Guest: Ileana Pirozzi  In this episode of Boba & Biotech, I grab a delicious mango-coconut sago with Ileana Pirozzi, a former biotech investor who’s stepping off the venture sidelines and into the founder seat. From growing up in Italy to studying biomedical engineering at Stanford and working at NASA, Ileana shares how venture capital became a crash course in scientific rigor and why it ultimately felt too distant from real impact. The conversation pulls back the curtain on how VC decisions actually get made: why “no” is so hard to say, how fund dynamics and internal politics shape outcomes, and why most firms prefer to follow rather than lead. They dig into what VCs often miss when judging founders, debate generalist versus specialist investors, and call out overrated and underrated trends. The episode closes with a look at what could truly unlock the next wave of clinical impact: rethinking how clinical trials are designed and run. Ileana Pirozzi is the Head of Healthcare Ventures at Lingotto Innovation in New York City, where she leads early-stage investments in technologies at the intersection of healthcare, life sciences, and frontier engineering. Her work focuses on identifying and backing the next generation of companies redefining diagnoses, treatment and delivery of care. Ileana holds a PhD in Bioengineering and Medical Engineering from Stanford University and a BSc from Brown University. Links Armon’s LinkedIn - https://www.linkedin.com/in/armonsharei/  Ileana’s LinkedIn - https://www.linkedin.com/in/ileanapirozzi/  Lingotto Innovation: https://www.lingotto.com/  Credits Hosted by Armon Sharei, PhD Research by Julie Kim, MBA Produced by Arielle Nisseblatt of Pinwheel, Shirley Mao, rvnway.com  Edited and mixed by David Woje of Pinwheel