700 patients110,866 observations180 daysLIVE

Patient P-02575

Synthetic patientMETA-24 · Day 94 · 55–64 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Favorable
Tolerance
Deteriorating
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 69 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 86 ME-01 recommendedMonitoring Escalation ME-01
  4. Day 87 Patient acceptedStarted ME-01 in the companion
  5. Day 90 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 69.

Primary contributors, last 14 days
  • GI instability+14
  • Inflammatory activity+9
  • Toxicity+9
  • Treatment adherence-8
  • Nutritional resilience-6

What helped?

  • Monitoring Escalation ME-01Day 86
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 91% showed improvement
  • median effect visible after 8 days

Daily trackers

Molecule settings

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

Active minutes
Wearable
7 min
worsening · -14.4 vs previous 14 d
Sleep duration
Wearable
5.9 h
worsening · -0.5 vs previous 14 d
Energy level
Daily log
2.6/10
worsening · -1.9 vs previous 14 d
Steps
Wearable
939
worsening · -1,666 vs previous 14 d
GI burden
Companion
62/100
worsening · +21.1 vs previous 14 d
Adherence
Companion
76.2 %
worsening · -6.3 vs previous 14 d
Sleep quality
Wearable
22.2/100
worsening · -13.9 vs previous 14 d
Glucose, CGM daily mean
CGM
147 mg/dL
worsening · +9.4 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 50 from the failing basin, 60 from restoration.

Would help
  • GI-04 GI Support Protocol
    84% improved among 50 similar · onset 8 d · confidence 97%
  • SC-12 Supportive Compound
    71% improved among 17 similar · onset 6 d · confidence 80%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 80%
  • More protein
    GI -5.1 next day on high-intake days · n 20
Would not help
  • Keep histamine low
    GI +4.8 next day on high-intake days · n 18
  • Keep fat low
    GI +3.5 next day on high-intake days · n 21
  • Keep simple carbs low
    GI +2.3 next day on high-intake days · n 29
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
    -5.1supporter · 95%
  • Histamine load
    +4.8detractor · 95%
  • Dietary fat load
    +3.5detractor · 95%
  • Simple carbohydrates
    +2.3detractor · 70%
  • Ultra-processed food
    +2.2detractor · 58%
  • Alcohol
    -0.3no signal · 15%
  • Insoluble fibre
    +0.2no signal · 15%
  • Caffeine
    -0.2no signal · 15%

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 62 and rising
    • WearableSleep 5.9 h, below personal baseline
  • Autonomic recovery 65
    • WearableResting HR 74 bpm
    • Wearable939 steps/day
    • WearableShort sleep window
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 28/100
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 25
    • BloodInflammatory load index 62
  • Drug metabolism and exposure 20
    • BloodToxicity index 57
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.7 · butyrate capacity 28/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
39 ms
Sleep
6.1 h
Steps
911
Resting HR
73 bpm
Daily log: GI score 62, nutritional resilience 39, adherence 76.

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-0240928%S01SC-12no change54
P-0205426%S01CR-01improved57
P-0213824%S0179
P-0201823%S01GI-04improved46
P-0227523%S0184
P-0241023%S01GI-04improved55
P-0243723%S0164
P-0255023%S0170
P-0259823%S0153
P-0220422%S0170
P-0227622%S0157
P-0230722%S0155