Patient P-02687

Synthetic patientMETA-24 · Day 170 · 45–54 · M · baseline S05Steering view · 3D Open companion preview

Therapy response

Unstable

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 S05
Day 108 AD-05 recommended — Adherence Support AD-05
Day 109 Patient declined — Not now
Day 122 Trajectory diverged from prediction — Observed response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 122.

Primary contributors, last 14 days

Inflammatory activity-22
GI instability-14
Toxicity-5
Nutritional resilience+3

What helped?

Adherence Support AD-05Day 108
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

93 min

stable · +2.4 vs previous 14 d

Sleep duration

Wearable

6.4 h

stable · -0.1 vs previous 14 d

Energy level

Daily log

6.8/10

stable · +0.2 vs previous 14 d

Steps

Wearable

9,897

stable · +94 vs previous 14 d

GI burden

Companion

9.7/100

improving · -3.2 vs previous 14 d

Adherence

Companion

83.7 %

worsening · -3.6 vs previous 14 d

Sleep quality

Wearable

39/100

worsening · -2.9 vs previous 14 d

Glucose, CGM daily mean

CGM

132 mg/dL

stable · -2.9 vs previous 14 d

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

Steering view →

Heading towards restoration · 81 from the failing basin, 38 from restoration.

Good elements to keep

Protein (supports)
perturbation · steering +13.3
Butyrate producers intact
hidden · steering +7.5
Insoluble fibre (supports)
perturbation · steering +5.6
Daily walks resumed
perturbation · steering +3.3
Protein
supporter · GI -6.7 next day
Insoluble fibre
supporter · GI -3.4 next day

Main detractors to watch

Poor metabolizer
hidden · steering -12.7
Alcohol
perturbation · steering -8.8
Caffeine
perturbation · steering -6.9
Poor-sleep week
perturbation · steering -3
Alcohol
detractor · GI +4.8 next day
Caffeine
detractor · GI +3.6 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.

Protein
-6.7supporter · 95%
Alcohol
+4.8detractor · 95%
Caffeine
+3.6detractor · 72%
Insoluble fibre
-3.4supporter · 68%
Ultra-processed food
-2.2no signal · 41%
Histamine load
+1.4no signal · 24%
Dietary fat load
+0.8no signal · 15%
Simple carbohydrates
-0.5no 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
Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Autonomic recovery ↑20
- WearableShort sleep window

DNA

Fictional pharmacogenomic panel

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

Microbiome

Shannon diversity 3.5 · butyrate capacity 67/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiNormal
Bacteroides fragilisNormal
Bifidobacterium longumLow
EnterobacteriaceaeNormal

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 45 ms
Sleep: 6.1 h
Steps: 9,372
Resting HR: 65 bpm

Daily log: GI score 10, nutritional resilience 65, adherence 84.

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
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-02391	38%	S19	HY-01	improved	53
P-02031	37%	S12	AD-05	improved	47
P-02455	37%	S09	DT-01	improved	50
P-02494	36%	S09	GI-04	improved	47
P-02016	34%	S20	DT-01	improved	27
P-02033	34%	S06	GI-04	improved	51
P-02479	34%	S13	DT-01	improved	48
P-02484	34%	S15	GI-04	improved	49
P-02564	34%	S15	BR-03	improved	32
P-02274	33%	S15	DT-01	improved	50
P-02339	33%	S03	DT-01	improved	50
P-02037	32%	S04	GI-04	improved	53