700 patients110,866 observations180 daysLIVE

Patient P-02316

Synthetic patientMETA-24 · Day 177 · 65–74 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
73%

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 71 GI-04 recommendedGI Support Protocol GI-04
  6. Day 71 SC-12 recommendedSupportive Compound SC-12
  7. Day 72 Trajectory diverged from predictionObserved response fell below the model's expected path.
  8. Day 72 Patient acceptedStarted GI-04 in the companion
  9. Day 72 Patient acceptedStarted SC-12 in the companion
  10. Day 78 No meaningful changeSupportive Compound SC-12
  11. Day 80 GI symptom burden −34% vs expectedGI Support Protocol GI-04
  12. Day 86 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 72.

Primary contributors, last 14 days
  • GI instability-5
  • Inflammatory activity-3
  • Toxicity-3
  • Nutritional resilience+2

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: no meaningful change
  • GI Support Protocol GI-04Day 71
    Result: symptom burden −34%
  • Supportive Compound SC-12Day 71
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
88%
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
34 min
stable · +0.2 vs previous 14 d
Sleep duration
Wearable
5.6 h
stable · -0.1 vs previous 14 d
Energy level
Daily log
3.1/10
worsening · -0.7 vs previous 14 d
Steps
Wearable
4,026
worsening · -250 vs previous 14 d
GI burden
Companion
62.8/100
worsening · +4.7 vs previous 14 d
Adherence
Companion
49.3 %
stable · +0.1 vs previous 14 d
Sleep quality
Wearable
23.7/100
worsening · -2.9 vs previous 14 d
Glucose, CGM daily mean
CGM
151 mg/dL
stable · +1.8 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 29 from the failing basin, 66 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 42 similar · onset 3 d · confidence 76%
  • CR-01 Clinician Review
    100% improved among 6 similar · onset 5 d · confidence 76%
  • More protein
    GI -3.9 next day on high-intake days · n 20
Would not help
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • SC-12 Supportive Compound
    already tried, no meaningful change
  • Keep fat low
    GI +4.9 next day on high-intake days · n 22
  • Keep ultra-processed low
    GI +4.5 next day on high-intake days · n 16
  • Keep caffeine low
    GI +4 next day on high-intake days · n 23
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
    +4.9detractor · 95%
  • Ultra-processed food
    +4.5detractor · 95%
  • Caffeine
    +4detractor · 95%
  • Protein
    -3.9supporter · 95%
  • Histamine load
    +3.8detractor · 95%
  • Simple carbohydrates
    +3.6detractor · 95%
  • Insoluble fibre
    +0.5no signal · 15%
  • Alcohol
    -0.2no signal · 15%

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 63 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 62
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 48
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 40/100
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 85 bpm
    • WearableShort sleep window
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.7 · butyrate capacity 40/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
50 ms
Sleep
5.4 h
Steps
4,475
Resting HR
87 bpm
Daily log: GI score 63, nutritional resilience 36, adherence 49.

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-0240167%S14GI-04improved49
P-0251661%S14SC-12improved51
P-0210655%S14GI-04improved44
P-0234854%S14GI-04improved49
P-0201853%S01GI-04improved46
P-0269453%S1456
P-0210352%S14GI-04improved46
P-0250451%S14GI-04improved52
P-0262851%S14SC-12improved47
P-0267050%S14SC-12improved45
P-0232649%S18NP-02improved44
P-0253549%S14SC-12improved50