I'm not familiar with that particular piece of software. It may not be enshittified... yet. But it only take someone in the company to makes it to show the can make some ad revenue by plopping a bunch of ads on the site. Or even worse, they could start selling the data, which is particularly worrisome given it's medical data. Think about how much pharma companies spend on advertising and how valuable it would be to them to be able to do targeted advertising directed at people the know have conditions that they're selling treatments for.

The data on a site like that is ridiculously valuable. Sooner or later someone may decide to give a marketing company contracted by a big pharma company just one little peak at some data.