600 patients66,869 observations120 daysLIVE

Patient P-01574

Synthetic patientNBL-101 · Day 110 · 75+ · F · baseline S14Open companion preview
Therapy response
Stable
Tolerance
Improving
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Stable
Discontinuation risk
51%

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 −19% vs expectedDietary Support Protocol NP-02
  5. Day 48 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 48 Tolerance state changedUnstable → Improving
  7. Day 57 GI-04 recommendedGI Support Protocol GI-04
  8. Day 58 Patient acceptedStarted GI-04 in the companion
  9. Day 66 GI symptom burden −32% vs expectedGI Support Protocol GI-04
  10. Day 72 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • Inflammatory activity-11
  • Toxicity-8
  • GI instability-4

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −19%
  • GI Support Protocol GI-04Day 57
    Result: symptom burden −32%
LIFE OS recommendation
Monitoring Escalation ME-01
68%
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 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Butyrate / short-chain fatty acid production 60
    • MicrobiomeButyrate capacity 24/100
    • MicrobiomeF. prausnitzii depleted
  • Drug metabolism and exposure 40
    • DNACYP2D6 poor metabolizer → higher exposure
  • Inflammatory signalling 35
    • MicrobiomeBacteroides fragilis expansion
    • WearableHRV 29 ms, trending down
  • Autonomic recovery 25
    • WearableResting HR 74 bpm
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 2.3 · butyrate capacity 24/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
31 ms
Sleep
6.4 h
Steps
6,976
Resting HR
75 bpm
Daily log: GI score 36, nutritional resilience 53, adherence 53.

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
  • Keep meals regular; three to four moderate portions spaced through the day
  • Include a cooked vegetable portion with each main meal
  • 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
  • Log the daily check-in; one line is enough
  • Keep the current walking rhythm
  • 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
  • No additional supplements this week
  • Fictional demo item: continue vitamin D as before

284 biologically similar trajectories

Black: this patient. Green: similar patients whose intervention worked. Orange: similar patients where it did not.

PatientSimilarityBaselineInterventionOutcomeResponse today
P-0148328%S14AD-05no change35
P-0180428%S19AD-05improved61
P-0137727%S11AD-05no change42
P-0154126%S09AD-05no change43
P-0167926%S12AD-05no change39
P-0135027%S19BR-03no change34
P-0168926%S13BR-03no change50
P-0137130%S06CR-01improved63
P-0143030%S05CR-01improved54
P-0144230%S13CR-01improved61
P-0169630%S20CR-01improved59
P-0170827%S07CR-01improved59