Proactive for her began amid the Covid-19 pandemic, in August 2020 as a digital platform to provide accessible, evidence-based, primary, preventive non-judgmental healthcare services for Indian women, who were often dissuaded from seeking help as premarital sex and menstrual health was considered taboo. From her research and experience, Jacob identified that it was difficult for women to find unbiased and empathetic medical professionals who respected patient autonomy. By May 2022, Proactive was a platform that provided one-on-one teleconsultations, support programs, and webinars to customized treatment. It had reached over 5,000 women and opened its first flagship clinic in Bengaluru. It raised $1.2 million in its seed round in October 2020 and $5.5 million in Series A in January 2022. Proactive experimented with new solutions and products, with patient centricity at its core but as it prepared for Series B, had to figure out what business model would allow it to build a sustainable and profitable business that addressed the core issues?