ME/CFS · Long COVID · Fibromyalgia · Autoimmune · Migraine

Invisible illness, made visible.

The crashes don't come out of nowhere. The body sends signals — HRV, resting heart rate, sleep architecture, skin temperature — for days before. Belle Ring catches them, gives you a pacing budget that holds, and produces the chart your doctor will actually read.

90 days · pacing on vs off
ME/CFS · cohort n=42
Without pacing With Belle pacing Crash event
Why a ring matters when illness is invisible

Subjective experience. Objective trend.

Most chronic conditions are diagnosed by what you say. That makes appointments harder than they should be. Belle gives you the second voice in the room — your own physiology, recorded continuously, no memory required.

Before

"On a scale of one to ten, how would you rate your fatigue today, in general, on average, over the last month?"

A 10-minute appointment. Three months between visits. Symptom diary you forgot to fill in. The doctor types "patient reports fatigue."
With Belle

"Here's a 90-day chart. Resting HR climbed 8bpm in the week before each crash. Three crashes. Same pattern."

A handed-over PDF. Continuous data. The pattern, not the memory. The doctor says "this is helpful."

Stop second-guessing. Start seeing the pattern.

Conditions Belle Ring tracks well

Built for the bodies medicine still under-listens to.

Not a substitute for diagnosis or care. But a reliable set of signals — paired, in your case, with an honest cycle layer — that often catches what a quarterly appointment can't.

ME / CFS
Myalgic encephalomyelitis · post-exertional malaise

Belle's pacing engine is anchored in HRV-driven heart rate ceilings — the validated approach for avoiding PEM crashes. Your phone learns your safe zone over 14 days and tells you when you've stepped outside it.

Energy · pacing ceiling
HRVRHRSleep archPacing
Read more →
Long COVID
Post-acute sequelae · ongoing as of 2024

Resting heart rate elevation and sleep fragmentation are two of the most consistent post-COVID signals. The ring catches a relapse 3–5 days before subjective fatigue reports it.

Resting HR · relapse warning
RHRHRVPOTS-awareSleep
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Fibromyalgia
Widespread pain · sensory amplification

Sleep stages — particularly deep sleep collapse — predict next-day pain better than activity load alone. Belle pairs sleep architecture with cycle phase so you stop blaming yourself for the bad weeks.

Deep sleep · pain predictor
Deep sleepHRVCyclePain log
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Hashimoto's & thyroid
Autoimmune thyroid · subclinical fluctuation

Resting heart rate and skin temperature are sensitive to thyroid swings between blood draws. The ring helps explain why you felt different two months apart on the same TSH.

Skin temp · between blood draws
RHRSkin tempSleepCycle
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Lupus & RA
Autoimmune flare patterns

Flares often track HRV decline 5–7 days ahead. For premenopausal users, late-luteal flare risk is real — Belle is one of the few tools that show both the cycle and the autoimmune pattern on one chart.

HRV · ahead of a flare
HRVRHRCycleFlare alert
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Migraine
Episodic & chronic · including menstrual

Sleep disruption + pre-menstrual estrogen drop is the classic menstrual-migraine signature. Belle flags the prodrome window so you can pre-medicate, hydrate, and lower stimulus.

Sleep + cycle · prodrome window
SleepCycleHRVProdrome
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IBS / IBD
Functional · & inflammatory bowel

Autonomic disruption (HRV) and sleep fragmentation predict IBD flares; cycle phase amplifies IBS symptoms predictably. Pair Belle with a simple stool log in the app for the full picture.

Autonomic balance · flare risk
HRVSleepCycleStress
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EDS / hypermobility
Ehlers-Danlos · POTS overlap

Postural tachycardia patterns and cycle-driven joint laxity are both visible in the data. Belle's POTS-aware view shows orthostatic HR change without a tilt table.

Orthostatic HR · stand-up jumps
RHRHRVPOTS viewCycle
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Anxiety & depression
Often co-occurring · cycle-modulated

When mood is hard to read, sleep + HRV often aren't. We don't replace a clinician — we give you a chart of how your body is actually doing, even on the weeks when self-report fails.

Sleep + HRV · when mood is hard to read
SleepHRVCycleRHR
Read more →
The pacing engine

An energy budget that doesn't lie.

Most fitness apps are built for people getting fitter. Belle's pacing engine is built for people staying out of crashes. It learns your safe zone and tells you, gently, when you're about to leave it.

Today's energy bank
4:42 PM
NOW
RESTORATIVE
OVER-RANGE
HR ceiling
112 bpm
Time over today
38 min
Crash risk
Moderate
  • 1
    HR-anchored ceilingSet automatically using a 14-day rolling baseline of your HRV. A drop below baseline lowers your ceiling — the day adjusts to the body.
  • 2
    Soft buzz, not panicA gentle vibration at 90% of ceiling. You can dismiss. There's no penalty for going over — just a quieter day suggested tomorrow.
  • 3
    Crash forecast72 hours of over-range, plus a poor sleep night, plus a luteal phase = high crash risk. The app names it before the body does.
  • 4
    Recovery scoring, not productivity"Today, recovery is the work." A score that rewards rest, not steps. Built in collaboration with ME/CFS clinicians and patients.
The cycle, layered on top

For most chronic conditions, luteal hits hardest.

