Methodology
How Varia works, how findings earn their labels, and how the catalog stays current.
How Varia Works
Varia is post-test interpretation software. It reads a DNA file you already have from another testing system (a consumer chip export, a clinical lab, or whole-genome sequencing). Varia does not run a new genetic test, does not perform sequencing in a lab, and does not give you a personal risk score or screening recommendation.
You open your DNA file from your device, and Varia analyzes it directly in your web browser. Your file never leaves your device.
Varia is not a medical device. It is not intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease (Federal Food, Drug, and Cosmetic Act section 201(h)). It is educational post-test interpretation of genotype calls you already hold, and it emits no personal diagnostic output, risk score, percentile, or tier. You review the cited population-level literature yourself. That, together with the fact that Varia performs no variant detection, is the load-bearing basis.
Varia is not a Genetic Health Risk Assessment System under 21 CFR 866.5950. That category covers laboratory systems used for detecting variants in DNA taken from human specimens. Varia performs no detection. The same rule also places pharmacogenomic assessment and deterministic autosomal-dominant assessment outside that class. Varia's catalog already spans those areas, which confirms the class does not apply.
Two other frameworks are supporting context only, not the basis. 21 USC 360j(o) (Cures Act software exclusions) does not cleanly cover a consumer-facing surface that references disease: the healthy-lifestyle exclusion requires the software to be unrelated to diagnosis, cure, mitigation, prevention, or treatment of a disease, and the clinical decision support exclusion is for software intended for health care professionals who independently review the basis. FDA General Wellness guidance (reissued January 2026) and 21 CFR 880.6315 exclude products that make disease diagnosis, cure, mitigation, prevention, or treatment claims, so they do not themselves license a disease-referencing finding. FTC Act section 5 still applies: public claims must be truthful and substantiated.
Three editorial commitments shape every finding Varia displays:
Curated. Varia reports on 64 variants chosen with care, organized across 6 health areas. Other consumer-genomics products either show you every they find without filtering (Promethease shows over 111,000), or report on a much larger set without telling you why they picked those (23andMe). Varia keeps the list intentionally short because every variant has been reviewed through a seven-step quality process before earning a spot in the catalog.
Transparently sourced. Every finding Varia characterizes links back to the scientific papers it draws from. Where Varia has no source it can verify, the finding is held as uncharacterized and says so, rather than showing you a claim with nothing behind it. The major medical authorities Varia consults (the same authorities your clinician uses) are listed openly with the date each was last reviewed. Computer programs check those authorities for updates on a published schedule, and every change gets logged in a public record so anyone can see what changed and when.
Editorially disciplined. When a clinical authority has already graded a variant (like for rare-disease risks or medication response), Varia shows you their grade directly. For variants where no clinical authority weighs in (common health-trait variants, lifestyle traits), Varia applies its own grading and shows the reasoning behind it. Either way, you see how the grade was reached and when it was last reviewed.
Varia is not a substitute for clinical genetic testing or working with a genetic counselor. The line Varia holds is clear: Varia tells you what variants you have and what published science says about them. Varia does not recommend specific doses of medication, supplements you should take, or lifestyle protocols you should follow.
Who Builds Varia
Varia is built by one person, Eric Gebauer, who is not a clinical geneticist or genetic counselor. Varia is not a substitute for a consultation with one. The editorial process relies on institutional authorities (ClinGen, CPIC, ClinVar, ACMG, PharmGKB, PharmVar) and a documented change-detection schedule, not on individual clinical judgment.
The Catalog
Varia tracks 64 variants across 6 health areas: Heart & Lipids; Brain & Cognition, which includes Alzheimer's risk and the 19 region surrounding APOE; Metabolism & Longevity, which folds in blood sugar, and detoxification, longevity and aging biology, and inflammation; Medication Response, how your body processes medications; Cancer Risk, common low-penetrance cancer associations from published genome-wide studies; and Autoimmune, common autoimmune associations with explicit limits on what consumer files can assess (including HLA).
