600 patients66,869 observations120 daysLIVE

Patient P-01376

Synthetic patientNBL-101 · Day 95 · 55–64 · M · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Improving
GI state
Deteriorating
Inflammatory state
Stable
Nutritional resilience
Stable
Discontinuation risk
70%

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 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 55 GI-04 recommendedGI Support Protocol GI-04
  4. Day 56 Patient acceptedStarted GI-04 in the companion
  5. Day 64 GI symptom burden −39% vs expectedGI Support Protocol GI-04
  6. Day 70 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 45.

Primary contributors, last 14 days
  • Toxicity-10
  • GI instability+8
  • Treatment adherence-3

What helped?

  • GI Support Protocol GI-04Day 55
    Result: symptom burden −39%
LIFE OS recommendation
Dietary Support Protocol NP-02
58%
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 55
    • MicrobiomeButyrate capacity 41/100
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 43
  • Autonomic recovery 45
    • WearableResting HR 73 bpm
    • WearableShort sleep window
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 41/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
41 ms
Sleep
6.3 h
Steps
7,105
Resting HR
74 bpm
Daily log: GI score 53, nutritional resilience 46, adherence 50.

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-0133751%S14GI-04improved53
P-0140345%S14GI-04improved49
P-0145845%S14GI-04improved44
P-0161445%S14GI-04improved53
P-0166745%S10GI-04improved49
P-0178245%S14NP-02no change48
P-0133944%S14GI-04improved54
P-0174644%S14NP-02improved47
P-0177744%S14SC-12improved43
P-0132743%S01GI-04improved56
P-0149443%S14GI-04improved42
P-0153443%S14GI-04improved50