Last updated: 21 October 2026 · Effective: 21 October 2026
Operated by Sire Systems LLC, 3120 Southwest Fwy Ste 101, Houston, Texas 77098. Questions: support@siresystems.ai.
These Terms of Use (the "Agreement") govern your use of the Sire Protocol mobile application, the web client at ascend.siresystems.ai, and every related service we provide (together, the "Services"). The Services are owned and operated by Sire Systems LLC and its affiliates ("Sire Protocol", "we", "us"). We refer to you as "you". Each of us is a "Party".
By creating an account or using the Services you agree to be bound by this Agreement and by the Privacy Policy at ascend.siresystems.ai/privacy, which is incorporated by reference. If you do not agree, do not use the Services.
You agree that the electronic form of this Agreement does not affect its validity, and that we may communicate with you electronically about every aspect of your use of the Services.
Sire Protocol is a record. It keeps track of a protocol somebody else prescribed you, computes your adherence from what you log, and shows arithmetic you could do on paper.
Sire Protocol is not a medical device, a pharmacy, a prescriber, or a clinician. It does not:
Every clinical decision in your protocol belongs to the clinician who wrote it. Where the app could be read as advising you, it declines and names whose decision it is. That is deliberate and permanent.
If you are using this app to track something no clinician prescribed you, that is your decision and your risk. We are not in a position to know, and we do not verify prescriptions.
THE SERVICES ARE NOT A MEDICAL DEVICE AND DO NOT INVOLVE THE PROVISION OF MEDICAL ADVICE BY SIRE PROTOCOL. THE SERVICES ARE NOT INTENDED TO DIAGNOSE, TREAT, CURE, MITIGATE OR PREVENT ANY DISEASE OR MEDICAL CONDITION. THE SERVICES ARE A RECORD-KEEPING AND ARITHMETIC TOOL AND CANNOT REPLACE THE SERVICES OF PHYSICIANS OR OTHER MEDICAL PROFESSIONALS.
NOTHING IN THE SERVICES, INCLUDING ANY TEXT, FIGURE, CHART, EVIDENCE SHEET, COMMUNITY POST OR ASSISTANT REPLY, WHETHER PROVIDED BY US OR BY THIRD PARTIES, IS INTENDED TO BE OR SHOULD BE USED IN PLACE OF (a) THE ADVICE OF YOUR PRESCRIBING CLINICIAN OR OTHER MEDICAL PROFESSIONAL, (b) A VISIT, CALL OR CONSULTATION WITH THEM, OR (c) THE INFORMATION ON ANY PRODUCT LABEL, PACKAGE INSERT OR PRESCRIPTION.
DO NOT START, STOP, INCREASE, DECREASE OR OTHERWISE CHANGE ANY COMPOUND, DOSE, SCHEDULE OR TAPER EXCEPT AS DIRECTED BY THE CLINICIAN WHO PRESCRIBED IT. NEVER DISREGARD OR DELAY SEEKING MEDICAL ADVICE BECAUSE OF ANYTHING PRESENTED IN THE SERVICES. IF YOU HAVE A HEALTH-RELATED QUESTION, CONTACT YOUR CLINICIAN. IF YOU HAVE AN EMERGENCY, CALL 911 OR YOUR LOCAL EMERGENCY NUMBER IMMEDIATELY.
THE SERVICES ARE NOT MONITORED. NOBODY IS WATCHING YOUR LOG IN REAL TIME. THE TRANSMISSION OR RECEIPT OF ANY INFORMATION THROUGH THE SERVICES DOES NOT CREATE A DOCTOR-PATIENT OR OTHER HEALTHCARE PROFESSIONAL RELATIONSHIP BETWEEN YOU AND SIRE PROTOCOL.
You assume full responsibility for your decisions and actions based on your use of the Services. If you make any change to your protocol on the strength of anything you saw in the Services, you do so entirely at your own risk. Figures in the Services may be misleading if your circumstances differ from what you entered or from population averages.
You must be at least 18 years old to use the Services. By using them you represent that you are, and that you have the legal capacity to enter this Agreement.
