diff --git a/docs/api/openapi.yaml b/docs/api/openapi.yaml
index 6243f7b3f..a82bb99ed 100644
--- a/docs/api/openapi.yaml
+++ b/docs/api/openapi.yaml
@@ -27456,9 +27456,13 @@ components:
             - type: "null"
         anchorDate:
           anyOf:
-            - type: string
-              format: date-time
-              pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))T(?:(?:[01]\d|2[0-3]):[0-5]\d(?::[0-5]\d(?:\.\d+)?)?(?:Z|([+-](?:[01]\d|2[0-3]):[0-5]\d)))$
+            - anyOf:
+                - type: string
+                  format: date
+                  pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))$
+                - type: string
+                  format: date-time
+                  pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))T(?:(?:[01]\d|2[0-3]):[0-5]\d(?::[0-5]\d(?:\.\d+)?)?(?:Z|([+-](?:[01]\d|2[0-3]):[0-5]\d)))$
             - type: "null"
         notifyHour:
           default: 9
@@ -27530,9 +27534,13 @@ components:
             - type: "null"
         anchorDate:
           anyOf:
-            - type: string
-              format: date-time
-              pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))T(?:(?:[01]\d|2[0-3]):[0-5]\d(?::[0-5]\d(?:\.\d+)?)?(?:Z|([+-](?:[01]\d|2[0-3]):[0-5]\d)))$
+            - anyOf:
+                - type: string
+                  format: date
+                  pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))$
+                - type: string
+                  format: date-time
+                  pattern: ^(?:(?:\d\d[2468][048]|\d\d[13579][26]|\d\d0[48]|[02468][048]00|[13579][26]00)-02-29|\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\d|30)|(?:02)-(?:0[1-9]|1\d|2[0-8])))T(?:(?:[01]\d|2[0-3]):[0-5]\d(?::[0-5]\d(?:\.\d+)?)?(?:Z|([+-](?:[01]\d|2[0-3]):[0-5]\d)))$
             - type: "null"
         notifyHour:
           type: integer
diff --git a/messages/de.json b/messages/de.json
index 8b6523d6b..3f6b58b75 100644
--- a/messages/de.json
+++ b/messages/de.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "Dein Vorrat an {medName} reicht keinen ganzen Tag mehr ({units} Einheiten übrig).",
     "bodyReorder": "Dein Vorrat an {medName} ({units} Einheiten) ist um den {runsOutOn} aufgebraucht — bestelle bis zum {reorderBy} nach.",
     "bodyLastDose": "Dein Vorrat an {medName} ({units} Einheiten) reicht noch etwa für die letzte Dosis. Aufgebraucht um den {runsOutOn}.",
-    "bodyExpired": "{medName}: kein nutzbarer Bestand mehr. {units} Einheiten sind als abgelaufen markiert."
+    "bodyExpired": "{medName}: kein nutzbarer Bestand mehr. {units} Einheiten sind als abgelaufen markiert.",
+    "bodyAsNeeded": "Von {medName} sind nur noch {units} Einheiten übrig. Bestelle nach, bevor du die nächste Dosis brauchst."
   },
   "moodReminders": {
     "dailyTitle": "Stimmung erfassen",
diff --git a/messages/en.json b/messages/en.json
index 8eeaf9ad7..324f73f5e 100644
--- a/messages/en.json
+++ b/messages/en.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName}: {units} units left — less than one day of supply.",
     "bodyReorder": "{medName}: {units} units left. Supply runs out around {runsOutOn} — reorder by {reorderBy}.",
     "bodyLastDose": "{medName}: {units} units left — about your final dose. Supply runs out around {runsOutOn}.",
-    "bodyExpired": "{medName}: no usable supply left. {units} units are marked expired."
+    "bodyExpired": "{medName}: no usable supply left. {units} units are marked expired.",
+    "bodyAsNeeded": "{medName}: only {units} units left. Reorder before you need the next dose."
   },
   "moodReminders": {
     "dailyTitle": "Log your mood",
diff --git a/messages/es.json b/messages/es.json
index 193dd1fea..e2eecfc72 100644
--- a/messages/es.json
+++ b/messages/es.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName}: quedan {units} unidades — menos de un día de suministro.",
     "bodyReorder": "{medName}: quedan {units} unidades. Las existencias se agotan hacia el {runsOutOn} — vuelve a pedir antes del {reorderBy}.",
     "bodyLastDose": "{medName}: quedan {units} unidades — alrededor de tu última dosis. Las existencias se agotan hacia el {runsOutOn}.",
-    "bodyExpired": "{medName}: no quedan existencias utilizables. {units} unidades están marcadas como caducadas."
+    "bodyExpired": "{medName}: no quedan existencias utilizables. {units} unidades están marcadas como caducadas.",
+    "bodyAsNeeded": "{medName}: solo quedan {units} unidades. Vuelve a pedir antes de necesitar la próxima dosis."
   },
   "moodReminders": {
     "dailyTitle": "Registrar el ánimo",
diff --git a/messages/fr.json b/messages/fr.json
index 2fe9be017..c1a90a9fe 100644
--- a/messages/fr.json
+++ b/messages/fr.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName} : {units} unités restantes — moins d’un jour de réserve.",
     "bodyReorder": "{medName} : {units} unités restantes. Le stock sera épuisé vers le {runsOutOn} — recommandez avant le {reorderBy}.",
     "bodyLastDose": "{medName} : {units} unités restantes — environ votre dernière dose. Le stock sera épuisé vers le {runsOutOn}.",
-    "bodyExpired": "{medName} : plus de stock utilisable. {units} unités sont marquées périmées."
+    "bodyExpired": "{medName} : plus de stock utilisable. {units} unités sont marquées périmées.",
+    "bodyAsNeeded": "{medName} : plus que {units} unités. Recommandez avant d’avoir besoin de la prochaine dose."
   },
   "moodReminders": {
     "dailyTitle": "Enregistrer votre humeur",
diff --git a/messages/it.json b/messages/it.json
index 4f527a583..6ec3c1592 100644
--- a/messages/it.json
+++ b/messages/it.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName}: {units} unità rimaste — meno di un giorno di scorta.",
     "bodyReorder": "{medName}: {units} unità rimaste. Le scorte finiscono intorno al {runsOutOn} — riordina entro il {reorderBy}.",
     "bodyLastDose": "{medName}: {units} unità rimaste — circa la tua ultima dose. Le scorte finiscono intorno al {runsOutOn}.",
-    "bodyExpired": "{medName}: nessuna scorta utilizzabile. {units} unità sono contrassegnate come scadute."
+    "bodyExpired": "{medName}: nessuna scorta utilizzabile. {units} unità sono contrassegnate come scadute.",
+    "bodyAsNeeded": "{medName}: restano solo {units} unità. Riordina prima di aver bisogno della prossima dose."
   },
   "moodReminders": {
     "dailyTitle": "Registra il tuo umore",
diff --git a/messages/ko.json b/messages/ko.json
index 5e80dc3b9..afd335255 100644
--- a/messages/ko.json
+++ b/messages/ko.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName}: {units}개 남았어요 — 하루치도 안 돼요.",
     "bodyReorder": "{medName}: {units}개 남았어요. {runsOutOn}쯤 소진돼요 — {reorderBy}까지 재주문하세요.",
     "bodyLastDose": "{medName}: {units}개 남았어요 — 마지막 복용분이에요. {runsOutOn}쯤 소진돼요.",
-    "bodyExpired": "{medName}: 쓸 수 있는 재고가 없어요. {units}개가 유효기간 만료로 표시돼 있어요."
+    "bodyExpired": "{medName}: 쓸 수 있는 재고가 없어요. {units}개가 유효기간 만료로 표시돼 있어요.",
+    "bodyAsNeeded": "{medName}: {units}개만 남았어요. 다음에 필요하기 전에 재주문하세요."
   },
   "moodReminders": {
     "dailyTitle": "기분 기록하기",
diff --git a/messages/pl.json b/messages/pl.json
index f04de5400..4d6ab0504 100644
--- a/messages/pl.json
+++ b/messages/pl.json
@@ -8085,7 +8085,8 @@
     "bodyToday": "{medName}: pozostało {units} jednostek — mniej niż jeden dzień zapasu.",
     "bodyReorder": "{medName}: pozostało {units} jednostek. Zapas skończy się około {runsOutOn} — zamów ponownie do {reorderBy}.",
     "bodyLastDose": "{medName}: pozostało {units} jednostek — to mniej więcej Twoja ostatnia dawka. Zapas skończy się około {runsOutOn}.",
-    "bodyExpired": "{medName}: brak zapasu do użycia. {units} jednostek oznaczono jako przeterminowane."
+    "bodyExpired": "{medName}: brak zapasu do użycia. {units} jednostek oznaczono jako przeterminowane.",
+    "bodyAsNeeded": "{medName}: zostało tylko {units} jednostek. Zamów ponownie, zanim będziesz potrzebować kolejnej dawki."
   },
   "moodReminders": {
     "dailyTitle": "Zapisz nastrój",
diff --git a/src/app/api/admin/backups/route.ts b/src/app/api/admin/backups/route.ts
index 2a1939e08..b24339aa7 100644
--- a/src/app/api/admin/backups/route.ts
+++ b/src/app/api/admin/backups/route.ts
@@ -167,9 +167,20 @@ export const GET = apiHandler(async () => {
       a.username.localeCompare(b.username),
   );
 
+  // A wipe whose copies are already gone waits for the next nightly run
+  // before its request is removed (see `offhost-purge.ts`); nothing of it is
+  // left in the bucket, so it is not counted as a pending deletion.
+  const stillInBucket = {
+    NOT: {
+      reason: "data_wiped",
+      lastFailure: null,
+      lastAttemptAt: { not: null },
+    },
+  };
   const [purgeCount, oldestPurge, lifecycle] = await Promise.all([
-    prisma.offhostPurgeRequest.count(),
+    prisma.offhostPurgeRequest.count({ where: stillInBucket }),
     prisma.offhostPurgeRequest.findFirst({
+      where: stillInBucket,
       orderBy: { requestedAt: "asc" },
       select: { requestedAt: true, lastFailure: true },
     }),
diff --git a/src/app/api/import/csv/__tests__/route.test.ts b/src/app/api/import/csv/__tests__/route.test.ts
index 0d2761b00..3ca886bea 100644
--- a/src/app/api/import/csv/__tests__/route.test.ts
+++ b/src/app/api/import/csv/__tests__/route.test.ts
@@ -227,7 +227,11 @@ describe("POST /api/import/csv — batched write + per-row envelope", () => {
 
   it("surfaces an externalId row as updated when it already existed (updateMany)", async () => {
     mMeasurement().findMany.mockResolvedValue([
-      { type: "WEIGHT", externalId: "ext-1" },
+      {
+        type: "WEIGHT",
+        externalId: "ext-1",
+        measuredAt: new Date("2026-05-01T08:00:00Z"),
+      },
     ]);
 
     const res = await POST(
@@ -400,7 +404,11 @@ describe("POST /api/import/csv — contextless blood glucose", () => {
   it("keeps a re-upload of the same external id idempotent", async () => {
     // The key already exists under (userId, type, source=IMPORT, externalId).
     mMeasurement().findMany.mockResolvedValue([
-      { type: "BLOOD_GLUCOSE", externalId: "sensor-1" },
+      {
+        type: "BLOOD_GLUCOSE",
+        externalId: "sensor-1",
+        measuredAt: new Date("2024-04-03T02:15:00Z"),
+      },
     ]);
 
     const res = await POST(
@@ -513,6 +521,47 @@ describe("POST /api/import/csv — re-import", () => {
     expect(mMeasurement().updateMany).toHaveBeenCalledTimes(1);
   });
 
