700 patients110,866 observations180 daysLIVE

Patient P-02255

Synthetic patientMETA-24 · Day 173 · 25–34 · F · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Stable
Discontinuation risk
64%

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 75 GI-04 recommendedGI Support Protocol GI-04
  3. Day 76 Trajectory diverged from predictionObserved response fell below the model's expected path.
  4. Day 76 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 84 GI symptom burden −38% vs expectedGI Support Protocol GI-04
  9. Day 90 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 76.

Primary contributors, last 14 days
  • Toxicity-8
  • Treatment adherence+4

What helped?

  • GI Support Protocol GI-04Day 75
    Result: symptom burden −38%
  • 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 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 49 and rising
    • WearableSleep 4.9 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 44/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 50
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 51
  • Autonomic recovery 40
    • Wearable2,189 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 44
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Intermediate metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.8 · butyrate capacity 44/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
35 ms
Sleep
5.2 h
Steps
1,726
Resting HR
71 bpm
Daily log: GI score 49, nutritional resilience 45, adherence 51.

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-0211524%S14GI-04improved75
P-0257524%S14ME-01improved73
P-0255023%S0170
P-0265927%S0969
P-0259131%S1368
P-0226529%S07GI-04no change67
P-0253031%S0767
P-0243623%S0567
P-0236731%S0367
P-0230928%S0967
P-0233430%S04GI-04improved66
P-0210924%S0466