700 patients110,866 observations180 daysLIVE

Patient P-02595

Synthetic patientMETA-24 · Day 149 · 75+ · M · baseline S02Open companion preview
Therapy response
Declining
Tolerance
Unstable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
71%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 META-24 startedBaseline state S02
  2. Day 46 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • Toxicity+28
  • Inflammatory activity+19
  • Nutritional resilience-15
  • Treatment adherence-10
  • GI instability+8

What helped?

No interventions yet.

    LIFE OS recommendation
    GI Support Protocol GI-04
    68%
    probability of meaningful tolerance improvement
    • 284 similar trajectories
    • 89% 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
    • Autonomic recovery 65
      • WearableResting HR 80 bpm
      • Wearable3,567 steps/day
      • WearableShort sleep window
    • Mucosal barrier integrity 60
      • MicrobiomeAkkermansia low → thinner mucus layer
      • Daily logGI symptom score 63 and rising
      • WearableSleep 5.2 h, below personal baseline
    • Drug metabolism and exposure 60
      • DNACYP2D6 poor metabolizer → higher exposure
      • BloodToxicity index 63
    • Butyrate / short-chain fatty acid production 55
      • MicrobiomeButyrate capacity 25/100
      • Daily logFibre intake low in recent food logs
    • Inflammatory signalling 40
      • BloodInflammatory load index 69
      • WearableHRV 27 ms, trending down
    DNA
    Fictional pharmacogenomic panel
    • CYP2D6 Poor metabolizer
      Higher exposure at standard dose
    Microbiome
    Shannon diversity 2.7 · butyrate capacity 25/100
    • Akkermansia muciniphilaLow
    • Faecalibacterium prausnitziiNormal
    • Bacteroides fragilisNormal
    • Bifidobacterium longumNormal
    • EnterobacteriaceaeNormal
    Wearable, last 14 days
    daily evolution fed into the runtime
    HRV
    33 ms
    Sleep
    5.4 h
    Steps
    4,951
    Resting HR
    78 bpm
    Daily log: GI score 63, nutritional resilience 34, adherence 69.

    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-0204643%S1055
    P-0207843%S0456
    P-0253043%S0767
    P-0244442%S0759
    P-0211140%S2051
    P-0226540%S07GI-04no change67
    P-0200939%S08CR-01improved64
    P-0233439%S04GI-04improved66
    P-0208438%S11GI-04no change58
    P-0243338%S07GI-04improved61
    P-0263138%S1758
    P-0202937%S1856