600 patients66,869 observations120 daysLIVE

Patient P-01332

Synthetic patientNBL-101 · Day 102 · 75+ · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
96%

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 31 NP-02 recommendedDietary Support Protocol NP-02
  3. Day 32 Patient acceptedStarted NP-02 in the companion
  4. Day 42 GI symptom burden −23% vs expectedDietary Support Protocol NP-02
  5. Day 44 SC-12 recommendedSupportive Compound SC-12
  6. Day 45 Patient declinedNot now
  7. Day 48 Tolerance state changedUnstable → Improving
  8. Day 53 Trajectory diverged from predictionObserved response fell below the model's expected path.
  9. Day 57 GI-04 recommendedGI Support Protocol GI-04
  10. Day 58 Patient declinedNot now

What changed?

Trajectory began diverging from predicted response on Day 53.

Primary contributors, last 14 days
  • Inflammatory activity+13
  • Toxicity+13
  • GI instability+11
  • Treatment adherence-7

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −23%
  • Supportive Compound SC-12Day 44
    Declined by patient
  • GI Support Protocol GI-04Day 57
    Declined by patient
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 83% showed improvement
  • median effect visible after 8 days

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 65 and rising
    • WearableSleep 5.3 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 34/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 81 bpm
    • WearableShort sleep window
  • Inflammatory signalling 40
    • BloodInflammatory load index 61
    • WearableHRV 20 ms, trending down
  • Drug metabolism and exposure 20
    • BloodToxicity index 48
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.8 · butyrate capacity 34/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
22 ms
Sleep
5.6 h
Steps
7,753
Resting HR
82 bpm
Daily log: GI score 65, nutritional resilience 40, 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
  • 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 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-0187258%S14NP-02improved47
P-0140957%S14SC-12improved41
P-0178654%S07ME-01improved46
P-0149653%S14SC-12improved46
P-0155453%S05GI-04improved47
P-0169252%S14NP-02improved49
P-0182252%S1437
P-0146251%S14NP-02improved47
P-0181051%S05NP-02improved43
P-0139350%S14GI-04improved53
P-0183450%S14NP-02improved44
P-0139849%S14NP-02improved47