600 patients66,869 observations120 daysLIVE

Patient P-01364

Synthetic patientNBL-101 · Day 116 · 55–64 · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Stable
Inflammatory state
Unstable
Nutritional resilience
Stable
Discontinuation risk
71%

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 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 51 GI-04 recommendedGI Support Protocol GI-04
  4. Day 52 Patient acceptedStarted GI-04 in the companion
  5. Day 60 GI symptom burden −18% vs expectedGI Support Protocol GI-04
  6. Day 66 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 47.

Primary contributors, last 14 days
  • Inflammatory activity+2
  • Nutritional resilience+2

What helped?

  • GI Support Protocol GI-04Day 51
    Result: symptom burden −18%
LIFE OS recommendation
Dietary Support Protocol NP-02
62%
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 54 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 25/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 59
    • WearableHRV 17 ms, trending down
  • Autonomic recovery 25
    • WearableResting HR 80 bpm
  • Drug metabolism and exposure 20
    • BloodToxicity index 54
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 1.9 · butyrate capacity 25/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
17 ms
Sleep
6.8 h
Steps
5,798
Resting HR
81 bpm
Daily log: GI score 54, nutritional resilience 43, adherence 49.

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-0146262%S14NP-02improved47
P-0139361%S14GI-04improved53
P-0157358%S14GI-04improved49
P-0149657%S14SC-12improved46
P-0186555%S14NP-02no change51
P-0187955%S14SC-12improved51
P-0169253%S14NP-02improved49
P-0146550%S14NP-02improved56
P-0148250%S14GI-04improved47
P-0187250%S14NP-02improved47
P-0140949%S14SC-12improved41
P-0157649%S14NP-02no change49