diff --git a/backend/alembic.ini b/backend/alembic.ini
new file mode 100644
index 0000000..807ded2
--- /dev/null
+++ b/backend/alembic.ini
@@ -0,0 +1,149 @@
+# A generic, single database configuration.
+
+[alembic]
+# path to migration scripts.
+# this is typically a path given in POSIX (e.g. forward slashes)
+# format, relative to the token %(here)s which refers to the location of this
+# ini file
+script_location = %(here)s/alembic
+
+# template used to generate migration file names; The default value is %%(rev)s_%%(slug)s
+# Uncomment the line below if you want the files to be prepended with date and time
+# see https://alembic.sqlalchemy.org/en/latest/tutorial.html#editing-the-ini-file
+# for all available tokens
+# file_template = %%(year)d_%%(month).2d_%%(day).2d_%%(hour).2d%%(minute).2d-%%(rev)s_%%(slug)s
+# Or organize into date-based subdirectories (requires recursive_version_locations = true)
+# file_template = %%(year)d/%%(month).2d/%%(day).2d_%%(hour).2d%%(minute).2d_%%(second).2d_%%(rev)s_%%(slug)s
+
+# sys.path path, will be prepended to sys.path if present.
+# defaults to the current working directory.  for multiple paths, the path separator
+# is defined by "path_separator" below.
+prepend_sys_path = .
+
+
+# timezone to use when rendering the date within the migration file
+# as well as the filename.
+# If specified, requires the tzdata library which can be installed by adding
+# `alembic[tz]` to the pip requirements.
+# string value is passed to ZoneInfo()
+# leave blank for localtime
+# timezone =
+
+# max length of characters to apply to the "slug" field
+# truncate_slug_length = 40
+
+# set to 'true' to run the environment during
+# the 'revision' command, regardless of autogenerate
+# revision_environment = false
+
+# set to 'true' to allow .pyc and .pyo files without
+# a source .py file to be detected as revisions in the
+# versions/ directory
+# sourceless = false
+
+# version location specification; This defaults
+# to <script_location>/versions.  When using multiple version
+# directories, initial revisions must be specified with --version-path.
+# The path separator used here should be the separator specified by "path_separator"
+# below.
+# version_locations = %(here)s/bar:%(here)s/bat:%(here)s/alembic/versions
+
+# path_separator; This indicates what character is used to split lists of file
+# paths, including version_locations and prepend_sys_path within configparser
+# files such as alembic.ini.
+# The default rendered in new alembic.ini files is "os", which uses os.pathsep
+# to provide os-dependent path splitting.
+#
+# Note that in order to support legacy alembic.ini files, this default does NOT
+# take place if path_separator is not present in alembic.ini.  If this
+# option is omitted entirely, fallback logic is as follows:
+#
+# 1. Parsing of the version_locations option falls back to using the legacy
+#    "version_path_separator" key, which if absent then falls back to the legacy
+#    behavior of splitting on spaces and/or commas.
+# 2. Parsing of the prepend_sys_path option falls back to the legacy
+#    behavior of splitting on spaces, commas, or colons.
+#
+# Valid values for path_separator are:
+#
+# path_separator = :
+# path_separator = ;
+# path_separator = space
+# path_separator = newline
+#
+# Use os.pathsep. Default configuration used for new projects.
+path_separator = os
+
+# set to 'true' to search source files recursively
+# in each "version_locations" directory
+# new in Alembic version 1.10
+# recursive_version_locations = false
+
+# the output encoding used when revision files
+# are written from script.py.mako
+# output_encoding = utf-8
+
+# database URL.  This is consumed by the user-maintained env.py script only.
+# other means of configuring database URLs may be customized within the env.py
+# file.
