600 patients66,869 observations120 daysLIVE

Patient P-01365

Synthetic patientNBL-101 · Day 109 · 25–34 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Improving
Discontinuation risk
62%

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 No meaningful changeDietary Support Protocol NP-02
  5. Day 50 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 50 SC-12 recommendedSupportive Compound SC-12
  7. Day 51 Patient acceptedStarted SC-12 in the companion
  8. Day 54 GI-04 recommendedGI Support Protocol GI-04
  9. Day 55 Patient acceptedStarted GI-04 in the companion
  10. Day 57 GI symptom burden −23% vs expectedSupportive Compound SC-12
  11. Day 63 No meaningful changeGI Support Protocol GI-04
  12. Day 63 Tolerance state changedUnstable → Improving
  13. Day 64 ME-01 recommendedMonitoring Escalation ME-01
  14. Day 65 Patient acceptedStarted ME-01 in the companion
  15. Day 68 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 50.

Primary contributors, last 14 days
  • GI instability-23
  • Nutritional resilience+12
  • Inflammatory activity-10
  • Treatment adherence-5

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
  • Supportive Compound SC-12Day 50
    Result: symptom burden −23%
  • GI Support Protocol GI-04Day 54
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 64
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Clinician Review CR-01
72%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 5 days

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

GI burden
Companion
43.8/100
stable · -0.2 vs previous 14 d
Toxicity
Blood
42/100
stable · -0.1 vs previous 14 d
Sleep quality
Wearable
30.4/100
stable · +0.1 vs previous 14 d
Energy level
Daily log
4/10
stable · -0.1 vs previous 14 d
Stress level
Daily log
5.9/10
stable · -0.1 vs previous 14 d
Steps
Wearable
3,294
improving · +473 vs previous 14 d
Adherence
Companion
45.8 %
stable · +1.4 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 39 from the failing basin, 48 from restoration.

Would help
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 60%
Would not help
  • GI-04 GI Support Protocol
    already tried, no meaningful change
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +4.9 next day on high-intake days · n 22
  • Keep histamine low
    GI +4.3 next day on high-intake days · n 20
  • Keep simple carbs low
    GI +3.4 next day on high-intake days · n 20
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.

  • Dietary fat load
    +4.9detractor · 95%
  • Histamine load
    +4.3detractor · 95%
  • Simple carbohydrates
    +3.4detractor · 95%
  • Alcohol
    +3.2detractor · 68%
  • Spicy / capsaicin
    -1.6no signal · 36%
  • Insoluble fibre
    +1.4no signal · 32%

Biological layers

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

Pathways under pressure
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 44/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 40
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • WearableSleep 5.9 h, below personal baseline
  • Autonomic recovery 40
    • Wearable3,294 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 25
    • BloodInflammatory load index 50
  • Drug metabolism and exposure 20
    • BloodToxicity index 42
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Rapid metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.5 · butyrate capacity 44/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
37 ms
Sleep
5.4 h
Steps
2,210
Resting HR
67 bpm
Daily log: GI score 44, nutritional resilience 48, 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
  • A 15-minute walk after lunch
  • 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-0160423%S0171
P-0138623%S1370
P-0135223%S2070
P-0175023%S1669
P-0169928%S04GI-04improved69
P-0150823%S1868
P-0150924%S1768
P-0187524%S1167
P-0181724%S1467
P-0187725%S01CR-01improved67
P-0162924%S1966
P-0171432%S14GI-04improved66