700 patients110,866 observations180 daysLIVE

Patient P-02241

Synthetic patientMETA-24 · Day 176 · 35–44 · F · baseline S09Open companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Improving
Inflammatory state
Stable
Nutritional resilience
Improving
Discontinuation risk
56%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 META-24 startedBaseline state S09
  2. Day 66 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 77 GI-04 recommendedGI Support Protocol GI-04
  4. Day 78 Patient acceptedStarted GI-04 in the companion
  5. Day 79 ME-01 recommendedMonitoring Escalation ME-01
  6. Day 80 Patient acceptedStarted ME-01 in the companion
  7. Day 83 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  8. Day 86 GI symptom burden −40% vs expectedGI Support Protocol GI-04
  9. Day 92 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 66.

Primary contributors, last 14 days
  • Treatment adherence-6
  • GI instability-5
  • Nutritional resilience+5
  • Inflammatory activity+3

What helped?

  • GI Support Protocol GI-04Day 77
    Result: symptom burden −40%
  • Monitoring Escalation ME-01Day 79
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
54%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 64% showed improvement
  • median effect visible after 10 days

Biological layers

Which pathways look influenced, and by which layer of this person's biology.

Pathways under pressure
  • Mucosal barrier integrity 80
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 49 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 22/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 52
    • WearableHRV 28 ms, trending down
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 44
  • Autonomic recovery 25
    • WearableResting HR 76 bpm
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 3 · butyrate capacity 22/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
33 ms
Sleep
7.1 h
Steps
5,722
Resting HR
74 bpm
Daily log: GI score 49, nutritional resilience 46, adherence 44.

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-0204821%S0277
P-0211523%S14GI-04improved75
P-0257523%S14ME-01improved73
P-0255023%S0170
P-0219222%S0569
P-0265926%S0969
P-0221421%S08SC-12no change69
P-0235622%S0869
P-0208321%S1369
P-0229322%S15HY-01no change68
P-0259136%S1368
P-0209022%S0468