+  it("re-folds the day a moved reading left as well as the day it moved to", async () => {
+    mMeasurement().findMany.mockResolvedValue([stored("ext-1")]);
+    await POST(
+      csvRequest(
+        [HEADER, "WEIGHT,80.5,kg,2026-05-03T08:00:00Z,,after run,ext-1"].join(
+          "\n",
+        ),
+      ),
+    );
+    const days = vi
+      .mocked(recomputeBucketsForMeasurement)
+      .mock.calls.map(
+        ([, type, at]) => `${type}@${at.toISOString().slice(0, 10)}`,
+      )
+      .sort();
+    expect(days).toEqual(["WEIGHT@2026-05-01", "WEIGHT@2026-05-03"]);
+  });
+
+  it("re-folds what it touched when a write chunk fails part-way", async () => {
+    mMeasurement().findMany.mockResolvedValue([]);
+    mMeasurement().createManyAndReturn.mockRejectedValue(
+      new Error("connection reset"),
+    );
+    await expect(
+      POST(
+        csvRequest(
+          [
+            HEADER,
+            "WEIGHT,80.5,kg,2026-05-01T08:00:00Z,,,",
+            "WEIGHT,80.7,kg,2026-05-02T08:00:00Z,,,",
+          ].join("\n"),
+        ),
+      ),
+    ).rejects.toThrow("connection reset");
+    const days = vi
+      .mocked(recomputeBucketsForMeasurement)
+      .mock.calls.map(([, , at]) => at.toISOString().slice(0, 10))
+      .sort();
+    expect(days).toEqual(["2026-05-01", "2026-05-02"]);
+  });
+
   it("probes per type in bounded chunks and writes updates in bounded batches", async () => {
     const lines = Array.from({ length: 2500 }, (_, i) => {
       const at = new Date(Date.UTC(2026, 0, 1) + i * 60_000).toISOString();
diff --git a/src/app/api/import/csv/route.ts b/src/app/api/import/csv/route.ts
index 369599d4b..37aafbf5e 100644
--- a/src/app/api/import/csv/route.ts
+++ b/src/app/api/import/csv/route.ts
@@ -284,6 +284,15 @@ export const POST = apiHandler(async (request: NextRequest) => {
         type: m.type as MeasurementType,
         measuredAt: m.measuredAt,
       });
+      // An update that moves the reading to another instant leaves the day
+      // it came from: that day is re-folded too, or the old day keeps a
+      // reading that no longer exists there.
+      if (stored && stored.measuredAt.getTime() !== m.measuredAt.getTime()) {
+        touchedMeasurements.push({
+          type: m.type as MeasurementType,
+          measuredAt: stored.measuredAt,
+        });
+      }
     }
 
     // --- externalId-less rows: create-only, deduped on the natural unique key
@@ -353,83 +362,90 @@ export const POST = apiHandler(async (request: NextRequest) => {
       type: MeasurementType;
       measuredAt: Date;
     }> = [];
-    for (const chunk of chunked(toCreate, WRITE_CHUNK)) {
-      const rows = await prisma.measurement.createManyAndReturn({
-        data: chunk,
-        skipDuplicates: true,
-        select: { id: true, type: true, measuredAt: true },
-      });
-      createdRows.push(...rows);
-      createdCount += rows.length;
-    }
-    for (const chunk of chunked([...extUpdates.values()], WRITE_CHUNK)) {
-      await prisma.$transaction(
-        chunk.map((m) =>
-          prisma.measurement.updateMany({
-            where: {
-              userId,
-              source: "IMPORT",
-              type: m.type as MeasurementType,
-              externalId: m.externalId as string,
-            },
-            data: {
-              value: m.value,
-              unit: m.unit,
-              measuredAt: m.measuredAt,
-              notes: null,
-              notesEncrypted: encryptNote(m.notes ?? null),
-              glucoseContext:
-                (m.glucoseContext as GlucoseContext | undefined) ?? null,
-              // No-op on a live row, a deliberate RESURRECTION on a
-              // tombstoned one — IMPORT rows are re-importable by design, so
-              // a re-imported externalId brings the row back (mirrors the
-              // source-owned sync resurrect rule).
-              deletedAt: null,
-            },
-          }),
-        ),
-      );
-    }
+    // The re-fold runs whatever happens to the writes. A chunk that fails
+    // part-way leaves the earlier chunks written, and a retry reads those
+    // rows as duplicates and touches nothing: without the re-fold here their
+    // days would keep the rollups from before the import for good. Re-folding
+    // a (type, day) nothing landed on is harmless.
+    try {
+      for (const chunk of chunked(toCreate, WRITE_CHUNK)) {
+        const rows = await prisma.measurement.createManyAndReturn({
+          data: chunk,
+          skipDuplicates: true,
+          select: { id: true, type: true, measuredAt: true },
+        });
+        createdRows.push(...rows);
+        createdCount += rows.length;
+      }
+      for (const chunk of chunked([...extUpdates.values()], WRITE_CHUNK)) {
+        await prisma.$transaction(
+          chunk.map((m) =>
+            prisma.measurement.updateMany({
+              where: {
+                userId,
+                source: "IMPORT",
+                type: m.type as MeasurementType,
+                externalId: m.externalId as string,
+              },
+              data: {
+                value: m.value,
+                unit: m.unit,
+                measuredAt: m.measuredAt,
+                notes: null,
+                notesEncrypted: encryptNote(m.notes ?? null),
+                glucoseContext:
+                  (m.glucoseContext as GlucoseContext | undefined) ?? null,
+                // No-op on a live row, a deliberate RESURRECTION on a
+                // tombstoned one — IMPORT rows are re-importable by design, so
+                // a re-imported externalId brings the row back (mirrors the
+                // source-owned sync resurrect rule).
+                deletedAt: null,
+              },
+            }),
+          ),
+        );
+      }
 
-    void emitInsertedMeasurementArrivals(
-      userId,
-      createdRows,
-      "csv_import",
-    ).catch(() => {});
-    void maybeEnqueueMorningRefresh(
-      userId,
-      createdRows
-        .filter((row) => row.type === "SLEEP_DURATION")
-        .map((row) => row.measuredAt),
-    ).catch(() => {});
+      void emitInsertedMeasurementArrivals(
+        userId,
+        createdRows,
+        "csv_import",
+      ).catch(() => {});
+      void maybeEnqueueMorningRefresh(
+        userId,
+        createdRows
+          .filter((row) => row.type === "SLEEP_DURATION")
+          .map((row) => row.measuredAt),
+      ).catch(() => {});
 
-    // Reconcile `inserted` against what `createMany` actually wrote
-    // (mirrors the batch route's raced-duplicate downgrade). Under
-    // `skipDuplicates` a conflicting row is silently absorbed — the key is
-    // present in the table either way, so we cannot identify the SPECIFIC
-    // raced lines; we only need the counters and per-line statuses to sum
-    // to the truth. Downgrade enough `inserted` lines to `duplicate` so
-    // the envelope matches the DB write count.
-    const racedDuplicates = toCreate.length - createdCount;
-    if (racedDuplicates > 0) {
-      let downgraded = 0;
-      for (const [line, outcome] of writeOutcome) {
-        if (downgraded >= racedDuplicates) break;
-        if (outcome === "inserted") {
-          writeOutcome.set(line, "duplicate");
-          inserted--;
-          skipped++;
-          downgraded++;
+      // Reconcile `inserted` against what `createMany` actually wrote
+      // (mirrors the batch route's raced-duplicate downgrade). Under
+      // `skipDuplicates` a conflicting row is silently absorbed — the key is
+      // present in the table either way, so we cannot identify the SPECIFIC
+      // raced lines; we only need the counters and per-line statuses to sum
+      // to the truth. Downgrade enough `inserted` lines to `duplicate` so
+      // the envelope matches the DB write count.
+      const racedDuplicates = toCreate.length - createdCount;
+      if (racedDuplicates > 0) {
+        let downgraded = 0;
+        for (const [line, outcome] of writeOutcome) {
+          if (downgraded >= racedDuplicates) break;
+          if (outcome === "inserted") {
+            writeOutcome.set(line, "duplicate");
+            inserted--;
+            skipped++;
+            downgraded++;
+          }
         }
       }
+    } finally {
+      // One bounded rollup re-fold per touched (type, day) — a 10 000-row
+      // CSV pays at most ~N (type, day) recomputes, not 10 000 per-row hooks
+      // — and the status re-warm for the touched types. Best-effort: a
+      // populator hiccup never fails the importer.
+      await afterMeasurementMutation(userId, touchedMeasurements, "import.csv");
     }
 
-    // One bounded rollup re-fold per touched (type, day) — a 10 000-row CSV
-    // pays at most ~N (type, day) recomputes, not 10 000 per-row hooks — and
-    // the status re-warm for the touched types. Best-effort: a populator
-    // hiccup never fails the importer.
-    await afterMeasurementMutation(userId, touchedMeasurements, "import.csv");
-
     await auditLog("import.csv.upload", {
       userId,
       ipAddress: getClientIp(request),
diff --git a/src/app/api/measurement-reminders/[id]/route.ts b/src/app/api/measurement-reminders/[id]/route.ts
index 39228567a..9922ff88c 100644
--- a/src/app/api/measurement-reminders/[id]/route.ts
+++ b/src/app/api/measurement-reminders/[id]/route.ts
@@ -29,6 +29,7 @@ import { annotate } from "@/lib/logging/context";
 import { updateMeasurementReminderSchema } from "@/lib/validations/measurement-reminders";
 import {
   computeReminderNextDueAt,
+  parseReminderAnchor,
   type ReminderScheduleInput,
 } from "@/lib/measurement-reminders/scheduling";
 import { toMeasurementReminderDto } from "@/lib/measurement-reminders/dto";
@@ -141,9 +142,12 @@ export const PATCH = apiHandler(
         updateData.intervalDays = null;
       }
     }
+    const timezone = await resolveTimezone(user.id);
     if (data.anchorDate !== undefined) {
       updateData.anchorDate =
-        data.anchorDate != null ? new Date(data.anchorDate) : null;
+        data.anchorDate != null
+          ? parseReminderAnchor(data.anchorDate, timezone)
+          : null;
     }
     if (data.notifyHour !== undefined) updateData.notifyHour = data.notifyHour;
     if (data.location !== undefined) updateData.location = data.location;
@@ -166,7 +170,6 @@ export const PATCH = apiHandler(
     // auto-clear a few lines up — so keying off its own keys (present, even
     // when the value is `null`) can never diverge from what the database
     // ends up holding.
-    const timezone = await resolveTimezone(user.id);
     const now = new Date();
     const merged: ReminderScheduleInput = {
       intervalDays: Object.hasOwn(updateData, "intervalDays")
@@ -193,10 +196,10 @@ export const PATCH = apiHandler(
     // open, overdue check-up quietly moved it to its next slot. Compared by
     // value, because a client may resend every field on each save.
     //
-    // The first due date is compared by CALENDAR DAY in the profile zone. The
-    // web form sends a date as the browser's local midnight, and a booster
-    // row stores the dose instant plus N days, so the same day arrives as a
-    // different instant. A resent same-day anchor is dropped from the write
+    // The first due date is compared by CALENDAR DAY in the profile zone. A
+    // client may send a date-time (older web builds sent the browser's local
+    // midnight), and a booster row stores the dose instant plus N days, so the
+    // same day arrives as a different instant. A resent same-day anchor is dropped from the write
     // altogether, so the stored instant stays what it was.
     const sameInstant = (a: Date | null, b: Date | null) =>
       (a?.getTime() ?? null) === (b?.getTime() ?? null);
diff --git a/src/app/api/measurement-reminders/route.ts b/src/app/api/measurement-reminders/route.ts
index 06fe23443..150bbe793 100644
--- a/src/app/api/measurement-reminders/route.ts
+++ b/src/app/api/measurement-reminders/route.ts
@@ -21,6 +21,7 @@ import { withIdempotency } from "@/lib/idempotency";
 import { createMeasurementReminderSchema } from "@/lib/validations/measurement-reminders";
 import {
   computeReminderNextDueAt,
+  parseReminderAnchor,
   type ReminderScheduleInput,
 } from "@/lib/measurement-reminders/scheduling";
 import { toMeasurementReminderDto } from "@/lib/measurement-reminders/dto";
@@ -88,7 +89,10 @@ async function postReminder(request: NextRequest): Promise<Response> {
 
   const timezone = await resolveTimezone(user.id);
   const now = new Date();
-  const anchorDate = data.anchorDate != null ? new Date(data.anchorDate) : null;
+  const anchorDate =
+    data.anchorDate != null
+      ? parseReminderAnchor(data.anchorDate, timezone)
+      : null;
 
   // Server-authoritative next-due. No satisfy yet → anchors on
   // anchorDate ?? createdAt (createdAt ≈ now for a fresh row).
diff --git a/src/components/measurement-reminders/vorsorge-section.tsx b/src/components/measurement-reminders/vorsorge-section.tsx
index 1674b2457..f1085e2c5 100644
--- a/src/components/measurement-reminders/vorsorge-section.tsx
+++ b/src/components/measurement-reminders/vorsorge-section.tsx
@@ -181,11 +181,13 @@ function toDateInputValue(iso: string | null): string {
   return new Date(d.getTime() - offset * 60 * 1000).toISOString().slice(0, 10);
 }
 
