Matthew Gallagher and his brother Elliot started Medvi, a GLP-1 weight-loss telehealth service, in Los Angeles in September 2024 with about $20K. With a team of two and a stack of AI tools — ChatGPT, Claude, Grok, Midjourney, Runway and AI agents for support and marketing — they reached a reported $401M of first-year revenue and 250,000+ customers, on pace for $1.8B, per The New York Times. The closest thing yet to Sam Altman's 'one-person billion-dollar company'.

Why it's indexed

Reported $401M first-year revenue with a team of two (NYT).
Built almost entirely on AI tools and agents, not headcount.
250,000+ customers from a ~$20K start.

Coverage

Founder short: Matthew Gallagher & MedviFounder short

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