600 patients66,869 observations120 daysLIVE

Patient P-01570

Synthetic patientNBL-101 · Day 116 · 65–74 · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Deteriorating
Inflammatory state
Stable
Nutritional resilience
Unstable
Discontinuation risk
72%

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 31 NP-02 recommendedDietary Support Protocol NP-02
  3. Day 32 Patient acceptedStarted NP-02 in the companion
  4. Day 42 No meaningful changeDietary Support Protocol NP-02
  5. Day 48 SC-12 recommendedSupportive Compound SC-12
  6. Day 49 Patient acceptedStarted SC-12 in the companion
  7. Day 53 GI-04 recommendedGI Support Protocol GI-04
  8. Day 54 Patient acceptedStarted GI-04 in the companion
  9. Day 55 Trajectory diverged from predictionObserved response fell below the model's expected path.
  10. Day 55 GI symptom burden −25% vs expectedSupportive Compound SC-12
  11. Day 61 Tolerance state changedUnstable → Improving
  12. Day 62 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 55.

Primary contributors, last 14 days
  • Nutritional resilience-8
  • Treatment adherence-8
  • GI instability+6
  • Inflammatory activity+4
  • Toxicity+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
  • Supportive Compound SC-12Day 48
    Result: symptom burden −25%
  • GI Support Protocol GI-04Day 53
    Result: no meaningful change
LIFE OS recommendation
Monitoring Escalation ME-01
88%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 3 days

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 50 and rising
    • WearableSleep 5.7 h, below personal baseline
  • Autonomic recovery 65
    • WearableResting HR 74 bpm
    • Wearable1,981 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 44
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 23/100
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 51
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 1.9 · butyrate capacity 23/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
43 ms
Sleep
5.5 h
Steps
2,752
Resting HR
74 bpm
Daily log: GI score 50, nutritional resilience 38, adherence 50.

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-0155663%S14GI-04improved44
P-0147359%S14GI-04improved51
P-0133958%S14GI-04improved54
P-0143157%S14GI-04improved41
P-0143357%S14GI-04improved48
P-0161157%S14GI-04improved44
P-0136556%S14SC-12improved49
P-0160356%S14GI-04improved40
P-0130755%S14GI-04improved43
P-0148655%S18GI-04improved47
P-0149655%S14SC-12improved46
P-0145854%S14GI-04improved44