diff --git a/docs/api/openapi.yaml b/docs/api/openapi.yaml
index 1138e83df..dc46cbe69 100644
--- a/docs/api/openapi.yaml
+++ b/docs/api/openapi.yaml
@@ -18624,6 +18624,14 @@ components:
           minimum: -9007199254740991
           maximum: 9007199254740991
           description: Minimum paired-day count enforced per pair.
+        emerging:
+          description: v1.22 — rolling early-detection pass over the trailing window; emerging pairs not yet established
+            retrospectively (no double-count).
+          $ref: "#/components/schemas/EmergingCorrelationResult"
+        labCorrelations:
+          description: v1.22 — labs ↔ outcome associations (each draw vs the contemporaneous outcome window-mean), FDR-controlled;
+            absent-degrading on sparse draws.
+          $ref: "#/components/schemas/LabCorrelationResult"
       required:
         - discovered
         - pairsTested
@@ -18663,6 +18671,16 @@ components:
           minimum: -9007199254740991
           maximum: 9007199254740991
           description: Lag in days applied (1).
+        window:
+          description: v1.22 — which window surfaced the pair. Absent on the 180-day scan (retrospective default); `recent` for an
+            emerging early-detection pair.
+          type: string
+          enum:
+            - retrospective
+            - recent
+        provisional:
+          description: "v1.22 — true for an emerging recent-window pair: fewer days, hedged as provisional rather than established."
+          type: boolean
       required:
         - behaviour
         - outcome
@@ -18673,6 +18691,107 @@ components:
         - interpretation
         - lagDays
       additionalProperties: false
+    EmergingCorrelationResult:
+      type: object
+      properties:
+        emerging:
+          type: array
+          items:
+            $ref: "#/components/schemas/DiscoveredCorrelation"
+          description: Recent-window pairs NOT already established retrospectively — the emerging signals (provisional, hedged).
+        windowDays:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Trailing window (days) the early pass scanned.
+        minPairs:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Paired-day floor enforced for the early pass.
+        fdrQ:
+          type: number
+          description: FDR target the early pass used (tighter than the main scan).
+        pairsTested:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Pairs tested in the early window.
+      required:
+        - emerging
+        - windowDays
+        - minPairs
+        - fdrQ
+        - pairsTested
+      additionalProperties: false
+    LabCorrelationResult:
+      type: object
+      properties:
+        discovered:
+          type: array
+          items:
+            $ref: "#/components/schemas/DiscoveredLabCorrelation"
+          description: Lab ↔ outcome associations surviving the per-pair floor + BH-FDR.
+        pairsTested:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Lab × outcome pairs assessed.
+        fdrQ:
+          type: number
+          description: The FDR target the pass used.
+        minDraws:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Minimum paired-draw count enforced per pair.
+      required:
+        - discovered
+        - pairsTested
+        - fdrQ
+        - minDraws
+      additionalProperties: false
+    DiscoveredLabCorrelation:
+      type: object
+      properties:
+        lab:
+          type: string
+          description: "`LAB:<analyte>` channel key (display strips the prefix)."
+        outcome:
+          type: string
+          description: Outcome channel the marker tracks with (WEIGHT, BLOOD_GLUCOSE, BLOOD_PRESSURE_SYS).
+        n:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Draws paired with a usable contemporaneous outcome window.
+        r:
+          type: number
+          description: Pearson r over (draw value, contemporaneous outcome window-mean).
+        pValue:
+          type: number
+          description: Two-sided exact Student-t p-value (< 0.05).
+        qValue:
+          type: number
+          description: Benjamini-Hochberg FDR-adjusted q-value (≤ the surface threshold).
+        windowDays:
+          type: integer
+          minimum: -9007199254740991
+          maximum: 9007199254740991
+          description: Trailing days each draw's outcome window spanned.
+        interpretation:
+          type: string
+          description: Conservative, descriptive interpretation — never causal.
+      required:
+        - lab
+        - outcome
+        - n
+        - r
+        - pValue
+        - qValue
+        - windowDays
+        - interpretation
+      additionalProperties: false
     MoodTagTreeEnvelope:
       type: object
       properties:
diff --git a/src/app/api/insights/correlations/__tests__/route.test.ts b/src/app/api/insights/correlations/__tests__/route.test.ts
index ea5d940a5..a4d8b711f 100644
--- a/src/app/api/insights/correlations/__tests__/route.test.ts
+++ b/src/app/api/insights/correlations/__tests__/route.test.ts
@@ -18,6 +18,8 @@ vi.mock("@/lib/db", () => ({
     medicationIntakeEvent: { findMany: vi.fn().mockResolvedValue([]) },
     illnessEpisode: { findMany: vi.fn().mockResolvedValue([]) },
     illnessDayLog: { findMany: vi.fn().mockResolvedValue([]) },
+    // v1.22 — labs ↔ outcome pass fetches lab draws; default empty.
+    labResult: { findMany: vi.fn().mockResolvedValue([]) },
   },
 }));
 
