“Every year, we say it’s the hardest year to grow an app,” Flo Health CEO Dmitry Gurski joked to a packed house. “But after 16 years, I’m convinced: it really does get harder every time.” These were the opening words of Gurski’s keynote address at APS London 2025, in which he delivered a candid and data-rich account of how he and his team built one of the world’s most widely used health apps. He unpacked the thinking behind Flo’s long-term growth — from user lifecycle desi...