700 patients110,866 observations180 daysLIVE

Patient P-02014

Synthetic patientMETA-24 · Day 169 · 65–74 · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Unstable
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
73%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 META-24 startedBaseline state S14
  2. Day 71 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 79 GI-04 recommendedGI Support Protocol GI-04
  4. Day 80 Patient acceptedStarted GI-04 in the companion
  5. Day 88 GI symptom burden −23% vs expectedGI Support Protocol GI-04
  6. Day 94 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 71.

Primary contributors, last 14 days
  • Inflammatory activity-23
  • GI instability-13
  • Toxicity-11
  • Nutritional resilience+3

What helped?

  • GI Support Protocol GI-04Day 79
    Result: symptom burden −23%
LIFE OS recommendation
Monitoring Escalation ME-01
89%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 3 days

Biological layers

Which pathways look influenced, and by which layer of this person's biology.

Pathways under pressure
  • Inflammatory signalling 85
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 48
    • WearableHRV 19 ms, trending down
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 62 and rising
  • Butyrate / short-chain fatty acid production 45
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 75 bpm
    • Wearable3,092 steps/day
  • Drug metabolism and exposure 20
    • BloodToxicity index 43
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • GLP1R rs6923761 A
    Altered receptor sensitivity
Microbiome
Shannon diversity 3 · butyrate capacity 46/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
18 ms
Sleep
6.9 h
Steps
1,522
Resting HR
74 bpm
Daily log: GI score 62, nutritional resilience 33, adherence 45.

What this patient sees in NostraAI

The content that steers the trajectory: what to eat, what to do, what to take.

Open companion preview
What to eat
  • Prepare a plain, low-fat pasta or rice meal and note how it feels afterwards
  • Choose a freshly cooked, lean protein; avoid frying, rich sauces and leftovers for now
  • Add one soluble-fibre source (oats, cooked carrots, banana) to breakfast
  • Eat slowly and stop at comfortable fullness — smaller volume, more often
What to do
  • Track each bowel movement today: time, stool form, urgency, overnight waking
  • A 15-minute walk after lunch
  • Keep the sleep window steady
  • Keep hydration steady: small amounts through the day rather than large volumes at once
What to take
  • Take the dose at the same time relative to your evening meal
  • Electrolyte solution, one sachet after any loose stool
  • Fictional demo item: oral nutrition supplement with lunch

284 biologically similar trajectories

Black: this patient. Green: similar patients whose intervention worked. Orange: similar patients where it did not.

PatientSimilarityBaselineInterventionOutcomeResponse today
P-0201841%S01GI-04improved46
P-0241035%S01GI-04improved55
P-0205430%S01CR-01improved57
P-0240930%S01SC-12no change54
P-0230721%S0155
P-0259820%S0153
P-0204119%S0127
P-0227619%S0157
P-0237519%S0144
P-0255019%S0170
P-0256819%S0151
P-0266219%S0120