600 patients66,869 observations120 daysLIVE

Patient P-01383

Synthetic patientNBL-101 · Day 117 · 35–44 · F · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Deteriorating
GI state
Deteriorating
Inflammatory state
Deteriorating
Nutritional resilience
Declining
Discontinuation risk
64%

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 −28% vs expectedDietary Support Protocol NP-02
  5. Day 46 SC-12 recommendedSupportive Compound SC-12
  6. Day 47 Patient acceptedStarted SC-12 in the companion
  7. Day 48 Tolerance state changedUnstable → Improving
  8. Day 53 GI symptom burden −21% vs expectedSupportive Compound SC-12
  9. Day 54 GI-04 recommendedGI Support Protocol GI-04
  10. Day 55 Patient acceptedStarted GI-04 in the companion
  11. Day 58 ME-01 recommendedMonitoring Escalation ME-01
  12. Day 59 Tolerance state changedUnstable → Improving
  13. Day 59 Patient acceptedStarted ME-01 in the companion
  14. Day 62 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  15. Day 63 GI symptom burden −23% vs expectedGI Support Protocol GI-04
  16. Day 69 Tolerance state changedUnstable → Improving
  17. Day 112 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 112.

Primary contributors, last 14 days
  • Nutritional resilience-12
  • GI instability+10
  • Toxicity+9
  • Inflammatory activity+8
  • Treatment adherence+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −28%
  • Supportive Compound SC-12Day 46
    Result: symptom burden −21%
  • GI Support Protocol GI-04Day 54
    Result: symptom burden −23%
  • Monitoring Escalation ME-01Day 58
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Clinician Review CR-01
81%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 5 days

Biological layers

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

Pathways under pressure
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 41
  • Butyrate / short-chain fatty acid production 60
    • MicrobiomeButyrate capacity 25/100
    • MicrobiomeF. prausnitzii depleted
  • Autonomic recovery 25
    • WearableResting HR 79 bpm
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.9 · butyrate capacity 25/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
50 ms
Sleep
6.7 h
Steps
3,406
Resting HR
79 bpm
Daily log: GI score 39, nutritional resilience 52, adherence 62.

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
  • Keep meals regular; three to four moderate portions spaced through the day
  • Include a cooked vegetable portion with each main meal
  • 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
  • Log the daily check-in; one line is enough
  • A 15-minute walk after lunch
  • 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
  • No additional supplements this week
  • Fictional demo item: continue vitamin D as before

284 biologically similar trajectories

Black: this patient. Green: similar patients whose intervention worked. Orange: similar patients where it did not.

PatientSimilarityBaselineInterventionOutcomeResponse today
P-0168840%S01GI-04improved40
P-0132731%S01GI-04improved56
P-0184631%S0137
P-0182330%S0157
P-0131029%S0157
P-0173129%S01ME-01improved32
P-0181629%S0135
P-0160428%S0171
P-0182128%S0158
P-0131327%S01BR-03improved32
P-0163541%S02GI-04improved49
P-0145233%S02GI-04improved46