+sqlalchemy.url = driver://user:pass@localhost/dbname
+
+
+[post_write_hooks]
+# post_write_hooks defines scripts or Python functions that are run
+# on newly generated revision scripts.  See the documentation for further
+# detail and examples
+
+# format using "black" - use the console_scripts runner, against the "black" entrypoint
+# hooks = black
+# black.type = console_scripts
+# black.entrypoint = black
+# black.options = -l 79 REVISION_SCRIPT_FILENAME
+
+# lint with attempts to fix using "ruff" - use the module runner, against the "ruff" module
+# hooks = ruff
+# ruff.type = module
+# ruff.module = ruff
+# ruff.options = check --fix REVISION_SCRIPT_FILENAME
+
+# Alternatively, use the exec runner to execute a binary found on your PATH
+# hooks = ruff
+# ruff.type = exec
+# ruff.executable = ruff
+# ruff.options = check --fix REVISION_SCRIPT_FILENAME
+
+# Logging configuration.  This is also consumed by the user-maintained
+# env.py script only.
+[loggers]
+keys = root,sqlalchemy,alembic
+
+[handlers]
+keys = console
+
+[formatters]
+keys = generic
+
+[logger_root]
+level = WARNING
+handlers = console
+qualname =
+
+[logger_sqlalchemy]
+level = WARNING
+handlers =
+qualname = sqlalchemy.engine
+
+[logger_alembic]
+level = INFO
+handlers =
+qualname = alembic
+
+[handler_console]
+class = StreamHandler
+args = (sys.stderr,)
+level = NOTSET
+formatter = generic
+
+[formatter_generic]
+format = %(levelname)-5.5s [%(name)s] %(message)s
+datefmt = %H:%M:%S
diff --git a/backend/alembic/README b/backend/alembic/README
new file mode 100644
index 0000000..98e4f9c
--- /dev/null
+++ b/backend/alembic/README
@@ -0,0 +1 @@
+Generic single-database configuration.
\ No newline at end of file
diff --git a/backend/alembic/env.py b/backend/alembic/env.py
new file mode 100644
index 0000000..76f7495
--- /dev/null
+++ b/backend/alembic/env.py
@@ -0,0 +1,50 @@
+import os
+from logging.config import fileConfig
+
+from alembic import context
+from dotenv import load_dotenv
+from sqlalchemy import engine_from_config, pool
+from sqlmodel import SQLModel
+
+load_dotenv()
+
+# Import all models so their tables are registered in SQLModel.metadata
+import innercontext.models  # noqa: F401
+
+config = context.config
+
+if config.config_file_name is not None:
+    fileConfig(config.config_file_name)
+
+target_metadata = SQLModel.metadata
+
+
+def get_url() -> str:
+    return os.environ.get("DATABASE_URL", "postgresql+psycopg://localhost/innercontext")
+
+
+def run_migrations_offline() -> None:
+    context.configure(
+        url=get_url(),
+        target_metadata=target_metadata,
+        literal_binds=True,
+        dialect_opts={"paramstyle": "named"},
+    )
+    with context.begin_transaction():
+        context.run_migrations()
+
+
+def run_migrations_online() -> None:
+    cfg = config.get_section(config.config_ini_section, {})
+    cfg["sqlalchemy.url"] = get_url()
+    connectable = engine_from_config(cfg, prefix="sqlalchemy.", poolclass=pool.NullPool)
+    with connectable.connect() as connection:
+        context.configure(connection=connection, target_metadata=target_metadata)
+        with context.begin_transaction():
+            context.run_migrations()
+
+
+if context.is_offline_mode():
+    run_migrations_offline()
+else:
+    run_migrations_online()
diff --git a/backend/alembic/script.py.mako b/backend/alembic/script.py.mako
new file mode 100644
index 0000000..1101630
--- /dev/null
+++ b/backend/alembic/script.py.mako
@@ -0,0 +1,28 @@
+"""${message}
+
+Revision ID: ${up_revision}
+Revises: ${down_revision | comma,n}
+Create Date: ${create_date}
+
+"""
+from typing import Sequence, Union
+
+from alembic import op
+import sqlalchemy as sa
+${imports if imports else ""}
+
+# revision identifiers, used by Alembic.