Autoimmune flares, migraines, IBS, fibromyalgia pain, ME/CFS crashes — most cycling women report a clear premenstrual peak. We don't think we discovered this. We think it's strange that almost no chronic-illness app accounts for it.

What we layer on

Cycle phase, on the same chart as your symptoms.

Belle Ring shows you the cycle bar on every health view — not just the cycle tab. So when you're staring at a crash on May 18th, you can see at a glance: that was Day 24. The same Day 24 as the last two crashes.

For users on hormonal birth control or in menopause, the cycle layer collapses to a non-cyclical baseline — but stays visible, because steady is also a pattern.

How Belle Ring is built for chronic users

Designed by people who know some weeks the goal is keeping it on.

An app that demands daily logging, gamifies streaks, or shouts at you for 4,000 fewer steps fails on the days it matters most. Ours is built backwards from that fact.

01

Passive by default. No streaks.

The ring records continuously; the app never punishes you for missing a day. There is no streak counter, no flame emoji, no badge for "active this week." Logging is optional, on your terms.

02

Quiet mode for crash weeks.

One tap and the app collapses to a single card: today's pacing budget, one suggestion, nothing else. No graphs to interpret, no extra tabs visible. Comes back when you do.

03

Cycle layer that adapts to your life.

Cycling, on hormonal birth control, peri or post-menopausal, pregnant — the app adapts. The cycle stops being a flat assumption and becomes one of many honest baselines.

04

A ring that disappears.

Titanium with a smooth PVD finish, 4–6 grams, no lights or ports on the skin side. We send a free sizing kit so you can wear sample rings (resin) for two days each before committing — sensory tolerance matters.

05

Provider-ready PDFs.

A single tap produces a 30 / 60 / 90-day PDF for your GP, rheumatologist, gynecologist, neurologist or psychiatrist. Cycle aligned, plain language, designed for a 10-minute appointment.

Camille · 41 · ME/CFS · Toulouse
One user · six months

"For ten years my GP wrote 'patient reports tiredness'. After three months with Belle, she wrote 'HRV depression with cyclic worsening, cycle-phase 24+, refer rheumatology.' Same body. Different sentence."

Camille · 41 · ME/CFS · Toulouse · Belle since March
The handover

The chart your doctor will actually read.

Most chronic-illness apps export raw CSV or a colorful screen no clinician has time to interpret. Ours is one A4 page, plain-language, cycle-aligned, peer-tested with French and German GPs and specialists. You bring it. They read it. The conversation changes.

Belle Health · Patient Summary
90 days · cycle aware
RHR Δ
+8 bpm
HRV
−21%
Deep sleep
−18 min
Crash days
9 / 90
Cycle align.
D24 ±2
Chronic-condition–specific questions
Will Belle Ring diagnose my chronic condition?
No. Diagnosis is the work of a qualified provider. What Belle gives you and them is a 90-day, continuously-recorded picture of physiology — RHR, HRV, sleep architecture, skin temperature — aligned with cycle phase and your own logs. Many specialists tell us this is the data they wish they had at a first appointment.
I've been dismissed by doctors before. Why would a ring help?
Because it changes the document on the desk. Subjective reports are easier to dismiss than 90 days of trend data with a cycle overlay. We don't promise it fixes medical gaslighting — but we hear, repeatedly, from users that the conversation got more concrete after the first PDF.
I have ME/CFS. Won't tracking make me push harder?
That's the right concern. The pacing engine is built to do the opposite — it's HRV-anchored, not goal-anchored. There are no targets, no "more steps tomorrow", no streaks. You can hide step counts entirely. The score we surface most is recovery, not productivity. Co-designed with ME/CFS clinicians and patients.
I have severe sensory issues — will I tolerate a ring?
We send a free sizing kit (resin sample rings) so you can wear different sizes for two days each before placing the real order. If the texture doesn't work, the kit is yours to keep and the order is cancelled, no charge. The titanium ring itself is smooth PVD-coated, 4–6g, with no lights or ports against the skin.
I'm on hormonal birth control / in menopause. Does the cycle layer matter?
It matters less, but the ring still tracks the rest. Belle adapts: combined-pill users see a flat-baseline view (the cycle is suppressed), POPs and IUDs vary, perimenopausal users see a peri-specific phase model. The chronic-condition signals — HRV, RHR, sleep, temp — work the same in all of these.
Can I share my data with my doctor or carer?
Yes. Export a 30 / 60 / 90 day PDF directly from the app, or share a read-only link that expires after 7 days. Your data stays in the EU. Export is not the only option — you can also keep everything local-only and just look at it yourself.
What about flares that aren't physical — depression, anxiety?
When mood is hard to read, sleep architecture and HRV often aren't. We don't replace a clinician or a therapist. What we offer is a way to see, on the weeks you can't tell how you're doing, that the body is or isn't recovering. Several users report this is what made it possible to ask for help earlier.