The catalog size is intentional. Over the last two decades, our ability to sequence DNA has grown roughly a million-fold, but our scientific understanding of what each variant actually does has only grown step by step through peer-reviewed publication. Most of the human genome remains scientifically uninterpreted at a level that supports actionable medical decisions. A consumer-genomics product that shows you every variant in your file is either overselling what those findings can tell you, or burying the strongly-supported findings inside an unmanageably long list.
Varia chooses the smaller, defensible list. Every variant in the catalog earns its spot through one of two paths:
- Authority-backed: a recognized medical authority has already published a grade for this variant. ACMG and ClinVar grade rare-disease risk variants. CPIC and PharmGKB grade medication response variants. When that authoritative grade exists, Varia shows it to you directly with a chip indicating how strong the consensus is.
- Varia-graded: the variant is a common health-trait or lifestyle variant. No clinical authority grades these kinds of variants. Varia applies its own evidence assessment and shows the reasoning publicly.
HLA loci (a family of immune-system variants linked to drug allergies and some autoimmune conditions) are not in the V1 catalog. Consumer DNA chips can't reliably read these regions, and reading them from whole-genome sequencing requires specialized analysis software Varia doesn't yet run. When HLA returns, it will be available only for whole-genome sequencing files.
Varia's V1 catalog is intentionally small and editorially defended entry by entry. View the accepted variant catalog for the full rationale.
How Findings Get Their Labels
Varia does not make up its own verdicts. Where an expert body has already graded a variant, Varia shows that grade as published. Where none has, Varia adds its own evidence rating and says so. The hard part, and the point, is what gets left out.
The Scanner
Varia's scanner runs entirely in your browser, and it's built to interpret your file, not just read it. It works out which genome build you have, handles multi-part findings like your APOE type, and tells you when a position wasn't tested rather than guessing. If a file looks like chip or imputed data, Varia weighs each finding more cautiously. Nothing uploads.
Staying Current
Varia checks major medical authorities for updates on a published schedule and logs every change publicly. Once a month, items that truly need a human call roll into one review surface.
The commitments are the fail-safes that already run. If a pathogenic-class alert sits unanswered for 14 days, a daily workflow writes an editorial override on that catalog entry and the finding card shows it. If a file's confidence is unknown, Varia treats it as low-confidence, the same way it treats a consumer chip. The numbers below are targets measured against those mechanisms, computed from the public editorial event log. They are not a claim that every alert closed on time.
When an authority changes a classification Varia displays, that change is listed here. The next time you scan, your browser compares the catalog it last saw to the current catalog and highlights those reclassifications. Varia does not email a personal notice, because your genome and results never leave your browser.
Published review metrics
Observation window to . Tracking began when the public editorial event log began. Next update: .
| Observation window | 2026-06-01 to 2026-08-19 |
|---|---|
| What the window means | Tracking began when the public editorial event log began |
| Next scheduled update | 2026-10-01 |
| Closed-alert hit rate against published targets | 100.0% (among the 2 alerts closed in this window; 447 remain unresolved) |
| Hit-rate target | 95.0% |
| Median days from alert to close | 0 |
| 10th percentile days to close | 0 |
| 90th percentile days to close | 0 |
| Alerts opened in this window | 449 |
| Alerts closed in this window | 2 |
| Authority reclassifications (count) | 1 |
| Reclassification rate | 1.6% |
| Override count | 0 |
| Override reversal rate | No overrides in this window |
| Unresolved alert count | 447 |
| Oldest unresolved alert (days) | 78 |
| Review backlog active (unresolved older than 90 days) | No |
| Most recent event-log entry | 2026-08-19 |
Per-source targets and actuals
| ClinVar XML | Target: median 5 days; 95th percentile 10 days. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
|---|---|
| ClinVar TSV | Target: median 14 days; 95th percentile 35 days. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
| ClinPGx (CPIC and PharmGKB) | Target: median 7 days; 95th percentile 14 days. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
| PharmVar | Target: median 21 days; 95th percentile 90 days. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
| Retraction Watch | Target: median 5 days; 95th percentile 10 days; pathogenic median 24 hours. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
| ACMG Secondary Findings | Target: No published numeric target. Closed: 0. Hit rate: No closed alerts in this window. Median days: No closed alerts in this window. |
Detector outage days
- clinvar: Not yet tracked (starts 2026-08-18)
- cpic: Not yet tracked (starts 2026-08-18)
- retraction watch: Not yet tracked (starts 2026-08-18)
- pharmgkb: Not yet tracked (starts 2026-08-18)
- pharmvar: Not yet tracked (starts 2026-08-18)
- acmg sf: Not yet tracked (starts 2026-08-18)
Authority reclassifications
Catalog-level broadcast, not a per-person email. Observation starts 2026-06-01.
