# Symptom FOCUS vs Sinira

The clearest difference is update cadence: Symptom FOCUS at every 4 months against Sinira's every 16 months. Symptom FOCUS also leads on device support (3 vs 1) and iOS requirement (15.0.0 vs 18.2). On price, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Symptom FOCUS ships an update every 4 months, Sinira every 16 months. The most recent releases landed on October 18, 2026 and October 17, 2026 respectively.

## The numbers

| Metric | Symptom FOCUS | Sinira |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 4 months** | Every 16 months |
| Size | 45 MB | 6 MB |
| Requires iOS | **15.0.0** | 18.2 |
| Devices | **iPhone, iPad, iPod** | iPhone |
| Age rating | 17+ | 4+ |
| Developer | [Ohio State University](https://appshunter.io/developer/436381857) | [KARIN PIETRUSKA](https://appshunter.io/developer/1807527048) |

## What reviewers say

### Symptom FOCUS

[App page](https://appshunter.io/ios/app/symptom-focus/id6744336576)

**In-app purchases:** none


### Sinira

[App page](https://appshunter.io/ios/app/sinira/id6744404857)

**In-app purchases:** none


## Frequently asked questions

### Is Symptom FOCUS free?

Symptom FOCUS is free to download, with no in-app purchases.

### Is Sinira free?

Sinira is free to download, with no in-app purchases.

### Do Symptom FOCUS or Sinira have ads?

Neither Symptom FOCUS nor Sinira shows ads.

### Which is updated more often, Symptom FOCUS or Sinira?

Symptom FOCUS ships an update every 4 months, and Sinira every 16 months. Most recently, Symptom FOCUS was updated on October 18, 2026 and Sinira on October 17, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*