Patient P-02688

Synthetic patientMETA-24 · Day 180 · 25–34 · M · baseline S09Steering view · 3D Open companion preview

Therapy response

Improving

Tolerance

Favorable

GI state

Favorable

Inflammatory state

Favorable

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 S09
Day 10 Trajectory diverged from prediction — Observed response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 10.

Primary contributors, last 14 days

Inflammatory activity-4
Treatment adherence-4
Toxicity-2

What helped?

No interventions yet.

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

37 min

stable · -0.1 vs previous 14 d

Sleep duration

Wearable

7.5 h

stable · +0.1 vs previous 14 d

Energy level

Daily log

7.5/10

improving · +0.6 vs previous 14 d

Steps

Wearable

4,714

stable · +33 vs previous 14 d

GI burden

Companion

14.1/100

improving · -1.4 vs previous 14 d

Adherence

Companion

91.6 %

worsening · -6.1 vs previous 14 d

Sleep quality

Wearable

57.4/100

stable · +1.4 vs previous 14 d

Glucose, CGM daily mean

CGM

129 mg/dL

stable · +0.9 vs previous 14 d

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

Steering view →

Heading towards restoration · 97 from the failing basin, 11 from restoration.

Good elements to keep

Protein (supports)
perturbation · steering +15
Butyrate producers intact
hidden · steering +7.5
Alcohol (supports)
perturbation · steering +4.9
Daily walks resumed
perturbation · steering +3.3
Protein
supporter · GI -7.4 next day
Alcohol
supporter · GI -3.1 next day

Main detractors to watch

Bacteroides fragilis elevated
hidden · steering -7.4
Ultra-processed food
perturbation · steering -4.6
Poor-sleep week
perturbation · steering -3
Low-HRV stretch
perturbation · steering -2.7
Ultra-processed food
detractor · GI +2.8 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
-7.4supporter · 95%
Alcohol
-3.1supporter · 59%
Ultra-processed food
+2.8detractor · 56%
Insoluble fibre
+1.2no signal · 23%
Histamine load
+0.7no signal · 15%
Dietary fat load
+0.6no signal · 15%
Caffeine
+0.6no signal · 15%
Simple carbohydrates
+0.4no signal · 15%

Biological layers

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

Pathways under pressure

Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Inflammatory signalling ↓20
- MicrobiomeBacteroides fragilis expansion

DNA

Fictional pharmacogenomic panel

CYP2D6 Normal metabolizer
Expected exposure
GLP1R rs6923761 A
Altered receptor sensitivity
MTHFR C677T
Reduced folate turnover

Microbiome

Shannon diversity 3.9 · butyrate capacity 75/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiNormal
Bacteroides fragilisHigh
Bifidobacterium longumNormal
EnterobacteriaceaeHigh

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 54 ms
Sleep: 7.7 h
Steps: 5,206
Resting HR: 59 bpm

Daily log: GI score 14, nutritional resilience 66, adherence 92.

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
A 15-minute walk after lunch
Keep the sleep window steady
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-02277	53%	S05	AD-05	improved	92
P-02555	52%	S01	AD-05	no change	79
P-02013	45%	S14	BR-03	no change	94
P-02282	45%	S01	BR-03	no change	88
P-02193	39%	S11	CR-01	improved	87
P-02354	30%	S01	CR-01	improved	78
P-02565	55%	S09	DT-01	no change	79
P-02081	47%	S20	DT-01	no change	88
P-02249	46%	S09	DT-01	improved	100
P-02337	44%	S18	DT-01	no change	100
P-02462	30%	S12	DT-01	improved	65
P-02218	29%	S01	DT-01	improved	61