600 patients66,869 observations120 daysLIVE

Patient P-01486

Synthetic patientNBL-101 · Day 110 · 25–34 · M · baseline S18Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Stable
Inflammatory state
Stable
Nutritional resilience
Declining
Discontinuation risk
51%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S18
  2. Day 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 55 GI-04 recommendedGI Support Protocol GI-04
  4. Day 56 Patient acceptedStarted GI-04 in the companion
  5. Day 64 GI symptom burden −29% vs expectedGI Support Protocol GI-04
  6. Day 70 Tolerance state changedUnstable → Improving
  7. Day 71 ME-01 recommendedMonitoring Escalation ME-01
  8. Day 72 Patient acceptedStarted ME-01 in the companion
  9. Day 75 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 47.

Primary contributors, last 14 days
  • Nutritional resilience-6
  • Toxicity+2

What helped?

  • GI Support Protocol GI-04Day 55
    Result: symptom burden −29%
  • Monitoring Escalation ME-01Day 71
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
55%
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
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 43/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 50
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 47 and rising
  • Inflammatory signalling 50
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 51
  • Autonomic recovery 45
    • WearableResting HR 80 bpm
    • Wearable1,272 steps/day
  • Drug metabolism and exposure 20
    • BloodToxicity index 43
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.6 · butyrate capacity 43/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
41 ms
Sleep
7.3 h
Steps
1,380
Resting HR
79 bpm
Daily log: GI score 47, nutritional resilience 47, adherence 52.

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
  • 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-0136557%S14SC-12improved49
P-0155656%S14GI-04improved44
P-0157055%S14SC-12improved46
P-0160355%S14GI-04improved40
P-0156654%S09GI-04improved52
P-0155953%S06GI-04improved42
P-0145852%S14GI-04improved44
P-0147352%S14GI-04improved51
P-0130751%S14GI-04improved43
P-0150551%S14NP-02improved41
P-0163550%S02GI-04improved49
P-0171350%S04GI-04improved46