-/** `<input type="date">` value → an ISO instant at local midnight, or null. */
+/**
+ * `<input type="date">` value → the calendar date itself, or null. The server
+ * reads a bare date as that day in the profile's zone, so a browser set to
+ * another zone cannot move the first-due day.
+ */
 function fromDateInputValue(value: string): string | null {
-  if (!value) return null;
-  const d = new Date(`${value}T00:00:00`);
-  return Number.isNaN(d.getTime()) ? null : d.toISOString();
+  return /^\d{4}-\d{2}-\d{2}$/.test(value) ? value : null;
 }
 
 interface FormState {
diff --git a/src/components/medications/__tests__/supply-runway.test.ts b/src/components/medications/__tests__/supply-runway.test.ts
index 90c861570..25513acc4 100644
--- a/src/components/medications/__tests__/supply-runway.test.ts
+++ b/src/components/medications/__tests__/supply-runway.test.ts
@@ -394,6 +394,26 @@ describe("estimateDailyDoseCount — cadence parts the rate used to drop", () =>
     ).toBeCloseTo(2 / 30, 10);
   });
 
+  it.each([
+    // Every Monday of the month is a weekly dose, not one a month.
+    ["FREQ=MONTHLY;BYDAY=MO", 1 / 7],
+    ["FREQ=MONTHLY;BYDAY=MO,TH", 2 / 7],
+    // With an ordinal it is one day of the month.
+    ["FREQ=MONTHLY;BYDAY=1MO", 1 / 30],
+    ["FREQ=MONTHLY;BYDAY=1MO,-1FR", 2 / 30],
+    // The last weekday of the month: BYSETPOS picks one of the five.
+    ["FREQ=MONTHLY;BYDAY=MO,TU,WE,TH,FR;BYSETPOS=-1", 1 / 30],
+    ["FREQ=MONTHLY;INTERVAL=2;BYDAY=MO", 1 / 14],
+    // Every Monday in January, and the first Monday of March and September.
+    ["FREQ=YEARLY;BYMONTH=1;BYDAY=MO", 30 / 7 / 365],
+    ["FREQ=YEARLY;BYMONTH=3,9;BYDAY=1MO", 2 / 365],
+  ])("counts the occurrences of %s", (rrule, perDay) => {
+    expect(estimateDailyDoseCount([schedule({ rrule })])).toBeCloseTo(
+      perDay,
+      10,
+    );
+  });
+
   it("stretches a daily RRULE by its INTERVAL (every other day)", () => {
     expect(
       estimateDailyDoseCount([schedule({ rrule: "FREQ=DAILY;INTERVAL=2" })]),
diff --git a/src/components/medications/detail/supply-runway.ts b/src/components/medications/detail/supply-runway.ts
index 1041acb0e..c264ab807 100644
--- a/src/components/medications/detail/supply-runway.ts
+++ b/src/components/medications/detail/supply-runway.ts
@@ -51,6 +51,38 @@ function rruleListCount(rrule: string, key: string): number {
   return m ? m[1].split(",").filter((v) => v.trim() !== "").length : 0;
 }
 
+/** The raw values of an RRULE list part (`BYDAY=1MO,FR` → `1MO`, `FR`). */
+function rruleList(rrule: string, key: string): string[] {
+  const m = new RegExp(`(?:^|;)${key}=([^;]+)`, "i").exec(rrule);
+  return m ? m[1].split(",").filter((v) => v.trim() !== "") : [];
+}
+
+/**
+ * Occurrences one period of a monthly or yearly rule holds, with the period
+ * `periodDays` long. `BYSETPOS` picks that many of the candidates. A
+ * `BYDAY` entry with an ordinal (`1MO`, `-1FR`) is one day of the period;
+ * one without (`MO`) is every such weekday in it, about `periodDays / 7`.
+ * Counting `FREQ=MONTHLY;BYDAY=MO` as one dose a month made a Monday
+ * medication's supply read four times longer than it lasts.
+ */
+function occurrencesPerPeriod(
+  rrule: string,
+  periodDays: number,
+  fallback: number,
+): number {
+  const setPos = rruleListCount(rrule, "BYSETPOS");
+  if (setPos > 0) return setPos;
+  const monthDays = rruleListCount(rrule, "BYMONTHDAY");
+  if (monthDays > 0) return monthDays;
+  const byDay = rruleList(rrule, "BYDAY");
+  if (byDay.length === 0) return fallback;
+  let count = 0;
+  for (const entry of byDay) {
+    count += /^[+-]?\d/.test(entry.trim()) ? 1 : periodDays / 7;
+  }
+  return count;
+}
+
 /**
  * Approximate doses per day for ONE schedule: times-of-day count, scaled
  * down by the cadence (rolling interval, weekly day picks + interval
@@ -82,14 +114,17 @@ function cadenceDailyDoseCount(s: RunwaySchedule): number {
     return times / interval;
   }
   if (/FREQ=MONTHLY/i.test(rrule)) {
-    const perMonth = Math.max(
-      1,
-      rruleListCount(rrule, "BYMONTHDAY") || rruleListCount(rrule, "BYDAY"),
-    );
+    const perMonth = occurrencesPerPeriod(rrule, 30, 1);
     return (times * perMonth) / (30 * interval);
   }
   if (/FREQ=YEARLY/i.test(rrule)) {
-    const perYear = Math.max(1, rruleListCount(rrule, "BYMONTH"));
+    // Within each BYMONTH month (or the year, without one), the day parts
+    // count as they would for a monthly rule.
+    const months = rruleListCount(rrule, "BYMONTH");
+    const perYear =
+      months > 0
+        ? months * occurrencesPerPeriod(rrule, 30, 1)
+        : occurrencesPerPeriod(rrule, 365, 1);
     return (times * perYear) / (365 * interval);
   }
   // FREQ=WEEKLY;BYDAY=…;INTERVAL=… is the modern weekly encoding (the
diff --git a/src/lib/analytics/__tests__/range-delta-per-period.test.ts b/src/lib/analytics/__tests__/range-delta-per-period.test.ts
index 445aba5bc..b16f32343 100644
--- a/src/lib/analytics/__tests__/range-delta-per-period.test.ts
+++ b/src/lib/analytics/__tests__/range-delta-per-period.test.ts
@@ -22,7 +22,11 @@ vi.mock("@/lib/tz/resolver", () => ({
   resolveUserTimezone: vi.fn(async () => "UTC"),
 }));
 
-import { computeRangeDelta } from "@/lib/analytics/range-delta";
+import {
+  computeRangeDelta,
+  dailyTotalsEndKey,
+  splitDailyTotals,
+} from "@/lib/analytics/range-delta";
 
 const DAY_MS = 86_400_000;
 const NOW = Date.UTC(2026, 5, 30, 12);
@@ -49,8 +53,9 @@ beforeEach(() => {
 
 describe("computeRangeDelta — per-day and per-night metrics", () => {
   it("compares average daily step totals, not the mean of the readings", async () => {
-    // Six complete days of 8,000 in the previous week, and in the current
-    // week five drained days plus today still arriving as 200 samples.
+    // Six complete days of 8,000 in the previous week and five in the
+    // current one. Today is still arriving as 200 small samples and must not
+    // count: its partial total made every morning's delta read "down".
     mocks.readRollupBuckets.mockResolvedValue([
       ...[8, 9, 10, 11, 12, 13].map((d) => dayRow(d, 8000, 1)),
       ...[1, 2, 3, 4, 5].map((d) => dayRow(d, 8000, 1)),
@@ -61,9 +66,38 @@ describe("computeRangeDelta — per-day and per-night metrics", () => {
 
     expect(result.granularity).toBe("DAY");
     expect(result.previous).toMatchObject({ count: 6, mean: 8000 });
-    expect(result.current.count).toBe(6);
-    expect(result.current.mean).toBeCloseTo((5 * 8000 + 4000) / 6, 6);
-    expect(result.current.sum).toBeCloseTo(44_000, 6);
+    expect(result.current).toMatchObject({ count: 5, mean: 8000, sum: 40_000 });
+    expect(result.delta).toBe(0);
+    const [, , , from, to] = mocks.readRollupBuckets.mock.calls[0]!;
+    expect((from as Date).toISOString()).toBe("2026-06-16T00:00:00.000Z");
+    expect((to as Date).toISOString()).toBe("2026-06-30T00:00:00.000Z");
+  });
+
+  it.each([
+    // West of UTC in the evening: the UTC day already rolled over, the
+    // user's calendar did not.
+    ["America/New_York", "2026-07-01T01:00:00.000Z", "2026-06-29"],
+    // East of UTC in the early morning: the bucket keyed yesterday is still
+    // filling until UTC midnight.
+    ["Asia/Tokyo", "2026-06-29T20:00:00.000Z", "2026-06-28"],
+    ["Europe/Berlin", "2026-06-30T06:00:00.000Z", "2026-06-29"],
+    ["UTC", "2026-06-30T12:00:00.000Z", "2026-06-29"],
+  ])("ends the daily-total window on a completed day in %s", (tz, iso, end) => {
+    expect(dailyTotalsEndKey(Date.parse(iso), tz)).toBe(end);
+  });
+
+  it("splits daily totals on day keys ending at the end key", () => {
+    const points = [
+      { day: "2026-06-30", value: 100 },
+      { day: "2026-06-29", value: 9000 },
+      { day: "2026-06-23", value: 9000 },
+      { day: "2026-06-22", value: 7000 },
+      { day: "2026-06-16", value: 7000 },
+      { day: "2026-06-15", value: 1 },
+    ];
+    const { current, previous } = splitDailyTotals(points, 7, "2026-06-29");
+    expect(current).toMatchObject({ count: 2, mean: 9000 });
+    expect(previous).toMatchObject({ count: 2, mean: 7000 });
   });
 
   it("compares average nights of sleep, not the mean of stage rows", async () => {
diff --git a/src/lib/analytics/range-delta.ts b/src/lib/analytics/range-delta.ts
index d2673064c..eba1c4abe 100644
--- a/src/lib/analytics/range-delta.ts
+++ b/src/lib/analytics/range-delta.ts
@@ -51,7 +51,7 @@ import {
   readBestGranularityRollups,
   type RollupBucketRow,
 } from "@/lib/rollups/measurement-read-wmy";
-import { startOfUtcDay } from "@/lib/tz/start-of-utc-day";
+import { shiftDateKey, userDayKey } from "@/lib/tz/format";
 import { resolveUserTimezone } from "@/lib/tz/resolver";
 import {
   ANALYTICS_RANGES,
@@ -146,21 +146,62 @@ function splitPerPeriod(
   };
 }
 
+/**
+ * The last day a daily total may count for: yesterday on the user's
+ * calendar, and never a UTC day bucket that has not ended yet. The DAY
+ * rollups are UTC buckets; east of UTC the bucket keyed "yesterday" is still
+ * filling until UTC midnight, so the earlier of the two keys wins. Counting
+ * today's still-growing total made every delta read "down" in the morning.
+ */
+export function dailyTotalsEndKey(now: number, timezone: string): string {
+  const localYesterday = shiftDateKey(userDayKey(new Date(now), timezone), -1);
+  const utcYesterday = shiftDateKey(
+    new Date(now).toISOString().slice(0, 10),
+    -1,
+  );
+  return localYesterday < utcYesterday ? localYesterday : utcYesterday;
+}
+
+/**
+ * Split one-per-day totals into the `windowDays` completed days ending
+ * `endKey` (current) and the `windowDays` days before them (previous).
+ */
+export function splitDailyTotals(
+  points: ReadonlyArray<{ day: string; value: number }>,
+  windowDays: number,
+  endKey: string,
+): { current: WindowAggregate; previous: WindowAggregate } {
+  const currentStart = shiftDateKey(endKey, -(windowDays - 1));
+  const previousStart = shiftDateKey(endKey, -(2 * windowDays - 1));
+  const current: number[] = [];
+  const previous: number[] = [];
+  for (const p of points) {
+    if (p.day > endKey) continue;
+    if (p.day >= currentStart) current.push(p.value);
+    else if (p.day >= previousStart) previous.push(p.value);
+  }
+  return {
+    current: aggregatePerPeriod(current),
+    previous: aggregatePerPeriod(previous),
+  };
+}
+
 /** The canonical daily totals of a step-like metric, one point per day. */
 async function readDailyTotals(
   userId: string,
   type: MeasurementType,
   windowDays: number,
-  now: number,
-): Promise<Array<{ at: Date; value: number }>> {
-  const rows = await readRollupBuckets(
-    userId,
-    type,
-    "DAY",
-    startOfUtcDay(new Date(now - 2 * windowDays * DAY_MS)),
-    new Date(now),
+  endKey: string,
+): Promise<Array<{ day: string; value: number }>> {
+  const from = new Date(
+    `${shiftDateKey(endKey, -(2 * windowDays - 1))}T00:00:00.000Z`,
   );
-  return rows.map((r) => ({ at: r.bucketStart, value: r.mean * r.count }));
+  const to = new Date(`${shiftDateKey(endKey, 1)}T00:00:00.000Z`);
+  const rows = await readRollupBuckets(userId, type, "DAY", from, to);
+  return rows.map((r) => ({
+    day: r.bucketStart.toISOString().slice(0, 10),
+    value: r.mean * r.count,
+  }));
 }
 
