600 patients66,869 observations120 daysLIVE

Patient P-01412

Synthetic patientNBL-101 · Day 108 · 75+ · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
88%

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 −18% vs expectedDietary Support Protocol NP-02
  5. Day 48 Tolerance state changedUnstable → Improving
  6. Day 53 Trajectory diverged from predictionObserved response fell below the model's expected path.
  7. Day 56 GI-04 recommendedGI Support Protocol GI-04
  8. Day 57 Patient acceptedStarted GI-04 in the companion
  9. Day 65 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 53.

Primary contributors, last 14 days
  • GI instability+10
  • Inflammatory activity+6
  • Nutritional resilience-5
  • Toxicity+5
  • Treatment adherence+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −18%
  • GI Support Protocol GI-04Day 56
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
91%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 3 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 67 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 40/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 60
  • Autonomic recovery 25
    • WearableResting HR 74 bpm
  • Drug metabolism and exposure 20
    • BloodToxicity index 50
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 3 · butyrate capacity 40/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
49 ms
Sleep
6.8 h
Steps
6,322
Resting HR
73 bpm
Daily log: GI score 67, nutritional resilience 37, adherence 48.

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-0153151%S14ME-01improved51
P-0165651%S14ME-01improved41
P-0184351%S14SC-12no change45
P-0159850%S14GI-04no change45
P-0161250%S14ME-01improved51
P-0172850%S14SC-12improved41
P-0178150%S14NP-02improved45
P-0184250%S14NP-02improved55
P-0183448%S14NP-02improved44
P-0136047%S14GI-04improved52
P-0143647%S14GI-04improved38
P-0158147%S18GI-04improved51