700 patients110,866 observations180 daysLIVE

Patient P-02224

Synthetic patientMETA-24 · Day 172 · 45–54 · M · baseline S14Open 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

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-0204817%S0277
P-0211518%S14GI-04improved75
P-0257519%S14ME-01improved73
P-0265920%S0969
P-0259126%S1368
P-0226524%S07GI-04no change67
P-0253025%S0767
P-0243617%S0567
P-0236727%S0367
P-0230921%S0967
P-0233423%S04GI-04improved66
P-0210917%S0466