+revision: str = ${repr(up_revision)}
+down_revision: Union[str, Sequence[str], None] = ${repr(down_revision)}
+branch_labels: Union[str, Sequence[str], None] = ${repr(branch_labels)}
+depends_on: Union[str, Sequence[str], None] = ${repr(depends_on)}
+
+
+def upgrade() -> None:
+    """Upgrade schema."""
+    ${upgrades if upgrades else "pass"}
+
+
+def downgrade() -> None:
+    """Downgrade schema."""
+    ${downgrades if downgrades else "pass"}
diff --git a/backend/alembic/versions/c2d626a2b36c_initial_schema.py b/backend/alembic/versions/c2d626a2b36c_initial_schema.py
new file mode 100644
index 0000000..093aca0
--- /dev/null
+++ b/backend/alembic/versions/c2d626a2b36c_initial_schema.py
@@ -0,0 +1,238 @@
+"""initial_schema
+
+Revision ID: c2d626a2b36c
+Revises: 
+Create Date: 2026-02-28 20:13:55.499494
+
+"""
+from typing import Sequence, Union
+
+from alembic import op
+import sqlalchemy as sa
+import sqlmodel.sql.sqltypes
+
+
+# revision identifiers, used by Alembic.
+revision: str = 'c2d626a2b36c'
+down_revision: Union[str, Sequence[str], None] = None
+branch_labels: Union[str, Sequence[str], None] = None
+depends_on: Union[str, Sequence[str], None] = None
+
+
+def upgrade() -> None:
+    """Upgrade schema."""
+    # ### commands auto generated by Alembic - please adjust! ###
+    op.create_table('grooming_schedule',
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('day_of_week', sa.Integer(), nullable=False),
+    sa.Column('action', sa.Enum('SHAVING_RAZOR', 'SHAVING_ONEBLADE', 'DERMAROLLING', name='groomingaction'), nullable=False),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.PrimaryKeyConstraint('id')
+    )
+    op.create_index(op.f('ix_grooming_schedule_day_of_week'), 'grooming_schedule', ['day_of_week'], unique=False)
+    op.create_table('lab_results',
+    sa.Column('record_id', sa.Uuid(), nullable=False),
+    sa.Column('collected_at', sa.DateTime(), nullable=False),
+    sa.Column('test_code', sqlmodel.sql.sqltypes.AutoString(), nullable=False),
+    sa.Column('test_name_original', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('test_name_loinc', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('value_num', sa.Float(), nullable=True),
+    sa.Column('value_text', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('value_bool', sa.Boolean(), nullable=True),
+    sa.Column('unit_original', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('unit_ucum', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('ref_low', sa.Float(), nullable=True),
+    sa.Column('ref_high', sa.Float(), nullable=True),
+    sa.Column('ref_text', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('flag', sa.Enum('NORMAL', 'ABNORMAL', 'POSITIVE', 'NEGATIVE', 'LOW', 'HIGH', name='resultflag'), nullable=True),
+    sa.Column('lab', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('source_file', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.Column('updated_at', sa.DateTime(timezone=True), nullable=False),
+    sa.PrimaryKeyConstraint('record_id')
+    )
+    op.create_index(op.f('ix_lab_results_collected_at'), 'lab_results', ['collected_at'], unique=False)
+    op.create_index(op.f('ix_lab_results_flag'), 'lab_results', ['flag'], unique=False)
+    op.create_index(op.f('ix_lab_results_lab'), 'lab_results', ['lab'], unique=False)
+    op.create_index(op.f('ix_lab_results_test_code'), 'lab_results', ['test_code'], unique=False)
+    op.create_table('medication_entries',
