A founder who arrived in San Francisco knowing two people, pivoted her company mid accelerator when OpenAI changed everything, and has sat through ten days of silent meditation twice sits down inside a moving driverless Zoox to talk about the future of health. Karina Repko is building Miora, an AI health agent that books your workouts before the spots are gone, cancels them when your sleep data says you need rest, orders your groceries based on your goals, and manages all of it without you lifting a finger. In this episode we get into why Big Tech will never win the consumer health space, how she grew a loyal audience on LinkedIn by posting things people were too scared to say out loud, what Vipassana taught her about building a company through the hard moments, why the highest state you can reach is not happiness but peacefulness, and how she is thinking about community as the one moat that OpenAI simply cannot build. If you are a founder in consumer health, wellness or AI or just someone trying to take back control of your time this one will stay with you.