700 patients110,866 observations180 daysLIVE

Patient P-02328

Synthetic patientMETA-24 · Day 175 · 55–64 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Declining
Tolerance
Favorable
GI state
Deteriorating
Inflammatory state
Stable
Nutritional resilience
Stable
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 68 SC-12 recommendedSupportive Compound SC-12
  3. Day 69 Patient acceptedStarted SC-12 in the companion
  4. Day 74 GI-04 recommendedGI Support Protocol GI-04
  5. Day 75 Patient acceptedStarted GI-04 in the companion
  6. Day 75 GI symptom burden −13% vs expectedSupportive Compound SC-12
  7. Day 81 Tolerance state changedUnstable → Improving
  8. Day 83 GI symptom burden −26% vs expectedGI Support Protocol GI-04
  9. Day 89 Tolerance state changedUnstable → Improving
  10. Day 93 Trajectory diverged from predictionObserved response fell below the model's expected path.
  11. Day 93 ME-01 recommendedMonitoring Escalation ME-01
  12. Day 94 Patient acceptedStarted ME-01 in the companion
  13. Day 97 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 93.

Primary contributors, last 14 days
  • GI instability+7
  • Treatment adherence-4
  • Nutritional resilience+2

What helped?

  • Supportive Compound SC-12Day 68
    Result: symptom burden −13%
  • GI Support Protocol GI-04Day 74
    Result: symptom burden −26%
  • Monitoring Escalation ME-01Day 93
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
57%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 64% showed improvement
  • median effect visible after 10 days

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

Active minutes
Wearable
12 min
improving · +4.6 vs previous 14 d
Sleep duration
Wearable
6.9 h
stable · -0.1 vs previous 14 d
Energy level
Daily log
4.3/10
stable · -0.1 vs previous 14 d
Steps
Wearable
1,052
improving · +310 vs previous 14 d
GI burden
Companion
49.4/100
improving · -7.2 vs previous 14 d
Adherence
Companion
44.6 %
worsening · -3.6 vs previous 14 d
Sleep quality
Wearable
36.9/100
stable · +1.6 vs previous 14 d
Glucose, CGM daily mean
CGM
141 mg/dL
stable · -1.0 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 33 from the failing basin, 54 from restoration.

Would help
  • NP-02 Dietary Support Protocol
    59% improved among 32 similar · onset 10 d · confidence 70%
  • CR-01 Clinician Review
    100% improved among 6 similar · onset 5 d · confidence 70%
  • DT-01 Dosing / Timing Recommendation
    60% improved among 5 similar · onset 5 d · confidence 70%
  • More protein
    GI -5.3 next day on high-intake days · n 18
Would not help
  • Keep ultra-processed low
    GI +5.2 next day on high-intake days · n 22
  • Keep caffeine low
    GI +4.7 next day on high-intake days · n 23
  • Keep simple carbs low
    GI +4.4 next day on high-intake days · n 25
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.

  • Protein
    -5.3supporter · 95%
  • Ultra-processed food
    +5.2detractor · 95%
  • Caffeine
    +4.7detractor · 95%
  • Simple carbohydrates
    +4.4detractor · 95%
  • Dietary fat load
    +3.4detractor · 73%
  • Insoluble fibre
    +2.7detractor · 68%
  • Alcohol
    +1.2no signal · 26%
  • Histamine load
    +0.8no signal · 18%

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 49 and rising
  • Inflammatory signalling 50
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 48
  • Autonomic recovery 45
    • WearableResting HR 74 bpm
    • Wearable1,052 steps/day
  • Drug metabolism and exposure 40
    • DNACYP2D6 poor metabolizer → higher exposure
  • Butyrate / short-chain fatty acid production 20
    • Daily logFibre intake low in recent food logs
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.3 · butyrate capacity 46/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
47 ms
Sleep
6.8 h
Steps
1,714
Resting HR
74 bpm
Daily log: GI score 49, nutritional resilience 49, adherence 45.

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-0225557%S14GI-04improved43
P-0200255%S14GI-04improved47
P-0210852%S14GI-04improved43
P-0210651%S14GI-04improved44
P-0216850%S15GI-04improved42
P-0205149%S14GI-04improved45
P-0250449%S14GI-04improved52
P-0210348%S14GI-04improved46
P-0240148%S14GI-04improved49
P-0223447%S14GI-04improved36
P-0241047%S01GI-04improved55
P-0217646%S14GI-04improved52