600 patients66,869 observations120 daysLIVE

Patient P-01534

Synthetic patientNBL-101 · Day 108 · 75+ · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Stable
Inflammatory state
Improving
Nutritional resilience
Stable
Discontinuation risk
55%

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 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 49 SC-12 recommendedSupportive Compound SC-12
  4. Day 50 Patient acceptedStarted SC-12 in the companion
  5. Day 56 GI symptom burden −19% vs expectedSupportive Compound SC-12
  6. Day 57 GI-04 recommendedGI Support Protocol GI-04
  7. Day 58 Patient acceptedStarted GI-04 in the companion
  8. Day 62 Tolerance state changedUnstable → Improving
  9. Day 66 GI symptom burden −22% vs expectedGI Support Protocol GI-04
  10. Day 72 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 47.

Primary contributors, last 14 days
  • Inflammatory activity-13
  • Toxicity-12
  • Treatment adherence+4

What helped?

  • Supportive Compound SC-12Day 49
    Result: symptom burden −19%
  • GI Support Protocol GI-04Day 57
    Result: symptom burden −22%
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 settings

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

GI burden
Companion
46.5/100
improving · -4.6 vs previous 14 d
Toxicity
Blood
27/100
improving · -8.4 vs previous 14 d
Sleep quality
Wearable
31.9/100
improving · +1.8 vs previous 14 d
Energy level
Daily log
3.3/10
improving · +0.4 vs previous 14 d
Stress level
Daily log
5.9/10
improving · -0.5 vs previous 14 d
Steps
Wearable
3,503
improving · +226 vs previous 14 d
Adherence
Companion
55.4 %
stable · -0.6 vs previous 14 d
This trajectory is doing well — what to keep, what to watch
Steering view →

Heading towards restoration · 46 from the failing basin, 43 from restoration.

Good elements to keep
  • GI Support Protocol GI-04
    intervention · steering +33.8
  • Supportive Compound SC-12
    intervention · steering +31.9
  • Daily walks resumed
    perturbation · steering +3.3
Main detractors to watch
  • Low butyrate capacity
    hidden · steering -17.5
  • FUT2 non-secretor
    hidden · steering -10.6
  • Bacteroides fragilis elevated
    hidden · steering -7.4
  • Histamine load
    perturbation · steering -7.4
  • Histamine load
    detractor · GI +4 next day
  • Dietary fat load
    detractor · GI +3.8 next day
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
    +4detractor · 95%
  • Dietary fat load
    +3.8detractor · 95%
  • Insoluble fibre
    +1.6no signal · 41%
  • Alcohol
    -1no signal · 28%
  • Simple carbohydrates
    -0.4no signal · 15%
  • Spicy / capsaicin
    +0.4no signal · 15%

Biological layers

Which pathways look influenced, and by which layer of this person's biology.

Pathways under pressure
  • Mucosal barrier integrity 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 47 and rising
    • WearableSleep 6.1 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 36/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 75 bpm
    • Wearable3,503 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 35
    • MicrobiomeBacteroides fragilis expansion
    • WearableHRV 29 ms, trending down
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 3.1 · butyrate capacity 36/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
27 ms
Sleep
5.7 h
Steps
3,266
Resting HR
76 bpm
Daily log: GI score 47, nutritional resilience 43, adherence 55.

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
  • 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-0160426%S0171
P-0138625%S1370
P-0175026%S1669
P-0169930%S04GI-04improved69
P-0150826%S1868
P-0175425%S1468
P-0150926%S1768
P-0187526%S1167
P-0181727%S1467
P-0187728%S01CR-01improved67
P-0162928%S1966
P-0171434%S14GI-04improved66