700 patients110,866 observations180 daysLIVE

Patient P-02108

Synthetic patientMETA-24 · Day 178 · 55–64 · F · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Stable
Inflammatory state
Improving
Nutritional resilience
Stable
Discontinuation risk
66%

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 19 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 67 SC-12 recommendedSupportive Compound SC-12
  4. Day 68 Patient acceptedStarted SC-12 in the companion
  5. Day 74 GI symptom burden −14% vs expectedSupportive Compound SC-12
  6. Day 80 Tolerance state changedUnstable → Improving
  7. Day 81 GI-04 recommendedGI Support Protocol GI-04
  8. Day 82 Patient acceptedStarted GI-04 in the companion
  9. Day 90 GI symptom burden −36% vs expectedGI Support Protocol GI-04
  10. Day 96 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 19.

Primary contributors, last 14 days
  • Inflammatory activity-11
  • Treatment adherence+7
  • Toxicity-7
  • GI instability+3

What helped?

  • Supportive Compound SC-12Day 67
    Result: symptom burden −14%
  • GI Support Protocol GI-04Day 81
    Result: symptom burden −36%
LIFE OS recommendation
Monitoring Escalation ME-01
83%
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 46
    • WearableHRV 32 ms, trending down
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 24/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 43
  • Mucosal barrier integrity 50
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 48 and rising
  • Autonomic recovery 45
    • WearableResting HR 72 bpm
    • Wearable3,158 steps/day
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 2.1 · butyrate capacity 24/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
33 ms
Sleep
5.8 h
Steps
3,808
Resting HR
73 bpm
Daily log: GI score 48, nutritional resilience 45, 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
  • 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-0201843%S01GI-04improved46
P-0241041%S01GI-04improved55
P-0205434%S01CR-01improved57
P-0240929%S01SC-12no change54
P-0230727%S0155
P-0259826%S0153
P-0204125%S0127
P-0227625%S0157
P-0208724%S01BR-03no change40
P-0237524%S0144
P-0243724%S0164
P-0255024%S0170