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Matthew Gallagher built MEDVi, a telehealth service for GLP-1 weight-loss drugs, using only AI tools and one sibling in under two months. He outsourced medical and logistics functions, automated marketing end-to-end with AI, and drove $400 million in revenue his first year while targeting $1.8 billion next.
- One person (plus one sibling) ran MEDVi to $400M revenue and 250,000 users in a single year by outsourcing prescriptions/logistics and using AI tools for everything else
- MEDVi's 16.2% net margin is roughly double competitors like Hims & Hers
- Gallagher's prior startup, Watch Gang, hit $11M revenue but collapsed under 60 employees, teaching him that headcount kills profitability—directly shaping MEDVi's lean, AI-driven model
- He's targeting $1.8 billion in revenue for 2026 despite criticism over "grey-area" marketing tactics