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Patient P-02657

Synthetic patientMETA-24 · Day 180 · 65–74 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Unstable
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
94%

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 72 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 72.

Primary contributors, last 14 days
  • Toxicity-14
  • Inflammatory activity-13
  • Nutritional resilience+13
  • GI instability-10
  • Treatment adherence+3

What helped?

No interventions yet.

    LIFE OS recommendation
    GI Support Protocol GI-04
    92%
    probability of meaningful tolerance improvement
    • 284 similar trajectories
    • 87% 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
    33 min
    stable · +0.3 vs previous 14 d
    Sleep duration
    Wearable
    6 h
    stable · -0.1 vs previous 14 d
    Energy level
    Daily log
    2.8/10
    improving · +0.1 vs previous 14 d
    Steps
    Wearable
    4,441
    stable · +82 vs previous 14 d
    GI burden
    Companion
    66.3/100
    stable · +1.3 vs previous 14 d
    Adherence
    Companion
    42.3 %
    stable · +1.5 vs previous 14 d
    Sleep quality
    Wearable
    24.8/100
    worsening · -1.9 vs previous 14 d
    Glucose, CGM daily mean
    CGM
    155 mg/dL
    stable · +2.6 vs previous 14 d
    This trajectory is decaying — what would help, what would not
    Steering view →

    Heading towards restoration · 22 from the failing basin, 70 from restoration.

    Would help
    • GI-04 GI Support Protocol
      75% improved among 64 similar · onset 8 d · confidence 95%
    • ME-01 Monitoring Escalation
      100% improved among 42 similar · onset 3 d · confidence 71%
    • NP-02 Dietary Support Protocol
      59% improved among 32 similar · onset 10 d · confidence 71%
    • More protein
      GI -4.3 next day on high-intake days · n 20
    Would not help
    • Keep fat low
      GI +4.4 next day on high-intake days · n 23
    • Keep histamine low
      GI +4.2 next day on high-intake days · n 21
    • Keep fibre low
      GI +3.4 next day on high-intake days · n 16
    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.

    • Dietary fat load
      +4.4detractor · 95%
    • Protein
      -4.3supporter · 95%
    • Histamine load
      +4.2detractor · 95%
    • Insoluble fibre
      +3.4detractor · 85%
    • Alcohol
      +1.8detractor · 56%
    • Simple carbohydrates
      -1.6no signal · 42%
    • Ultra-processed food
      +0.5no signal · 15%
    • Caffeine
      -0.1no 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 66 and rising
      • WearableSleep 6.0 h, below personal baseline
    • Butyrate / short-chain fatty acid production 55
      • MicrobiomeButyrate capacity 24/100
      • Daily logFibre intake low in recent food logs
    • Autonomic recovery 45
      • WearableResting HR 73 bpm
      • WearableShort sleep window
    • Inflammatory signalling 25
      • BloodInflammatory load index 58
    • Drug metabolism and exposure 20
      • BloodToxicity index 43
    DNA
    Fictional pharmacogenomic panel
    • FUT2 rs601338 AA (non-secretor)
      Reduced mucosal fucosylation
    • CYP2D6 Normal metabolizer
      Expected exposure
    • GLP1R rs6923761 A
      Altered receptor sensitivity
    • MTHFR C677T
      Reduced folate turnover
    Microbiome
    Shannon diversity 3.1 · butyrate capacity 24/100
    • Akkermansia muciniphilaLow
    • Faecalibacterium prausnitziiNormal
    • Bacteroides fragilisNormal
    • Bifidobacterium longumNormal
    • EnterobacteriaceaeNormal
    Wearable, last 14 days
    daily evolution fed into the runtime
    HRV
    44 ms
    Sleep
    5.5 h
    Steps
    2,777
    Resting HR
    75 bpm
    Daily log: GI score 66, nutritional resilience 38, adherence 42.

    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-0248319%S06BR-03no change64
    P-0208718%S01BR-03no change40
    P-0202533%S15CR-01improved61
    P-0215132%S04CR-01improved49
    P-0205429%S01CR-01improved57
    P-0200927%S08CR-01improved64
    P-0215427%S16CR-01improved57
    P-0223325%S16CR-01improved66
    P-0239520%S12DT-01improved57
    P-0233919%S03DT-01improved50
    P-0249119%S09DT-01no change65
    P-0227418%S15DT-01improved50