600 patients66,869 observations120 daysLIVE

Patient P-01692

Synthetic patientNBL-101 · Day 115 · 35–44 · F · baseline S14Open companion preview
Therapy response
Improving
Tolerance
Improving
GI state
Unstable
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
91%

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 −21% vs expectedDietary Support Protocol NP-02
  5. Day 48 Tolerance state changedUnstable → Improving
  6. Day 50 Trajectory diverged from predictionObserved response fell below the model's expected path.
  7. Day 50 GI-04 recommendedGI Support Protocol GI-04
  8. Day 51 Patient declinedNot now
  9. Day 69 ME-01 recommendedMonitoring Escalation ME-01
  10. Day 70 Patient acceptedStarted ME-01 in the companion
  11. Day 73 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 50.

Primary contributors, last 14 days
  • Inflammatory activity-9
  • Nutritional resilience+8
  • Treatment adherence+5
  • Toxicity-4

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: symptom burden −21%
  • GI Support Protocol GI-04Day 50
    Declined by patient
  • Monitoring Escalation ME-01Day 69
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 83% showed improvement
  • median effect visible after 8 days

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 55
    • WearableHRV 23 ms, trending down
  • Autonomic recovery 65
    • WearableResting HR 75 bpm
    • Wearable1,907 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 64 and rising
    • WearableSleep 5.4 h, below personal baseline
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 30/100
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 20
    • BloodToxicity index 44
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.8 · butyrate capacity 30/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
23 ms
Sleep
6.0 h
Steps
2,604
Resting HR
74 bpm
Daily log: GI score 64, nutritional resilience 38, adherence 47.

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-0146265%S14NP-02improved47
P-0149664%S14SC-12improved46
P-0139360%S14GI-04improved53
P-0187259%S14NP-02improved47
P-0186558%S14NP-02no change51
P-0187956%S14SC-12improved51
P-0143355%S14GI-04improved48
P-0148254%S14GI-04improved47
P-0161454%S14GI-04improved53
P-0136453%S14GI-04improved49
P-0140653%S18GI-04improved50
P-0133252%S14NP-02improved43