600 patients66,869 observations120 daysLIVE

Patient P-01318

Synthetic patientNBL-101 · Day 116 · 45–54 · F · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Deteriorating
Inflammatory state
Deteriorating
Nutritional resilience
Unstable
Discontinuation risk
84%

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 45 SC-12 recommendedSupportive Compound SC-12
  3. Day 46 Patient acceptedStarted SC-12 in the companion
  4. Day 48 Trajectory diverged from predictionObserved response fell below the model's expected path.
  5. Day 52 GI symptom burden −15% vs expectedSupportive Compound SC-12
  6. Day 54 GI-04 recommendedGI Support Protocol GI-04
  7. Day 55 Patient acceptedStarted GI-04 in the companion
  8. Day 58 Tolerance state changedUnstable → Improving
  9. Day 63 GI symptom burden −34% vs expectedGI Support Protocol GI-04
  10. Day 69 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • GI instability+14
  • Inflammatory activity+8
  • Treatment adherence-8
  • Nutritional resilience-7
  • Toxicity-2

What helped?

  • Supportive Compound SC-12Day 45
    Result: symptom burden −15%
  • GI Support Protocol GI-04Day 54
    Result: symptom burden −34%
LIFE OS recommendation
Dietary Support Protocol NP-02
60%
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 53 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 25
    • BloodInflammatory load index 56
  • Autonomic recovery 25
    • WearableResting HR 74 bpm
  • Drug metabolism and exposure 20
    • BloodToxicity index 45
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.3 · butyrate capacity 23/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
57 ms
Sleep
6.2 h
Steps
5,103
Resting HR
73 bpm
Daily log: GI score 53, nutritional resilience 37, adherence 46.

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-0153946%S14GI-04improved43
P-0143645%S14GI-04improved38
P-0142344%S19GI-04improved44
P-0145844%S14GI-04improved44
P-0135643%S14GI-04improved42
P-0150543%S14NP-02improved41
P-0160342%S14GI-04improved40
P-0171342%S04GI-04improved46
P-0134941%S14GI-04improved38
P-0149441%S14GI-04improved42
P-0145240%S02GI-04improved46
P-0155940%S06GI-04improved42