600 patients66,869 observations120 daysLIVE

Patient P-01400

Synthetic patientNBL-101 · Day 117 · 55–64 · F · baseline S17Open companion preview
Therapy response
Stable
Tolerance
Favorable
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Improving
Discontinuation risk
48%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S17
  2. Day 45 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 54 SC-12 recommendedSupportive Compound SC-12
  4. Day 55 Patient acceptedStarted SC-12 in the companion
  5. Day 59 GI-04 recommendedGI Support Protocol GI-04
  6. Day 60 Patient acceptedStarted GI-04 in the companion
  7. Day 61 GI symptom burden −14% vs expectedSupportive Compound SC-12
  8. Day 67 Tolerance state changedUnstable → Improving
  9. Day 68 GI symptom burden −32% vs expectedGI Support Protocol GI-04
  10. Day 72 ME-01 recommendedMonitoring Escalation ME-01
  11. Day 73 Patient acceptedStarted ME-01 in the companion
  12. Day 74 Tolerance state changedUnstable → Improving
  13. Day 76 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 45.

Primary contributors, last 14 days
  • Nutritional resilience+4
  • Treatment adherence-4
  • Toxicity-4
  • GI instability-3

What helped?

  • Supportive Compound SC-12Day 54
    Result: symptom burden −14%
  • GI Support Protocol GI-04Day 59
    Result: symptom burden −32%
  • Monitoring Escalation ME-01Day 72
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
49%
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 46 and rising
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 45
    • WearableHRV 25 ms, trending down
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 41/100
    • Daily logFibre intake low in recent food logs
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.2 · butyrate capacity 41/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
24 ms
Sleep
6.8 h
Steps
6,833
Resting HR
71 bpm
Daily log: GI score 46, nutritional resilience 50, adherence 53.

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-0180425%S19AD-05improved61
P-0137724%S11AD-05no change42
P-0137132%S06CR-01improved63
P-0170832%S07CR-01improved59
P-0169631%S20CR-01improved59
P-0183531%S17CR-01improved56
P-0138830%S17CR-01improved59
P-0144230%S13CR-01improved61
P-0187728%S01CR-01improved67
P-0143027%S05CR-01improved54
P-0134224%S11DT-01improved48
P-0133652%S03GI-04improved51