700 patients110,866 observations180 daysLIVE

Patient P-02209

Synthetic patientMETA-24 · Day 135 · 35–44 · F · baseline S12Open companion preview
Therapy response
Unstable
Tolerance
Deteriorating
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Stable
Discontinuation risk
54%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 META-24 startedBaseline state S12
  2. Day 27 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 73 SC-12 recommendedSupportive Compound SC-12
  4. Day 74 Patient acceptedStarted SC-12 in the companion
  5. Day 77 GI-04 recommendedGI Support Protocol GI-04
  6. Day 78 Patient acceptedStarted GI-04 in the companion
  7. Day 80 GI symptom burden −19% vs expectedSupportive Compound SC-12
  8. Day 86 GI symptom burden −21% vs expectedGI Support Protocol GI-04
  9. Day 86 Tolerance state changedUnstable → Improving
  10. Day 92 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 27.

Primary contributors, last 14 days
  • Toxicity+8
  • Nutritional resilience+3
  • GI instability+2

What helped?

  • Supportive Compound SC-12Day 73
    Result: symptom burden −19%
  • GI Support Protocol GI-04Day 77
    Result: symptom burden −21%
LIFE OS recommendation
Monitoring Escalation ME-01
77%
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 48
    • WearableHRV 20 ms, trending down
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 37/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 78 bpm
    • Wearable2,647 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 30
    • Daily logGI symptom score 47 and rising
    • WearableSleep 6.1 h, below personal baseline
  • Drug metabolism and exposure 20
    • BloodToxicity index 42
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.9 · butyrate capacity 37/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
23 ms
Sleep
6.5 h
Steps
2,664
Resting HR
79 bpm
Daily log: GI score 47, nutritional resilience 49, adherence 52.

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-0224442%S14GI-04improved46
P-0223641%S14GI-04improved45
P-0221640%S11GI-04improved53
P-0238140%S14SC-12improved52
P-0250840%S14ME-01improved51
P-0213239%S14SC-12improved40
P-0216839%S15GI-04improved42
P-0269338%S14ME-01improved41
P-0225537%S14GI-04improved43
P-0226837%S14GI-04improved43
P-0232837%S14GI-04improved42
P-0240936%S01SC-12no change54