700 patients110,866 observations180 daysLIVE

Patient P-02224

Synthetic patientMETA-24 · Day 172 · 45–54 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Unstable
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
82%

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 No meaningful changeDietary Support Protocol NP-02
  5. Day 69 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 73 GI-04 recommendedGI Support Protocol GI-04
  7. Day 74 Patient acceptedStarted GI-04 in the companion
  8. Day 82 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 69.

Primary contributors, last 14 days
  • Inflammatory activity+8
  • Toxicity+5
  • Nutritional resilience-4
  • GI instability+2

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: no meaningful change
  • GI Support Protocol GI-04Day 73
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
82%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 3 days

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

Active minutes
Wearable
35 min
improving · +1.4 vs previous 14 d
Sleep duration
Wearable
6.5 h
stable · +0.0 vs previous 14 d
Energy level
Daily log
2.3/10
worsening · -0.2 vs previous 14 d
Steps
Wearable
3,204
improving · +134 vs previous 14 d
GI burden
Companion
64.8/100
improving · -10.8 vs previous 14 d
Adherence
Companion
43.2 %
worsening · -2.3 vs previous 14 d
Sleep quality
Wearable
28.3/100
improving · +2.4 vs previous 14 d
Glucose, CGM daily mean
CGM
151 mg/dL
stable · -3.1 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 9 from the failing basin, 80 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 42 similar · onset 3 d · confidence 70%
  • SC-12 Supportive Compound
    69% improved among 26 similar · onset 6 d · confidence 70%
  • CR-01 Clinician Review
    100% improved among 6 similar · onset 5 d · confidence 70%
  • More protein
    GI -5.2 next day on high-intake days · n 24
  • More alcohol
    GI -3.8 next day on high-intake days · n 12
Would not help
  • GI-04 GI Support Protocol
    already tried, no meaningful change
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +5.4 next day on high-intake days · n 27
  • Keep ultra-processed low
    GI +4.8 next day on high-intake days · n 22
  • Keep simple carbs low
    GI +4.6 next day on high-intake days · n 10
State influencers · digestive

Next-day GI change on high-intake vs low-intake days, last 60 days. Attribution from this patient's own log; sensitivity set by their biology.

  • Dietary fat load
    +5.4detractor · 95%
  • Protein
    -5.2supporter · 95%
  • Ultra-processed food
    +4.8detractor · 95%
  • Simple carbohydrates
    +4.6detractor · 95%
  • Alcohol
    -3.8supporter · 78%
  • Caffeine
    +2.1no signal · 46%
  • Histamine load
    +1.7no signal · 35%
  • Insoluble fibre
    +0.5no signal · 15%

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 30/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 68
    • WearableHRV 36 ms, trending down
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 65 and rising
  • Drug metabolism and exposure 20
    • BloodToxicity index 56
  • Autonomic recovery 20
    • Wearable3,204 steps/day
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • GLP1R rs6923761 A
    Altered receptor sensitivity
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.5 · butyrate capacity 30/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
34 ms
Sleep
6.6 h
Steps
3,392
Resting HR
68 bpm
Daily log: GI score 65, nutritional resilience 31, adherence 43.

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-0205948%S03SC-12improved41
P-0251448%S05ME-01improved44
P-0254646%S20NP-02improved40
P-0257143%S11ME-01improved43
P-0262843%S14SC-12improved47
P-0213242%S14SC-12improved40
P-0214642%S14ME-01improved33
P-0217241%S02ME-01improved36
P-0234841%S14GI-04improved49
P-0258241%S14ME-01improved45
P-0232040%S14NP-02improved50
P-0232640%S18NP-02improved44