 /** Time asleep per reconstructed night, one point per night. */
@@ -233,22 +274,30 @@ export async function computeRangeDelta(
 ): Promise<RangeDeltaResult> {
   const windowDays = rangeWindowDays(range);
 
-  if (type === "SLEEP_DURATION" || CUMULATIVE_HK_TYPES.has(type)) {
-    const points =
-      type === "SLEEP_DURATION"
-        ? await readNightlySleep(userId, windowDays, now)
-        : await readDailyTotals(userId, type, windowDays, now);
+  if (type === "SLEEP_DURATION") {
+    const points = await readNightlySleep(userId, windowDays, now);
     const { current, previous } = splitPerPeriod(points, windowDays, now);
     const { delta, deltaPct } = composeDelta(current, previous);
     return {
       range,
       windowDays,
-      granularity:
-        points.length === 0
-          ? "none"
-          : type === "SLEEP_DURATION"
-            ? "live"
-            : "DAY",
+      granularity: points.length === 0 ? "none" : "live",
+      current,
+      previous,
+      delta,
+      deltaPct,
+    };
+  }
+
+  if (CUMULATIVE_HK_TYPES.has(type)) {
+    const endKey = dailyTotalsEndKey(now, await resolveUserTimezone(userId));
+    const points = await readDailyTotals(userId, type, windowDays, endKey);
+    const { current, previous } = splitDailyTotals(points, windowDays, endKey);
+    const { delta, deltaPct } = composeDelta(current, previous);
+    return {
+      range,
+      windowDays,
+      granularity: points.length === 0 ? "none" : "DAY",
       current,
       previous,
       delta,
diff --git a/src/lib/doctor-report/collect.ts b/src/lib/doctor-report/collect.ts
index 901a4f885..05fa74ec1 100644
--- a/src/lib/doctor-report/collect.ts
+++ b/src/lib/doctor-report/collect.ts
@@ -61,7 +61,7 @@ import { loadDenseMeasurementBuckets } from "./dense-buckets";
 import { summariseDenseBuckets } from "./measurement-series";
 import { emptyGlucoseClinical } from "./glucose-panel";
 import { buildAdministrationLedger, buildGlp1Block } from "./medications";
-import { validTimezoneOr, DEFAULT_TIMEZONE } from "@/lib/tz/format";
+import { userDayKey, validTimezoneOr, DEFAULT_TIMEZONE } from "@/lib/tz/format";
 import {
   loadAllergies,
   loadAnamnesis,
@@ -148,6 +148,12 @@ export async function collectDoctorReportData(
     },
   });
   const reportTz = validTimezoneOr(userProfile?.timezone, DEFAULT_TIMEZONE);
+  // `startsOn` / `endsOn` are calendar dates (stored as UTC midnight), so
+  // they compare against the window's first and last day in the report zone,
+  // not its instants: west of UTC the window starts hours after UTC midnight,
+  // and a course that ended on the first day read as over before it began.
+  const firstDay = new Date(`${userDayKey(start, reportTz)}T00:00:00.000Z`);
+  const lastDay = new Date(`${userDayKey(end, reportTz)}T00:00:00.000Z`);
 
   const aggregateDenseTypes = days > DENSE_REPORT_RAW_WINDOW_DAYS;
   const densePulse = aggregateDenseTypes && !excluded.includes("PULSE");
@@ -202,7 +208,7 @@ export async function collectDoctorReportData(
               AND: [
                 {
                   OR: [
-                    { startsOn: { lte: end } },
+                    { startsOn: { lte: lastDay } },
                     { startsOn: null, createdAt: { lte: end } },
                     {
                       intakeEvents: {
@@ -214,7 +220,7 @@ export async function collectDoctorReportData(
                     },
                   ],
                 },
-                { OR: [{ endsOn: null }, { endsOn: { gte: start } }] },
+                { OR: [{ endsOn: null }, { endsOn: { gte: firstDay } }] },
               ],
             },
             include: {
diff --git a/src/lib/import/__tests__/apple-health-staging.test.ts b/src/lib/import/__tests__/apple-health-staging.test.ts
index a8132d17e..3907c27d5 100644
--- a/src/lib/import/__tests__/apple-health-staging.test.ts
+++ b/src/lib/import/__tests__/apple-health-staging.test.ts
@@ -46,6 +46,28 @@ describe("sweepStaleImportStaging", () => {
     );
   });
 
+  it("keeps what a queued or running import still owns, whatever its age", async () => {
+    const dir = mkdtempSync(join(tmpdir(), "healthlog-sweep-"));
+    const uuid = "0b7f3c2a-1d4e-4f5a-9b8c-7d6e5f4a3b2c";
+    const queued = `healthlog-apple-health-import-${uuid}.bin`;
+    const orphan = `healthlog-upload-${uuid}.bin`;
+    const xml = `healthlog-import-${"cd".repeat(12)}.xml`;
+    const now = Date.now();
+    const old = new Date(now - STAGING_MAX_AGE_MS - 60_000);
+    for (const name of [queued, orphan, xml]) {
+      writeFileSync(join(dir, name), "x");
+      utimesSync(join(dir, name), old, old);
+    }
+
+    expect(
+      await sweepStaleImportStaging(dir, now, {
+        paths: new Set([join(dir, queued)]),
+        xmlInUse: true,
+      }),
+    ).toBe(1);
+    expect(readdirSync(dir).sort()).toEqual([queued, xml].sort());
+  });
+
   it("answers zero for a directory that is not there", async () => {
     expect(await sweepStaleImportStaging("/nonexistent/healthlog")).toBe(0);
   });
diff --git a/src/lib/import/apple-health-staging.ts b/src/lib/import/apple-health-staging.ts
index 08819a490..c38dacfa4 100644
--- a/src/lib/import/apple-health-staging.ts
+++ b/src/lib/import/apple-health-staging.ts
@@ -81,14 +81,27 @@ export async function discardStagedUpload(path: string): Promise<void> {
   await rm(path, { force: true }).catch(() => {});
 }
 
+/**
+ * What a queued or running import still owns: the staged uploads its queued
+ * jobs name, and whether an import is extracting or reading its XML now.
+ */
+export interface StagingInUse {
+  paths: ReadonlySet<string>;
+  xmlInUse: boolean;
+}
+
 /**
  * Remove staged uploads and extracted XML files older than
- * `STAGING_MAX_AGE_MS` from `dir`. Only names this app writes are touched.
- * Answers how many were removed.
+ * `STAGING_MAX_AGE_MS` from `dir`, except what `inUse` names. Age alone is
+ * not enough: an upload can wait in the queue behind another account's
+ * import for longer than that, and removing it failed the import when its
+ * turn came. Only names this app writes are touched. Answers how many were
+ * removed.
  */
 export async function sweepStaleImportStaging(
   dir: string = tmpdir(),
   now: number = Date.now(),
+  inUse: StagingInUse = { paths: new Set(), xmlInUse: false },
 ): Promise<number> {
   let names: string[];
   try {
@@ -100,6 +113,8 @@ export async function sweepStaleImportStaging(
   for (const name of names) {
     if (!STAGING_NAME.test(name)) continue;
     const path = join(dir, name);
+    if (inUse.paths.has(path)) continue;
+    if (inUse.xmlInUse && name.endsWith(".xml")) continue;
     try {
       const info = await stat(path);
       if (!info.isFile()) continue;
diff --git a/src/lib/jobs/__tests__/apple-health-import-reconcile.test.ts b/src/lib/jobs/__tests__/apple-health-import-reconcile.test.ts
index cff18e33f..ad055b9a2 100644
--- a/src/lib/jobs/__tests__/apple-health-import-reconcile.test.ts
+++ b/src/lib/jobs/__tests__/apple-health-import-reconcile.test.ts
@@ -25,6 +25,7 @@ const mocks = vi.hoisted(() => ({
 }));
 
 vi.mock("@/lib/import/apple-health-staging", () => ({
+  ACTIVE_IMPORT_STATUSES: ["queued", "unpacking", "parsing", "upserting"],
   sweepStaleImportStaging: vi.fn(async () => 2),
 }));
 
@@ -49,7 +50,9 @@ import {
   IMPORT_JOB_RECONCILE_QUEUE,
   handleImportJobReconcileTick,
   reconcileOrphanImportJobs,
+  stagedImportFilesInUse,
 } from "../apple-health-import-worker";
+import { sweepStaleImportStaging } from "@/lib/import/apple-health-staging";
 
 const maintenanceSource = readFileSync(
   join(process.cwd(), "src/lib/jobs/reminder/register-maintenance.ts"),
@@ -178,7 +181,8 @@ describe("handleImportJobReconcileTick", () => {
       ok: true,
       did: { import_staging_swept: 2 },
     });
-    expect(mocks.findMany).toHaveBeenCalledTimes(1);
+    // Once for what the sweep must keep, once for the reconcile.
+    expect(mocks.findMany).toHaveBeenCalledTimes(2);
   });
 
   it("reports a failed outcome when the reconcile pass throws", async () => {
@@ -198,3 +202,64 @@ describe("handleImportJobReconcileTick", () => {
     });
   });
 });
+
+describe("stagedImportFilesInUse", () => {
+  beforeEach(() => {
+    vi.mocked(sweepStaleImportStaging).mockResolvedValue(0);
+  });
+
+  it("keeps the upload of an import still waiting in the queue", async () => {
+    // An upload can wait behind another account's import for longer than
+    // the sweep's age limit; removing it failed the import on its turn.
+    const rows = [
+      { status: "queued", pgBossJobId: "boss-1" },
+      { status: "parsing", pgBossJobId: "boss-2" },
+      { status: "queued", pgBossJobId: "boss-3" },
+    ];
+    // The sweep's read, then (in the tick) the reconcile's.
+    mocks.findMany
+      .mockResolvedValueOnce(rows)
+      .mockResolvedValueOnce(rows)
+      .mockResolvedValueOnce([]);
+    mocks.getGlobalBoss.mockReturnValue({ getJobById: mocks.getJobById });
+    mocks.getJobById.mockImplementation(async (queue: string, id: string) => {
+      if (queue !== APPLE_HEALTH_IMPORT_V2_QUEUE) return null;
+      if (id === "boss-1") {
+        return { state: "created", data: { uploadPath: "/tmp/a.bin" } };
+      }
+      if (id === "boss-2") {
+        return { state: "active", data: { uploadPath: "/tmp/b.bin" } };
+      }
+      // A job pg-boss already finished holds nothing.
+      return { state: "failed", data: { uploadPath: "/tmp/c.bin" } };
+    });
+
+    const inUse = await stagedImportFilesInUse();
+    expect(inUse).not.toBeNull();
+    expect([...(inUse?.paths ?? [])].sort()).toEqual([
+      "/tmp/a.bin",
+      "/tmp/b.bin",
+    ]);
+    expect(inUse?.xmlInUse).toBe(true);
+
+    await handleImportJobReconcileTick([] as never);
+    expect(sweepStaleImportStaging).toHaveBeenCalledWith(
+      undefined,
+      undefined,
+      expect.objectContaining({ xmlInUse: true }),
+    );
+  });
+
+  it("sweeps nothing when the queue cannot be read", async () => {
+    const rows = [{ status: "queued", pgBossJobId: "boss-1" }];
+    mocks.findMany
+      .mockResolvedValueOnce(rows)
+      .mockResolvedValueOnce(rows)
+      .mockResolvedValueOnce([]);
+    mocks.getGlobalBoss.mockReturnValue(null);
+    expect(await stagedImportFilesInUse()).toBeNull();
+
+    await handleImportJobReconcileTick([] as never);
+    expect(sweepStaleImportStaging).not.toHaveBeenCalled();
+  });
+});
diff --git a/src/lib/jobs/__tests__/medication-low-stock.test.ts b/src/lib/jobs/__tests__/medication-low-stock.test.ts
index 77ce5506e..5aa3d9b6c 100644
--- a/src/lib/jobs/__tests__/medication-low-stock.test.ts
+++ b/src/lib/jobs/__tests__/medication-low-stock.test.ts
@@ -49,6 +49,7 @@ describe("evaluateMedicationRunway", () => {
       dosesRemaining: 6,
       unitsRemaining: 6,
       expiredUnits: 0,
+      asNeeded: false,
     });
   });
 
