600 patients66,869 observations120 daysLIVE

Patient P-01573

Synthetic patientNBL-101 · Day 114 · 25–34 · M · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Deteriorating
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Stable
Discontinuation risk
67%

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 GI symptom burden −12% vs expectedDietary Support Protocol NP-02
  5. Day 43 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 48 Tolerance state changedUnstable → Improving
  7. Day 60 GI-04 recommendedGI Support Protocol GI-04
  8. Day 61 Patient acceptedStarted GI-04 in the companion
  9. Day 69 GI symptom burden −26% vs expectedGI Support Protocol GI-04
  10. Day 75 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 43.

Primary contributors, last 14 days
  • Toxicity+10
  • GI instability-7
  • Inflammatory activity-6
  • Nutritional resilience+4
  • Treatment adherence-4

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −12%
  • GI Support Protocol GI-04Day 60
    Result: symptom burden −26%
LIFE OS recommendation
Monitoring Escalation ME-01
76%
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 80
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 50 and rising
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 25/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 49
    • WearableHRV 20 ms, trending down
  • Drug metabolism and exposure 20
    • BloodToxicity index 47
  • Autonomic recovery 20
    • Wearable1,021 steps/day
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.9 · butyrate capacity 25/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
22 ms
Sleep
7.3 h
Steps
1,621
Resting HR
71 bpm
Daily log: GI score 50, nutritional resilience 43, adherence 46.

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-0187963%S14SC-12improved51
P-0136458%S14GI-04improved49
P-0146258%S14NP-02improved47
P-0140956%S14SC-12improved41
P-0149656%S14SC-12improved46
P-0166154%S03GI-04improved52
P-0177554%S14SC-12improved48
P-0162453%S14GI-04improved52
P-0187253%S14NP-02improved47
P-0133052%S14GI-04improved47
P-0133952%S14GI-04improved54
P-0139352%S14GI-04improved53