600 patients66,869 observations120 daysLIVE

Patient P-01389

Synthetic patientNBL-101 · Day 116 · 65–74 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
65%

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 46 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 46 SC-12 recommendedSupportive Compound SC-12
  4. Day 47 Patient acceptedStarted SC-12 in the companion
  5. Day 50 GI-04 recommendedGI Support Protocol GI-04
  6. Day 51 Patient acceptedStarted GI-04 in the companion
  7. Day 53 GI symptom burden −18% vs expectedSupportive Compound SC-12
  8. Day 59 No meaningful changeGI Support Protocol GI-04
  9. Day 59 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • GI instability-16
  • Inflammatory activity-16
  • Treatment adherence+12
  • Nutritional resilience+3

What helped?

  • Supportive Compound SC-12Day 46
    Result: symptom burden −18%
  • GI Support Protocol GI-04Day 50
    Result: no meaningful change
LIFE OS recommendation
Dietary Support Protocol NP-02
53%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 66% showed improvement
  • median effect visible after 10 days

Daily trackers

Molecule settings

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

GI burden
Companion
47.9/100
improving · -5.5 vs previous 14 d
Toxicity
Blood
48.8/100
worsening · +9.1 vs previous 14 d
Sleep quality
Wearable
9.1/100
improving · +1.0 vs previous 14 d
Energy level
Daily log
2.1/10
worsening · -0.1 vs previous 14 d
Stress level
Daily log
5/10
stable · +0.0 vs previous 14 d
Steps
Wearable
549
worsening · -219 vs previous 14 d
Adherence
Companion
51.2 %
improving · +4.3 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 38 from the failing basin, 49 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 63%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 63%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 63%
Would not help
  • GI-04 GI Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +3.4 next day on high-intake days · n 22
  • Keep histamine low
    GI +3.1 next day on high-intake days · n 21
  • Keep fibre low
    GI +2.7 next day on high-intake days · n 12
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
    +3.4detractor · 95%
  • Histamine load
    +3.1detractor · 95%
  • Insoluble fibre
    +2.7detractor · 95%
  • Simple carbohydrates
    +2.4detractor · 91%
  • Spicy / capsaicin
    -0.8no signal · 24%
  • Alcohol
    +0.4no signal · 15%

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 48 and rising
    • WearableSleep 4.4 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 42/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 77 bpm
    • Wearable549 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 45
  • Drug metabolism and exposure 20
    • BloodToxicity index 49
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.6 · butyrate capacity 42/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
55 ms
Sleep
5.3 h
Steps
1,170
Resting HR
79 bpm
Daily log: GI score 48, nutritional resilience 40, adherence 51.

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-0160422%S0171
P-0138622%S1370
P-0135222%S2070
P-0175023%S1669
P-0169927%S04GI-04improved69
P-0150822%S1868
P-0150924%S1768
P-0187523%S1167
P-0181723%S1467
P-0187724%S01CR-01improved67
P-0151522%S1666
P-0162922%S1966