@@ -444,6 +445,73 @@ describe("runMedicationLowStockTick", () => {
     expect(prisma.medication.update).not.toHaveBeenCalled();
   });
 
+  it("an as-needed medication warns once when two doses or fewer are left", async () => {
+    const prn = { ...dailySchedule, scheduleType: "PRN" };
+    const dispatch = okDispatch();
+
+    // Three doses left: no cadence, so no runway, and above the dose floor.
+    const above = prismaMock({
+      users: [userRow()],
+      medications: [medRow({ schedules: [prn], inventoryItems: [item(3)] })],
+    });
+    const quiet = await runMedicationLowStockTick(
+      above as unknown as PrismaClient,
+      now,
+      { dispatch },
+    );
+    expect(quiet.skippedAboveThreshold).toBe(1);
+    expect(dispatch).not.toHaveBeenCalled();
+
+    // Two left: warns, names what is left, and stamps the dose floor.
+    const low = prismaMock({
+      users: [userRow()],
+      medications: [medRow({ schedules: [prn], inventoryItems: [item(2)] })],
+    });
+    const summary = await runMedicationLowStockTick(
+      low as unknown as PrismaClient,
+      now,
+      { dispatch },
+    );
+    expect(summary.notified).toBe(1);
+    const payload = dispatch.mock.calls[0]?.[0] as unknown as {
+      message: string;
+      metadata: Record<string, unknown>;
+    };
+    expect(payload.message).toBe(
+      "Metformin: only 2 units left. Reorder before you need the next dose.",
+    );
+    expect(payload.metadata).toMatchObject({
+      runwayDays: null,
+      triggerDays: null,
+      asNeeded: true,
+      dosesRemaining: 2,
+    });
+    expect(low.medication.update).toHaveBeenCalledWith({
+      where: { id: "med-1" },
+      data: { lowStockNotifiedAt: now, lowStockNotifiedThresholdDays: 2 },
+    });
+
+    // Still two left the next day: no repeat.
+    const again = prismaMock({
+      users: [userRow()],
+      medications: [
+        medRow({
+          schedules: [prn],
+          inventoryItems: [item(1)],
+          lowStockNotifiedAt: daysAgo(1),
+          lowStockNotifiedThresholdDays: 2,
+        }),
+      ],
+    });
+    const repeat = await runMedicationLowStockTick(
+      again as unknown as PrismaClient,
+      now,
+      { dispatch },
+    );
+    expect(repeat.skippedAlreadyNotified).toBe(1);
+    expect(dispatch).toHaveBeenCalledTimes(1);
+  });
+
   it("an exhausted supply (runway 0) notifies with the depleted copy", async () => {
     const dispatch = okDispatch();
     const prisma = prismaMock({
diff --git a/src/lib/jobs/__tests__/medication-reminder-check.test.ts b/src/lib/jobs/__tests__/medication-reminder-check.test.ts
index 7bc66a553..89d87ce9e 100644
--- a/src/lib/jobs/__tests__/medication-reminder-check.test.ts
+++ b/src/lib/jobs/__tests__/medication-reminder-check.test.ts
@@ -108,7 +108,10 @@ vi.mock("@/lib/notifications/reminder-dedup", () => ({
   REMINDER_DEDUP_LOOKBACK_MS: 48 * 60 * 60 * 1000,
 }));
 
-import { handleReminderCheck } from "@/lib/jobs/reminder/medication-reminder-check";
+import {
+  handleReminderCheck,
+  nextSlotHeldBySnooze,
+} from "@/lib/jobs/reminder/medication-reminder-check";
 import { dispatchNotification } from "@/lib/notifications/dispatcher";
 
 function medicationWithSchedule(
@@ -891,4 +894,61 @@ describe("handleReminderCheck — a snooze holds only the slot it answered", ()
 
     expect(dispatchNotification).not.toHaveBeenCalled();
   });
+
+  it("holds the next slot when the snooze was set before its window opened", async () => {
+    // "Remind me later" from the app at 06:00 for the 08:00 dose, until
+    // 09:30: no window was open, so the snooze answers the next one.
+    vi.useFakeTimers();
+    vi.setSystemTime(new Date("2026-07-28T08:40:00.000Z"));
+    prismaMock.medication.findMany.mockResolvedValue([
+      {
+        ...snoozed("2026-07-28T06:00:00.000Z"),
+        snoozedUntil: new Date("2026-07-28T09:30:00.000Z"),
+      },
+    ] as never);
+
+    await handleReminderCheck([]);
+
+    expect(dispatchNotification).not.toHaveBeenCalled();
+  });
+
+  it("holds only that next slot, not the ones after it", async () => {
+    vi.useFakeTimers();
+    vi.setSystemTime(new Date("2026-07-28T18:40:00.000Z"));
+    prismaMock.medication.findMany.mockResolvedValue([
+      snoozed("2026-07-28T06:00:00.000Z"),
+    ] as never);
+
+    await handleReminderCheck([]);
+
+    expect(dispatchNotification).toHaveBeenCalledTimes(1);
+    expect(dispatchNotification).toHaveBeenCalledWith(
+      expect.objectContaining({
+        metadata: expect.objectContaining({ timeOfDay: "18:00" }),
+      }),
+    );
+  });
+});
+
+describe("nextSlotHeldBySnooze", () => {
+  const w = (start: string, end: string) => ({
+    start: new Date(`2026-07-28T${start}:00.000Z`),
+    end: new Date(`2026-07-28T${end}:00.000Z`),
+  });
+  const windows = [w("18:00", "19:00"), w("08:00", "09:00")];
+
+  it("is nothing while a window is open at the snooze", () => {
+    expect(
+      nextSlotHeldBySnooze(windows, new Date("2026-07-28T08:30:00.000Z")),
+    ).toBeNull();
+  });
+
+  it("is the next window to open when none is", () => {
+    expect(
+      nextSlotHeldBySnooze(windows, new Date("2026-07-28T06:00:00.000Z")),
+    ).toEqual(new Date("2026-07-28T08:00:00.000Z"));
+    expect(
+      nextSlotHeldBySnooze(windows, new Date("2026-07-28T12:00:00.000Z")),
+    ).toEqual(new Date("2026-07-28T18:00:00.000Z"));
+  });
 });
diff --git a/src/lib/jobs/__tests__/offhost-purge.test.ts b/src/lib/jobs/__tests__/offhost-purge.test.ts
index eb6224df9..4a7b958e8 100644
--- a/src/lib/jobs/__tests__/offhost-purge.test.ts
+++ b/src/lib/jobs/__tests__/offhost-purge.test.ts
@@ -27,6 +27,7 @@ interface Row {
 
 function makeLedger(existingUsers: string[] = []) {
   const rows: Row[] = [];
+  const walked = new Map<string, Date>();
   let seq = 0;
   const prisma = {
     offhostPurgeRequest: {
@@ -60,11 +61,15 @@ function makeLedger(existingUsers: string[] = []) {
           data,
         }: {
           where: { id: { in: string[] } };
-          data: { lastAttemptAt: Date; lastFailure: string };
+          data: {
+            lastAttemptAt: Date;
+            lastFailure: string | null;
+            attempts?: unknown;
+          };
         }) => {
           for (const row of rows) {
             if (!where.id.in.includes(row.id)) continue;
-            row.attempts += 1;
+            if (data.attempts) row.attempts += 1;
             row.lastAttemptAt = data.lastAttemptAt;
             row.lastFailure = data.lastFailure;
           }
@@ -72,12 +77,23 @@ function makeLedger(existingUsers: string[] = []) {
       ),
     },
     user: {
-      count: vi.fn(async ({ where }: { where: { id: string } }) =>
-        existingUsers.includes(where.id) ? 1 : 0,
+      findMany: vi.fn(async ({ where }: { where: { id: { in: string[] } } }) =>
+        existingUsers
+          .filter((id) => where.id.in.includes(id))
+          .map((id) => ({ id })),
+      ),
+    },
+    // When the nightly run last walked each account.
+    offhostBackupState: {
+      findMany: vi.fn(async () =>
+        [...walked].map(([userId, lastAttemptAt]) => ({
+          userId,
+          lastAttemptAt,
+        })),
       ),
     },
   };
-  return { rows, prisma };
+  return { rows, prisma, walked };
 }
 
 function makeBucket(keys: string[]) {
@@ -149,7 +165,7 @@ describe("off-host purge", () => {
   });
 
   it("keeps the request, with the bucket's answer, when a delete is refused", async () => {
-    const { rows, prisma } = makeLedger(["gone"]);
+    const { rows, prisma, walked } = makeLedger(["gone"]);
     await requestOffhostPurge(prisma as never, "gone", "data_wiped");
     const bucket = makeBucket(BUCKET);
     bucket.deleteObject.mockRejectedValueOnce(new Error("AccessDenied"));
@@ -160,8 +176,9 @@ describe("off-host purge", () => {
     expect(rows).toHaveLength(1);
     expect(rows[0]).toMatchObject({ attempts: 1, lastFailure: "AccessDenied" });
 
-    // The next run finishes it, and the account that still exists keeps the
-    // receipt.
+    // The next run finishes it once a nightly run has walked the account
+    // since the wipe, and the account that still exists keeps the receipt.
+    walked.set("gone", new Date(Date.now() + 60_000));
     const again = await processOffhostPurges(prisma as never, bucket);
     expect(again.completed).toBe(1);
     expect(rows).toHaveLength(0);
@@ -171,6 +188,54 @@ describe("off-host purge", () => {
     );
   });
 
+  it("keeps a wipe's request until a nightly run has walked the account since", async () => {
+    // The upload in flight during the wipe reads the request to throw its
+    // pre-wipe copy away; removing the request on the first purge let that
+    // copy land afterwards and stay.
+    const { rows, prisma, walked } = makeLedger(["gone"]);
+    walked.set("gone", new Date(Date.now() - 3_600_000));
+    await requestOffhostPurge(prisma as never, "gone", "data_wiped");
+    const wipeDay = rows[0]!.requestedAt.toISOString().slice(0, 10);
+    const bucket = makeBucket(BUCKET);
+
+    const first = await processOffhostPurges(prisma as never, bucket);
+    expect(first).toMatchObject({ completed: 0, awaitingRun: 1, failed: 0 });
+    expect(first.objectsDeleted).toBe(2);
+    expect(rows).toHaveLength(1);
+    expect(rows[0]).toMatchObject({ attempts: 0, lastFailure: null });
+    expect(auditLog).toHaveBeenCalledTimes(1);
+
+    // A pass before the run reached the account keeps waiting and writes no
+    // second receipt.
+    const waiting = await processOffhostPurges(prisma as never, bucket);
+    expect(waiting).toMatchObject({ completed: 0, awaitingRun: 1 });
+    expect(auditLog).toHaveBeenCalledTimes(1);
+
+    // The next night walks the account and writes the copy of what it holds
+    // after the wipe. The purge then closes the request and leaves that copy.
+    const nextDay = new Date(Date.parse(`${wipeDay}T00:00:00Z`) + 86_400_000)
+      .toISOString()
+      .slice(0, 10);
+    bucket.store.add(`${nextDay}/user-gone.json.enc`);
+    walked.set("gone", new Date(Date.now() + 60_000));
+    const done = await processOffhostPurges(prisma as never, bucket);
+    expect(done).toMatchObject({ completed: 1, awaitingRun: 0 });
+    expect(rows).toHaveLength(0);
+    expect(bucket.store.has(`${nextDay}/user-gone.json.enc`)).toBe(true);
+  });
+
+  it("removes every copy of an account deleted after a wipe", async () => {
+    const { rows, prisma } = makeLedger();
+    await requestOffhostPurge(prisma as never, "gone", "data_wiped");
+    await requestOffhostPurge(prisma as never, "gone", "account_deleted");
+    const bucket = makeBucket([...BUCKET, "2999-01-01/user-gone.json.enc"]);
+
+    const report = await processOffhostPurges(prisma as never, bucket);
+    expect(report).toMatchObject({ completed: 2, awaitingRun: 0 });
+    expect(rows).toHaveLength(0);
+    expect([...bucket.store].some((k) => k.includes("user-gone."))).toBe(false);
+  });
+
   it("records nothing on a host without off-host backup", async () => {
     vi.stubEnv("BACKUP_S3_ENDPOINT", "");
     const { rows, prisma } = makeLedger();
diff --git a/src/lib/jobs/apple-health-import-worker.ts b/src/lib/jobs/apple-health-import-worker.ts
index ee4d6af78..c803627e7 100644
--- a/src/lib/jobs/apple-health-import-worker.ts
+++ b/src/lib/jobs/apple-health-import-worker.ts
@@ -49,7 +49,11 @@ import {
 } from "@/lib/rollups/measurement-rollups";
 import { withBackgroundEvent } from "@/lib/logging/background";
 import { DEFAULT_TIMEZONE } from "@/lib/tz/format";
-import { sweepStaleImportStaging } from "@/lib/import/apple-health-staging";
+import {
+  ACTIVE_IMPORT_STATUSES,
+  sweepStaleImportStaging,
+  type StagingInUse,
+} from "@/lib/import/apple-health-staging";
 