When you register you must provide information that is true, accurate, current and complete, and keep it so. We may suspend or terminate your account if any of it proves otherwise, if we believe your conduct may cause harm or liability to other users or to us, if you breach this Agreement, or where a change in law requires it.
The app divides the mass in your vial by the volume of diluent you tell it you added, then divides your stated dose by that concentration and converts to graduations on a U-100 insulin syringe, where one unit is 0.01 mL by definition.
It shows every step. It does not round: a draw that falls between graduations is displayed at full precision and flagged as not landing on a mark.
It computes from numbers you supply. It does not know what is in your vial. Check the arithmetic. Check the vial. If the two disagree, believe the vial.
The app can transcribe a prescription or plan you already hold, on your device. It reads; it does not complete. A number with no unit stays without a unit, a line with no schedule stays without a schedule, and nothing reaches your stack until you have confirmed every field yourself. You are responsible for checking the transcription against the page. The photograph is not stored and does not leave your device.
Linking a coach is not available in this version of the Services. Nothing in the app or on the web can connect a coach to your account, so no coach can see or change anything of yours. If linking is offered later, a coach will see only what the Privacy Policy lists, with your consent, and will never be able to see or change a compound or a dose — the Services do not permit it on either side.
A coach is not a medical professional and their guidance is not medical advice, unless they happen to be one and you have established that relationship independently of this app. We do not vet, license, insure or supervise coaches. Any opinion a coach gives is theirs, not ours, and we accept no responsibility for it.
Where available, the assistant reads your log and does arithmetic. It is bound not to advise on any compound, dose, schedule or lab interpretation, and it will tell you so and point you at your clinician. It runs on a model provided by Anthropic, and the app asks your permission before anything is sent there; the Privacy Policy lists what is sent.
Like any language model it can be wrong. Verify anything that matters, particularly a number you are about to draw. Do not treat it as clinical guidance, because it is not permitted to give any.
You are responsible for your credentials and for everything that happens under your account. Treat any password, code or token we issue as confidential. Do not share an account — the log's value is that it belongs to one person — and do not use anyone else's. Tell us promptly at support@siresystems.ai if you think someone else has your credentials or your account has been accessed without authorisation. We may disable any credential at any time.
You are responsible for keeping the contact details on your account current and for reading what we send to them.
You may use the Services only for lawful purposes and only as this Agreement permits. You shall not, and shall not permit anyone else to:
We may investigate suspected breaches, remove content, suspend or terminate access, and cooperate with law enforcement. You authorise us to disclose information about you to law enforcement where we believe in good faith it is necessary in connection with a possible crime, especially one involving personal injury.
Rooms are for accountability, not advice.
We may remove content or accounts that breach this. What you have written stays in the room the way a sent message does, and what you have logged remains yours. Opinions posted by other members are their own and do not reflect ours.
Two tiers: Log (free) and Pro. Prices are shown in the app in your own currency.
Subscriptions are for your personal use and may not be resold or transferred. We may change, suspend or discontinue paid features, and decide which features require payment, at our discretion, subject always to the safety rule above. We may from time to time offer credits or discounts to some or all users at our sole discretion; doing so once does not oblige us to do so again.
Covered by the Privacy Policy, which forms part of this Agreement.
You own what you log. We do not sell it, rent it, share it with third parties for their marketing, or train models on it. We do not telemarket. We will contact you about your account, your subscription, security and material changes to the Services, and you may opt out of anything else.
Sire Protocol, the Sire Protocol mark and the Sire Protocol logo are trademarks of Sire Systems LLC. The Services, their content, design, code, interfaces, evidence sheets and underlying technology are protected by copyright, trademark, patent and other laws of the United States and other countries. All rights reserved. We grant you a limited, revocable, non-exclusive, non-transferable licence to use the Services for your personal, non-commercial use in accordance with this Agreement. Nothing in this Agreement transfers or grants, by implication, estoppel or otherwise, any other right, title or interest in any intellectual property. You may not use any of our marks without our prior written permission.
Third-party names and marks referred to in the Services belong to their owners. Attributed quotations remain the words of the people credited.
