600 patients66,869 observations120 daysLIVE

Patient P-01709

Synthetic patientNBL-101 · Day 113 · 35–44 · F · baseline S14Open companion preview
Therapy response
Declining
Tolerance
Improving
GI state
Stable
Inflammatory state
Improving
Nutritional resilience
Declining
Discontinuation risk
64%

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 No meaningful changeDietary Support Protocol NP-02
  5. Day 44 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 58 ME-01 recommendedMonitoring Escalation ME-01
  7. Day 59 GI-04 recommendedGI Support Protocol GI-04
  8. Day 59 Patient acceptedStarted ME-01 in the companion
  9. Day 60 Patient acceptedStarted GI-04 in the companion
  10. Day 62 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  11. Day 68 GI symptom burden −19% vs expectedGI Support Protocol GI-04
  12. Day 74 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 44.

Primary contributors, last 14 days
  • Nutritional resilience-7
  • Inflammatory activity-6
  • Toxicity-6
  • Treatment adherence+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 58
    Result: deterioration detected before clinical escalation
  • GI Support Protocol GI-04Day 59
    Result: symptom burden −19%
LIFE OS recommendation
Clinician Review CR-01
82%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 100% showed improvement
  • median effect visible after 5 days

Biological layers

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

Pathways under pressure
  • Inflammatory signalling 85
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 47
    • WearableHRV 28 ms, trending down
  • Mucosal barrier integrity 80
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 53 and rising
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 36/100
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 77 bpm
    • Wearable1,486 steps/day
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.5 · butyrate capacity 36/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
25 ms
Sleep
7.1 h
Steps
1,950
Resting HR
78 bpm
Daily log: GI score 53, 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
  • 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-0133063%S14GI-04improved47
P-0140957%S14SC-12improved41
P-0143153%S14GI-04improved41
P-0155653%S14GI-04improved44
P-0142952%S09GI-04improved45
P-0169252%S14NP-02improved49
P-0143351%S14GI-04improved48
P-0157051%S14SC-12improved46
P-0166151%S03GI-04improved52
P-0183451%S14NP-02improved44
P-0187251%S14NP-02improved47
P-0140650%S18GI-04improved50