700 patients110,866 observations180 daysLIVE

Patient P-02535

Synthetic patientMETA-24 · Day 169 · 45–54 · F · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Unstable
Discontinuation risk
92%

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 66 SC-12 recommendedSupportive Compound SC-12
  6. Day 67 Patient acceptedStarted SC-12 in the companion
  7. Day 73 GI symptom burden −10% vs expectedSupportive Compound SC-12
  8. Day 79 Tolerance state changedUnstable → Improving
  9. Day 83 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 83.

Primary contributors, last 14 days
  • Nutritional resilience+4
  • Treatment adherence-2

What helped?

  • Dietary Support Protocol NP-02Day 47
    Result: no meaningful change
  • Supportive Compound SC-12Day 66
    Result: symptom burden −10%
LIFE OS recommendation
GI Support Protocol GI-04
91%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 86% 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
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 44/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 55
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 56 and rising
    • WearableSleep 5.0 h, below personal baseline
  • Autonomic recovery 40
    • Wearable386 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 50
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • GLP1R rs6923761 A
    Altered receptor sensitivity
Microbiome
Shannon diversity 2.7 · butyrate capacity 44/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
37 ms
Sleep
5.0 h
Steps
1,001
Resting HR
66 bpm
Daily log: GI score 56, nutritional resilience 42, 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-0248321%S06BR-03no change64
P-0208719%S01BR-03no change40
P-0202536%S15CR-01improved61
P-0205434%S01CR-01improved57
P-0215134%S04CR-01improved49
P-0215431%S16CR-01improved57
P-0200930%S08CR-01improved64
P-0223328%S16CR-01improved66
P-0239521%S12DT-01improved57
P-0227420%S15DT-01improved50
P-0233920%S03DT-01improved50
P-0249120%S09DT-01no change65