READ CAREFULLY BEFORE USING THIS SERVICE.
lichensclerosus.ai is an educational reference platform. It is NOT a medical service. It does NOT provide medical advice, diagnosis, treatment, or clinical assessment. Decisions about your health, your treatment, your symptoms, your medications, or your specific condition must always be made with a qualified healthcare professional — never based on information provided by this Service. By using this Service, you agree to the terms below in their entirety. If you do not agree, you must stop using the Service immediately.
These Terms of Service ("Terms") constitute a legally binding agreement between you ("you," "User") and Alessandro Cuggiani, operating as a sole proprietor with Individual Entrepreneur Small Business Status ("IE SBS") fiscally registered in Tbilisi, Georgia (country) (the "Operator," "we," "us," "our"). The platform lichensclerosus.ai, including all its tools, content, and subdomains (the "Service"), is operated by the Operator.
By accessing, browsing, or using the Service in any way, you confirm that:
If you do not agree to any part of these Terms, you must immediately stop using the Service and close the page. Continued use of the Service after these Terms have been updated constitutes acceptance of the updated Terms.
The Operator is Alessandro Cuggiani, an individual:
For all medical questions, including diagnosis, treatment selection, symptom evaluation, medication management, and any clinical concern, you must consult a qualified licensed healthcare professional — typically a dermatologist, gynecologist, or vulvar specialist familiar with your individual case.
lichensclerosus.ai provides information and tools designed to help users understand the biology of lichen sclerosus as described in published research literature. The Service is an educational reference, not a medical service. The Service does NOT:
All decisions about your health, your symptoms, your treatment, your medications, your products, your diet, your physical activity, and any aspect of your medical care must be made in consultation with a qualified licensed healthcare professional who has examined you in person and who knows your medical history. You agree never to delay seeking professional medical advice, never to disregard professional medical advice received, and never to discontinue any prescribed treatment based on information obtained from the Service.
EMERGENCY DISCLAIMER. If you believe you are experiencing a medical emergency, severe symptoms, signs of infection, severe pain, fever, spreading erythema, allergic reaction, suicidal ideation, or any condition requiring urgent medical attention, contact emergency services immediately (e.g., 112 in the EU, 911 in the U.S., your local emergency number) or go to the nearest emergency department. Do NOT rely on this Service for emergency situations.
Lichen sclerosus presentations vary significantly between individuals. The educational content describes patterns at population level as reported in published research; it does not describe what is true or appropriate for your specific case. What the literature describes as commonly well-tolerated may not be tolerated by you; what the literature describes as concerning may not affect you. The INCI Tool's descriptive verdict labels (LOW-FLAG / MIXED-FLAG / HIGH-FLAG PROFILE) describe what the reference literature reports about the submitted ingredients — they are NOT predictions about how your individual tissue will respond to the product. Only direct clinical evaluation by a qualified specialist can establish what applies to your situation.
The Service does NOT analyze prescription medications, including but not limited to topical corticosteroids (clobetasol, betamethasone, mometasone, etc.), calcineurin inhibitors (tacrolimus, pimecrolimus), antifungals, antibiotics, retinoids, or any other prescribed pharmaceutical product. If you submit prescription medication information to any tool on the Service, the Service will redirect you to your prescribing clinician without providing analysis. All prescription-related questions belong with the prescribing clinician.
This Service is NOT a medical device, medical software, software as a medical device (SaMD), or in vitro diagnostic device under any regulatory framework. Specifically:
Educational descriptions of biological mechanisms drawn from published scientific literature do not constitute health claims, treatment recommendations, or efficacy claims about any product or therapy.
The Operator is NOT a "covered entity" or "business associate" under the U.S. Health Insurance Portability and Accountability Act (HIPAA). HIPAA does not apply to this Service because no provider-patient relationship is established. U.S. users in California are protected by California state privacy law (CCPA/CPRA, see Privacy Policy Section 19) instead.
Italian Penal Code Art. 348 ("Esercizio abusivo della professione") applies to Italian citizens regardless of where they reside or operate, when the activity may produce effects in Italy or be accessed by Italian users. The Operator is an Italian citizen and explicitly addresses this clause:
The Operator does NOT engage in any of the activities that constitute esercizio della professione medica under Italian law. Specifically, the Operator does NOT:
All content on the Service is biological and pharmacological education drawn from published scientific literature and presented in research-framed language ("the literature describes…", "the research notes…"). It is not addressed to any specific individual's clinical situation.