@@ -109,6 +111,8 @@ beforeEach(() => {
   (prisma.illnessDayLog.findMany as ReturnType<typeof vi.fn>).mockResolvedValue(
     [],
   );
+  // v1.22 — labs ↔ outcome pass reads lab draws; default empty.
+  (prisma.labResult.findMany as ReturnType<typeof vi.fn>).mockResolvedValue([]);
 });
 
 const callGet = GET as unknown as (req: NextRequest) => Promise<Response>;
diff --git a/src/app/api/insights/correlations/route.ts b/src/app/api/insights/correlations/route.ts
index e9b511687..33cf3329a 100644
--- a/src/app/api/insights/correlations/route.ts
+++ b/src/app/api/insights/correlations/route.ts
@@ -26,9 +26,12 @@ import { wallClockInTz } from "@/lib/tz/wall-clock";
 import type { MeasurementType } from "@/generated/prisma/client";
 import {
   discoverCorrelations,
+  discoverEmergingCorrelations,
+  discoverLabOutcomeCorrelations,
   discoveryMeasurementTypes,
   DISCOVERY_BEHAVIOURS,
   DISCOVERY_OUTCOMES,
+  EARLY_WINDOW_DAYS,
   MEDICATION_COMPLIANCE_CHANNEL_KEY,
   SYMPTOM_SEVERITY_CHANNEL_KEY,
   type DailySeriesPoint,
@@ -36,6 +39,7 @@ import {
 } from "@/lib/insights/correlation-discovery";
 import {
   fetchComplianceSeries,
+  fetchLabDraws,
   fetchSymptomSeries,
 } from "@/lib/insights/correlation-channel-series";
 
@@ -147,8 +151,12 @@ export const GET = apiHandler(async () => {
   // v1.21.0 (FDREXTEND) — build the two non-measurement, non-mood channels from
   // their own sources. Each degrades to an empty series when the user has no
   // data, so the discovery loop drops the channel (it cannot clear n ≥ 20).
-  const complianceSeries = await fetchComplianceSeries(user.id, tz, since);
-  const symptomSeries = await fetchSymptomSeries(user.id, tz, since);
+  // v1.22 — lab draws (for the labs ↔ outcome pass) fetch alongside.
+  const [complianceSeries, symptomSeries, labDraws] = await Promise.all([
+    fetchComplianceSeries(user.id, tz, since),
+    fetchSymptomSeries(user.id, tz, since),
+    fetchLabDraws(user.id, tz, since),
+  ]);
 
   const points = (key: string): DailySeriesPoint[] =>
     key === "MOOD"
@@ -175,6 +183,21 @@ export const GET = apiHandler(async () => {
 
   const result = discoverCorrelations(series);
 
+  // v1.22 — rolling early-detection pass over the trailing window, re-using
+  // the already-built series (no extra DB read). Emerging pairs exclude anything
+  // the retrospective scan already established (no double-count).
+  const recentFromDayKey = tzDayKey(
+    new Date(now.getTime() - EARLY_WINDOW_DAYS * MS_PER_DAY),
+    tz,
+  );
+  const emerging = discoverEmergingCorrelations(series, result, {
+    recentFromDayKey,
+  });
+
+  // v1.22 — labs ↔ outcome pass (point-vs-window over sparse draws). Degrades
+  // to absent when the user has too few draws to clear the per-pair floor.
+  const labCorrelations = discoverLabOutcomeCorrelations(labDraws, series);
+
   annotate({
     action: { name: "insights.correlations.discover" },
     meta: {
@@ -185,8 +208,13 @@ export const GET = apiHandler(async () => {
       // two sparse new channels reached the n ≥ 20 floor or degraded to absent.
       compliance_days: complianceSeries.points.length,
       symptom_days: symptomSeries.points.length,
+      // v1.22 — early-detection + labs reach.
+      emerging: emerging.emerging.length,
+      emerging_window_days: emerging.windowDays,
+      lab_draws: labDraws.length,
+      lab_correlations: labCorrelations.discovered.length,
     },
   });
 