+    sa.Column('record_id', sa.Uuid(), nullable=False),
+    sa.Column('kind', sa.Enum('PRESCRIPTION', 'OTC', 'SUPPLEMENT', 'HERBAL', 'OTHER', name='medicationkind'), nullable=False),
+    sa.Column('product_name', sqlmodel.sql.sqltypes.AutoString(), nullable=False),
+    sa.Column('active_substance', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('formulation', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('route', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('source_file', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.Column('updated_at', sa.DateTime(timezone=True), nullable=False),
+    sa.PrimaryKeyConstraint('record_id')
+    )
+    op.create_index(op.f('ix_medication_entries_active_substance'), 'medication_entries', ['active_substance'], unique=False)
+    op.create_index(op.f('ix_medication_entries_kind'), 'medication_entries', ['kind'], unique=False)
+    op.create_index(op.f('ix_medication_entries_product_name'), 'medication_entries', ['product_name'], unique=False)
+    op.create_table('products',
+    sa.Column('name', sqlmodel.sql.sqltypes.AutoString(), nullable=False),
+    sa.Column('brand', sqlmodel.sql.sqltypes.AutoString(), nullable=False),
+    sa.Column('line_name', sqlmodel.sql.sqltypes.AutoString(length=128), nullable=True),
+    sa.Column('sku', sqlmodel.sql.sqltypes.AutoString(length=64), nullable=True),
+    sa.Column('url', sqlmodel.sql.sqltypes.AutoString(length=512), nullable=True),
+    sa.Column('barcode', sqlmodel.sql.sqltypes.AutoString(length=64), nullable=True),
+    sa.Column('category', sa.Enum('CLEANSER', 'TONER', 'ESSENCE', 'SERUM', 'MOISTURIZER', 'SPF', 'MASK', 'EXFOLIANT', 'HAIR_TREATMENT', 'TOOL', 'SPOT_TREATMENT', 'OIL', name='productcategory'), nullable=False),
+    sa.Column('recommended_time', sa.Enum('AM', 'PM', 'BOTH', name='daytime'), nullable=False),
+    sa.Column('texture', sa.Enum('WATERY', 'GEL', 'EMULSION', 'CREAM', 'OIL', 'BALM', 'FOAM', 'FLUID', name='texturetype'), nullable=True),
+    sa.Column('absorption_speed', sa.Enum('VERY_FAST', 'FAST', 'MODERATE', 'SLOW', 'VERY_SLOW', name='absorptionspeed'), nullable=True),
+    sa.Column('leave_on', sa.Boolean(), nullable=False),
+    sa.Column('size_ml', sa.Float(), nullable=True),
+    sa.Column('full_weight_g', sa.Float(), nullable=True),
+    sa.Column('empty_weight_g', sa.Float(), nullable=True),
+    sa.Column('pao_months', sa.Integer(), nullable=True),
+    sa.Column('price_tier', sa.Enum('BUDGET', 'MID', 'PREMIUM', 'LUXURY', name='pricetier'), nullable=True),
+    sa.Column('inci', sa.JSON(), nullable=False),
+    sa.Column('actives', sa.JSON(), nullable=True),
+    sa.Column('recommended_for', sa.JSON(), nullable=False),
+    sa.Column('targets', sa.JSON(), nullable=False),
+    sa.Column('contraindications', sa.JSON(), nullable=False),
+    sa.Column('usage_notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('fragrance_free', sa.Boolean(), nullable=True),
+    sa.Column('essential_oils_free', sa.Boolean(), nullable=True),
+    sa.Column('alcohol_denat_free', sa.Boolean(), nullable=True),
+    sa.Column('pregnancy_safe', sa.Boolean(), nullable=True),
+    sa.Column('product_effect_profile', sa.JSON(), nullable=False),
+    sa.Column('ph_min', sa.Float(), nullable=True),
+    sa.Column('ph_max', sa.Float(), nullable=True),
+    sa.Column('incompatible_with', sa.JSON(), nullable=True),
+    sa.Column('synergizes_with', sa.JSON(), nullable=True),
