Patient P-02665

Synthetic patientMETA-24 · Day 168 · 65–74 · M · baseline S15Steering view · 3D Open companion preview

Therapy response

Improving

Tolerance

Favorable

GI state

Improving

Inflammatory state

Improving

Nutritional resilience

Improving

Discontinuation risk

15%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events

solid = observed · dashed = predicted

Day 0 META-24 started — Baseline state S15
Day 13 Trajectory diverged from prediction — Observed response fell below the model's expected path.
Day 22 HY-01 recommended — Hydration Protocol HY-01
Day 23 Patient declined — Not now

What changed?

Trajectory began diverging from predicted response on Day 13.

Primary contributors, last 14 days

GI instability-11
Treatment adherence+6
Nutritional resilience+5
Inflammatory activity-4

What helped?

Hydration Protocol HY-01Day 22
Declined by patient

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

40 min

stable · +0.7 vs previous 14 d

Sleep duration

Wearable

6.3 h

stable · -0.0 vs previous 14 d

Energy level

Daily log

5/10

worsening · -0.5 vs previous 14 d

Steps

Wearable

4,400

improving · +201 vs previous 14 d

GI burden

Companion

20.2/100

stable · -0.5 vs previous 14 d

Adherence

Companion

95.1 %

worsening · -4.1 vs previous 14 d

Sleep quality

Wearable

45.9/100

stable · -0.8 vs previous 14 d

Glucose, CGM daily mean

CGM

132 mg/dL

stable · -0.2 vs previous 14 d

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

Steering view →

Heading towards restoration · 70 from the failing basin, 23 from restoration.

Good elements to keep

Protein (supports)
perturbation · steering +9.7
Daily walks resumed
perturbation · steering +3.3
Protein
supporter · GI -4.9 next day

Main detractors to watch

Low butyrate capacity
hidden · steering -17.5
Simple carbohydrates
perturbation · steering -8
Low microbial diversity
hidden · steering -7.7
Bacteroides fragilis elevated
hidden · steering -7.4
Simple carbohydrates
detractor · GI +5 next day
Dietary fat load
detractor · GI +4.2 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.

Simple carbohydrates
+5detractor · 95%
Protein
-4.9supporter · 95%
Dietary fat load
+4.2detractor · 95%
Ultra-processed food
+4detractor · 95%
Histamine load
+1.4no signal · 24%
Alcohol
-1.4no signal · 28%
Insoluble fibre
+0.6no 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

Butyrate / short-chain fatty acid production ↓35
- MicrobiomeButyrate capacity 44/100
Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Inflammatory signalling ↓20
- MicrobiomeBacteroides fragilis expansion
Autonomic recovery ↓20
- WearableShort sleep window

DNA

Fictional pharmacogenomic panel

CYP2D6 Normal metabolizer
Expected exposure

Microbiome

Shannon diversity 2.4 · butyrate capacity 44/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiNormal
Bacteroides fragilisHigh
Bifidobacterium longumLow
EnterobacteriaceaeHigh

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 63 ms
Sleep: 6.0 h
Steps: 4,507
Resting HR: 58 bpm

Daily log: GI score 20, nutritional resilience 65, adherence 95.

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
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

Log the daily check-in; one line is enough
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
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-02218	47%	S01	DT-01	improved	61
P-02217	42%	S01	—	—	61
P-02437	42%	S01	—	—	64
P-02620	41%	S01	HY-01	improved	64
P-02424	40%	S01	—	—	62
P-02681	40%	S01	—	—	51
P-02087	37%	S01	BR-03	no change	40
P-02276	37%	S01	—	—	57
P-02568	37%	S01	—	—	51
P-02598	35%	S01	—	—	53
P-02638	35%	S01	BR-03	improved	41
P-02307	34%	S01	—	—	55