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In modern healthcare, addressing the complexities of accurate disease prediction and personalized recommendations is both crucial and challenging. This research introduces MLtoGAI, which integrates Semantic Web technology with Machine Learning (ML) to enhance disease prediction and offer user-friendly explanations through ChatGPT. The system comprises three key components: a reusable disease ontology that incorporates detailed knowledge about various diseases, a diagnostic classification model that uses patient symptoms to detect specific diseases accurately, and the integration of Semantic Web Rule Language (SWRL) with ontology and ChatGPT to generate clear, personalized health advice. This approach significantly improves prediction accuracy and ensures results that are easy to understand, addressing the complexity of diseases and diverse symptoms. The MLtoGAI system demonstrates substantial advancements in accuracy and user satisfaction, contributing to developing more intelligent and accessible healthcare solutions. This innovative approach combines the strengths of ML algorithms with the ability to provide transparent, human-understandable explanations through ChatGPT, achieving significant improvements in prediction accuracy and user comprehension. By leveraging semantic technology and explainable AI, the system enhances the accuracy of disease prediction and ensures that the recommendations are relevant and easily understood by individual patients. Our research highlights the potential of integrating advanced technologies to overcome existing challenges in medical diagnostics, paving the way for future developments in intelligent healthcare systems. Additionally, the system is validated using 200 synthetic patient data records, ensuring robust performance and reliability.