 /**
  * Queue + cron for the periodic orphan-ImportJob sweep. v1.32.1
@@ -94,7 +98,14 @@ export async function handleImportJobReconcileTick(
       // Staged uploads and extracted XML that no running import can still
       // own: whatever exit left them (a crash, a restart mid-import, a
       // deploy), the person's export does not stay in /tmp past this.
-      const swept = await sweepStaleImportStaging().catch(() => 0);
+      // A queued or running import keeps its files whatever their age;
+      // when that cannot be read, nothing is swept this tick.
+      const inUse = await stagedImportFilesInUse().catch(() => null);
+      const swept = inUse
+        ? await sweepStaleImportStaging(undefined, undefined, inUse).catch(
+            () => 0,
+          )
+        : 0;
       evt.addMeta("import_staging_swept", swept);
       try {
         await reconcileOrphanImportJobs();
@@ -655,6 +666,43 @@ const IMPORT_HEARTBEAT_STALE_MS = 30 * 60 * 1000;
 /** pg-boss job states from which a mid-run import can still make progress. */
 const LIVE_PG_BOSS_STATES = new Set(["active", "created", "retry"]);
 
+/**
+ * The staged files a queued or running import still owns: the upload each
+ * live pg-boss job names, and whether any import is past the queue (it has
+ * an extracted XML open). `null` when that cannot be read, so the caller
+ * sweeps nothing rather than guess.
+ */
+export async function stagedImportFilesInUse(): Promise<StagingInUse | null> {
+  const prisma = getWorkerPrisma();
+  const rows = await prisma.importJob.findMany({
+    where: { status: { in: [...ACTIVE_IMPORT_STATUSES] } },
+    select: { status: true, pgBossJobId: true },
+  });
+  const paths = new Set<string>();
+  if (rows.length === 0) return { paths, xmlInUse: false };
+  const boss = getGlobalBoss();
+  if (!boss) return null;
+  for (const row of rows) {
+    if (!row.pgBossJobId) continue;
+    let job: { state: string; data: unknown } | null = null;
+    for (const queue of [
+      APPLE_HEALTH_IMPORT_V2_QUEUE,
+      APPLE_HEALTH_IMPORT_LEGACY_QUEUE,
+    ]) {
+      job = await boss.getJobById(queue, row.pgBossJobId);
+      if (job) break;
+    }
+    if (!job || !LIVE_PG_BOSS_STATES.has(job.state)) continue;
+    const uploadPath = (job.data as { uploadPath?: unknown } | null)
+      ?.uploadPath;
+    if (typeof uploadPath === "string") paths.add(uploadPath);
+  }
+  return {
+    paths,
+    xmlInUse: rows.some((row) => row.status !== "queued"),
+  };
+}
+
 /**
  * Reconcile orphan `ImportJob` rows on worker startup. A row stuck in
  * `unpacking` / `parsing` / `upserting` means a worker was mid-run when
diff --git a/src/lib/jobs/job-outcome.ts b/src/lib/jobs/job-outcome.ts
index 7d67fa3f3..808cbea1b 100644
--- a/src/lib/jobs/job-outcome.ts
+++ b/src/lib/jobs/job-outcome.ts
@@ -147,6 +147,7 @@ export const JOB_FACT_ALLOWLIST: ReadonlySet<string> = new Set([
   "offhost_backup_oversized",
   "offhost_backup_total_users",
   "offhost_backup_uploaded",
+  "offhost_purge_awaiting_run",
   "offhost_purge_completed",
   "offhost_purge_failed",
   "offhost_purge_objects_deleted",
diff --git a/src/lib/jobs/medication-low-stock.ts b/src/lib/jobs/medication-low-stock.ts
index 86df5a22c..ea44a842d 100644
--- a/src/lib/jobs/medication-low-stock.ts
+++ b/src/lib/jobs/medication-low-stock.ts
@@ -53,6 +53,12 @@
  *
  * Inactive / paused medications are skipped: nothing consumes their
  * stock, so their runway is not falling.
+ *
+ * As-needed (PRN) medications have no cadence and so no runway in days.
+ * Once the runway math stopped counting a PRN schedule as a daily dose,
+ * a medication taken only as needed never warned at all. It now warns on
+ * an absolute floor instead: `AS_NEEDED_LOW_STOCK_DOSES` doses or fewer
+ * left, once per crossing, with the same stamp and re-arm rule.
  */
 import type { PrismaClient } from "@/generated/prisma/client";
 import {
@@ -89,6 +95,12 @@ export const MEDICATION_LOW_STOCK_QUEUE = "medication-low-stock";
  */
 export const MEDICATION_LOW_STOCK_CRON = "0 9 * * *";
 
+/**
+ * An as-needed medication warns when this many doses or fewer are left: no
+ * cadence says how many days that is, so the floor is a dose count.
+ */
+export const AS_NEEDED_LOW_STOCK_DOSES = 2;
+
 export interface MedicationLowStockSummary {
   usersScanned: number;
   skippedThresholdOff: number;
@@ -114,6 +126,11 @@ export interface LowStockEvaluation {
    * able to tell them apart.
    */
   expiredUnits: number;
+  /**
+   * Taken only as needed: no schedule consumes on a cadence, and at least
+   * one is PRN. Such a medication warns on the dose floor, not on days.
+   */
+  asNeeded: boolean;
 }
 
 /**
@@ -156,6 +173,7 @@ export function evaluateMedicationRunway(
       dosesRemaining: supply.dosesRemaining,
       unitsRemaining: supply.unitsRemaining,
       expiredUnits: supply.expiredUnits,
+      asNeeded: schedules.some((sched) => sched.scheduleType === "PRN"),
     };
   }
   const runwayDays =
@@ -167,6 +185,7 @@ export function evaluateMedicationRunway(
     dosesRemaining: supply.dosesRemaining,
     unitsRemaining: supply.unitsRemaining,
     expiredUnits: supply.expiredUnits,
+    asNeeded: false,
   };
 }
 
@@ -249,10 +268,25 @@ export function buildLowStockPayload(input: {
   triggerDays: number;
   schedules: RunwaySchedule[];
   today: Date;
+  /** Taken as needed: no dates to name, only what is left. */
+  asNeeded?: boolean;
 }): { title: string; body: string } {
   const t = getServerTranslator(coerceLocale(input.locale)).t;
   const title = t("lowStockReminders.title", { medName: input.medName });
 
+  if (
+    input.asNeeded &&
+    !(input.unitsRemaining <= 0 && input.expiredUnits > 0)
+  ) {
+    return {
+      title,
+      body: t("lowStockReminders.bodyAsNeeded", {
+        medName: input.medName,
+        units: input.unitsRemaining,
+      }),
+    };
+  }
+
   if (input.runwayDays < 1) {
     // Nothing usable left. Whether that means the packs are empty or
     // that every remaining unit was written off is the difference
@@ -464,14 +498,21 @@ export async function runMedicationLowStockTick(
           user.notificationPrefs,
           med.reorderLeadDays,
         );
-        const triggerDays = lowStockTriggerDays({
-          lowStockRunwayDays: thresholdDays,
-          leadDays,
-          schedules: runwaySchedules,
-        });
+        // An as-needed medication has no runway in days: it crosses on the
+        // dose floor, and the same stamp records that floor.
+        const asNeeded = evaluation.runwayDays === null && evaluation.asNeeded;
+        const triggerDays = asNeeded
+          ? AS_NEEDED_LOW_STOCK_DOSES
+          : lowStockTriggerDays({
+              lowStockRunwayDays: thresholdDays,
+              leadDays,
+              schedules: runwaySchedules,
+            });
 
         const decision = decideLowStockAction({
-          runwayDays: evaluation.runwayDays,
+          runwayDays: asNeeded
+            ? evaluation.dosesRemaining
+            : evaluation.runwayDays,
           triggerDays,
           notifiedAt: med.lowStockNotifiedAt,
           notifiedThresholdDays: med.lowStockNotifiedThresholdDays,
@@ -522,6 +563,7 @@ export async function runMedicationLowStockTick(
               triggerDays,
               schedules: runwaySchedules,
               today: now,
+              asNeeded,
             });
             const renderForRecipient = (locale: Locale) => {
               const rendered = buildLowStockPayload({
@@ -534,6 +576,7 @@ export async function runMedicationLowStockTick(
                 triggerDays,
                 schedules: runwaySchedules,
                 today: now,
+                asNeeded,
               });
               return { title: rendered.title, message: rendered.body };
             };
@@ -550,7 +593,10 @@ export async function runMedicationLowStockTick(
                 thresholdDays,
                 // v1.17.0 — the effective trigger + reorder lead so the
                 // client can render the same dates the push body names.
-                triggerDays,
+                // An as-needed medication has no trigger in days; it
+                // crossed the dose floor instead.
+                triggerDays: asNeeded ? null : triggerDays,
+                asNeeded,
                 leadDays,
                 unitsRemaining: evaluation.unitsRemaining,
                 dosesRemaining: evaluation.dosesRemaining,
diff --git a/src/lib/jobs/offhost-purge.ts b/src/lib/jobs/offhost-purge.ts
index 15585fb03..a42fcb78f 100644
--- a/src/lib/jobs/offhost-purge.ts
+++ b/src/lib/jobs/offhost-purge.ts
@@ -17,6 +17,13 @@
  * the job runs again every night and after every nightly upload, so a late
  * copy the upload wrote for an account deleted while it ran is caught too.
  *
+ * A wiped account keeps its request until a nightly run has walked it since
+ * the wipe. The upload that was in flight when the data went reads the
+ * request to know its copy is from before the wipe; removing the request on
+ * the first purge let that copy land afterwards and stay. Until then each
+ * purge removes only the copies dated up to the wipe's day, so the copy of
+ * what the account holds after the wipe is left alone.
+ *
  * The admin wipe of every account writes no request, on purpose: it is the
  * operator clearing their own host, the bucket is theirs, and its copies are
  * the documented way back from a wipe pressed by mistake. The health-check
@@ -57,6 +64,11 @@ const MAX_DELETES_PER_RUN = 50_000;
 
 type Db = Pick<Prisma.TransactionClient, "offhostPurgeRequest">;
 
+type PurgeDb = Pick<
+  PrismaClient,
+  "offhostPurgeRequest" | "offhostBackupState" | "user"
+>;
+
 /**
  * Record that `subjectId`'s off-host copies have to go. Call it with the
  * transaction that deletes the account or wipes its data, so the request and
@@ -101,6 +113,8 @@ export interface OffhostPurgeReport {
   pending: number;
   completed: number;
   failed: number;
+  /** Wipe requests kept until a nightly run has walked the account since. */
+  awaitingRun: number;
   objectsDeleted: number;
 }
 
