600 patients66,869 observations120 daysLIVE

Patient P-01570

Synthetic patientNBL-101 · Day 116 · 65–74 · M · baseline S14Steering view · 3DOpen 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

Daily trackers

Molecule settings

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

GI burden
Companion
50.3/100
stable · +0.7 vs previous 14 d
Toxicity
Blood
44.4/100
worsening · +1.9 vs previous 14 d
Sleep quality
Wearable
27.6/100
worsening · -4.0 vs previous 14 d
Energy level
Daily log
3.6/10
improving · +0.2 vs previous 14 d
Stress level
Daily log
6/10
stable · -0.0 vs previous 14 d
Steps
Wearable
1,981
worsening · -272 vs previous 14 d
Adherence
Companion
50.3 %
worsening · -5.5 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 33 from the failing basin, 54 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 76%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 76%
Would not help
  • GI-04 GI Support Protocol
    already tried, no meaningful change
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +3.1 next day on high-intake days · n 19
  • Keep histamine low
    GI +2.9 next day on high-intake days · n 19
  • Keep simple carbs low
    GI +2.4 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.

  • Dietary fat load
    +3.1detractor · 95%
  • Histamine load
    +2.9detractor · 95%
  • Simple carbohydrates
    +2.4detractor · 77%
  • Alcohol
    -1.2no signal · 41%
  • Spicy / capsaicin
    +1no signal · 33%
  • Insoluble fibre
    +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 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-0137723%S11AD-05no change42
P-0148323%S14AD-05no change35
P-0137133%S06CR-01improved63
P-0170833%S07CR-01improved59
P-0169632%S20CR-01improved59
P-0138830%S17CR-01improved59
P-0183530%S17CR-01improved56
P-0144229%S13CR-01improved61
P-0187728%S01CR-01improved67
P-0143024%S05CR-01improved54
P-0134223%S11DT-01improved48
P-0155663%S14GI-04improved44