How might we...
make a vulnerable experience less painful?
How I redesigned a clinical BMI verification process to eliminate fraud, ensure clinical safety, and reassure patients in discomfort.
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TLDR
ZavaMed is an online doctor providing accessible healthcare across 7 European markets
Vulnerable patients dealing with weight stigma asked to submit exposing photos. Fraud concerns: photo sharing on Reddit/forums, doctors manually verifying each submission (5-10 min). New GPHC regulations required compliance-we built first-of-its-kind live capture tool instead
THE PROBLEM
22% abandonment, fraud concerns, GPHC regulations, non-supportive UX
THE JOURNEY
BMI photo verification after medical questionnaire and treatment requested.
THE APPROACH
First in-industry Live Capture tool that solves for fraud, safety and vulnerability.
MY ROLE
Product design lead: partnering with PM to prioritise roadmap. Led on research, delivery and execution. Worked closely with: PM, doctors, data team, patient care team, content, commercial.
MY IMPACT
>90%+ photo accuracy (up from ~60%), 160 days/year admin time saved, fraud attempts eliminated, regulations exceeded.
GETTING STARTED
Stigma, safety and clinical credibility - why the existing experience was painful
Society loves to hate on weight loss solutions - almost as much as it loves to hate on weight.
Meal replacement shakes? Tacky. Diet pills? Dangerous. Those vibrating ab belts from infomercials? I actually bought one once. GLP-1s are just the latest thing we’ve dismissed as another ‘get thin quick’ gimmick for people who apparently just “need to try harder”.
Here's what that narrative misses: obesity is a complex chronic disease. Genetics, biology, environment. Not a lack of willpower. I was fully immersed in this space back when I was working with Novo Nordisk on Saxenda and their "Truth About Weight" campaign, which was designed specifically to dismantle weight stigma. The insights from patients were heartbreaking. Because patients don't just face societal prejudice, they face it from doctors too. Dismissed concerns. Assumptions about not trying hard enough. And the added stigma of taking ‘the easy way out’.
Not only was the experience inherently uncomfortable - the way that it was being requested didn’t invite trust in the medical credibility behind it.
Patients abandoned because it was uncomfortable and complicated
Doctors saw increase in attempted fraud
Patients submitting old photos, same photo seen across multiple requests, potentially AI images.
Doctors reverse image searching every submission. 5-10 minutes per patient just to verify "yes, this is actually you, recently, not borrowed from Karen in the Facebook group."
GPHC regulations were changing
GPHC update requiring date verification, minimum 3 photos, verification process.
Tight deadline (3 months)
The updated GPHC regulations and looming deadline meant we had to incorporate tighter guidelines within a low-cost tech effort.
APPROACH
Solving for safety: The Live Capture Approach
The technical solution had to stop fraud attempts first: live camera tool. Patients take all photos in real-time. Can't upload old photos, use someone else's image, or submit AI-doctored masterpieces. Date verification automatic. GPHC requirements sorted.

Solving for a vulnerable patient experience
Four principles guided the experience:

Assume nothing.
Don't assume people know what "full-body photo" means, have a mirror, are comfortable alone, or trust us (why would they?). Guide every step

Trust is earned through transparency.
Don't say "don't worry!" when someone is rightfully worried. Say exactly what happens, who sees photos, why they're needed.

Dignity over efficiency.
Let them review, retake, choose who helps. Give them control when they need it most.

Design with the emotion, not against it
This is uncomfortable. Full stop. Design for vulnerability, not fake cheerfulness.
TRADE-OFFS
An argument for transparency that I lost
The data was pretty clear: 11.48% cancelled because they didn't know photos would be required. Nearly 12% getting to the end and going "wait, WHAT?"
Core outcomes
PATIENT ABANDONMENT
>90% photo accuracy (up from 60%), patient feedback shift, significant increase in ‘done’ orders.
Instructions are clearer, patients feel supported, and patients feel confident to continue
ATTEMPTED FRAUD
Fraud attempts eliminated, 5-10 mins doctor time per patient saved, 160+ days of admin time saved
We made this experience better for both patients, doctors, and the patient care team.
GPHC PRESSURE
Guidelines met and exceeded, first among competitors to implement.
I say this with modesty - the experience we drove was best-in-class. Most competitors were relying on much older methods, and we embraced the challenge to go even further.
STILL TO SOLVE FOR
An even smoother patient experience
Better immediate feedback
A place to view images
Transparency upfront
Better entry points
STILL TO SOLVE FOR
Loopholes for fraud
Emerging technology makes it possible for fraud to continue, and we'll need to rise to it
Easier way for doctors to compare and view photos
KEY LEARNINGS
The after-school special moment
This wasn't about making BMI verification "delightful." It's still uncomfortable. Most people would rather not photograph themselves half-dressed and send it to strangers.
But we made it much, much better. We removed barriers, preserved dignity, solved fraud attempts, and met regulations -- multiple difficult things at once without making it any worse.
I fought for transparency and lost. The interstitial got killed. But I still had to ship something that worked, so I focused on what I could control: the experience, the principles, the craft, the support at every step.
Six months later, data proved I was right. But by then, we'd helped thousands of patients navigate one of healthcare's most vulnerable moments. Being proven right doesn't mean you were wrong to compromise. Sometimes you design within constraints, even seeing a better way. You advocate with data, you try to shift the decision. When that doesn't work, you do the absolute best you can with what you've got.
Success isn't winning every argument. It's whether patients felt cared for when they needed it most, and I’m ok pushing back for that.
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