600 patients66,869 observations120 daysLIVE

Patient P-01405

Synthetic patientNBL-101 · Day 118 · 65–74 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Declining
Tolerance
Deteriorating
GI state
Favorable
Inflammatory state
Favorable
Nutritional resilience
Stable
Discontinuation risk
44%

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 −20% vs expectedDietary Support Protocol NP-02
  5. Day 44 SC-12 recommendedSupportive Compound SC-12
  6. Day 45 Patient acceptedStarted SC-12 in the companion
  7. Day 48 Tolerance state changedUnstable → Improving
  8. Day 51 Trajectory diverged from predictionObserved response fell below the model's expected path.
  9. Day 51 GI symptom burden −23% vs expectedSupportive Compound SC-12
  10. Day 57 Tolerance state changedUnstable → Improving
  11. Day 60 GI-04 recommendedGI Support Protocol GI-04
  12. Day 61 Patient acceptedStarted GI-04 in the companion
  13. Day 69 GI symptom burden −22% vs expectedGI Support Protocol GI-04
  14. Day 75 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 51.

Primary contributors, last 14 days
  • Treatment adherence+9
  • Toxicity+5
  • GI instability-3

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −20%
  • Supportive Compound SC-12Day 44
    Result: symptom burden −23%
  • GI Support Protocol GI-04Day 60
    Result: symptom burden −22%
LIFE OS recommendation
Behavioural Recommendation BR-03
30%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 20% showed improvement
  • median effect visible after 7 days

Daily trackers

Molecule settings

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

GI burden
Companion
32.5/100
stable · -0.6 vs previous 14 d
Toxicity
Blood
28/100
improving · -3.3 vs previous 14 d
Sleep quality
Wearable
41/100
stable · -1.6 vs previous 14 d
Energy level
Daily log
5.1/10
stable · +0.1 vs previous 14 d
Stress level
Daily log
4.1/10
stable · -0.1 vs previous 14 d
Steps
Wearable
9,714
stable · -177 vs previous 14 d
Adherence
Companion
63.8 %
stable · +1.5 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 54 from the failing basin, 39 from restoration.

Would help
  • No untried action with strong evidence. Compose one from primitives.
Would not help
  • Keep fibre low
    GI +2 next day on high-intake days · n 18
  • Keep fat low
    GI +1.8 next day on high-intake days · n 18
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.

  • Insoluble fibre
    +2detractor · 76%
  • Dietary fat load
    +1.8detractor · 66%
  • Histamine load
    +1.2no signal · 39%
  • Simple carbohydrates
    +1.2no signal · 53%
  • Spicy / capsaicin
    +0.7no signal · 33%
  • Alcohol
    -0.6no signal · 19%

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Butyrate / short-chain fatty acid production 60
    • MicrobiomeButyrate capacity 34/100
    • MicrobiomeF. prausnitzii depleted
  • Autonomic recovery 45
    • WearableResting HR 73 bpm
    • WearableShort sleep window
  • Inflammatory signalling 20
    • MicrobiomeBacteroides fragilis expansion
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 2.4 · butyrate capacity 34/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
61 ms
Sleep
6.6 h
Steps
9,022
Resting HR
72 bpm
Daily log: GI score 33, nutritional resilience 56, adherence 64.

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
  • 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
  • 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-0160427%S0171
P-0138628%S1370
P-0135227%S2070
P-0175030%S1669
P-0150827%S1868
P-0175429%S1468
P-0150929%S1768
P-0187530%S1167
P-0181730%S1467
P-0151529%S1666
P-0141828%S0466
P-0171437%S14GI-04improved66