+    sa.Column('context_rules', sa.JSON(), nullable=True),
+    sa.Column('min_interval_hours', sa.Integer(), nullable=True),
+    sa.Column('max_frequency_per_week', sa.Integer(), nullable=True),
+    sa.Column('is_medication', sa.Boolean(), nullable=False),
+    sa.Column('is_tool', sa.Boolean(), nullable=False),
+    sa.Column('needle_length_mm', sa.Float(), nullable=True),
+    sa.Column('personal_tolerance_notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('personal_repurchase_intent', sa.Boolean(), nullable=True),
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.Column('updated_at', sa.DateTime(timezone=True), nullable=False),
+    sa.PrimaryKeyConstraint('id')
+    )
+    op.create_index(op.f('ix_products_price_tier'), 'products', ['price_tier'], unique=False)
+    op.create_table('routines',
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('routine_date', sa.Date(), nullable=False),
+    sa.Column('part_of_day', sa.Enum('AM', 'PM', name='partofday'), nullable=False),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.Column('updated_at', sa.DateTime(timezone=True), nullable=False),
+    sa.PrimaryKeyConstraint('id'),
+    sa.UniqueConstraint('routine_date', 'part_of_day', name='uq_routine_date_part_of_day')
+    )
+    op.create_index(op.f('ix_routines_part_of_day'), 'routines', ['part_of_day'], unique=False)
+    op.create_index(op.f('ix_routines_routine_date'), 'routines', ['routine_date'], unique=False)
+    op.create_table('skin_condition_snapshots',
+    sa.Column('snapshot_date', sa.Date(), nullable=False),
+    sa.Column('overall_state', sa.Enum('EXCELLENT', 'GOOD', 'FAIR', 'POOR', name='overallskinstate'), nullable=True),
+    sa.Column('skin_type', sa.Enum('DRY', 'OILY', 'COMBINATION', 'SENSITIVE', 'NORMAL', 'ACNE_PRONE', name='skintype'), nullable=True),
+    sa.Column('texture', sa.Enum('SMOOTH', 'ROUGH', 'FLAKY', 'BUMPY', name='skintexture'), nullable=True),
+    sa.Column('hydration_level', sa.Integer(), nullable=True),
+    sa.Column('sebum_tzone', sa.Integer(), nullable=True),
+    sa.Column('sebum_cheeks', sa.Integer(), nullable=True),
+    sa.Column('sensitivity_level', sa.Integer(), nullable=True),
+    sa.Column('barrier_state', sa.Enum('INTACT', 'MILDLY_COMPROMISED', 'COMPROMISED', name='barrierstate'), nullable=True),
+    sa.Column('active_concerns', sa.JSON(), nullable=False),
+    sa.Column('risks', sa.JSON(), nullable=False),
+    sa.Column('priorities', sa.JSON(), nullable=False),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.PrimaryKeyConstraint('id'),
+    sa.UniqueConstraint('snapshot_date', name='uq_skin_snapshot_date')
+    )
+    op.create_index(op.f('ix_skin_condition_snapshots_snapshot_date'), 'skin_condition_snapshots', ['snapshot_date'], unique=False)
+    op.create_table('medication_usages',
+    sa.Column('record_id', sa.Uuid(), nullable=False),
+    sa.Column('medication_record_id', sa.Uuid(), nullable=False),
+    sa.Column('dose_value', sa.Float(), nullable=True),
+    sa.Column('dose_unit', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('frequency', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('schedule_text', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('as_needed', sa.Boolean(), nullable=False),
+    sa.Column('valid_from', sa.DateTime(), nullable=False),
+    sa.Column('valid_to', sa.DateTime(), nullable=True),
