diff --git a/src/app/insights/page.tsx b/src/app/insights/page.tsx
index 4d8ea36cd..07bbfb523 100644
--- a/src/app/insights/page.tsx
+++ b/src/app/insights/page.tsx
@@ -1,7 +1,7 @@
 "use client";
 
-import { Fragment, type ReactNode } from "react";
-import { useQuery } from "@tanstack/react-query";
+import { Fragment, useCallback, type ReactNode } from "react";
+import { useQuery, useQueryClient } from "@tanstack/react-query";
 import dynamic from "next/dynamic";
 import Link from "next/link";
 import { SlidersHorizontal, TrendingUp } from "lucide-react";
@@ -11,6 +11,8 @@ import { queryKeys } from "@/lib/query-keys";
 import { apiGet } from "@/lib/api/api-fetch";
 import { useFeatureFlags } from "@/hooks/use-feature-flags";
 import { useInsightsLayoutQuery } from "@/hooks/use-insights-layout";
+import { usePullToRefresh } from "@/hooks/use-pull-to-refresh";
+import { PullToRefreshIndicator } from "@/components/ui/pull-to-refresh-indicator";
 import {
   orderedVisibleSectionIds,
   type InsightsSectionId,
@@ -263,6 +265,20 @@ export default function InsightsPage() {
   const { isAuthenticated, user } = useAuth();
   const mounted = useMounted();
   const { t } = useTranslations();
+  const queryClient = useQueryClient();
+
+  // v1.30.1 M12 — the overview fans out into ~6 independent queries
+  // (comprehensive / advisor / analytics / snapshot / derived batch /
+  // layout) mounted by different hooks below, so there's no single
+  // `refetch()` that covers the page. Refetching every currently-mounted
+  // ("active") query is the same blanket approach the audit's fallback
+  // suggests for PWA-resume staleness, and it's the right shape here
+  // regardless of resume vs. an explicit pull.
+  const refreshInsights = useCallback(
+    () => queryClient.refetchQueries({ type: "active" }),
+    [queryClient],
+  );
+  const pull = usePullToRefresh({ onRefresh: refreshInsights });
 
   // v1.4.33 IW9 — scroll-to-top on route mount centralised in the
   // shared `useScrollResetOnRoute()` hook. The mother page + the
@@ -531,6 +547,7 @@ export default function InsightsPage() {
     // zero-gap). Each section owns its OWN `SectionHeading` + `space-y-3` to its
     // card, so the rhythm is even regardless of which sections are present.
     <div className="space-y-6">
+      <PullToRefreshIndicator {...pull} />
       <HeroStrip
         briefing={briefingPayload}
         updatedAt={heroStripUpdatedAt}
diff --git a/src/app/medications/page.tsx b/src/app/medications/page.tsx
index 6be2d586e..a01645277 100644
--- a/src/app/medications/page.tsx
+++ b/src/app/medications/page.tsx
@@ -1,12 +1,18 @@
 "use client";
 
-import { useEffect, useState } from "react";
+import { useCallback, useEffect, useState } from "react";
 import { useQuery, useQueryClient } from "@tanstack/react-query";
 import Link from "next/link";
 import { useRouter, useSearchParams } from "next/navigation";
 import { useAuth } from "@/hooks/use-auth";
 import { useTranslations } from "@/lib/i18n/context";
-import { queryKeys } from "@/lib/query-keys";
+import {
+  invalidateKeys,
+  medicationDependentKeys,
+  queryKeys,
+} from "@/lib/query-keys";
+import { usePullToRefresh } from "@/hooks/use-pull-to-refresh";
+import { PullToRefreshIndicator } from "@/components/ui/pull-to-refresh-indicator";
 import { MedicationWizardDialog } from "@/components/medications/wizard/medication-wizard-dialog";
 import { MedicationCard } from "@/components/medications/medication-card";
 import { Glp1MedicationCard } from "@/components/medications/glp1-medication-card";
@@ -221,6 +227,17 @@ export default function MedicationsPage() {
     refetchOnMount: "always",
   });
 
+  // v1.30.1 M12 — pull-to-refresh parity with labs/checkups/mood/measurements.
+  // Medications is one of the sharpest PWA-resume-staleness surfaces (a
+  // background-refreshed take/skip from a notification, or a cross-device
+  // write, wouldn't otherwise show up until the 5-min staleTime lapses or a
+  // full remount re-triggers `refetchOnMount: "always"` above).
+  const refreshMedications = useCallback(
+    () => invalidateKeys(queryClient, medicationDependentKeys),
+    [queryClient],
+  );
+  const pull = usePullToRefresh({ onRefresh: refreshMedications });
+
   // v1.29.x — once the highlighted card is in the DOM, scroll it into view
   // and clear the highlight state after a few seconds so the ring is a
   // one-time "you tapped here" cue, not a permanent tint (mirrors the
@@ -363,6 +380,7 @@ export default function MedicationsPage() {
 
   return (
     <div className="space-y-6">
+      <PullToRefreshIndicator {...pull} />
       <div className="flex items-start justify-between gap-3">
         <div className="min-w-0 space-y-1">
           <h1
diff --git a/src/app/page-client.tsx b/src/app/page-client.tsx
index a23f4a47a..d607fdf7c 100644
--- a/src/app/page-client.tsx
+++ b/src/app/page-client.tsx
@@ -1,9 +1,11 @@
 "use client";
 
