Patient P-01486
Synthetic patientNBL-101 · Day 110 · 25–34 · M · baseline S18Steering view · 3DOpen 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 eventssolid = observed · dashed = predicted
- Day 0 NBL-101 started — Baseline state S18
- Day 47 Trajectory diverged from prediction — Observed response fell below the model's expected path.
- Day 55 GI-04 recommended — GI Support Protocol GI-04
- Day 56 Patient accepted — Started GI-04 in the companion
- Day 64 GI symptom burden −29% vs expected — GI Support Protocol GI-04
- Day 70 Tolerance state changed — Unstable → Improving
- Day 71 ME-01 recommended — Monitoring Escalation ME-01
- Day 72 Patient accepted — Started ME-01 in the companion
- Day 75 Deterioration detected before clinical escalation — Monitoring 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 55Result: symptom burden −29%
- Monitoring Escalation ME-01Day 71Result: 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
Daily trackers
Molecule settingsThe trackers this program marks as important, last 14 days vs the 14 before.
GI burden
Companion46.6/100
improving · -2.5 vs previous 14 d
Toxicity
Blood42.8/100
worsening · +4.2 vs previous 14 d
Sleep quality
Wearable37.8/100
stable · -1.2 vs previous 14 d
Energy level
Daily log3.8/10
worsening · -0.2 vs previous 14 d
Stress level
Daily log6.4/10
worsening · +0.4 vs previous 14 d
Steps
Wearable1,272
improving · +106 vs previous 14 d
Adherence
Companion52.3 %
worsening · -2.6 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →Heading towards failing · 36 from the failing basin, 51 from restoration.
Would help
Would not help
- Keep fat lowGI +5 next day on high-intake days · n 25
- Keep histamine lowGI +4.8 next day on high-intake days · n 18
- Keep simple carbs lowGI +3.9 next day on high-intake days · n 21
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.
- Dietary fat load+5detractor · 95%
- Histamine load+4.8detractor · 95%
- Simple carbohydrates+3.9detractor · 95%
- Spicy / capsaicin+3detractor · 80%
- Alcohol+1.3no signal · 31%
- Insoluble fibre+0.1no signal · 15%
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/CHigher inflammatory tone
- CYP2D6 Normal metabolizerExpected 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.
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.
| Patient | Similarity | Baseline | Intervention | Outcome | Response today |
|---|---|---|---|---|---|
| P-01327 | 47% | S01 | GI-04 | improved | 56 |
| P-01688 | 44% | S01 | GI-04 | improved | 40 |
| P-01813 | 36% | S01 | NP-02 | no change | 40 |
| P-01310 | 32% | S01 | — | — | 57 |
| P-01821 | 25% | S01 | — | — | 58 |
| P-01877 | 25% | S01 | CR-01 | improved | 67 |
| P-01823 | 24% | S01 | — | — | 57 |
| P-01846 | 24% | S01 | — | — | 37 |
| P-01635 | 50% | S02 | GI-04 | improved | 49 |
| P-01452 | 38% | S02 | GI-04 | improved | 46 |
| P-01459 | 32% | S02 | — | — | 51 |
| P-01498 | 25% | S02 | — | — | 56 |