600 patients66,869 observations120 daysLIVE

Patient P-01632

Synthetic patientNBL-101 · Day 114 · 75+ · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Unstable
Tolerance
Favorable
GI state
Favorable
Inflammatory state
Stable
Nutritional resilience
Declining
Discontinuation risk
56%

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 48 SC-12 recommendedSupportive Compound SC-12
  4. Day 49 Patient acceptedStarted SC-12 in the companion
  5. Day 55 GI symptom burden −12% vs expectedSupportive Compound SC-12
  6. Day 58 GI-04 recommendedGI Support Protocol GI-04
  7. Day 58 ME-01 recommendedMonitoring Escalation ME-01
  8. Day 59 Patient acceptedStarted GI-04 in the companion
  9. Day 59 Patient acceptedStarted ME-01 in the companion
  10. Day 61 Tolerance state changedUnstable → Improving
  11. Day 62 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  12. Day 67 GI symptom burden −27% vs expectedGI Support Protocol GI-04
  13. Day 73 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • Nutritional resilience-8
  • GI instability+3
  • Treatment adherence+3
  • Toxicity-3

What helped?

  • Supportive Compound SC-12Day 48
    Result: symptom burden −12%
  • GI Support Protocol GI-04Day 58
    Result: symptom burden −27%
  • Monitoring Escalation ME-01Day 58
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
59%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 75% showed improvement
  • median effect visible after 10 days

Daily trackers

Molecule settings

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

GI burden
Companion
35/100
improving · -4.4 vs previous 14 d
Toxicity
Blood
39/100
stable · -1.0 vs previous 14 d
Sleep quality
Wearable
40.4/100
stable · -0.2 vs previous 14 d
Energy level
Daily log
3.6/10
stable · -0.1 vs previous 14 d
Stress level
Daily log
4.4/10
stable · -0.1 vs previous 14 d
Steps
Wearable
7,382
stable · -28 vs previous 14 d
Adherence
Companion
54.4 %
improving · +3.3 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 43 from the failing basin, 50 from restoration.

Would help
  • NP-02 Dietary Support Protocol
    67% improved among 60 similar · onset 10 d · confidence 62%
  • CR-01 Clinician Review
    100% improved among 6 similar · onset 5 d · confidence 62%
Would not help
  • Keep fat low
    GI +4.1 next day on high-intake days · n 20
  • Keep histamine low
    GI +3.5 next day on high-intake days · n 18
  • Keep simple carbs low
    GI +2.8 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
    +4.1detractor · 95%
  • Histamine load
    +3.5detractor · 95%
  • Simple carbohydrates
    +2.8detractor · 95%
  • Spicy / capsaicin
    +1.8detractor · 58%
  • Alcohol
    -0.9no signal · 26%
  • Insoluble fibre
    -0.1no signal · 15%

Biological layers

Which pathways look influenced, and by which layer of this person's biology.

Pathways under pressure
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 29/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Inflammatory signalling 50
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 42
  • Autonomic recovery 45
    • WearableResting HR 80 bpm
    • WearableShort sleep window
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.1 · butyrate capacity 29/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
59 ms
Sleep
6.9 h
Steps
6,404
Resting HR
80 bpm
Daily log: GI score 35, nutritional resilience 45, adherence 54.

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
  • 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
  • No additional supplements this week
  • 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-0167850%S14GI-04improved44
P-0135648%S14GI-04improved42
P-0140546%S14SC-12improved44
P-0138344%S14NP-02improved40
P-0145844%S14GI-04improved44
P-0156844%S14GI-04improved40
P-0161744%S14SC-12improved50
P-0171344%S04GI-04improved46
P-0130743%S14GI-04improved43
P-0174643%S14NP-02improved47
P-0143242%S14GI-04improved46
P-0155942%S06GI-04improved42