700 patients110,866 observations180 daysLIVE

Patient P-02340

Synthetic patientMETA-24 · Day 180 · 35–44 · M · baseline S14Open 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

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-0201839%S01GI-04improved46
P-0240932%S01SC-12no change54
P-0241032%S01GI-04improved55
P-0205428%S01CR-01improved57
P-0230718%S0155
P-0259818%S0153
P-0204117%S0127
P-0227617%S0157
P-0243717%S0164
P-0255017%S0170
P-0256817%S0151
P-0266217%S0120