Patient P-02697

Synthetic patientMETA-24 · Day 177 · 65–74 · F · baseline S07Steering view · 3D Open companion preview

Therapy response

Improving

Tolerance

Favorable

GI state

Deteriorating

Inflammatory state

Deteriorating

Nutritional resilience

Declining

Discontinuation risk

19%

Trajectory

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

solid = observed · dashed = predicted

Day 0 META-24 started — Baseline state S07
Day 15 Trajectory diverged from prediction — Observed response fell below the model's expected path.
Day 22 GI-04 recommended — GI Support Protocol GI-04
Day 23 Patient accepted — Started GI-04 in the companion
Day 31 GI symptom burden −20% vs expected — GI Support Protocol GI-04
Day 37 Tolerance state changed — Unstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 15.

Primary contributors, last 14 days

Nutritional resilience-7
GI instability+5
Inflammatory activity+5
Treatment adherence-3

What helped?

GI Support Protocol GI-04Day 22
Result: symptom burden −20%

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

29 min

stable · -1.0 vs previous 14 d

Sleep duration

Wearable

7.9 h

stable · -0.3 vs previous 14 d

Energy level

Daily log

5.9/10

stable · -0.2 vs previous 14 d

Steps

Wearable

3,724

worsening · -201 vs previous 14 d

GI burden

Companion

19.6/100

worsening · +2.7 vs previous 14 d

Adherence

Companion

95.8 %

stable · -1.5 vs previous 14 d

Sleep quality

Wearable

67.6/100

worsening · -3.6 vs previous 14 d

Glucose, CGM daily mean

CGM

120 mg/dL

stable · +4.8 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 +16.4
GI Support Protocol GI-04
intervention · steering +13.3
Protein
supporter · GI -7.5 next day

Main detractors to watch

Low butyrate capacity
hidden · steering -17.5
Dietary fat load
perturbation · steering -11.2
Simple carbohydrates
perturbation · steering -10.1
Ultra-processed food
perturbation · steering -9.2
Simple carbohydrates
detractor · GI +6.2 next day
Dietary fat load
detractor · GI +5.9 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
-7.5supporter · 95%
Simple carbohydrates
+6.2detractor · 95%
Dietary fat load
+5.9detractor · 95%
Ultra-processed food
+5.4detractor · 95%
Histamine load
-2.1no signal · 31%
Insoluble fibre
+1.3no signal · 20%
Alcohol
+1no signal · 16%
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 ↓60
- MicrobiomeButyrate capacity 44/100
- MicrobiomeF. prausnitzii depleted
Autonomic recovery ↑45
- WearableResting HR 73 bpm
- Wearable3,724 steps/day
Mucosal barrier integrity ↓30
- MicrobiomeAkkermansia low → thinner mucus layer
Inflammatory signalling ↑20
- MicrobiomeBacteroides fragilis expansion

DNA

Fictional pharmacogenomic panel

CYP2D6 Normal metabolizer
Expected exposure

Microbiome

Shannon diversity 1.8 · butyrate capacity 44/100

Akkermansia muciniphilaLow
Faecalibacterium prausnitziiLow
Bacteroides fragilisHigh
Bifidobacterium longumNormal
EnterobacteriaceaeHigh

Wearable, last 14 days

daily evolution fed into the runtime

HRV: 53 ms
Sleep: 7.9 h
Steps: 3,484
Resting HR: 71 bpm

Daily log: GI score 20, nutritional resilience 62, adherence 96.

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
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-02645	55%	S02	HY-01	improved	56
P-02235	51%	S14	DT-01	improved	50
P-02218	50%	S01	DT-01	improved	61
P-02303	48%	S15	GI-04	improved	48
P-02484	48%	S15	GI-04	improved	49
P-02685	48%	S16	DT-01	improved	47
P-02033	47%	S06	GI-04	improved	51
P-02274	47%	S15	DT-01	improved	50
P-02147	46%	S13	GI-04	improved	58
P-02339	45%	S03	DT-01	improved	50
P-02479	45%	S13	DT-01	improved	48
P-02494	45%	S09	GI-04	improved	47