600 patients66,869 observations120 daysLIVE

Patient P-01311

Synthetic patientNBL-101 · Day 103 · 35–44 · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Improving
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
75%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S14
  2. Day 51 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 52 GI-04 recommendedGI Support Protocol GI-04
  4. Day 53 Patient acceptedStarted GI-04 in the companion
  5. Day 59 ME-01 recommendedMonitoring Escalation ME-01
  6. Day 60 Patient acceptedStarted ME-01 in the companion
  7. Day 61 No meaningful changeGI Support Protocol GI-04
  8. Day 63 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 51.

Primary contributors, last 14 days
  • GI instability-16
  • Inflammatory activity-7
  • Nutritional resilience+3

What helped?

  • GI Support Protocol GI-04Day 52
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 59
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
63%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 66% showed improvement
  • median effect visible after 10 days

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 80
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 58 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 23/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 61
    • WearableHRV 37 ms, trending down
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 54
  • Autonomic recovery 25
    • WearableResting HR 81 bpm
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2 · butyrate capacity 23/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
38 ms
Sleep
6.1 h
Steps
5,979
Resting HR
82 bpm
Daily log: GI score 58, nutritional resilience 39, adherence 43.

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
  • Avoid known triggers for now: fried or oily food, dairy, alcohol
What to do
  • Track each bowel movement today: time, stool form, urgency, overnight waking
  • Keep the current walking rhythm
  • Keep the sleep window steady
  • Keep hydration steady: small amounts through the day rather than large volumes at once
What to take
  • Take the scheduled dose as agreed with your care team
  • 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-0175169%S14ME-01improved48
P-0173258%S14ME-01improved45
P-0159556%S14GI-04no change51
P-0160554%S14ME-01improved41
P-0145453%S14GI-04no change49
P-0148251%S14GI-04improved47
P-0178251%S14NP-02no change48
P-0132850%S14SC-12no change49
P-0176050%S1442
P-0146549%S14NP-02improved56
P-0184348%S14SC-12no change45
P-0139647%S14GI-04worsened51