By using the Service, Italian users explicitly acknowledge that they understand the Service is not a substitute for medical consultation and that the Operator is not exercising the medical profession. The Operator strongly recommends that all Italian users consult a licensed Italian healthcare professional registered with the appropriate Ordine for any medical concern.
The Operator's fiscal residence, business registration, and primary physical presence are in Tbilisi, Georgia (country). The Operator spends the majority of each calendar year (typically eight months or more) physically present in Georgia, not in Italy, and is not an Italian fiscal resident under Italian tax law (Decreto Presidente della Repubblica 22 dicembre 1986, n. 917, Art. 2, requiring 183 days of physical presence). All operations of the Service — including the AI infrastructure, database, hosting, content publication, and administrative work — are conducted from Georgia. The Service runs on Cloudflare's global infrastructure and is not directed at Italian users specifically. The Operator does not advertise the Service in Italian, does not target Italian search terms, and does not promote the Service in Italian media or Italian patient communities.
The Service's user base is substantially non-Italian. The Operator does not actively seek Italian clients and the vast majority of users are located outside of Italy. The Service is published in English only. Where Italian users do reach the Service, they do so on the same general-public terms as any other international user, and the same educational framing applies to them as to any other user.
The Operator's position is that the Service does not constitute the practice of medicine in Italy or any other jurisdiction, because (a) no individual case is evaluated, (b) no diagnosis is made, (c) no treatment is prescribed, (d) no personalized medical advice is rendered, (e) the Operator does not represent himself as a medical professional, and (f) all educational content is descriptive of published research at population level rather than addressed to any specific user's clinical situation. The Service is not a medical device under EU Regulation 2017/745 and is not registered as a therapeutic product in any jurisdiction. The activity is publication and educational reference, which is constitutionally protected expression under Italian Constitution Art. 21, the Charter of Fundamental Rights of the European Union Art. 11, and the European Convention on Human Rights Art. 10.
This Service uses an artificial intelligence system for its only AI-driven tool, the ingredient analyzer ("INCI Tool"). In accordance with EU Regulation 2024/1689 (the "EU AI Act") and equivalent transparency expectations:
The Service consists of the following tools and features, all of which are educational only:
Future physical products. The Operator may, in the future, develop and offer physical products related to LS care (such as topical creams). Any such physical product would be governed by separate terms of sale shipped with the product (or at the point of sale) and would be subject to applicable EU cosmetics regulation (Regulation 1223/2009) or equivalent regulation in the jurisdiction of distribution. The educational content on the Service does NOT promote any specific physical product, and no physical product is currently offered.
Earlier versions of the Service included additional tools (a chat-based Biology Assistant, a weekly Check-in tool with self-tracking reports, and static educational reference pages on phase frameworks). These features were removed in May 2026 as the Service consolidated around the INCI Tool. Historical user data tied to removed tools is governed by the Privacy Policy and may be deleted on request.
The Service may be modified, expanded, contracted, suspended, or discontinued at the Operator's sole discretion at any time, with or without notice. The Operator is not liable for any modification or discontinuation of the Service.
The Service can be used without creating an account or providing personal information. Some optional features (subscription via Gumroad, optional email contact for rate-limit notifications) require providing your email address and creating an opt-in record.
Personal data is processed in accordance with our Privacy Policy, which forms part of these Terms by reference. You acknowledge having read and understood the Privacy Policy before providing any personal data.
You are responsible for keeping your email address current. The Operator is not liable for missed communications due to outdated contact information. You are responsible for the security of any access codes provided to you (e.g., subscription magic links). Do not share access codes with others. If you suspect unauthorized access, contact the Operator immediately.
The Service is freely available without payment. A subscription is required only for unlimited access to the INCI Tool beyond the standard rate limit.
Paid subscriptions ("LS Unlimited") provide expanded access to the INCI Tool beyond the standard rate limit. Subscription pricing, billing periods, and features are described on the subscription page (currently hosted via Gumroad). Subscriptions are managed by Gumroad, Inc., which serves as merchant of record for the transaction. Gumroad's terms of service and privacy policy apply to the payment transaction itself.
