MANUAL Tech Stack

Digital-first clinic managing hormonal, metabolic, and aesthetic conditions across UK and Brazil

Hospitals and Health Care London 201–500 employees Founded 2018 Privately Held

MANUAL operates a vertically integrated digital healthcare platform treating life-impering conditions at scale—500k+ patients across two geographies with 90%+ reporting quality-of-life improvements within six months. The tech stack (Zendesk, HubSpot, Salesforce, BigQuery, dbt, Snowflake, Fivetran) reflects a company optimizing for patient lifecycle management and data-driven clinical outcomes, with active hiring in marketing and engineering signaling expansion into new treatment categories and geographic markets.

Tech Stack 59 technologies

Core StackZendesk HubSpot Salesforce BigQuery dbt Looker Slack Customer.io Metabase Mixpanel React Native TypeScript Figma Adobe Creative Cloud Tableau Meta Ads Google Ads Google Analytics Snowflake Fivetran Python React AWS Terraform New Relic Circle Discord Expo Microsoft Advertising Dataform+28 more

AdoptingPHP Node.js

What MANUAL Is Building

◆Challenges

Scaling acquisition channel
Healthcare broken system
Improving patient experience
Campaign performance optimization
Scaling app performance
Scale operations
Improving patient journey
Guarantee financial sustainability
Building patient experience tools from scratch
Scaling medical team

▲Active Projects

Launch of new business categories
Scaling acquisition channel
Ai translation support for uk clients
Building patient experience tools and processes
Embed data into cross-functional strategy and execution
Improve data infrastructure and governance
All in one healthcare platform
Implement strategic projects for operations
Host community events
Build influencer partnerships

Hiring Activity

Accelerating45 roles · 35 in 30d

Department

Marketing

Engineering

Healthcare

Ops

Support

Data

Design

Finance

Seniority

Senior

Mid

Manager

Director

Lead

Junior

Notable leadership hires: Growth Director, Head of Growth

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About MANUAL

MANUAL is a digital clinic delivering remote diagnosis, prescription medications, specialist consultations, and behavioral coaching for hormonal imbalance, obesity, hair loss, and related conditions. Founded in 2018, the company operates across the UK and Brazil, serving 500k+ active patients with a fully integrated treatment journey—removing fragmentation across diagnosis, custom medication, and follow-up care. The business model centers on high-touch patient experience supported by data infrastructure (BigQuery, Snowflake, dbt, Looker) and marketing automation (HubSpot, Salesforce, Customer.io, Meta/Google Ads). The organization is growing: 201–500 employees, 47 active roles with accelerating hiring velocity, and active recruitment across six countries (UK, Brazil, South Africa, Poland, India, Germany).

HeadquartersLondon

Company Size201–500 employees

Founded2018

Hiring MarketsSouth Africa, Brazil, United Kingdom, Poland, India, Germany

Frequently Asked Questions

What tech stack does MANUAL use?

MANUAL's core stack includes Zendesk, HubSpot, Salesforce, BigQuery, dbt, Snowflake, Fivetran, Looker, and Metabase for patient management and analytics. Frontend: React Native and Expo for mobile; React and TypeScript for web. Infrastructure: AWS with Terraform. Recently adopting Node.js and PHP.

What is MANUAL working on?

Active projects include launching new treatment categories, scaling patient acquisition, AI translation support for UK clients, building patient experience tools, improving data infrastructure and governance, and scaling app performance and medical operations.

How this profile is built

MANUAL's technology stack, projects, and hiring signals are inferred from public hiring and company data — career pages, public listings, and company web presence — then clustered and de-duplicated. Figures are estimates that refresh over time. Read our full methodology →

This is not an official vendor or customer list. It is a technology-adoption signal inferred from public data, intended for B2B research.