+    sa.Column('source_file', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.Column('updated_at', sa.DateTime(timezone=True), nullable=False),
+    sa.ForeignKeyConstraint(['medication_record_id'], ['medication_entries.record_id'], ),
+    sa.PrimaryKeyConstraint('record_id')
+    )
+    op.create_index(op.f('ix_medication_usages_as_needed'), 'medication_usages', ['as_needed'], unique=False)
+    op.create_index(op.f('ix_medication_usages_medication_record_id'), 'medication_usages', ['medication_record_id'], unique=False)
+    op.create_index(op.f('ix_medication_usages_valid_from'), 'medication_usages', ['valid_from'], unique=False)
+    op.create_index(op.f('ix_medication_usages_valid_to'), 'medication_usages', ['valid_to'], unique=False)
+    op.create_table('product_inventory',
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('product_id', sa.Uuid(), nullable=False),
+    sa.Column('is_opened', sa.Boolean(), nullable=False),
+    sa.Column('opened_at', sa.Date(), nullable=True),
+    sa.Column('finished_at', sa.Date(), nullable=True),
+    sa.Column('expiry_date', sa.Date(), nullable=True),
+    sa.Column('current_weight_g', sa.Float(), nullable=True),
+    sa.Column('last_weighed_at', sa.Date(), nullable=True),
+    sa.Column('notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('created_at', sa.DateTime(), nullable=False),
+    sa.ForeignKeyConstraint(['product_id'], ['products.id'], ),
+    sa.PrimaryKeyConstraint('id')
+    )
+    op.create_index(op.f('ix_product_inventory_product_id'), 'product_inventory', ['product_id'], unique=False)
+    op.create_table('routine_steps',
+    sa.Column('id', sa.Uuid(), nullable=False),
+    sa.Column('routine_id', sa.Uuid(), nullable=False),
+    sa.Column('product_id', sa.Uuid(), nullable=True),
+    sa.Column('order_index', sa.Integer(), nullable=False),
+    sa.Column('action_type', sa.Enum('SHAVING_RAZOR', 'SHAVING_ONEBLADE', 'DERMAROLLING', name='groomingaction'), nullable=True),
+    sa.Column('action_notes', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('dose', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.Column('region', sqlmodel.sql.sqltypes.AutoString(), nullable=True),
+    sa.ForeignKeyConstraint(['product_id'], ['products.id'], ),
+    sa.ForeignKeyConstraint(['routine_id'], ['routines.id'], ),
+    sa.PrimaryKeyConstraint('id')
+    )
+    op.create_index(op.f('ix_routine_steps_product_id'), 'routine_steps', ['product_id'], unique=False)
+    op.create_index(op.f('ix_routine_steps_routine_id'), 'routine_steps', ['routine_id'], unique=False)
+    # ### end Alembic commands ###
+
+
+def downgrade() -> None:
+    """Downgrade schema."""
+    # ### commands auto generated by Alembic - please adjust! ###
+    op.drop_index(op.f('ix_routine_steps_routine_id'), table_name='routine_steps')
+    op.drop_index(op.f('ix_routine_steps_product_id'), table_name='routine_steps')
+    op.drop_table('routine_steps')
+    op.drop_index(op.f('ix_product_inventory_product_id'), table_name='product_inventory')
+    op.drop_table('product_inventory')
+    op.drop_index(op.f('ix_medication_usages_valid_to'), table_name='medication_usages')
+    op.drop_index(op.f('ix_medication_usages_valid_from'), table_name='medication_usages')
+    op.drop_index(op.f('ix_medication_usages_medication_record_id'), table_name='medication_usages')
+    op.drop_index(op.f('ix_medication_usages_as_needed'), table_name='medication_usages')
+    op.drop_table('medication_usages')
