700 patients110,866 observations180 daysLIVE

Patient P-02340

Synthetic patientMETA-24 · Day 180 · 35–44 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Declining
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
96%

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 68 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 71 GI-04 recommendedGI Support Protocol GI-04
  7. Day 72 Patient declinedNot now

What changed?

Trajectory began diverging from predicted response on Day 68.

Primary contributors, last 14 days
  • GI instability+9
  • Nutritional resilience-8
  • Inflammatory activity+3
  • Toxicity-3

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: no meaningful change
  • GI Support Protocol GI-04Day 71
    Declined by patient
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 88% showed improvement
  • median effect visible after 8 days

Daily trackers

Molecule settings

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

Active minutes
Wearable
8 min
worsening · -3.9 vs previous 14 d
Sleep duration
Wearable
5.3 h
stable · -0.0 vs previous 14 d
Energy level
Daily log
1.6/10
worsening · -0.4 vs previous 14 d
Steps
Wearable
361
worsening · -350 vs previous 14 d
GI burden
Companion
75.2/100
stable · +2.4 vs previous 14 d
Adherence
Companion
42.7 %
stable · -0.7 vs previous 14 d
Sleep quality
Wearable
11.3/100
worsening · -1.5 vs previous 14 d
Glucose, CGM daily mean
CGM
162 mg/dL
stable · +2.1 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 24 from the failing basin, 81 from restoration.

Would help
  • GI-04 GI Support Protocol
    76% improved among 66 similar · onset 8 d · confidence 97%
  • ME-01 Monitoring Escalation
    100% improved among 42 similar · onset 3 d · confidence 75%
  • SC-12 Supportive Compound
    69% improved among 26 similar · onset 6 d · confidence 75%
  • More protein
    GI -5.2 next day on high-intake days · n 22
Would not help
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +6.2 next day on high-intake days · n 19
  • Keep simple carbs low
    GI +5.6 next day on high-intake days · n 20
  • Keep histamine low
    GI +4.6 next day on high-intake days · n 21
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
    +6.2detractor · 95%
  • Simple carbohydrates
    +5.6detractor · 95%
  • Protein
    -5.2supporter · 95%
  • Histamine load
    +4.6detractor · 95%
  • Ultra-processed food
    +4.3detractor · 95%
  • Insoluble fibre
    -1no signal · 21%
  • Alcohol
    +0.8no signal · 18%
  • Caffeine
    -0.7no 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 75 and rising
    • WearableSleep 5.3 h, below personal baseline
  • Autonomic recovery 65
    • WearableResting HR 78 bpm
    • Wearable361 steps/day
    • WearableShort sleep window
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 39/100
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 69
  • Drug metabolism and exposure 20
    • BloodToxicity index 53
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Intermediate metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.4 · butyrate capacity 39/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
43 ms
Sleep
5.6 h
Steps
315
Resting HR
78 bpm
Daily log: GI score 75, nutritional resilience 27, adherence 43.

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-0204817%S0277
P-0211519%S14GI-04improved75
P-0257521%S14ME-01improved73
P-0255017%S0170
P-0206216%S2070
P-0265921%S0969
P-0235617%S0869
P-0208316%S1369
P-0259129%S1368
P-0209016%S0468
P-0226526%S07GI-04no change67
P-0253027%S0767