700 patients110,866 observations180 daysLIVE

Patient P-02253

Synthetic patientMETA-24 · Day 160 · 35–44 · F · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
85%

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 67 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 80 GI-04 recommendedGI Support Protocol GI-04
  7. Day 81 Patient acceptedStarted GI-04 in the companion
  8. Day 89 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 67.

Primary contributors, last 14 days
  • GI instability+7
  • Nutritional resilience+2
  • Treatment adherence+2

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: no meaningful change
  • GI Support Protocol GI-04Day 80
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
83%
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
  • Mucosal barrier integrity 80
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 59 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 44/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 60
  • Autonomic recovery 45
    • WearableResting HR 83 bpm
    • Wearable2,298 steps/day
  • Drug metabolism and exposure 20
    • BloodToxicity index 55
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.2 · butyrate capacity 44/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
41 ms
Sleep
6.9 h
Steps
2,626
Resting HR
82 bpm
Daily log: GI score 59, nutritional resilience 42, adherence 39.

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-0204818%S0277
P-0211519%S14GI-04improved75
P-0257521%S14ME-01improved73
P-0233518%S0470
P-0255019%S0170
P-0219218%S0569
P-0265922%S0969
P-0235618%S0869
P-0229318%S15HY-01no change68
P-0259131%S1368
P-0209018%S0468
P-0226527%S07GI-04no change67