-import React, { Suspense, useMemo, useState } from "react";
-import { useQuery } from "@tanstack/react-query";
+import React, { Suspense, useCallback, useMemo, useState } from "react";
+import { useQuery, useQueryClient } from "@tanstack/react-query";
 import { useAuth } from "@/hooks/use-auth";
 import { useMounted } from "@/hooks/use-mounted";
+import { usePullToRefresh } from "@/hooks/use-pull-to-refresh";
+import { PullToRefreshIndicator } from "@/components/ui/pull-to-refresh-indicator";
 import {
   Activity,
   Bone,
@@ -190,8 +192,23 @@ export default function DashboardPageClient() {
   const mounted = useMounted();
   const { t } = useTranslations();
   const fmt = useFormatters();
+  const queryClient = useQueryClient();
   const [quickEntryDialog, setQuickEntryDialog] =
     useState<QuickEntryDialog>(null);
+
+  // v1.30.1 M12 — pull-to-refresh parity for the dashboard, named as one
+  // of the sharpest PWA-resume-staleness surfaces in the audit (it
+  // already opts back into `refetchOnWindowFocus`, but a PWA resumed
+  // from the home screen/app-switcher, not a browser tab focus event,
+  // is the more common mobile path and that never fires a focus event).
+  // The dashboard fans out into a dozen-plus independent per-tile/chart
+  // queries, so — like `/insights` — refetching every currently-active
+  // query is the only tractable "refresh everything visible" shape.
+  const refreshDashboard = useCallback(
+    () => queryClient.refetchQueries({ type: "active" }),
+    [queryClient],
+  );
+  const pull = usePullToRefresh({ onRefresh: refreshDashboard });
   // v1.4.29 M5 — the three inline dashboard queries default to a
   // 0-ms `staleTime`, so a tab-focus-and-return triggered a refetch
   // storm. None of these are real-time data; minute-scale staleness
@@ -785,6 +802,7 @@ export default function DashboardPageClient() {
 
   return (
     <div className="space-y-6">
+      <PullToRefreshIndicator {...pull} />
       <DashboardHeader onQuickEntry={setQuickEntryDialog} />
 
       {/* S2 — the Today hero, promoted above the tile strip (MARC sign-off
diff --git a/src/components/documents/documents-view.tsx b/src/components/documents/documents-view.tsx
index d9d61b9ef..a1227eaf8 100644
--- a/src/components/documents/documents-view.tsx
+++ b/src/components/documents/documents-view.tsx
@@ -38,6 +38,8 @@ import { PageHeader } from "@/components/ui/page-header";
 import { QueryErrorCard } from "@/components/ui/query-error-card";
 import { Skeleton } from "@/components/ui/skeleton";
 import { useAuth } from "@/hooks/use-auth";
+import { usePullToRefresh } from "@/hooks/use-pull-to-refresh";
+import { PullToRefreshIndicator } from "@/components/ui/pull-to-refresh-indicator";
 import { apiGet, apiPost } from "@/lib/api/api-fetch";
 import { useTranslations } from "@/lib/i18n/context";
 import { invalidateKeys, queryKeys } from "@/lib/query-keys";
@@ -233,6 +235,18 @@ export function DocumentsView() {
     [list.data],
   );
 
+  // v1.30.1 M12 — pull-to-refresh parity with labs/checkups/mood/
+  // measurements/medications. The vault is one of the sharpest PWA-resume-
+  // staleness surfaces named in the audit: a document indexed server-side
+  // while the tab was backgrounded (auto-index / AI summary) otherwise
+  // stays invisible until the bounded processing poll above happens to
+  // catch it or the user navigates away and back.
+  const refreshDocuments = useCallback(
+    () => Promise.all([list.refetch(), usage.refetch()]),
+    [list, usage],
+  );
+  const pull = usePullToRefresh({ onRefresh: refreshDocuments });
+
   const upload = useDocumentUpload(
     usage.data ? { maxFileBytes: usage.data.maxFileBytes } : undefined,
   );
@@ -595,6 +609,7 @@ export function DocumentsView() {
 
   return (
     <div className="space-y-6">
+      <PullToRefreshIndicator {...pull} />
       <PageHeader
         title={t("documents.title")}
         description={t("documents.subtitle")}
diff --git a/src/hooks/use-pull-to-refresh.ts b/src/hooks/use-pull-to-refresh.ts
index 6430097c2..20b25431f 100644
--- a/src/hooks/use-pull-to-refresh.ts
+++ b/src/hooks/use-pull-to-refresh.ts
@@ -60,8 +60,22 @@ export function usePullToRefresh({
     let busy = false;
     let lastDistance = 0;
 
-    const atTop = () =>
-      (document.scrollingElement?.scrollTop ?? window.scrollY) <= 0;
+    // v1.30.1 M12 — the authenticated shell's actual scroll container is
+    // `<main id="main-content">` (`AuthShell` sets it `overflow-y-auto`
+    // inside a height-locked `h-dvh` layout); `document.scrollingElement`
+    // never moves there; it stays permanently at 0. Checking the document
+    // root meant "at top" was always true regardless of how far the user
+    // had actually scrolled a long list — a downward drag mid-scroll could
+    // arm the pull gesture instead of just scrolling the list. Falls back
+    // to the document root for the few body-scrolled surfaces (public
+    // pages) that render outside the shell's `#main-content`.
+    const atTop = () => {
+      const main = document.getElementById("main-content");
+      const scrollTop = main
+        ? main.scrollTop
+        : (document.scrollingElement?.scrollTop ?? window.scrollY);
+      return scrollTop <= 0;
+    };
 
     const reset = () => {
       startY = null;