700 patients110,866 observations180 daysLIVE

Patient P-02078

Synthetic patientMETA-24 · Day 154 · 45–54 · F · baseline S04Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Stable
Discontinuation risk
53%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 META-24 startedBaseline state S04
  2. Day 23 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 23.

Primary contributors, last 14 days
  • Treatment adherence-7
  • Inflammatory activity-3
  • Toxicity-2

What helped?

No interventions yet.

    LIFE OS recommendation
    GI Support Protocol GI-04
    64%
    probability of meaningful tolerance improvement
    • 284 similar trajectories
    • 89% showed improvement
    • median effect visible after 8 days

    Daily trackers

    Molecule settings

    The trackers this program marks as important, last 14 days vs the 14 before.

    Active minutes
    Wearable
    18 min
    worsening · -4.6 vs previous 14 d
    Sleep duration
    Wearable
    5.4 h
    worsening · -0.3 vs previous 14 d
    Energy level
    Daily log
    2.8/10
    worsening · -0.9 vs previous 14 d
    Steps
    Wearable
    1,981
    worsening · -532 vs previous 14 d
    GI burden
    Companion
    56.7/100
    worsening · +11.8 vs previous 14 d
    Adherence
    Companion
    68.6 %
    worsening · -11.2 vs previous 14 d
    Sleep quality
    Wearable
    25.3/100
    worsening · -7.3 vs previous 14 d
    Glucose, CGM daily mean
    CGM
    139 mg/dL
    stable · +2.3 vs previous 14 d
    This trajectory is doing well — what to keep, what to watch
    Steering view →

    Heading towards restoration · 37 from the failing basin, 54 from restoration.

    Good elements to keep
    • Protein (supports)
      perturbation · steering +9.1
    • Butyrate producers intact
      hidden · steering +7.5
    • Daily walks resumed
      perturbation · steering +3.3
    • Protein
      supporter · GI -5 next day
    Main detractors to watch
    • Poor metabolizer
      hidden · steering -12.7
    • Ultra-processed food
      perturbation · steering -8
    • Low microbial diversity
      hidden · steering -7.7
    • Bacteroides fragilis elevated
      hidden · steering -7.4
    • Ultra-processed food
      detractor · GI +4.5 next day
    • Simple carbohydrates
      detractor · GI +4.1 next day
    State influencers · digestive

    Next-day GI change on high-intake vs low-intake days, last 60 days. Attribution from this patient's own log; sensitivity set by their biology.

    • Protein
      -5supporter · 95%
    • Ultra-processed food
      +4.5detractor · 95%
    • Simple carbohydrates
      +4.1detractor · 95%
    • Caffeine
      +2.9detractor · 81%
    • Alcohol
      +2.7detractor · 73%
    • Histamine load
      -1.6no signal · 39%
    • Insoluble fibre
      -1no signal · 19%
    • Dietary fat load
      -0.4no signal · 15%

    Biological layers

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

    Pathways under pressure
    • Inflammatory signalling 70
      • DNAIL6 -174 variant raises baseline inflammatory tone
      • MicrobiomeBacteroides fragilis expansion
      • BloodInflammatory load index 53
    • Autonomic recovery 65
      • WearableResting HR 75 bpm
      • Wearable1,981 steps/day
      • WearableShort sleep window
    • Drug metabolism and exposure 60
      • DNACYP2D6 poor metabolizer → higher exposure
      • BloodToxicity index 48
    • Mucosal barrier integrity 30
      • Daily logGI symptom score 57 and rising
      • WearableSleep 5.4 h, below personal baseline
    • Butyrate / short-chain fatty acid production 20
      • Daily logFibre intake low in recent food logs
    DNA
    Fictional pharmacogenomic panel
    • IL6 -174 G/C
      Higher inflammatory tone
    • CYP2D6 Poor metabolizer
      Higher exposure at standard dose
    • MTHFR C677T
      Reduced folate turnover
    Microbiome
    Shannon diversity 2.9 · butyrate capacity 46/100
    • Akkermansia muciniphilaNormal
    • Faecalibacterium prausnitziiNormal
    • Bacteroides fragilisHigh
    • Bifidobacterium longumLow
    • EnterobacteriaceaeNormal
    Wearable, last 14 days
    daily evolution fed into the runtime
    HRV
    35 ms
    Sleep
    5.4 h
    Steps
    2,936
    Resting HR
    78 bpm
    Daily log: GI score 57, nutritional resilience 43, adherence 69.

    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
    • Protect a 7.5-hour sleep window; screens off 30 minutes before
    • 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-0200943%S08CR-01improved64
    P-0216043%S0345
    P-0223343%S16CR-01improved66
    P-0232143%S17GI-04improved54
    P-0259543%S0253
    P-0205442%S01CR-01improved57
    P-0225242%S0265
    P-0243342%S07GI-04improved61
    P-0230941%S0967
    P-0233441%S04GI-04improved66
    P-0253041%S0767
    P-0208440%S11GI-04no change58