@@ -114,7 +128,7 @@ function trimError(err: unknown): string {
  * gone. Answers what it did.
  */
 export async function processOffhostPurges(
-  prisma: PrismaClient,
+  prisma: PurgeDb,
   s3Override?: S3Like,
 ): Promise<OffhostPurgeReport> {
   const requests = await prisma.offhostPurgeRequest.findMany({
@@ -125,6 +139,7 @@ export async function processOffhostPurges(
     pending: requests.length,
     completed: 0,
     failed: 0,
+    awaitingRun: 0,
     objectsDeleted: 0,
   };
   if (requests.length === 0) return report;
@@ -163,12 +178,56 @@ export async function processOffhostPurges(
   }
 
   const subjects = new Set(requests.map((r) => r.subjectId));
+  const [liveUsers, ledger] = await Promise.all([
+    prisma.user.findMany({
+      where: { id: { in: [...subjects] } },
+      select: { id: true },
+    }),
+    prisma.offhostBackupState.findMany({
+      where: { userId: { in: [...subjects] } },
+      select: { userId: true, lastAttemptAt: true },
+    }),
+  ]);
+  const live = new Set(liveUsers.map((u) => u.id));
+  const lastWalked = new Map(ledger.map((r) => [r.userId, r.lastAttemptAt]));
+
+  // A wipe of an account that still exists: its request stays until a
+  // nightly run has walked the account since, because the upload in flight
+  // at the wipe reads the request to throw its pre-wipe copy away.
+  const awaitsRun = (request: (typeof requests)[number]) =>
+    request.reason === "data_wiped" &&
+    live.has(request.subjectId) &&
+    !(
+      (lastWalked.get(request.subjectId)?.getTime() ?? 0) >=
+      request.requestedAt.getTime()
+    );
+
+  // Where every request of a subject is a wipe of a live account, only the
+  // copies dated up to the latest wipe's day go; a copy from a later night
+  // holds what the account has recorded since, and stays. An account that is
+  // gone loses every copy.
+  const lastDayToDelete = new Map<string, string | null>();
+  for (const request of requests) {
+    const subject = request.subjectId;
+    const day =
+      request.reason === "data_wiped" && live.has(subject)
+        ? request.requestedAt.toISOString().slice(0, 10)
+        : null;
+    const prior = lastDayToDelete.get(subject);
+    if (prior === undefined) lastDayToDelete.set(subject, day);
+    else if (prior !== null) {
+      lastDayToDelete.set(subject, day === null || day > prior ? day : prior);
+    }
+  }
+
   const bySubject = new Map<string, string[]>();
   for (const { key } of objects) {
     const match = ACCOUNT_OBJECT.exec(key);
     if (!match) continue;
     const subject = match[1];
     if (!subjects.has(subject)) continue;
+    const lastDay = lastDayToDelete.get(subject);
+    if (lastDay && key.slice(0, 10) > lastDay) continue;
     const list = bySubject.get(subject) ?? [];
     list.push(key);
     bySubject.set(subject, list);
@@ -205,14 +264,29 @@ export async function processOffhostPurges(
       continue;
     }
     const deleted = bySubject.get(request.subjectId)?.length ?? 0;
-    await prisma.offhostPurgeRequest.delete({ where: { id: request.id } });
-    report.completed++;
+    // A wipe that already waited a pass had its copies removed, and its
+    // receipt written, on that pass.
+    const alreadyReceipted =
+      request.lastAttemptAt !== null && request.lastFailure === null;
+    if (awaitsRun(request)) {
+      // Its copies up to the wipe are gone; what is left is the wait for
+      // the next run. Marked so the admin card stops counting it as copies
+      // still in the bucket.
+      await prisma.offhostPurgeRequest.updateMany({
+        where: { id: { in: [request.id] } },
+        data: { lastAttemptAt: now, lastFailure: null },
+      });
+      report.awaitingRun++;
+    } else {
+      await prisma.offhostPurgeRequest.delete({ where: { id: request.id } });
+      report.completed++;
+    }
+    if (alreadyReceipted && deleted === 0) continue;
     // The account a deleted subject named is gone, and so is its audit
     // history; the receipt names the reason and the count, not the account.
     // A wiped account still exists and keeps the receipt as its own.
     const accountRemains =
-      request.reason === "data_wiped" &&
-      (await prisma.user.count({ where: { id: request.subjectId } })) > 0;
+      request.reason === "data_wiped" && live.has(request.subjectId);
     await auditLog("offhost.backup.purged", {
       userId: accountRemains ? request.subjectId : null,
       actorUserId: null,
@@ -236,6 +310,7 @@ export async function handleOffhostPurge(
       evt.addMeta("offhost_purge_pending", report.pending);
       evt.addMeta("offhost_purge_completed", report.completed);
       evt.addMeta("offhost_purge_failed", report.failed);
+      evt.addMeta("offhost_purge_awaiting_run", report.awaitingRun);
       evt.addMeta("offhost_purge_objects_deleted", report.objectsDeleted);
       if (report.failed > 0) {
         await reportWorkerError(
@@ -249,6 +324,7 @@ export async function handleOffhostPurge(
         offhost_purge_pending: report.pending,
         offhost_purge_completed: report.completed,
         offhost_purge_failed: report.failed,
+        offhost_purge_awaiting_run: report.awaitingRun,
         offhost_purge_objects_deleted: report.objectsDeleted,
       });
     } catch (err) {
diff --git a/src/lib/jobs/reminder/medication-reminder-check.ts b/src/lib/jobs/reminder/medication-reminder-check.ts
index d14f25c94..41958f516 100644
--- a/src/lib/jobs/reminder/medication-reminder-check.ts
+++ b/src/lib/jobs/reminder/medication-reminder-check.ts
@@ -144,20 +144,51 @@ export async function cleanupScheduledTelegramDeletions(): Promise<void> {
 
 /**
  * Whether a medication-level snooze holds the reminder of one slot. It
- * holds only while it runs (`now < snoozedUntil`) and only for a slot whose
+ * holds only while it runs (`now < snoozedUntil`), and only for a slot whose
  * reminder window had opened when the snooze was set (`snoozedAt`, the
- * medication row's @updatedAt of the snooze write). A later edit to the
- * row moves `snoozedAt` forward, which can only widen the hold back to the
- * old medication-wide behaviour, never lose a snooze.
+ * medication row's @updatedAt of the snooze write), or for the slot the
+ * snooze was set ahead of (`heldNextWindowStart`, see
+ * {@link nextSlotHeldBySnooze}). A later edit to the row moves `snoozedAt`
+ * forward, which can only widen the hold back to the old medication-wide
+ * behaviour, never lose a snooze.
  */
 export function snoozeHoldsSlot(
   snoozedUntil: Date | null,
   snoozedAt: Date,
   slotWindowStart: Date,
   now: Date,
+  heldNextWindowStart: Date | null = null,
 ): boolean {
   if (!snoozedUntil || now.getTime() >= snoozedUntil.getTime()) return false;
-  return slotWindowStart.getTime() <= snoozedAt.getTime();
+  if (slotWindowStart.getTime() <= snoozedAt.getTime()) return true;
+  return (
+    heldNextWindowStart !== null &&
+    slotWindowStart.getTime() === heldNextWindowStart.getTime()
+  );
+}
+
+/**
+ * The window start of the slot a snooze was set ahead of, or `null`. A
+ * snooze set while one of the medication's reminder windows was open answers
+ * that slot, and a later slot stays reminded (a morning "skip" that snoozes
+ * to the end of the day must not silence the evening dose). A snooze set
+ * while no window was open, such as "remind me later" on a dose that is
+ * not due yet, answers the next slot to open, so that one is held too.
+ */
+export function nextSlotHeldBySnooze(
+  windows: ReadonlyArray<{ start: Date; end: Date }>,
+  snoozedAt: Date,
+): Date | null {
+  const at = snoozedAt.getTime();
+  let next: Date | null = null;
+  for (const window of windows) {
+    const start = window.start.getTime();
+    if (start <= at && at <= window.end.getTime()) return null;
+    if (start > at && (next === null || start < next.getTime())) {
+      next = window.start;
+    }
+  }
+  return next;
 }
 
 /**
@@ -416,6 +447,31 @@ export async function handleReminderCheck(
             : null;
         });
 
+        // The slot a running snooze was set ahead of, if any (see
+        // `nextSlotHeldBySnooze`), read over every slot of the medication.
+        const snoozeRunning =
+          med.snoozedUntil !== null &&
+          now.getTime() < med.snoozedUntil.getTime();
+        const heldNextWindowStart = snoozeRunning
+          ? nextSlotHeldBySnooze(
+              sortedSchedules.flatMap((schedule, index) => {
+                const canonicalSchedule = canonicalSchedules[index];
+                return (
+                  occurrencesByScheduleId.get(canonicalSchedule.id) ?? []
+                ).map((occurrence) =>
+                  resolveSlotPhaseWindow(
+                    schedule,
+                    occurrence.timeOfDay,
+                    canonicalSchedule.doseWindows ?? null,
+                    occurrence.at,
+                    userTz,
+                  ),
+                );
+              }),
+              med.updatedAt,
+            )
+          : null;
+
         for (
           let scheduleIndex = 0;
           scheduleIndex < sortedSchedules.length;
@@ -569,14 +625,21 @@ export async function handleReminderCheck(
             }
 
             // A snooze answers the reminder of the slot that was open when it
-            // was set, so it holds only slots whose window had opened by then.
+            // was set, so it holds only slots whose window had opened by then,
+            // or, set while none was open, the next slot to open.
             // `snoozedUntil` lives on the medication row and the snooze write
             // stamps the row's @updatedAt, which dates the decision (the same
             // reading the skip / pin suppression above uses). A later slot of
             // the same medication, such as the evening dose after a morning
             // "skip" that snoozes to the end of the day, is still reminded.
             if (
-              snoozeHoldsSlot(med.snoozedUntil, med.updatedAt, windowStart, now)
+              snoozeHoldsSlot(
+                med.snoozedUntil,
+                med.updatedAt,
+                windowStart,
+                now,
+                heldNextWindowStart,
+              )
             ) {
               continue;
             }
diff --git a/src/lib/measurement-reminders/__tests__/scheduling-timezones.test.ts b/src/lib/measurement-reminders/__tests__/scheduling-timezones.test.ts
index 560d08bbc..7cd923cc4 100644
--- a/src/lib/measurement-reminders/__tests__/scheduling-timezones.test.ts
+++ b/src/lib/measurement-reminders/__tests__/scheduling-timezones.test.ts
@@ -9,7 +9,7 @@ import { describe, expect, it } from "vitest";
 
 import { wallClockInTz, zonedWallClockToUtc } from "@/lib/tz/wall-clock";
 
-import { computeReminderNextDueAt } from "../scheduling";
+import { computeReminderNextDueAt, parseReminderAnchor } from "../scheduling";
 
 const ZONES = [
   "America/New_York",
@@ -75,3 +75,29 @@ describe.each(ZONES)("reminder anchors in %s", (tz) => {
     expect(localLabel(next, tz)).toBe("2026-09-20 19:00 w0");
   });
 });
+
+describe.each(ZONES)("a first-due date sent as a calendar date in %s", (tz) => {
+  it("is that day in the user's zone", () => {
+    const anchor = parseReminderAnchor("2026-10-01", tz);
+    expect(anchor).toEqual(localMidnight(tz, 2026, 10, 1));
+    const next = computeReminderNextDueAt(
+      {
+        intervalDays: 30,
+        rrule: null,
+        anchorDate: anchor,
+        notifyHour: 9,
+        lastSatisfiedAt: null,
+        createdAt: new Date("2026-09-01T12:00:00Z"),
+      },
+      tz,
+      new Date("2026-09-26T12:00:00Z"),
+    );
+    expect(localLabel(next, tz)?.slice(0, 16)).toBe("2026-10-01 09:00");
+  });
+
+  it("keeps a date-time as the instant it names", () => {
+    expect(parseReminderAnchor("2026-10-01T00:00:00.000Z", tz)).toEqual(
+      new Date("2026-10-01T00:00:00.000Z"),
+    );
+  });
+});
diff --git a/src/lib/measurement-reminders/scheduling.ts b/src/lib/measurement-reminders/scheduling.ts
index 2227d0008..49cbf8aaf 100644
--- a/src/lib/measurement-reminders/scheduling.ts
+++ b/src/lib/measurement-reminders/scheduling.ts
@@ -31,6 +31,7 @@ import {
 } from "@/lib/medications/scheduling/recurrence";
 import { wallClockInTz } from "@/lib/tz/wall-clock";
 import { DEFAULT_TIMEZONE } from "@/lib/tz/format";
+import { startOfLocalDayKey } from "@/lib/tz/local-day";
 
