700 patients110,866 observations180 daysLIVE

Patient P-02094

Synthetic patientMETA-24 · Day 171 · 35–44 · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Improving
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
94%

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 −18% vs expectedDietary Support Protocol NP-02
  5. Day 64 Tolerance state changedUnstable → Improving
  6. Day 71 SC-12 recommendedSupportive Compound SC-12
  7. Day 72 Patient acceptedStarted SC-12 in the companion
  8. Day 77 Trajectory diverged from predictionObserved response fell below the model's expected path.
  9. Day 78 No meaningful changeSupportive Compound SC-12
  10. Day 80 GI-04 recommendedGI Support Protocol GI-04
  11. Day 81 Patient declinedNot now
  12. Day 87 ME-01 recommendedMonitoring Escalation ME-01
  13. Day 88 Patient acceptedStarted ME-01 in the companion
  14. Day 91 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 77.

Primary contributors, last 14 days
  • Treatment adherence+10
  • Nutritional resilience+9
  • Toxicity-7
  • GI instability-5

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: symptom burden −18%
  • Supportive Compound SC-12Day 71
    Result: no meaningful change
  • GI Support Protocol GI-04Day 80
    Declined by patient
  • Monitoring Escalation ME-01Day 87
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 89% showed improvement
  • median effect visible after 8 days

Biological layers

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

Pathways under pressure
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 40/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 66 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Inflammatory signalling 40
    • BloodInflammatory load index 68
    • WearableHRV 26 ms, trending down
  • Autonomic recovery 40
    • Wearable574 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 55
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.3 · butyrate capacity 40/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
18 ms
Sleep
6.0 h
Steps
968
Resting HR
69 bpm
Daily log: GI score 66, nutritional resilience 36, 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
  • 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-0201842%S01GI-04improved46
P-0240934%S01SC-12no change54
P-0241033%S01GI-04improved55
P-0205431%S01CR-01improved57
P-0230721%S0155
P-0259821%S0153
P-0255020%S0170
P-0204119%S0127
P-0227619%S0157
P-0243719%S0164
P-0256819%S0151
P-0229740%S02NP-02improved49