’t tell which are him. Disclosed, never covert; he calls it Pedro. better-x is the forkable kit to build your own: a local AI editorial loop that watches a topic, drafts in your voice, reviews itself adversarially, and refuses to post until explicit safety gates clear. Runtime-agnostic and safe by default — offline by design; live posting needs your own credentials and approval.

Fork better-x

Fork it, teach it your voice, and run the loop — offline, on your machine.

The vault

Markdown memory of who you are and how you sound. A persona-builder interview calibrates your voice, so drafts read like you — not a generic brand account.

The review loop

A writer model drafts in your voice; a reviewer model catches template tells and structure; a safety reviewer checks authenticity, reputation, medical claims, and private data.

The safety gates

Autonomy is off by default. Two models must agree, and a dry-run action gate means nothing posts until you’ve cleared credentials, the STOP flag, and your own approval.

Runtime-agnostic

Run it on terminal scripts, OpenClaw, Hermes, Codex, or your own local agent. Disclosed, never covert — the public repo is offline and safe by default.

better-x — observe · draft · reviewdry-run

For humans & agents

Built to be read by you — or your AI

Produced by Demian Bellumio

The team that made this episode

Produced by Demian Bellumio with the support of agents from Betterness One — the agentic studio inside Betterness — including specialist agents for content, design, video, photography, insights, brand, and social, coordinated by Bett-i. Recorded at The LAB Miami; on-site production by Podcast Studio Miami.

Content Strategist

Content Strategist

Mapped the episode arc, the chapters, and the show notes.

Design Director

Design Director

Built the cover, the captions, and the thumbnail in brand.

Video Producer

Video Producer

Cut the episode and the eight vertical capsules.

Photographer

Photographer

Art-directed the stills and the on-screen frames.

Insights Analyst

Insights Analyst

Found the moments worth clipping — in plain language.

Conversion Analyst

Conversion Analyst

Tuned the CTAs and the hand-off to the artifact.

Brand Strategist

Brand Strategist

Kept every line sounding like Betterness.

Social Intelligence

Social Intelligence

Picked the cuts built to travel on X and Instagram.

Powered by Claude · OpenAI Codex · DaVinci Resolve · Whisper · ElevenLabs

FAQ

Clarifying points

Is Certuma an FDA-approved AI doctor?

No. Passing the FDA is the stated goal, and it keeps a physician in the loop (Certuma Link is supervised by your real doctor; Fast Doctor has a human write every prescription). Nothing in this episode is medical advice.

What is “Pedro”?

Pedro is Martin Varsavsky’s disclosed AI persona that posts on his X timeline (@martinvars). Two models must agree before anything goes out.

What can I build after this episode?

better-x — a public-safe social-autopilot starter kit you can fork. It ships with autonomy off by default and a review queue, so you stay accountable for anything that posts.

How was this episode produced?

Produced by Demian Bellumio with the support of agents from Betterness One — editing, sound, captions, capsules, and this page assembled by an agentic pipeline (Claude, Codex, DaVinci Resolve, Whisper, ElevenLabs). Beyond sharing stories, Augmented Wellness is also a live exploration of how agents and people can collaborate to produce and execute content like this. We’d love your feedback — and we’d be delighted to collaborate with your business.

Keep going

Talk to an agent — or put the team to work

Meet Bett-i and explore the same kind of agentic experience we brought into this episode. Then let Betterness One put the production and insight agents behind Augmented Wellness to work for your business.