700 patients110,866 observations180 daysLIVE

Patient P-02505

Synthetic patientMETA-24 · Day 177 · 45–54 · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Improving
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 GI symptom burden −28% vs expectedDietary Support Protocol NP-02
  5. Day 64 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 64 Tolerance state changedUnstable → Improving
  7. Day 71 GI-04 recommendedGI Support Protocol GI-04
  8. Day 72 Patient acceptedStarted GI-04 in the companion
  9. Day 80 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 64.

Primary contributors, last 14 days
  • GI instability+14
  • Inflammatory activity+6
  • Treatment adherence-5
  • Nutritional resilience-4
  • Toxicity-4

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: symptom burden −28%
  • GI Support Protocol GI-04Day 71
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
83%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 3 days

Biological layers

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

Pathways under pressure
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 25/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 76 bpm
    • Wearable3,907 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 62
    • WearableHRV 19 ms, trending down
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 73 and rising
  • Drug metabolism and exposure 20
    • BloodToxicity index 49
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.9 · butyrate capacity 25/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
19 ms
Sleep
5.9 h
Steps
3,848
Resting HR
77 bpm
Daily log: GI score 73, nutritional resilience 35, adherence 37.

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-0255218%S07AD-05no change29
P-0209317%S05AD-05no change40
P-0248319%S06BR-03no change64
P-0208717%S01BR-03no change40
P-0215133%S04CR-01improved49
P-0202531%S15CR-01improved61
P-0205428%S01CR-01improved57
P-0200926%S08CR-01improved64
P-0215425%S16CR-01improved57
P-0223324%S16CR-01improved66
P-0239519%S12DT-01improved57
P-0227418%S15DT-01improved50