600 patients66,869 observations120 daysLIVE

Patient P-01410

Synthetic patientNBL-101 · Day 93 · 35–44 · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
74%

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 61 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • Toxicity+13
  • Nutritional resilience-6
  • Inflammatory activity+4
  • GI instability-3

What helped?

  • GI Support Protocol GI-04Day 52
    Result: no meaningful change
LIFE OS recommendation
Dietary Support Protocol NP-02
61%
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
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 61
    • WearableHRV 32 ms, trending down
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 60 and rising
    • WearableSleep 4.9 h, below personal baseline
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 32/100
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 40
    • Wearable2,120 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 54
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.7 · butyrate capacity 32/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
32 ms
Sleep
5.5 h
Steps
3,392
Resting HR
71 bpm
Daily log: GI score 60, nutritional resilience 32, adherence 49.

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-0189618%S0775
P-0181918%S1372
P-0160418%S0171
P-0138618%S1370
P-0135218%S2070
P-0175018%S1669
P-0169924%S04GI-04improved69
P-0150819%S1868
P-0175418%S1468
P-0150919%S1768
P-0187518%S1167
P-0181718%S1467