 /**
  * The reminder fields this module reads. A subset of the Prisma row so
@@ -52,6 +53,18 @@ export interface ReminderScheduleInput {
   endsOn?: Date | null;
 }
 
+/**
+ * A first-due date from a request: a calendar date (`YYYY-MM-DD`) is that
+ * day in the user's zone, stored as its local midnight; a date-time is the
+ * instant it names. A date sent as UTC midnight would read as the evening
+ * before west of UTC, which is why a bare date is accepted at all.
+ */
+export function parseReminderAnchor(value: string, timeZone: string): Date {
+  return /^\d{4}-\d{2}-\d{2}$/.test(value)
+    ? startOfLocalDayKey(value, timeZone || DEFAULT_TIMEZONE)
+    : new Date(value);
+}
+
 /** The calendar day `instant` falls on in `tz`, as UTC midnight of that date. */
 function calendarDayInZone(instant: Date, tz: string): Date {
   const p = wallClockInTz(instant, tz);
diff --git a/src/lib/rollups/__tests__/measurement-read-wmy.test.ts b/src/lib/rollups/__tests__/measurement-read-wmy.test.ts
index 936f20730..bfca576c4 100644
--- a/src/lib/rollups/__tests__/measurement-read-wmy.test.ts
+++ b/src/lib/rollups/__tests__/measurement-read-wmy.test.ts
@@ -213,7 +213,33 @@ describe("readBestGranularityRollups", () => {
   it("returns null when the window holds no buckets", async () => {
     const result = await readBestGranularityRollups("user", "WEIGHT", 1095);
     expect(result).toBeNull();
-    expect(queryRaw).toHaveBeenCalledTimes(1);
+    // YEAR, MONTH and WEEK folds, then the DAY tier.
+    expect(queryRaw).toHaveBeenCalledTimes(3);
+    expect(findMany).toHaveBeenCalledTimes(1);
+  });
+
+  it("steps one tier finer when the data sits only in the leading partial bucket", async () => {
+    // A 731-day window on 2026-09-26 starts 2024-09-25. October to December
+    // 2024 fold into the YEAR bucket 2024-01-01, which starts before the
+    // window and is left out; the MONTH tier starts inside it.
+    vi.setSystemTime(new Date("2026-09-26T12:00:00.000Z"));
+    const readings: Array<[string, number]> = [
+      ["2024-10-05", 80],
+      ["2024-11-05", 81],
+      ["2024-12-05", 82],
+    ];
+    queryRaw
+      .mockResolvedValueOnce([folded("2024-01-01T00:00:00.000Z", readings)])
+      .mockResolvedValueOnce(
+        readings.map(([day, value]) =>
+          folded(`${day.slice(0, 7)}-01T00:00:00.000Z`, [[day, value]]),
+        ),
+      );
+    const result = await readBestGranularityRollups("user", "WEIGHT", 731);
+    expect(result?.granularity).toBe("MONTH");
+    expect(result?.rows.map((r) => r.mean)).toEqual([80, 81, 82]);
+    expect(sqlOf(queryRaw.mock.calls[0])).toContain("'year'");
+    expect(sqlOf(queryRaw.mock.calls[1])).toContain("'month'");
   });
 
   it("composes a coarse bucket's mean, spread and slope from its days", async () => {
diff --git a/src/lib/rollups/measurement-read-wmy.ts b/src/lib/rollups/measurement-read-wmy.ts
index ece63f589..d40941945 100644
--- a/src/lib/rollups/measurement-read-wmy.ts
+++ b/src/lib/rollups/measurement-read-wmy.ts
@@ -125,25 +125,32 @@ export async function readBestGranularityRollups(
     userPriorityJson !== undefined
       ? userPriorityJson
       : await loadUserSourcePriority(userId);
-  // Every tier is folded from the same canonical DAY buckets, so a tier
-  // either has coverage or none has: pick the coarsest floor the window
-  // clears and read it once.
-  const floor = GRANULARITY_FLOORS.find((f) => windowDays >= f.minWindowDays);
-  if (!floor) return null;
-  const rows = await readGranularity(
-    userId,
-    type,
-    floor.granularity,
-    since,
-    // Trailing-window semantics: no upper bound. This router serves the
-    // "last N days to now" probes (summaries-slice / health-score); the
-    // requested-window bounding lives on `readTieredRollupSeries`.
-    null,
-    priority,
+  // Every tier is folded from the same canonical DAY buckets, but a coarse
+  // bucket that starts before `since` is left out (it holds only part of its
+  // days). Data that sits only in that leading partial bucket, say three
+  // months at the start of a 731-day window, reads as empty at YEAR: step one
+  // tier finer until a tier has buckets, down to DAY, which starts inside the
+  // window by construction.
+  const floors = GRANULARITY_FLOORS.filter(
+    (f) => windowDays >= f.minWindowDays,
   );
-  return rows && rows.length > 0
-    ? { granularity: floor.granularity, rows }
-    : null;
+  for (const floor of floors) {
+    const rows = await readGranularity(
+      userId,
+      type,
+      floor.granularity,
+      since,
+      // Trailing-window semantics: no upper bound. This router serves the
+      // "last N days to now" probes (summaries-slice / health-score); the
+      // requested-window bounding lives on `readTieredRollupSeries`.
+      null,
+      priority,
+    );
+    if (rows && rows.length > 0) {
+      return { granularity: floor.granularity, rows };
+    }
+  }
+  return null;
 }
 
 /**
diff --git a/src/lib/validations/__tests__/measurement-reminders.test.ts b/src/lib/validations/__tests__/measurement-reminders.test.ts
index aa013d421..78881ba55 100644
--- a/src/lib/validations/__tests__/measurement-reminders.test.ts
+++ b/src/lib/validations/__tests__/measurement-reminders.test.ts
@@ -118,3 +118,19 @@ describe("measurementReminderTypeEnum (V3 — completeness)", () => {
     expect(parsed.success).toBe(true);
   });
 });
+
+describe("createMeasurementReminderSchema — first-due date", () => {
+  const base = { label: "Blood test", intervalDays: 365 };
+  it.each([
+    ["2026-10-01", true],
+    ["2026-10-01T00:00:00.000Z", true],
+    ["2026-10-01T00:00:00-07:00", true],
+    ["2026-10-01T00:00:00", false],
+    ["01.10.2026", false],
+  ])("anchorDate %s is accepted: %s", (anchorDate, ok) => {
+    expect(
+      createMeasurementReminderSchema.safeParse({ ...base, anchorDate })
+        .success,
+    ).toBe(ok);
+  });
+});
diff --git a/src/lib/validations/measurement-reminders.ts b/src/lib/validations/measurement-reminders.ts
index 724e2b2d4..a329afa46 100644
--- a/src/lib/validations/measurement-reminders.ts
+++ b/src/lib/validations/measurement-reminders.ts
@@ -143,13 +143,22 @@ const cadenceRefinement = (
   }
 };
 
+/**
+ * The first-due date: a calendar date (`YYYY-MM-DD`, read as that day in the
+ * user's zone) or a date-time (the instant it names).
+ */
+const anchorDateField = z.union([
+  z.iso.date(),
+  z.iso.datetime({ offset: true }),
+]);
+
 export const createMeasurementReminderSchema = z
   .object({
     label: z.string().trim().min(1).max(120),
     measurementType: measurementReminderTypeEnum.nullish(),
     intervalDays: z.number().int().min(1).max(3650).nullish(),
     rrule: rruleField.nullish(),
-    anchorDate: z.iso.datetime({ offset: true }).nullish(),
+    anchorDate: anchorDateField.nullish(),
     notifyHour: z.number().int().min(0).max(23).default(9),
     location: z.string().trim().max(200).nullish(),
     enabled: z.boolean().default(true),
@@ -177,7 +186,7 @@ export const updateMeasurementReminderSchema = z
     measurementType: measurementReminderTypeEnum.nullish(),
     intervalDays: z.number().int().min(1).max(3650).nullish(),
     rrule: rruleField.nullish(),
-    anchorDate: z.iso.datetime({ offset: true }).nullish(),
+    anchorDate: anchorDateField.nullish(),
     notifyHour: z.number().int().min(0).max(23).optional(),
     location: z.string().trim().max(200).nullish(),
     enabled: z.boolean().optional(),
diff --git a/tests/integration/doctor-report-fixed-window.test.ts b/tests/integration/doctor-report-fixed-window.test.ts
index 72116145a..e42ceb95c 100644
--- a/tests/integration/doctor-report-fixed-window.test.ts
+++ b/tests/integration/doctor-report-fixed-window.test.ts
@@ -138,4 +138,46 @@ describe("doctor report with a fixed end date", () => {
     expect(glp1?.currentDose?.value).toBe(0.25);
     expect(glp1?.lastInjection?.date).toBe("2026-03-20T08:05:00.000Z");
   });
+  it("compares a course's start and end dates as days in the report zone", async () => {
+    // West of UTC the window's instants sit hours after UTC midnight, and the
+    // course dates are calendar days stored as UTC midnight.
+    const prisma = getPrismaClient();
+    const user = await prisma.user.create({
+      data: {
+        username: "west-window",
+        email: "west-window@example.test",
+        timezone: "America/New_York",
+      },
+    });
+    const course = (name: string, startsOn: string, endsOn: string | null) =>
+      prisma.medication.create({
+        data: {
+          userId: user.id,
+          name,
+          dose: "1 mg",
+          startsOn: new Date(`${startsOn}T00:00:00.000Z`),
+          endsOn: endsOn ? new Date(`${endsOn}T00:00:00.000Z`) : null,
+          createdAt: new Date("2025-06-01T00:00:00.000Z"),
+        },
+      });
+    await course("Ended on the first day", "2025-10-01", "2026-01-01");
+    await course("Ended the day before", "2025-10-01", "2025-12-31");
+    await course("Started on the last day", "2026-03-31", null);
+    await course("Started the day after", "2026-04-01", null);
+
+    const data = await collectDoctorReportData(
+      user.id,
+      {
+        start: new Date("2026-01-01T05:00:00.000Z"),
+        end: new Date("2026-04-01T03:59:59.999Z"),
+        days: 90,
+      },
+      selectionFromLeaves(ALL_LEAF_IDS),
+    );
+
+    expect(data.medications?.map((m) => m.name).sort()).toEqual([
+      "Ended on the first day",
+      "Started on the last day",
+    ]);
+  });
 });
diff --git a/tests/integration/offhost-purge-on-deletion.test.ts b/tests/integration/offhost-purge-on-deletion.test.ts
index 9c96deb75..3cf7ac76d 100644
--- a/tests/integration/offhost-purge-on-deletion.test.ts
+++ b/tests/integration/offhost-purge-on-deletion.test.ts
@@ -153,5 +153,18 @@ describe("off-host copies leave with the account", () => {
       where: { action: "offhost.backup.purged", userId },
     });
     expect(receipt).not.toBeNull();
+
+    // The request outlives the purge until a nightly run has walked the
+    // account since the wipe: the upload in flight at the wipe reads it to
+    // throw its pre-wipe copy away.
+    expect(await prisma.offhostPurgeRequest.count()).toBe(1);
+    await prisma.offhostBackupState.upsert({
+      where: { userId },
+      create: { userId, lastAttemptAt: new Date(Date.now() + 1000) },
+      update: { lastAttemptAt: new Date(Date.now() + 1000) },
+    });
+    const report = await processOffhostPurges(prisma);
+    expect(report).toMatchObject({ completed: 1, awaitingRun: 0 });
+    expect(await prisma.offhostPurgeRequest.count()).toBe(0);
   });
 });
diff --git a/tests/integration/setup.ts b/tests/integration/setup.ts
index f4512b636..27d284385 100644
--- a/tests/integration/setup.ts
+++ b/tests/integration/setup.ts
@@ -63,6 +63,11 @@ export async function truncateAllTables(client: PrismaClient): Promise<void> {
     "mood_entries",
     "notification_channels",
     "notification_preferences",
+    // Host-wide off-host backup state: not keyed to a user, so the users
+    // cascade does not reach it, and a file that reads it whole (the purge
+    // job, the encryption view) saw what earlier files left behind.
+    "offhost_backup_key_use",
+    "offhost_purge_requests",
     "passkeys",
     "personal_records",
     "push_subscriptions",