600 patients66,869 observations120 daysLIVE

Patient P-01517

Synthetic patientNBL-101 · Day 119 · 25–34 · M · baseline S06Steering view · 3DOpen companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
84%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S06
  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 −10% vs expectedDietary Support Protocol NP-02
  5. Day 48 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 48 Tolerance state changedUnstable → Improving
  7. Day 57 GI-04 recommendedGI Support Protocol GI-04
  8. Day 58 Patient declinedNot now

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • GI instability-4
  • Nutritional resilience+4
  • Treatment adherence+3
  • Inflammatory activity+2
  • Toxicity+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −10%
  • GI Support Protocol GI-04Day 57
    Declined by patient
LIFE OS recommendation
GI Support Protocol GI-04
85%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 84% showed improvement
  • median effect visible after 8 days

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

GI burden
Companion
62.2/100
stable · -0.3 vs previous 14 d
Toxicity
Blood
52.4/100
stable · +1.1 vs previous 14 d
Sleep quality
Wearable
53.8/100
stable · +1.5 vs previous 14 d
Energy level
Daily log
3/10
stable · +0.0 vs previous 14 d
Stress level
Daily log
6.9/10
stable · +0.2 vs previous 14 d
Steps
Wearable
3,244
stable · -33 vs previous 14 d
Adherence
Companion
45 %
stable · +0.7 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 7 from the failing basin, 80 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 123 similar · onset 8 d · confidence 86%
  • ME-01 Monitoring Escalation
    100% improved among 78 similar · onset 3 d · confidence 70%
  • SC-12 Supportive Compound
    76% improved among 51 similar · onset 6 d · confidence 70%
Would not help
  • Keep histamine low
    GI +3.8 next day on high-intake days · n 17
  • Keep fat low
    GI +3.3 next day on high-intake days · n 20
  • Keep simple carbs low
    GI +2.7 next day on high-intake days · n 19
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.

  • Histamine load
    +3.8detractor · 95%
  • Dietary fat load
    +3.3detractor · 95%
  • Simple carbohydrates
    +2.7detractor · 89%
  • Spicy / capsaicin
    +2.6detractor · 87%
  • Insoluble fibre
    +2detractor · 61%
  • Alcohol
    +1.4no signal · 48%

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 62 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 43/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 65
  • Autonomic recovery 45
    • WearableResting HR 81 bpm
    • Wearable3,244 steps/day
  • Drug metabolism and exposure 20
    • BloodToxicity index 52
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.3 · butyrate capacity 43/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
37 ms
Sleep
7.2 h
Steps
3,679
Resting HR
79 bpm
Daily log: GI score 62, nutritional resilience 37, adherence 45.

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-0156445%S14ME-01improved39
P-0160544%S14ME-01improved41
P-0176544%S14SC-12improved31
P-0172843%S14SC-12improved41
P-0188743%S12ME-01improved43
P-0167542%S14NP-02improved38
P-0165641%S14ME-01improved41
P-0140239%S04GI-04improved37
P-0143639%S14GI-04improved38
P-0173639%S03ME-01improved46
P-0180139%S14SC-12improved42
P-0181039%S05NP-02improved43