-  return apiSuccess(result);
+  return apiSuccess({ ...result, emerging, labCorrelations });
 });
diff --git a/src/lib/ai/coach/__tests__/correlations-read.test.ts b/src/lib/ai/coach/__tests__/correlations-read.test.ts
index fcda4fbed..2ab4f2cb6 100644
--- a/src/lib/ai/coach/__tests__/correlations-read.test.ts
+++ b/src/lib/ai/coach/__tests__/correlations-read.test.ts
@@ -12,6 +12,7 @@ const medicationFindMany = vi.fn();
 const intakeEventFindMany = vi.fn();
 const illnessEpisodeFindMany = vi.fn();
 const illnessDayLogFindMany = vi.fn();
+const labResultFindMany = vi.fn();
 vi.mock("@/lib/db", () => ({
   prisma: {
     measurement: { findMany: (a: unknown) => measurementFindMany(a) },
@@ -21,6 +22,7 @@ vi.mock("@/lib/db", () => ({
     medicationIntakeEvent: { findMany: (a: unknown) => intakeEventFindMany(a) },
     illnessEpisode: { findMany: (a: unknown) => illnessEpisodeFindMany(a) },
     illnessDayLog: { findMany: (a: unknown) => illnessDayLogFindMany(a) },
+    labResult: { findMany: (a: unknown) => labResultFindMany(a) },
   },
 }));
 
@@ -59,6 +61,7 @@ describe("readCoachCorrelations", () => {
     intakeEventFindMany.mockReset().mockResolvedValue([]);
     illnessEpisodeFindMany.mockReset().mockResolvedValue([]);
     illnessDayLogFindMany.mockReset().mockResolvedValue([]);
+    labResultFindMany.mockReset().mockResolvedValue([]);
     loadBaselineProfile
       .mockReset()
       .mockResolvedValue({ ageYears: 40, sex: "MALE", heightCm: 180 });
diff --git a/src/lib/ai/coach/tools/correlations-read.ts b/src/lib/ai/coach/tools/correlations-read.ts
index 997360678..ebeb3e2d5 100644
--- a/src/lib/ai/coach/tools/correlations-read.ts
+++ b/src/lib/ai/coach/tools/correlations-read.ts
@@ -27,9 +27,12 @@ import { prisma } from "@/lib/db";
 import { wallClockInTz } from "@/lib/tz/wall-clock";
 import {
   discoverCorrelations,
+  discoverEmergingCorrelations,
+  discoverLabOutcomeCorrelations,
   discoveryMeasurementTypes,
   DISCOVERY_BEHAVIOURS,
   DISCOVERY_OUTCOMES,
+  EARLY_WINDOW_DAYS,
   MEDICATION_COMPLIANCE_CHANNEL_KEY,
   SYMPTOM_SEVERITY_CHANNEL_KEY,
   type DailySeriesPoint,
@@ -37,6 +40,7 @@ import {
 } from "@/lib/insights/correlation-discovery";
 import {
   fetchComplianceSeries,
+  fetchLabDraws,
   fetchSymptomSeries,
 } from "@/lib/insights/correlation-channel-series";
 import {
@@ -77,9 +81,38 @@ export interface CoachCoincidentFlag {
   illnessExplained: boolean;
 }
 
