Patient P-02087

Synthetic patientMETA-24 · Day 146 · 55–64 · F · baseline S01Steering view · 3D Open companion preview

Therapy response

Unstable

Tolerance

Favorable

GI state

Favorable

Inflammatory state

Favorable

Nutritional resilience

Declining

Discontinuation risk

25%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events

solid = observed · dashed = predicted

Day 0 META-24 started — Baseline state S01
Day 108 BR-03 recommended — Behavioural Recommendation BR-03
Day 109 Patient accepted — Started BR-03 in the companion
Day 116 No meaningful change — Behavioural Recommendation BR-03
Day 123 Trajectory diverged from prediction — Observed response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 123.

Primary contributors, last 14 days

Nutritional resilience-5
GI instability+4
Toxicity+3
Treatment adherence+2

What helped?

Behavioural Recommendation BR-03Day 108
Result: no meaningful change

LIFE OS recommendation

No intervention is indicated right now. The trajectory is stable relative to similar patients. See what worked for similar patients.

Daily trackers

Molecule settings

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

Active minutes

Wearable

77 min

worsening · -5.0 vs previous 14 d

Sleep duration

Wearable

5.7 h

stable · +0.0 vs previous 14 d

Energy level

Daily log

4.9/10

worsening · -0.4 vs previous 14 d

Steps

Wearable

9,268

worsening · -606 vs previous 14 d

GI burden

Companion

25.5/100

worsening · +6.4 vs previous 14 d

Adherence

Companion

86 %

stable · +2.4 vs previous 14 d

Sleep quality

Wearable

36/100

worsening · -1.7 vs previous 14 d

Glucose, CGM daily mean

CGM

136 mg/dL

stable · +2.6 vs previous 14 d

This trajectory is decaying — what would help, what would not

Steering view →

Heading towards failing · 63 from the failing basin, 39 from restoration.

Would help

No untried action with strong evidence. Compose one from primitives.
More protein
GI -2.7 next day on high-intake days · n 22

Would not help

BR-03 Behavioural Recommendation
already tried, no meaningful change
Keep caffeine low
GI +2.7 next day on high-intake days · n 15
Keep alcohol low
GI +2.3 next day on high-intake days · n 23

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.

Caffeine
+2.7detractor · 95%
Protein
-2.7supporter · 95%
Alcohol
+2.3detractor · 95%
Insoluble fibre
-1no signal · 32%
Simple carbohydrates
-0.8no signal · 29%
Dietary fat load
+0.6no signal · 17%
Histamine load
+0.3no signal · 15%
Ultra-processed food
0no signal · 15%

Biological layers

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

Pathways under pressure

Autonomic recovery ↓45
- WearableResting HR 75 bpm
- WearableShort sleep window
Mucosal barrier integrity ↓40
- MicrobiomeAkkermansia low → thinner mucus layer
- WearableSleep 5.7 h, below personal baseline
Drug metabolism and exposure ↑40
- DNACYP2D6 poor metabolizer → higher exposure
Butyrate / short-chain fatty acid production ↓25
- MicrobiomeF. prausnitzii depleted
Inflammatory signalling ↓20
- MicrobiomeBacteroides fragilis expansion

DNA

Fictional pharmacogenomic panel

CYP2D6 Poor metabolizer
Higher exposure at standard dose

Microbiome

Shannon diversity 4.2 · butyrate capacity 45/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiLow
Bacteroides fragilisHigh
Bifidobacterium longumLow
EnterobacteriaceaeNormal

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 58 ms
Sleep: 5.9 h
Steps: 9,148
Resting HR: 77 bpm

Daily log: GI score 26, nutritional resilience 61, adherence 86.

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

Keep meals regular; three to four moderate portions spaced through the day
Include a cooked vegetable portion with each main meal
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

Log the daily check-in; one line is enough
Keep the current walking rhythm
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
No additional supplements this week
Fictional demo item: continue vitamin D as before

284 biologically similar trajectories

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

Patient	Similarity	Baseline	Intervention	Outcome	Response today
P-02093	49%	S05	AD-05	no change	40
P-02285	49%	S14	AD-05	no change	39
P-02031	42%	S12	AD-05	improved	47
P-02522	47%	S01	BR-03	no change	40
P-02638	45%	S01	BR-03	improved	41
P-02308	44%	S13	BR-03	no change	27
P-02267	43%	S09	BR-03	no change	45
P-02439	40%	S08	BR-03	no change	40
P-02280	36%	S07	BR-03	no change	50
P-02325	35%	S19	BR-03	no change	33
P-02564	33%	S15	BR-03	improved	32
P-02483	32%	S06	BR-03	no change	64