Consumers in the EU and UK have the right to withdraw from the subscription within 14 days of subscribing without giving any reason, except in cases where the digital service has been fully provided with the consumer's prior express consent and acknowledgment of loss of withdrawal right (Article 16(m) EU Consumer Rights Directive 2011/83). To exercise the right of withdrawal, contact the Operator at [email protected] with a clear withdrawal statement.
Outside the 14-day right of withdrawal, refunds are at the Operator's reasonable discretion and processed via Gumroad. Subscriptions can be cancelled at any time and will not renew at the next billing cycle.
You may cancel your subscription at any time via the Gumroad customer portal or by contacting the Operator. Cancellation takes effect at the end of the current billing period. No partial refunds are provided for unused time except where required by mandatory consumer law.
The Operator reserves the right to suspend or revoke a subscription, with or without refund, in case of breach of these Terms (including but not limited to acceptable-use violations, fraud, abusive behavior toward the Operator or other users, or attempts to circumvent rate limits or technical protections).
You agree to use the Service only for lawful purposes and in accordance with these Terms. You agree NOT to:
The Operator may suspend or terminate access for users who violate these acceptable-use rules, with no refund obligation beyond mandatory consumer protection.
When you submit content to the Service (e.g., product names, INCI ingredient lists, optional product additions to the Community Products Database, tracking entries with usage status and comfort ratings), you:
All content of the Service — including text, graphics, layout, logo, the curated evidence base structure, the per-ingredient evidence tier framework (Tier A / Tier B / Tier B-ext / Tier C / Contested), the cross-paper conflict-handling logic, the AI prompt designs, and the source code of the Service — is owned by the Operator or licensed to the Operator. This content is protected under applicable copyright, trademark, and intellectual property laws.
You are granted a limited, non-exclusive, non-transferable, revocable license to access and use the Service for personal, non-commercial educational purposes only. This license does not permit you to:
The educational framework, evidence-tier classification system, and prompt designs are the original work of the Operator, building on but distinct from the underlying scientific literature. References to scientific publications are made under the principles of fair use / fair dealing for educational purposes; the underlying research belongs to its respective authors and publishers.
Trademarks of third parties (medication trade names, product brand names, regulatory body names) are property of their respective owners and are referenced for educational purposes only.
The Service relies on third-party infrastructure and services, including but not limited to:
These third parties have their own terms of service and privacy policies, which you should review and which apply to your interactions with their respective services. The Operator is not responsible for the content, practices, or policies of third-party services.
The Service may include links to external websites (e.g., scientific publications, regulatory authority pages, third-party educational resources). Such links are provided for convenience; the Operator does not endorse and is not responsible for the content of external sites.
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, THE SERVICE IS PROVIDED "AS IS" AND "AS AVAILABLE," WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. THE OPERATOR DISCLAIMS ALL WARRANTIES INCLUDING, WITHOUT LIMITATION:
You expressly acknowledge that the use of the Service is at your sole risk, and that any reliance on AI-generated content or educational information is at your sole discretion and responsibility.
Mandatory consumer warranty rights (such as conformity rights under EU Directive 2019/770 for digital content) are not excluded by this disclaimer where they apply.
The AI tool may produce inaccurate ingredient classifications, miscite published research, miss recent publications not in the evidence base, generate text that sounds confident but is wrong, misinterpret unusual INCI formatting, or produce other errors typical of AI-generated content. The evidence base is finite (a defined set of peer-reviewed papers explicitly disclosed in Section 5) and does not cover every ingredient or every condition. Users are explicitly invited to report suspected inaccuracies to [email protected]. The Operator commits to investigating well-founded reports of inaccuracy in good faith and may correct the evidence base, the prompt, or other aspects of the Service where the report is justified. This commitment does not constitute a warranty of accuracy and does not establish liability for any decision a user may make based on the Service's output before correction.
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW:
NOTE ON MANDATORY LIABILITY. Some jurisdictions do not allow the exclusion of certain warranties or the limitation of liability for personal injury, gross negligence, or wilful misconduct. In those jurisdictions, the limitations above apply only to the maximum extent permitted by law, and the Operator's liability for those specific categories is governed by the applicable mandatory law of the user's residence. Consumer rights that cannot be waived contractually are preserved (see Section 18).
You agree to defend, indemnify, and hold harmless the Operator from and against any and all claims, damages, obligations, losses, liabilities, costs, and expenses (including reasonable attorneys' fees) arising out of or related to:
This indemnification obligation survives termination of these Terms.