If you send us feedback, suggestions or ideas about the Services, we may use them for any purpose without attribution or compensation, and you grant us a perpetual, irrevocable, royalty-free, worldwide licence to do so. We are not obliged to use any feedback.
We respect the intellectual property rights of others. Send any notice of claimed infringement to support@siresystems.ai with the information required by 17 U.S.C. §512(c)(3): identification of the work and of the material, your contact details, a statement of good-faith belief, a statement under penalty of perjury that you are authorised to act, and your signature.
Using the Services requires a compatible device, internet access and current software, each at your own cost. We may release updates, fixes and new features from time to time, and the app may download and install them. You agree to install updates promptly; an old version may not work.
The Services may be inaccessible or inoperable at times, including for maintenance, equipment failure, or causes beyond our control. We may modify, suspend or discontinue any part of the Services at any time. We make commercially reasonable efforts to provide support, but this Agreement does not entitle you to any guaranteed level, availability or turnaround time of support.
We may suspend or terminate access for security reasons, to prevent fraud or illegal activity, to comply with a lawful request, or if you breach this Agreement or the Privacy Policy.
We may offer features labelled beta, preview or early access. They are provided as is, may contain defects, may be changed or withdrawn without notice, and may never become generally available. Use them at your own risk. The safety rule in section 12 applies to beta features exactly as it applies to everything else: no safety-related function is ever gated behind a beta flag or a paywall.
THE SERVICES ARE PROVIDED "AS IS", "WITH ALL FAULTS" AND "AS AVAILABLE" WITHOUT WARRANTY OF ANY KIND. SIRE PROTOCOL AND ITS AFFILIATES, OFFICERS, MEMBERS, EMPLOYEES, AGENTS, PARTNERS AND LICENSORS DISCLAIM ALL WARRANTIES AND CONDITIONS, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, SATISFACTORY QUALITY AND NON-INFRINGEMENT. WE DO NOT WARRANT THAT THE SERVICES WILL MEET YOUR REQUIREMENTS, BE UNINTERRUPTED, TIMELY, SECURE OR ERROR-FREE, THAT DEFECTS WILL BE CORRECTED, THAT THE SERVICES ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS, OR THAT ANY FIGURE, ESTIMATE OR RESULT DISPLAYED IS ACCURATE, COMPLETE OR CORRECT FOR YOUR CIRCUMSTANCES. NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY US OR ON OUR BEHALF CREATES A WARRANTY.
WE SPECIFICALLY DO NOT WARRANT THAT FOLLOWING YOUR PROTOCOL IS SAFE, EFFECTIVE OR ADVISABLE. THAT IS BETWEEN YOU AND YOUR CLINICIAN.
SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES, SO SOME OF THE ABOVE MAY NOT APPLY TO YOU.
TO THE MAXIMUM EXTENT PERMITTED BY LAW, IN NO EVENT WILL SIRE PROTOCOL OR ITS AFFILIATES, OFFICERS, MEMBERS, EMPLOYEES, AGENTS, PARTNERS OR LICENSORS BE LIABLE, UNDER ANY LEGAL THEORY, FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY OR PUNITIVE DAMAGES, OR FOR ANY LOSS OF DATA, PROFITS, REVENUE, GOODWILL OR BUSINESS OPPORTUNITY, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR YOUR USE OF OR INABILITY TO USE THE SERVICES, THE CONDUCT OR CONTENT OF OTHER USERS OR THIRD PARTIES, OR UNAUTHORISED ACCESS TO OR USE OF YOUR ACCOUNT, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
TO THE MAXIMUM EXTENT PERMITTED BY LAW, OUR TOTAL AGGREGATE LIABILITY TO YOU FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE SERVICES SHALL NOT EXCEED THE GREATER OF (a) THE AMOUNTS YOU PAID US FOR THE SERVICES IN THE TWELVE MONTHS BEFORE THE EVENT GIVING RISE TO THE CLAIM AND (b) ONE HUNDRED US DOLLARS (USD 100).
