Patient P-02558

Synthetic patientMETA-24 · Day 104 · 45–54 · M · baseline S17Steering view · 3D Open companion preview

Therapy response

Improving

Tolerance

Improving

GI state

Improving

Inflammatory state

Improving

Nutritional resilience

Favorable

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 S17
Day 81 HY-01 recommended — Hydration Protocol HY-01
Day 82 Patient accepted — Started HY-01 in the companion
Day 86 No meaningful change — Hydration Protocol HY-01

What changed?

Trajectory is tracking the baseline prediction.

Primary contributors, last 14 days

GI instability-15
Inflammatory activity-8
Toxicity-6
Nutritional resilience+4

What helped?

Hydration Protocol HY-01Day 81
Result: no meaningful change

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

59 min

stable · +1.6 vs previous 14 d

Sleep duration

Wearable

7.6 h

worsening · -0.3 vs previous 14 d

Energy level

Daily log

7.6/10

stable · -0.1 vs previous 14 d

Steps

Wearable

5,824

stable · +103 vs previous 14 d

GI burden

Companion

10.2/100

worsening · +2.1 vs previous 14 d

Adherence

Companion

91.5 %

stable · +1.9 vs previous 14 d

Sleep quality

Wearable

50.5/100

worsening · -4.0 vs previous 14 d

Glucose, CGM daily mean

CGM

126 mg/dL

stable · +3.6 vs previous 14 d

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

Steering view →

Heading towards restoration · 94 from the failing basin, 9 from restoration.

Good elements to keep

Protein (supports)
perturbation · steering +9.5
Butyrate producers intact
hidden · steering +7.5
Hydration Protocol HY-01
intervention · steering +5.2
Protein
supporter · GI -5 next day

Main detractors to watch

Poor metabolizer
hidden · steering -12.7
Caffeine
perturbation · steering -9.2
Bacteroides fragilis elevated
hidden · steering -7.4
Alcohol
perturbation · steering -5.3
Caffeine
detractor · GI +6 next day
Alcohol
detractor · GI +3.2 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.

Caffeine
+6detractor · 95%
Protein
-5supporter · 95%
Alcohol
+3.2detractor · 77%
Histamine load
-2no signal · 35%
Simple carbohydrates
+1.7no signal · 40%
Ultra-processed food
+0.8no signal · 17%
Dietary fat load
+0.3no signal · 15%
Insoluble fibre
-0.3no signal · 15%

Biological layers

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

Pathways under pressure

Drug metabolism and exposure ↑40
- DNACYP2D6 poor metabolizer → higher exposure
Inflammatory signalling ↓35
- MicrobiomeBacteroides fragilis expansion
- WearableHRV 34 ms, trending down
Autonomic recovery ↑25
- WearableResting HR 72 bpm

DNA

Fictional pharmacogenomic panel

CYP2D6 Poor metabolizer
Higher exposure at standard dose
MTHFR C677T
Reduced folate turnover

Microbiome

Shannon diversity 4.3 · butyrate capacity 70/100

Akkermansia muciniphilaNormal
Faecalibacterium prausnitziiNormal
Bacteroides fragilisHigh
Bifidobacterium longumLow
EnterobacteriaceaeNormal

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 29 ms
Sleep: 7.4 h
Steps: 6,299
Resting HR: 74 bpm

Daily log: GI score 10, nutritional resilience 70, adherence 92.

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
Keep the current walking rhythm
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-02337	31%	S18	DT-01	no change	100
P-02249	34%	S09	DT-01	improved	100
P-02189	35%	S17	—	—	96
P-02640	34%	S03	—	—	96
P-02242	36%	S20	—	—	95
P-02013	39%	S14	BR-03	no change	94
P-02104	42%	S15	—	—	94
P-02450	40%	S12	NP-02	improved	92
P-02304	40%	S15	—	—	92
P-02277	37%	S05	AD-05	improved	92
P-02689	33%	S13	—	—	91
P-02069	44%	S19	—	—	91