600 patients66,869 observations120 daysLIVE

Patient P-01705

Synthetic patientNBL-101 · Day 104 · 65–74 · M · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Deteriorating
Inflammatory state
Deteriorating
Nutritional resilience
Unstable
Discontinuation risk
93%

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 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 49 SC-12 recommendedSupportive Compound SC-12
  4. Day 50 GI-04 recommendedGI Support Protocol GI-04
  5. Day 50 Patient declinedNot now
  6. Day 51 Patient acceptedStarted GI-04 in the companion
  7. Day 59 GI symptom burden −39% vs expectedGI Support Protocol GI-04
  8. Day 65 Tolerance state changedUnstable → Improving
  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 47.

Primary contributors, last 14 days
  • GI instability+22
  • Nutritional resilience-16
  • Inflammatory activity+14
  • Treatment adherence-3
  • Toxicity+3

What helped?

  • Supportive Compound SC-12Day 49
    Declined by patient
  • GI Support Protocol GI-04Day 50
    Result: symptom burden −39%
  • Monitoring Escalation ME-01Day 69
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dietary Support Protocol NP-02
61%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 66% showed improvement
  • median effect visible after 10 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 54
    • WearableHRV 20 ms, trending down
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 25/100
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 54 and rising
  • Autonomic recovery 25
    • WearableResting HR 81 bpm
  • Drug metabolism and exposure 20
    • BloodToxicity index 43
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 3 · butyrate capacity 25/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
24 ms
Sleep
6.8 h
Steps
7,406
Resting HR
80 bpm
Daily log: GI score 54, nutritional resilience 39, adherence 48.

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
  • 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
  • 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-0180423%S19AD-05improved61
P-0148322%S14AD-05no change35
P-0167922%S12AD-05no change39
P-0135022%S19BR-03no change34
P-0168922%S13BR-03no change50
P-0169632%S20CR-01improved59
P-0183532%S17CR-01improved56
P-0144231%S13CR-01improved61
P-0137130%S06CR-01improved63
P-0138830%S17CR-01improved59
P-0170829%S07CR-01improved59
P-0187728%S01CR-01improved67