+/** One emerging (recent-window) driver — provisional, hedged. */
+export interface CoachEmergingDriver extends CoachCorrelationDriver {
+  /** Always true here — a recent-window signal on fewer days. */
+  provisional: true;
+}
+
+/** One labs ↔ outcome association — descriptive, never causal. */
+export interface CoachLabCorrelation {
+  /** Display analyte name (LAB: prefix stripped). */
+  lab: string;
+  /** The outcome it tracks with. */
+  outcome: string;
+  direction: "higher" | "lower";
+  /** Paired draws. */
+  n: number;
+  r: number;
+  note: string;
+}
+
 export interface CoachCorrelationsResult {
   present: boolean;
   drivers?: CoachCorrelationDriver[];
+  /**
+   * v1.22 — emerging recent-window drivers NOT yet established by the 180-day
+   * scan: early-detection signals the Coach narrates as provisional.
+   */
+  emerging?: CoachEmergingDriver[];
+  /**
+   * v1.22 — labs ↔ outcome associations (each draw vs the contemporaneous
+   * outcome window-mean), FDR-controlled. Descriptive, never causal.
+   */
+  labDrivers?: CoachLabCorrelation[];
   coincident?: CoachCoincidentFlag;
   /** How many behaviour×outcome pairs were tested (honest footer). */
   pairsTested?: number;
@@ -194,8 +227,12 @@ export async function readCoachCorrelations(
     // like the route. Each degrades to an empty series when the user has no
     // data, so the discovery loop drops the channel (it cannot clear the n ≥ 20
     // floor) — it can never surface a fabricated driver.
-    const complianceSeries = await fetchComplianceSeries(userId, tz, since);
-    const symptomSeries = await fetchSymptomSeries(userId, tz, since);
+    const [complianceSeries, symptomSeries, labDraws] = await Promise.all([
+      fetchComplianceSeries(userId, tz, since),
+      fetchSymptomSeries(userId, tz, since),
+      // v1.22 — lab draws for the labs ↔ outcome pass (degrades to absent).
+      fetchLabDraws(userId, tz, since),
+    ]);
 
     const series: NamedSeries[] = [];
     for (const key of DISCOVERY_BEHAVIOURS) {
@@ -230,17 +267,59 @@ export async function readCoachCorrelations(
       note: d.interpretation,
     }));
 
+    // v1.22 — rolling early-detection pass over the trailing window (re-uses
+    // the already-built series). Emerging pairs exclude anything the 180-day
+    // scan already established, so the Coach never narrates the same pattern as
+    // both "established" and "emerging".
+    const recentFromDayKey = tzDayKey(
+      new Date(Date.now() - EARLY_WINDOW_DAYS * MS_PER_DAY),
+      tz,
+    );
+    const emergingResult = discoverEmergingCorrelations(series, discovery, {
+      recentFromDayKey,
+    });
+    const emerging: CoachEmergingDriver[] = emergingResult.emerging.map(
+      (d) => ({
+        behaviour: humanise(d.behaviour),
+        outcome: humanise(d.outcome),
+        direction: d.r >= 0 ? "higher" : "lower",
+        lagDays: d.lagDays,
+        n: d.n,
+        r: Math.round(d.r * 100) / 100,
+        note: d.interpretation,
+        provisional: true,
+      }),
+    );
+
+    // v1.22 — labs ↔ outcome pass (point-vs-window over sparse draws).
+    const labResult = discoverLabOutcomeCorrelations(labDraws, series);
+    const labDrivers: CoachLabCorrelation[] = labResult.discovered.map((d) => ({
+      lab: d.lab.startsWith("LAB:") ? d.lab.slice("LAB:".length) : d.lab,
+      outcome: humanise(d.outcome),
+      direction: d.r >= 0 ? "higher" : "lower",
+      n: d.n,
+      r: Math.round(d.r * 100) / 100,
+      note: d.interpretation,
+    }));
+
     const coincident = buildCoincidentFlag(coincidentDerived);
 
-    // Nothing to say: no surviving driver AND the coincident flag is either
-    // insufficient or quiet (not fired). Report a clean miss.
-    if (drivers.length === 0 && (!coincident || !coincident.fired)) {
+    // Nothing to say: no surviving driver of any kind AND the coincident flag is
+    // either insufficient or quiet (not fired). Report a clean miss.
+    if (
+      drivers.length === 0 &&
+      emerging.length === 0 &&
+      labDrivers.length === 0 &&
+      (!coincident || !coincident.fired)
+    ) {
       return { present: false, reason: "no_significant_pattern" };
     }
 
