600 patients66,869 observations120 daysLIVE

Patient P-01488

Synthetic patientNBL-101 · Day 98 · 35–44 · F · baseline S12Open companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Improving
Inflammatory state
Stable
Nutritional resilience
Unstable
Discontinuation risk
52%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S12
  2. Day 48 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 59 GI-04 recommendedGI Support Protocol GI-04
  4. Day 60 Patient acceptedStarted GI-04 in the companion
  5. Day 68 GI symptom burden −18% vs expectedGI Support Protocol GI-04
  6. Day 69 ME-01 recommendedMonitoring Escalation ME-01
  7. Day 70 Patient acceptedStarted ME-01 in the companion
  8. Day 73 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  9. Day 74 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • GI instability-12
  • Inflammatory activity-4
  • Nutritional resilience+4

What helped?

  • GI Support Protocol GI-04Day 59
    Result: symptom burden −18%
  • Monitoring Escalation ME-01Day 69
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
56%
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
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 33/100
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 82 bpm
    • WearableShort sleep window
  • Inflammatory signalling 25
    • BloodInflammatory load index 52
  • Drug metabolism and exposure 20
    • BloodToxicity index 52
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.9 · butyrate capacity 33/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
54 ms
Sleep
5.8 h
Steps
4,213
Resting HR
83 bpm
Daily log: GI score 42, nutritional resilience 40, adherence 53.

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
  • 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-0149448%S14GI-04improved42
P-0189148%S14SC-12improved41
P-0140347%S14GI-04improved49
P-0154747%S13GI-04improved50
P-0136044%S14GI-04improved52
P-0141344%S14GI-04improved44
P-0142343%S19GI-04improved44
P-0145243%S02GI-04improved46
P-0167543%S14NP-02improved38
P-0178243%S14NP-02no change48
P-0138942%S14SC-12improved46
P-0153942%S14GI-04improved43