+    op.drop_index(op.f('ix_skin_condition_snapshots_snapshot_date'), table_name='skin_condition_snapshots')
+    op.drop_table('skin_condition_snapshots')
+    op.drop_index(op.f('ix_routines_routine_date'), table_name='routines')
+    op.drop_index(op.f('ix_routines_part_of_day'), table_name='routines')
+    op.drop_table('routines')
+    op.drop_index(op.f('ix_products_price_tier'), table_name='products')
+    op.drop_table('products')
+    op.drop_index(op.f('ix_medication_entries_product_name'), table_name='medication_entries')
+    op.drop_index(op.f('ix_medication_entries_kind'), table_name='medication_entries')
+    op.drop_index(op.f('ix_medication_entries_active_substance'), table_name='medication_entries')
+    op.drop_table('medication_entries')
+    op.drop_index(op.f('ix_lab_results_test_code'), table_name='lab_results')
+    op.drop_index(op.f('ix_lab_results_lab'), table_name='lab_results')
+    op.drop_index(op.f('ix_lab_results_flag'), table_name='lab_results')
+    op.drop_index(op.f('ix_lab_results_collected_at'), table_name='lab_results')
+    op.drop_table('lab_results')
+    op.drop_index(op.f('ix_grooming_schedule_day_of_week'), table_name='grooming_schedule')
+    op.drop_table('grooming_schedule')
+    # ### end Alembic commands ###
diff --git a/backend/pyproject.toml b/backend/pyproject.toml
index 1dbbe7d..d7c215c 100644
--- a/backend/pyproject.toml
+++ b/backend/pyproject.toml
@@ -5,6 +5,7 @@ description = "Add your description here"
 readme = "README.md"
 requires-python = ">=3.12"
 dependencies = [
+    "alembic>=1.14",
     "fastapi>=0.132.0",
     "fastmcp>=2.0",
     "google-genai>=1.65.0",
diff --git a/backend/uv.lock b/backend/uv.lock
index d58b2fa..a168b04 100644
--- a/backend/uv.lock
+++ b/backend/uv.lock
@@ -14,6 +14,20 @@ wheels = [
     { url = "https://files.pythonhosted.org/packages/50/25/da1f0b4dd970e52bf5a36c204c107e11a0c6d3ed195eba0bfbc664c312b2/aiofile-3.9.0-py3-none-any.whl", hash = "sha256:ce2f6c1571538cbdfa0143b04e16b208ecb0e9cb4148e528af8a640ed51cc8aa", size = 19539, upload-time = "2024-10-08T10:39:32.955Z" },
 ]
 
+[[package]]
+name = "alembic"
+version = "1.18.4"
+source = { registry = "https://pypi.org/simple" }
+dependencies = [
+    { name = "mako" },
+    { name = "sqlalchemy" },
+    { name = "typing-extensions" },
+]
+sdist = { url = "https://files.pythonhosted.org/packages/94/13/8b084e0f2efb0275a1d534838844926f798bd766566b1375174e2448cd31/alembic-1.18.4.tar.gz", hash = "sha256:cb6e1fd84b6174ab8dbb2329f86d631ba9559dd78df550b57804d607672cedbc", size = 2056725, upload-time = "2026-02-10T16:00:47.195Z" }
+wheels = [
+    { url = "https://files.pythonhosted.org/packages/d2/29/6533c317b74f707ea28f8d633734dbda2119bbadfc61b2f3640ba835d0f7/alembic-1.18.4-py3-none-any.whl", hash = "sha256:a5ed4adcf6d8a4cb575f3d759f071b03cd6e5c7618eb796cb52497be25bfe19a", size = 263893, upload-time = "2026-02-10T16:00:49.997Z" },
+]
+
 [[package]]
 name = "annotated-doc"
 version = "0.0.4"
@@ -640,6 +654,7 @@ name = "innercontext"
 version = "0.1.0"
 source = { virtual = "." }
 dependencies = [
+    { name = "alembic" },
     { name = "fastapi" },
     { name = "fastmcp" },
     { name = "google-genai" },
@@ -662,6 +677,7 @@ dev = [
 
 [package.metadata]
 requires-dist = [
+    { name = "alembic", specifier = ">=1.14" },
     { name = "fastapi", specifier = ">=0.132.0" },
     { name = "fastmcp", specifier = ">=2.0" },