     return {
       present: true,
       ...(drivers.length > 0 ? { drivers } : {}),
+      ...(emerging.length > 0 ? { emerging } : {}),
+      ...(labDrivers.length > 0 ? { labDrivers } : {}),
       ...(coincident ? { coincident } : {}),
       pairsTested: discovery.pairsTested,
       windowDays: WINDOW_DAYS,
diff --git a/src/lib/openapi/routes/insights/schemas.ts b/src/lib/openapi/routes/insights/schemas.ts
index d5ee83614..82971e74f 100644
--- a/src/lib/openapi/routes/insights/schemas.ts
+++ b/src/lib/openapi/routes/insights/schemas.ts
@@ -296,9 +296,97 @@ export const discoveredCorrelation = z
       .string()
       .describe("Conservative, descriptive interpretation — never causal."),
     lagDays: z.number().int().describe("Lag in days applied (1)."),
+    window: z
+      .enum(["retrospective", "recent"])
+      .optional()
+      .describe(
+        "v1.22 — which window surfaced the pair. Absent on the 180-day scan (retrospective default); `recent` for an emerging early-detection pair.",
+      ),
+    provisional: z
+      .boolean()
+      .optional()
+      .describe(
+        "v1.22 — true for an emerging recent-window pair: fewer days, hedged as provisional rather than established.",
+      ),
   })
   .meta({ id: "DiscoveredCorrelation" });
 
+// v1.22 — one labs ↔ outcome association (point-vs-window over sparse draws).
+export const discoveredLabCorrelation = z
+  .object({
+    lab: z
+      .string()
+      .describe("`LAB:<analyte>` channel key (display strips the prefix)."),
+    outcome: z
+      .string()
+      .describe(
+        "Outcome channel the marker tracks with (WEIGHT, BLOOD_GLUCOSE, BLOOD_PRESSURE_SYS).",
+      ),
+    n: z
+      .number()
+      .int()
+      .describe("Draws paired with a usable contemporaneous outcome window."),
+    r: z
+      .number()
+      .describe(
+        "Pearson r over (draw value, contemporaneous outcome window-mean).",
+      ),
+    pValue: z.number().describe("Two-sided exact Student-t p-value (< 0.05)."),
+    qValue: z
+      .number()
+      .describe(
+        "Benjamini-Hochberg FDR-adjusted q-value (≤ the surface threshold).",
+      ),
+    windowDays: z
+      .number()
+      .int()
+      .describe("Trailing days each draw's outcome window spanned."),
+    interpretation: z
+      .string()
+      .describe("Conservative, descriptive interpretation — never causal."),
+  })
+  .meta({ id: "DiscoveredLabCorrelation" });
+
+// v1.22 — rolling early-detection result (recent-window emerging pairs).
+export const emergingCorrelationResult = z
+  .object({
+    emerging: z
+      .array(discoveredCorrelation)
+      .describe(
+        "Recent-window pairs NOT already established retrospectively — the emerging signals (provisional, hedged).",
+      ),
+    windowDays: z
+      .number()
+      .int()
+      .describe("Trailing window (days) the early pass scanned."),
+    minPairs: z
+      .number()
+      .int()
+      .describe("Paired-day floor enforced for the early pass."),
+    fdrQ: z
+      .number()
+      .describe("FDR target the early pass used (tighter than the main scan)."),
+    pairsTested: z.number().int().describe("Pairs tested in the early window."),
+  })
+  .meta({ id: "EmergingCorrelationResult" });
+
+// v1.22 — labs ↔ outcome pass result.
+export const labCorrelationResult = z
+  .object({
+    discovered: z
+      .array(discoveredLabCorrelation)
+      .describe(
+        "Lab ↔ outcome associations surviving the per-pair floor + BH-FDR.",
+      ),
+    pairsTested: z.number().int().describe("Lab × outcome pairs assessed."),
+    fdrQ: z.number().describe("The FDR target the pass used."),
+    minDraws: z
+      .number()
+      .int()
+      .describe("Minimum paired-draw count enforced per pair."),
+  })
+  .meta({ id: "LabCorrelationResult" });
+
 export const correlationDiscoveryResponse = z
   .object({
     discovered: z
@@ -313,6 +401,16 @@ export const correlationDiscoveryResponse = z
       .number()
       .int()
       .describe("Minimum paired-day count enforced per pair."),
+    emerging: emergingCorrelationResult
+      .optional()
+      .describe(
+        "v1.22 — rolling early-detection pass over the trailing window; emerging pairs not yet established retrospectively (no double-count).",
+      ),
+    labCorrelations: labCorrelationResult
+      .optional()
+      .describe(
+        "v1.22 — labs ↔ outcome associations (each draw vs the contemporaneous outcome window-mean), FDR-controlled; absent-degrading on sparse draws.",
+      ),
   })
   .meta({
     id: "CorrelationDiscoveryResponse",