NOTHING IN THIS AGREEMENT EXCLUDES OR LIMITS ANY LIABILITY THAT CANNOT BE EXCLUDED OR LIMITED UNDER APPLICABLE LAW, INCLUDING LIABILITY FOR DEATH OR PERSONAL INJURY CAUSED BY OUR NEGLIGENCE, FOR FRAUD, OR UNDER CONSUMER PROTECTION OR HEALTH PRIVACY LAWS THAT DO NOT PERMIT WAIVER.
You agree to indemnify, defend and hold harmless Sire Protocol and its affiliates, officers, members, employees, agents, partners, licensors, successors and assigns from and against any claim, demand, loss, liability, damage or expense, including reasonable attorneys' fees, arising out of or relating to (a) your use of the Services, including by anyone using your account; (b) your breach of this Agreement; (c) any information you enter, store or transmit through the Services; (d) your violation of any law or of any third party's rights; or (e) any change you make to your protocol on the strength of anything in the Services. You will cooperate as fully as reasonably required in the defence of any such claim.
You can delete your account at any time, in the app.
We may terminate this Agreement (a) for any reason on thirty days' notice; (b) immediately for your material breach, including of sections 10 or 11, for fraud, or where we are legally required to; or (c) immediately for non-payment. Where we suspend or terminate, you keep the right to export first, except where the law prevents it.
Sections 2, 3, 13, 14, 17, 18, 19, 22, 23 and 24, and any payment obligation incurred before termination, survive termination for any reason.
If you are a US federal government agency or contracting on its behalf, the Services are "Commercial Items" as defined at 48 C.F.R. §2.101, consisting of "Commercial Computer Software" and "Commercial Computer Software Documentation" as used in 48 C.F.R. §12.212 or §227.7202, and are licensed to you only with the rights granted to all other users under this Agreement.
You will not export or re-export the Services or any related technical information to any destination or person prohibited by applicable law, including US export control laws and OFAC sanctions.
This Agreement and any dispute between you and us are governed by the laws of the State of Texas, without regard to its conflict of laws principles, and specifically not by the United Nations Convention on Contracts for the International Sale of Goods.
Arbitration. Except as provided below, any dispute or claim arising out of or relating to this Agreement or the Services, including its interpretation, enforceability or validity, will be resolved by final and binding arbitration before a single arbitrator administered by the American Arbitration Association under its Consumer Arbitration Rules. The arbitration will be held in Harris County, Texas, or by video at your election. Either Party may bring a lawsuit solely for injunctive relief to stop unauthorised use or abuse of the Services or infringement of intellectual property, and you may bring an individual claim in small claims court if it qualifies. Subject to the above, the Parties consent to the exclusive jurisdiction of the state and federal courts in Harris County, Texas.
Opt-out. You may opt out of this arbitration provision by emailing support@siresystems.ai within thirty days of first accepting this Agreement, stating your name and that you opt out. Opting out does not affect any other part of this Agreement.
Class action waiver. To the extent permitted by law, you and we agree that each may bring claims against the other only in an individual capacity, and not as a plaintiff or class member in any purported class, collective or representative proceeding.
Time limit. To the extent permitted by law, any claim arising out of or relating to the Services or this Agreement must be brought within one year after it arose or be forever barred.
Nothing in this section prevents you from bringing a claim, or waives any right, that applicable law does not permit to be arbitrated or waived, including statutory health-privacy rights that carry a non-waivable private right of action.
Under California Civil Code §1789.3, California users are entitled to the following notice: the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs may be contacted in writing at 1625 N. Market Blvd., Suite N 112, Sacramento, California 95834, or by telephone at (800) 952-5210.
We may update this Agreement or the Privacy Policy by posting the updated version. We will give notice in the app and by email before any material change takes effect. Continuing to use the Services after that notice means you accept the change; if you do not, your remedy is to stop using the Services and delete your account, exporting first.
Sire Systems LLC, 3120 Southwest Fwy Ste 101, Houston, Texas 77098. support@siresystems.ai for everything, including legal notices and infringement claims. privacy@siresystems.ai for data requests.