     { name = "google-genai", specifier = ">=1.65.0" },
@@ -800,6 +816,18 @@ wheels = [
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 ]
 
+[[package]]
+name = "mako"
+version = "1.3.10"
+source = { registry = "https://pypi.org/simple" }
+dependencies = [
+    { name = "markupsafe" },
+]
+sdist = { url = "https://files.pythonhosted.org/packages/9e/38/bd5b78a920a64d708fe6bc8e0a2c075e1389d53bef8413725c63ba041535/mako-1.3.10.tar.gz", hash = "sha256:99579a6f39583fa7e5630a28c3c1f440e4e97a414b80372649c0ce338da2ea28", size = 392474, upload-time = "2025-04-10T12:44:31.16Z" }
+wheels = [
+    { url = "https://files.pythonhosted.org/packages/87/fb/99f81ac72ae23375f22b7afdb7642aba97c00a713c217124420147681a2f/mako-1.3.10-py3-none-any.whl", hash = "sha256:baef24a52fc4fc514a0887ac600f9f1cff3d82c61d4d700a1fa84d597b88db59", size = 78509, upload-time = "2025-04-10T12:50:53.297Z" },
+]
+
 [[package]]
 name = "markdown-it-py"
 version = "4.0.0"
@@ -812,6 +840,69 @@ wheels = [
     { url = "https://files.pythonhosted.org/packages/94/54/e7d793b573f298e1c9013b8c4dade17d481164aa517d1d7148619c2cedbf/markdown_it_py-4.0.0-py3-none-any.whl", hash = "sha256:87327c59b172c5011896038353a81343b6754500a08cd7a4973bb48c6d578147", size = 87321, upload-time = "2025-08-11T12:57:51.923Z" },
 ]
 
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+version = "3.0.3"
+source = { registry = "https://pypi.org/simple" }
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+]
+
 [[package]]
 name = "mcp"
 version = "1.26.0"
diff --git a/docs/DEPLOYMENT.md b/docs/DEPLOYMENT.md
index 91bf6d4..fe6f0dc 100644
--- a/docs/DEPLOYMENT.md
+++ b/docs/DEPLOYMENT.md
@@ -137,12 +137,25 @@ chmod 600 /opt/innercontext/backend/.env
 chown innercontext:innercontext /opt/innercontext/backend/.env
 ```
 
+### Run database migrations
+
+```bash
+sudo -u innercontext bash -c '
+  cd /opt/innercontext/backend
+  uv run alembic upgrade head
+'
+```
+
+This creates all tables on first run. On subsequent deploys it applies only the new migrations.
+
+> **Existing database (tables already created by `create_db_and_tables`):**
+> Run `uv run alembic stamp head` instead to mark the current schema as migrated without re-running DDL.
+
 ### Test
 
 ```bash
 sudo -u innercontext bash -c '
   cd /opt/innercontext/backend
-  source .env
   uv run uvicorn main:app --host 127.0.0.1 --port 8000
 '
 # Ctrl-C after confirming it starts
@@ -260,9 +273,12 @@ The web UI should be accessible at `http://innercontext.lan`.
 cd /opt/innercontext
 git pull
 
-# If backend dependencies changed:
+# Sync backend dependencies if pyproject.toml changed:
 cd backend && sudo -u innercontext uv sync && cd ..
 
+# Apply any new DB migrations (runs automatically via ExecStartPre, but safe to run manually first):
+sudo -u innercontext bash -c 'cd /opt/innercontext/backend && uv run alembic upgrade head'
+
 # Rebuild frontend:
 cd frontend && sudo -u innercontext bash -c '
   pnpm install
diff --git a/systemd/innercontext.service b/systemd/innercontext.service
index b3a3b9c..b91141d 100644
--- a/systemd/innercontext.service
+++ b/systemd/innercontext.service
@@ -8,6 +8,7 @@ User=innercontext
 Group=innercontext
 WorkingDirectory=/opt/innercontext/backend
 EnvironmentFile=/opt/innercontext/backend/.env
+ExecStartPre=/opt/innercontext/backend/.venv/bin/alembic upgrade head
 ExecStart=/opt/innercontext/backend/.venv/bin/uvicorn main:app --host 127.0.0.1 --port 8000
 Restart=on-failure
 RestartSec=5