600 patients66,869 observations120 daysLIVE

Patient P-01675

Synthetic patientNBL-101 · Day 109 · 65–74 · F · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Stable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
73%

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 −25% vs expectedDietary Support Protocol NP-02
  5. Day 48 Tolerance state changedUnstable → Improving
  6. Day 52 Trajectory diverged from predictionObserved response fell below the model's expected path.
  7. Day 54 GI-04 recommendedGI Support Protocol GI-04
  8. Day 55 Patient acceptedStarted GI-04 in the companion
  9. Day 63 No meaningful changeGI Support Protocol GI-04
  10. Day 63 ME-01 recommendedMonitoring Escalation ME-01
  11. Day 64 Patient acceptedStarted ME-01 in the companion
  12. Day 67 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 52.

Primary contributors, last 14 days
  • Treatment adherence-9
  • Inflammatory activity+6
  • GI instability+2
  • Toxicity+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −25%
  • GI Support Protocol GI-04Day 54
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 63
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Supportive Compound SC-12
67%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 81% showed improvement
  • median effect visible after 6 days

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 56 and rising
  • Autonomic recovery 45
    • WearableResting HR 81 bpm
    • WearableShort sleep window
  • Inflammatory signalling 25
    • BloodInflammatory load index 58
  • Butyrate / short-chain fatty acid production 20
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 20
    • BloodToxicity index 46
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Intermediate metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 2.8 · butyrate capacity 45/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
57 ms
Sleep
6.2 h
Steps
6,241
Resting HR
80 bpm
Daily log: GI score 56, nutritional resilience 41, adherence 45.

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
  • 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
  • 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-0189161%S14SC-12improved41
P-0149460%S14GI-04improved42
P-0141357%S14GI-04improved44
P-0159857%S14GI-04no change45
P-0143651%S14GI-04improved38
P-0183451%S14NP-02improved44
P-0132850%S14SC-12no change49
P-0153950%S14GI-04improved43
P-0173250%S14ME-01improved45
P-0178250%S14NP-02no change48
P-0130749%S14GI-04improved43
P-0138949%S14SC-12improved46