- : rs1799963 ClinVar germline classification changed from Likely Pathogenic to Pathogenic. Correction on Varia's side: Varia fixed which ClinVar record it reads for this variant; ClinVar itself did not change its classification.
What Varia's Results Are and Are Not
Varia is educational post-test interpretation of a DNA file you already have. The findings page describes what variants appear in that file and what published science says about them, drawing on classifications from named medical authorities. Varia is not a clinical diagnostic test, does not replace your clinician, and is not FDA-authorized.
Varia does not diagnose disease. Varia does not prescribe treatment. Varia does not replace clinical genetic testing.
Findings that display with clinical-grade visual confidence (ACMG classifications, CPIC guidelines) reflect what your file represents. If you have a rare-disease finding shown at clinical-grade confidence, confirmatory testing at a clinical laboratory plus consultation with your clinician or a genetic counselor remain the standard path. The Varia Genomic Brief that Varia generates is designed for you to share with your clinician, not as a substitute for the consultation itself.
The line Varia holds is bright: Varia tells you what variants you have and what published science says about them. Varia does not recommend specific doses of medication, supplements, products, lifestyle protocols, or treatment plans. When a finding suggests a clinical context (drug-gene interaction, cardiovascular risk, Alzheimer's risk), the appropriate next step is a conversation with your clinician, not action on Varia's display alone.
Citation Standards
Varia draws from a list of scientific journals organized into two tiers. includes the highest-impact peer-reviewed venues with long-standing editorial reputations: the New England Journal of Medicine, JAMA, Nature, Cell, Science, the Journal of Clinical Endocrinology and Metabolism, Endocrine Reviews, Nature Immunology, Circulation, the Journal of the American College of Cardiology, the European Heart Journal, Neuron, Diabetes Care, and others. includes specialty venues with rigorous review and depth in their clinical or mechanistic areas: ATVB (cardiovascular biology), Molecular Neurodegeneration, Translational Psychiatry, Neurobiology of Aging, and others. The complete list is published in Varia's conventions document.
Citation freshness. When a scientific paper Varia cites is more than ten years old, Varia notes that on the finding. Older papers can still be foundational, but readers can weigh them against more recent work.
flagging. During editorial development, citations occasionally appear with provisional verification status before final verification through PubMed completes. Provisional entries are explicitly flagged so you can see which citations are still being checked. The audit pipeline resolves provisional flags through automated verification.
Disclosure when the literature is split. Sometimes scientific studies disagree about a variant's effect. When that happens, Varia surfaces both sides through a conflict callout on the finding card. Eleven named conflict types include failed replication, effect direction reversal, heterogeneity, publication bias suspected, retractions, withdrawals, expressions of concern, post-publication corrections, and major methodology revisions. Each conflict appears alongside the citations that contradict the main interpretation.
Every number Varia displays is also listed in the provenance report, which chains each figure back to its peer-reviewed source without requiring trust in Kairos.
Citation Annotation Checks
Automated checks re-run on every build, reading the cached source papers themselves rather than trusting a stored pass mark, and a voice-consistency check runs when the writing model changes. Those checks confirm that a cited paper is about the variant it is filed under, that quoted text is the source's own words, and that an annotation does not describe a fact as missing from a paper that states it. They do not yet confirm that a paper supports the specific claim it is attached to. That verification is under way and is disclosed here rather than assumed. Independent human spot-checks of factual accuracy and of conflict-of-interest statements are not staffed yet. Varia discloses that gap here. Until those reviews are staffed, the substitutes are the automated checks, the open public audit trail, and user-feedback channels. Independent quarterly human spot-audits are queued for later reviewer engagement. There is no claim that they currently run on a schedule.
See also: The Genome, Medication Response, Sources.