You may stop using the Service at any time. You may close your account and delete your stored data by contacting [email protected].
The Operator may suspend or terminate your access to the Service, with or without notice, if you violate these Terms, engage in unlawful behavior, abuse the Service, or for any reason at the Operator's sole discretion. The Operator may also discontinue the Service entirely at any time. In case of termination, sections that by their nature survive termination (including but not limited to disclaimer, limitation of liability, indemnification, intellectual property, and dispute resolution) shall remain in effect.
These Terms are governed by and construed in accordance with the laws of Georgia (the country in the South Caucasus), without regard to its conflict of law principles, and without prejudice to any mandatory consumer protection laws applicable to consumers residing in other jurisdictions.
For any dispute arising out of or related to these Terms or your use of the Service:
Nothing in these Terms removes, reduces, or waives any right that you have under mandatory consumer protection law of your country of residence that cannot be waived by contract. The following non-exhaustive list illustrates protections that are preserved:
For consumers in other jurisdictions (Canada, Australia, Brazil, etc.), mandatory consumer protection rights of your jurisdiction continue to apply.
The Operator shall not be liable for any failure or delay in performance caused by events beyond reasonable control, including but not limited to: acts of God, natural disasters, war, terrorism, civil unrest, pandemics, government action, regulatory changes, internet or telecommunications outages, third-party service failures (Cloudflare, Anthropic, Gumroad, etc.), cyberattacks, or any other event beyond the Operator's reasonable control.
If any provision of these Terms is held to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect. The invalid provision shall be replaced with a valid provision that most closely reflects the original intent. These Terms, together with the Privacy Policy and any disclosures presented within the Service, constitute the entire agreement between you and the Operator regarding the Service and supersede all prior agreements.
No waiver of any term shall be deemed a further or continuing waiver of that term or any other term. Failure to assert a right under these Terms shall not constitute a waiver.
You may not assign or transfer your rights under these Terms without the Operator's prior written consent. The Operator may assign these Terms to a successor entity in case of business transfer, with notice to users.
Nothing in these Terms creates a partnership, joint venture, agency, employment, fiduciary, or franchise relationship between you and the Operator. Neither party has the authority to bind the other or incur obligations on the other's behalf.
These Terms do not create any third-party beneficiary rights. No person who is not a party to these Terms shall have any rights under or in connection with these Terms, except where mandatory consumer protection law expressly grants such rights to consumers (in which case those mandatory rights are preserved per Section 18).
To the maximum extent permitted by applicable law, any claim or cause of action arising out of or related to these Terms or the Service must be filed within ONE (1) YEAR after such claim or cause of action arose, or it shall be permanently barred. This limitation does not apply where mandatory law of the consumer's jurisdiction provides for a longer limitation period that cannot be waived contractually, in which case the longer mandatory period applies.
Any formal notice or communication required or permitted under these Terms must be in writing and sent: (a) by you to the Operator, via email to [email protected]; (b) by the Operator to you, via email to the address you provided to the Service, or via posting on the Service. Notices are deemed received on the next business day after sending.
Section headings are for convenience only and do not affect the interpretation of these Terms.
These Terms are written and published in English. If a translation is provided for convenience, the English version controls in case of any inconsistency.
The Operator may update these Terms from time to time. Material changes will be communicated via posting the updated Terms on this page with a new "Last updated" date and, where appropriate, via email notification to subscribers. Continued use of the Service after changes constitutes acceptance of the updated Terms. If you do not agree to the updated Terms, you must stop using the Service.
You are encouraged to review these Terms periodically. The current version is always available at /terms/.
For any question, concern, or formal communication regarding these Terms or the Service:
Operator: Alessandro Cuggiani
Address (fiscal): Tbilisi, Georgia (country in the South Caucasus)
Status: Individual Entrepreneur with Small Business Status under Georgian law
Email: [email protected]
Service: https://lichensclerosus.ai/
By using lichensclerosus.ai, you acknowledge that you have read, understood, and agreed to these Terms of Service in their entirety, including the Privacy Policy referenced herein. You explicitly acknowledge that this Service is educational only, does not provide medical advice, does not establish a healthcare professional relationship, and does not constitute the practice of medicine in any jurisdiction.