600 patients66,869 observations120 daysLIVE

Patient P-01403

Synthetic patientNBL-101 · Day 98 · 55–64 · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Deteriorating
Inflammatory state
Deteriorating
Nutritional resilience
Stable
Discontinuation risk
73%

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 52 GI-04 recommendedGI Support Protocol GI-04
  4. Day 53 Patient acceptedStarted GI-04 in the companion
  5. Day 54 SC-12 recommendedSupportive Compound SC-12
  6. Day 55 Patient acceptedStarted SC-12 in the companion
  7. Day 61 GI symptom burden −18% vs expectedGI Support Protocol GI-04
  8. Day 61 GI symptom burden −18% vs expectedSupportive Compound SC-12
  9. Day 67 Tolerance state changedUnstable → Improving
  10. Day 67 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • Treatment adherence-11
  • Inflammatory activity+8
  • GI instability+6

What helped?

  • GI Support Protocol GI-04Day 52
    Result: symptom burden −18%
  • Supportive Compound SC-12Day 54
    Result: symptom burden −18%
LIFE OS recommendation
Dietary Support Protocol NP-02
59%
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 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 46 and rising
    • WearableSleep 6.1 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 33/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 40
    • Wearable3,641 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 25
    • BloodInflammatory load index 55
  • Drug metabolism and exposure 20
    • BloodToxicity index 48
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 2.5 · butyrate capacity 33/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
54 ms
Sleep
5.7 h
Steps
3,094
Resting HR
64 bpm
Daily log: GI score 46, nutritional resilience 46, adherence 43.

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-0137722%S11AD-05no change42
P-0148322%S14AD-05no change35
P-0168923%S13BR-03no change50
P-0137130%S06CR-01improved63
P-0170830%S07CR-01improved59
P-0169628%S20CR-01improved59
P-0144227%S13CR-01improved61
P-0138826%S17CR-01improved59
P-0183526%S17CR-01improved56
P-0187724%S01CR-01improved67
P-0143023%S05CR-01improved54
P-0176723%S14DT-01no change63