Patient P-02493

Synthetic patientMETA-24 · Day 169 · 25–34 · M · baseline S07Steering view · 3D Open companion preview

Therapy response

Unstable

Tolerance

Favorable

GI state

Deteriorating

Inflammatory state

Deteriorating

Nutritional resilience

Declining

Discontinuation risk

31%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events

solid = observed · dashed = predicted

Day 0 META-24 started — Baseline state S07
Day 32 Trajectory diverged from prediction — Observed response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 32.

Primary contributors, last 14 days

Inflammatory activity+11
Treatment adherence-7
Nutritional resilience-5
GI instability+4
Toxicity+3

What helped?

No interventions yet.

LIFE OS recommendation

No intervention is indicated right now. The trajectory is stable relative to similar patients. See what worked for similar patients.

Daily trackers

Molecule settings

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

Active minutes

Wearable

43 min

worsening · -5.9 vs previous 14 d

Sleep duration

Wearable

7 h

worsening · -0.5 vs previous 14 d

Energy level

Daily log

4.4/10

worsening · -1.0 vs previous 14 d

Steps

Wearable

3,826

worsening · -592 vs previous 14 d

GI burden

Companion

29.4/100

worsening · +18.5 vs previous 14 d

Adherence

Companion

78 %

stable · +2.7 vs previous 14 d

Sleep quality

Wearable

48.4/100

worsening · -11.9 vs previous 14 d

Glucose, CGM daily mean

CGM

133 mg/dL

worsening · +11.4 vs previous 14 d

This trajectory is decaying — what would help, what would not

Steering view →

Heading towards failing · 53 from the failing basin, 46 from restoration.

Would help

No untried action with strong evidence. Compose one from primitives.
More protein
GI -4.2 next day on high-intake days · n 17

Would not help

BR-03 Behavioural Recommendation
only 22% improved among 9 similar
Keep histamine low
GI +3.4 next day on high-intake days · n 9

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
-4.2supporter · 95%
Histamine load
+3.4detractor · 95%
Alcohol
+1.9no signal · 48%
Caffeine
+1.4no signal · 37%
Simple carbohydrates
+0.2no signal · 15%
Dietary fat load
+0.1no signal · 15%
Insoluble fibre
+0.1no signal · 15%
Ultra-processed food
+0.1no signal · 15%

Biological layers

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

Pathways under pressure

Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Autonomic recovery ↓20
- Wearable3,826 steps/day

DNA

Fictional pharmacogenomic panel

CYP2D6 Rapid metabolizer
Expected exposure
MTHFR C677T
Reduced folate turnover

Microbiome

Shannon diversity 3 · butyrate capacity 78/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiNormal
Bacteroides fragilisNormal
Bifidobacterium longumNormal
EnterobacteriaceaeHigh

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 43 ms
Sleep: 7.3 h
Steps: 4,128
Resting HR: 68 bpm

Daily log: GI score 29, nutritional resilience 58, adherence 78.

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

Keep meals regular; three to four moderate portions spaced through the day
Include a cooked vegetable portion with each main meal
Keep fibre steady; no new sources this week
Eat slowly and stop at comfortable fullness — smaller volume, more often

What to do

Log the daily check-in; one line is enough
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
No additional supplements this week
Fictional demo item: continue vitamin D as before

284 biologically similar trajectories

Black: this patient. Green: similar patients whose intervention worked. Orange: similar patients where it did not.

Patient	Similarity	Baseline	Intervention	Outcome	Response today
P-02552	46%	S07	AD-05	no change	29
P-02093	39%	S05	AD-05	no change	40
P-02285	34%	S14	AD-05	no change	39
P-02031	31%	S12	AD-05	improved	47
P-02564	51%	S15	BR-03	improved	32
P-02522	38%	S01	BR-03	no change	40
P-02308	37%	S13	BR-03	no change	27
P-02087	35%	S01	BR-03	no change	40
P-02325	35%	S19	BR-03	no change	33
P-02331	34%	S14	BR-03	improved	34
P-02439	33%	S08	BR-03	no change	40
P-02267	28%	S09	BR-03	no change	45