600 patients66,869 observations120 daysLIVE

Patient P-01635

Synthetic patientNBL-101 · Day 112 · 35–44 · M · baseline S02Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Deteriorating
GI state
Stable
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 S02
  2. Day 46 SC-12 recommendedSupportive Compound SC-12
  3. Day 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  4. Day 47 Patient acceptedStarted SC-12 in the companion
  5. Day 53 GI symptom burden −13% vs expectedSupportive Compound SC-12
  6. Day 54 GI-04 recommendedGI Support Protocol GI-04
  7. Day 55 Patient acceptedStarted GI-04 in the companion
  8. Day 59 Tolerance state changedUnstable → Improving
  9. Day 63 GI symptom burden −28% vs expectedGI Support Protocol GI-04
  10. Day 69 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 47.

Primary contributors, last 14 days
  • Toxicity+7
  • Nutritional resilience-6
  • Inflammatory activity-4
  • GI instability+2

What helped?

  • Supportive Compound SC-12Day 46
    Result: symptom burden −13%
  • GI Support Protocol GI-04Day 54
    Result: symptom burden −28%
LIFE OS recommendation
Dietary Support Protocol NP-02
55%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 66% 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
44.7/100
stable · -0.4 vs previous 14 d
Toxicity
Blood
50.5/100
worsening · +2.4 vs previous 14 d
Sleep quality
Wearable
16.7/100
stable · -0.2 vs previous 14 d
Energy level
Daily log
3.2/10
worsening · -0.3 vs previous 14 d
Stress level
Daily log
5.6/10
stable · +0.2 vs previous 14 d
Steps
Wearable
1,379
worsening · -469 vs previous 14 d
Adherence
Companion
50.2 %
worsening · -3.6 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 41 from the failing basin, 46 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 65%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 65%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 65%
Would not help
  • Keep spicy low
    GI +2.7 next day on high-intake days · n 17
  • Keep fat low
    GI +2.6 next day on high-intake days · n 18
  • Keep simple carbs low
    GI +2.4 next day on high-intake days · n 15
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.

  • Spicy / capsaicin
    +2.7detractor · 70%
  • Dietary fat load
    +2.6detractor · 73%
  • Simple carbohydrates
    +2.4detractor · 72%
  • Insoluble fibre
    +1.4no signal · 40%
  • Histamine load
    +0.5no signal · 15%
  • Alcohol
    -0.1no signal · 15%

Biological layers

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

Pathways under pressure
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 45
    • WearableHRV 36 ms, trending down
  • Autonomic recovery 65
    • WearableResting HR 81 bpm
    • Wearable1,379 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 40
    • MicrobiomeAkkermansia low → thinner mucus layer
    • WearableSleep 5.3 h, below personal baseline
  • Butyrate / short-chain fatty acid production 20
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 20
    • BloodToxicity index 51
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.6 · butyrate capacity 47/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
32 ms
Sleep
5.9 h
Steps
1,546
Resting HR
82 bpm
Daily log: GI score 45, nutritional resilience 43, 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-0160425%S0171
P-0138624%S1370
P-0135225%S2070
P-0175025%S1669
P-0169931%S04GI-04improved69
P-0150824%S1868
P-0150926%S1768
P-0181725%S1467
P-0187728%S01CR-01improved67
P-0151524%S1666
P-0162925%S1966
P-0171435%S14GI-04improved66