700 patients110,866 observations180 daysLIVE

Patient P-02124

Synthetic patientMETA-24 · Day 179 · 75+ · F · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Improving
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
83%

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 67 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 71 SC-12 recommendedSupportive Compound SC-12
  4. Day 72 Patient declinedNot now
  5. Day 78 GI-04 recommendedGI Support Protocol GI-04
  6. Day 79 Patient acceptedStarted GI-04 in the companion
  7. Day 87 No meaningful changeGI Support Protocol GI-04
  8. Day 91 ME-01 recommendedMonitoring Escalation ME-01
  9. Day 92 Patient acceptedStarted ME-01 in the companion
  10. Day 95 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 67.

Primary contributors, last 14 days
  • Toxicity-16
  • GI instability+7
  • Nutritional resilience+6
  • Inflammatory activity+3
  • Treatment adherence-3

What helped?

  • Supportive Compound SC-12Day 71
    Declined by patient
  • GI Support Protocol GI-04Day 78
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 91
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Supportive Compound SC-12
61%
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
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 43/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 81 bpm
    • Wearable300 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 66 and rising
    • WearableSleep 5.4 h, below personal baseline
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 64
    • WearableHRV 21 ms, trending down
  • Drug metabolism and exposure 20
    • BloodToxicity index 43
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.6 · butyrate capacity 43/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
16 ms
Sleep
5.3 h
Steps
992
Resting HR
82 bpm
Daily log: GI score 66, nutritional resilience 40, adherence 46.

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-0250650%S14SC-12no change32
P-0254249%S14NP-02improved44
P-0205747%S14GI-04improved47
P-0250546%S14NP-02improved45
P-0214645%S14ME-01improved33
P-0211843%S14GI-04improved47
P-0244543%S09GI-04improved43
P-0257443%S14ME-01improved45
P-0201442%S14GI-04improved48
P-0213242%S14SC-12improved40
P-0225342%S14NP-02no change41
P-0262842%S14SC-12improved47