700 patients110,866 observations180 daysLIVE

Patient P-02051

Synthetic patientMETA-24 · Day 172 · 75+ · F · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Stable
Discontinuation risk
59%

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 47 NP-02 recommendedDietary Support Protocol NP-02
  3. Day 48 Patient acceptedStarted NP-02 in the companion
  4. Day 58 GI symptom burden −26% vs expectedDietary Support Protocol NP-02
  5. Day 64 Tolerance state changedUnstable → Improving
  6. Day 74 GI-04 recommendedGI Support Protocol GI-04
  7. Day 74 SC-12 recommendedSupportive Compound SC-12
  8. Day 75 Patient acceptedStarted GI-04 in the companion
  9. Day 75 Patient declinedNot now
  10. Day 83 GI symptom burden −31% vs expectedGI Support Protocol GI-04
  11. Day 85 Trajectory diverged from predictionObserved response fell below the model's expected path.
  12. Day 88 ME-01 recommendedMonitoring Escalation ME-01
  13. Day 89 Tolerance state changedUnstable → Improving
  14. Day 89 Patient acceptedStarted ME-01 in the companion
  15. Day 92 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 85.

Primary contributors, last 14 days
  • GI instability-10
  • Inflammatory activity-7
  • Treatment adherence+5

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: symptom burden −26%
  • GI Support Protocol GI-04Day 74
    Result: symptom burden −31%
  • Supportive Compound SC-12Day 74
    Declined by patient
  • Monitoring Escalation ME-01Day 88
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Supportive Compound SC-12
54%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 69% showed improvement
  • median effect visible after 6 days

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 48
  • Inflammatory signalling 50
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 46
  • Butyrate / short-chain fatty acid production 45
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 3.2 · butyrate capacity 47/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
57 ms
Sleep
6.4 h
Steps
5,618
Resting HR
64 bpm
Daily log: GI score 40, nutritional resilience 46, adherence 53.

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
  • Keep the current walking rhythm
  • 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-0209324%S05AD-05no change40
P-0248327%S06BR-03no change64
P-0208724%S01BR-03no change40
P-0252224%S01BR-03no change40
P-0215436%S16CR-01improved57
P-0200934%S08CR-01improved64
P-0205433%S01CR-01improved57
P-0223333%S16CR-01improved66
P-0215128%S04CR-01improved49
P-0202527%S15CR-01improved61
P-0239527%S12DT-01improved57
P-0233926%S03DT-01improved50