600 patients66,869 observations120 daysLIVE

Patient P-01572

Synthetic patientNBL-101 · Day 117 · 55–64 · M · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
87%

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 46 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 51 SC-12 recommendedSupportive Compound SC-12
  4. Day 52 Patient declinedNot now
  5. Day 54 GI-04 recommendedGI Support Protocol GI-04
  6. Day 55 Patient acceptedStarted GI-04 in the companion
  7. Day 63 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • Treatment adherence-9
  • GI instability-6
  • Toxicity+6
  • Nutritional resilience+4
  • Inflammatory activity+3

What helped?

  • Supportive Compound SC-12Day 51
    Declined by patient
  • GI Support Protocol GI-04Day 54
    Result: no meaningful change
LIFE OS recommendation
Dietary Support Protocol NP-02
57%
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
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 71
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 76 and rising
    • WearableSleep 5.2 h, below personal baseline
  • Butyrate / short-chain fatty acid production 45
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 75 bpm
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 56
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.1 · butyrate capacity 46/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
48 ms
Sleep
5.2 h
Steps
2,888
Resting HR
77 bpm
Daily log: GI score 76, nutritional resilience 32, adherence 39.

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-0146364%S14NP-02no change41
P-0189761%S14ME-01improved43
P-0184160%S1448
P-0158256%S14GI-04no change45
P-0172156%S1437
P-0176254%S14NP-02no change40
P-0161253%S14ME-01improved51
P-0172853%S14SC-12improved41
P-0173653%S03ME-01improved46
P-0183053%S1444
P-0177250%S20NP-02no change50
P-0153149%S14ME-01improved51