700 patients110,866 observations180 daysLIVE

Patient P-02159

Synthetic patientMETA-24 · Day 178 · 75+ · M · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
76%

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 68 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 70 SC-12 recommendedSupportive Compound SC-12
  4. Day 71 Patient acceptedStarted SC-12 in the companion
  5. Day 76 GI-04 recommendedGI Support Protocol GI-04
  6. Day 77 Patient acceptedStarted GI-04 in the companion
  7. Day 77 GI symptom burden −12% vs expectedSupportive Compound SC-12
  8. Day 83 Tolerance state changedUnstable → Improving
  9. Day 85 GI symptom burden −35% vs expectedGI Support Protocol GI-04
  10. Day 91 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 68.

Primary contributors, last 14 days
  • Toxicity+12
  • Treatment adherence-4

What helped?

  • Supportive Compound SC-12Day 70
    Result: symptom burden −12%
  • GI Support Protocol GI-04Day 76
    Result: symptom burden −35%
LIFE OS recommendation
Monitoring Escalation ME-01
88%
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 58
    • WearableHRV 18 ms, trending down
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 28/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 50
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 62 and rising
  • Drug metabolism and exposure 20
    • BloodToxicity index 50
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 1.9 · butyrate capacity 28/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
19 ms
Sleep
7.0 h
Steps
5,375
Resting HR
69 bpm
Daily log: GI score 62, nutritional resilience 39, 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
  • Keep the current walking rhythm
  • 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-0214957%S14GI-04improved50
P-0214253%S14GI-04improved42
P-0218553%S14GI-04improved51
P-0254250%S14NP-02improved44
P-0244549%S09GI-04improved43
P-0212548%S14GI-04improved55
P-0263347%S14NP-02improved48
P-0264847%S14SC-12improved47
P-0264346%S14SC-12improved46
P-0210845%S14GI-04improved43
P-0200244%S14GI-04improved47
P-0211844%S14GI-04improved47