Patient P-02494

Synthetic patientMETA-24 · Day 177 · 45–54 · M · baseline S09Steering view · 3D Open companion preview

Therapy response

Stable

Tolerance

Favorable

GI state

Improving

Inflammatory state

Improving

Nutritional resilience

Improving

Discontinuation risk

Trajectory

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

solid = observed · dashed = predicted

Day 0 META-24 started — Baseline state S09
Day 15 Trajectory diverged from prediction — Observed response fell below the model's expected path.
Day 22 GI-04 recommended — GI Support Protocol GI-04
Day 23 Patient accepted — Started GI-04 in the companion
Day 31 GI symptom burden −23% vs expected — GI Support Protocol GI-04
Day 37 Tolerance state changed — Unstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 15.

Primary contributors, last 14 days

GI instability-18
Inflammatory activity-15
Nutritional resilience+14
Treatment adherence+4

What helped?

GI Support Protocol GI-04Day 22
Result: symptom burden −23%

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

41 min

stable · -1.0 vs previous 14 d

Sleep duration

Wearable

7 h

stable · +0.1 vs previous 14 d

Energy level

Daily log

5.7/10

stable · +0.2 vs previous 14 d

Steps

Wearable

4,145

stable · +14 vs previous 14 d

GI burden

Companion

13.7/100

worsening · +1.3 vs previous 14 d

Adherence

Companion

97.9 %

improving · +5.6 vs previous 14 d

Sleep quality

Wearable

52/100

improving · +2.9 vs previous 14 d

Glucose, CGM daily mean

CGM

134 mg/dL

stable · -0.2 vs previous 14 d

This trajectory is doing well — what to keep, what to watch

Steering view →

Heading towards restoration · 78 from the failing basin, 31 from restoration.

Good elements to keep

GI Support Protocol GI-04
intervention · steering +15.3
Protein (supports)
perturbation · steering +9.9
Daily walks resumed
perturbation · steering +3.3
Protein
supporter · GI -5.5 next day

Main detractors to watch

Low butyrate capacity
hidden · steering -17.5
Dietary fat load
perturbation · steering -10.5
Simple carbohydrates
perturbation · steering -8.2
Low microbial diversity
hidden · steering -7.7
Dietary fat load
detractor · GI +5.9 next day
Simple carbohydrates
detractor · GI +4.6 next day

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
+5.9detractor · 95%
Protein
-5.5supporter · 95%
Simple carbohydrates
+4.6detractor · 95%
Ultra-processed food
+3.6detractor · 75%
Histamine load
+3.3no signal · 48%
Caffeine
-0.8no signal · 15%
Alcohol
+0.8no signal · 15%
Insoluble fibre
-0.7no signal · 15%

Biological layers

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

Pathways under pressure

Butyrate / short-chain fatty acid production ↓60
- MicrobiomeButyrate capacity 27/100
- MicrobiomeF. prausnitzii depleted
Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Inflammatory signalling ↓20
- MicrobiomeBacteroides fragilis expansion

DNA

Fictional pharmacogenomic panel

CYP2D6 Intermediate metabolizer
Expected exposure

Microbiome

Shannon diversity 2.9 · butyrate capacity 27/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiLow
Bacteroides fragilisHigh
Bifidobacterium longumLow
EnterobacteriaceaeHigh

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 49 ms
Sleep: 6.8 h
Steps: 4,747
Resting HR: 69 bpm

Daily log: GI score 14, nutritional resilience 69, adherence 98.

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
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

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-02285	43%	S14	AD-05	no change	39
P-02031	40%	S12	AD-05	improved	47
P-02093	38%	S05	AD-05	no change	40
P-02267	45%	S09	BR-03	no change	45
P-02087	40%	S01	BR-03	no change	40
P-02522	38%	S01	BR-03	no change	40
P-02280	36%	S07	BR-03	no change	50
P-02439	34%	S08	BR-03	no change	40
P-02483	34%	S06	BR-03	no change	64
P-02638	34%	S01	BR-03	improved	41
P-02455	56%	S09	DT-01	improved	50
P-02235	50%	S14	DT-01	improved	50