600 patients66,869 observations120 daysLIVE

Patient P-01733

Synthetic patientNBL-101 · Day 101 · 55–64 · M · baseline S05Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
96%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S05
  2. Day 45 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 54 SC-12 recommendedSupportive Compound SC-12
  4. Day 55 Patient acceptedStarted SC-12 in the companion
  5. Day 61 No meaningful changeSupportive Compound SC-12

What changed?

Trajectory began diverging from predicted response on Day 45.

Primary contributors, last 14 days
  • GI instability+13
  • Nutritional resilience-12
  • Treatment adherence+5
  • Inflammatory activity+4
  • Toxicity+3

What helped?

  • Supportive Compound SC-12Day 54
    Result: no meaningful change
LIFE OS recommendation
GI Support Protocol GI-04
90%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 84% showed improvement
  • median effect visible after 8 days

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

GI burden
Companion
68.8/100
stable · +0.5 vs previous 14 d
Toxicity
Blood
48.9/100
worsening · +6.0 vs previous 14 d
Sleep quality
Wearable
17.2/100
worsening · -2.2 vs previous 14 d
Energy level
Daily log
1.8/10
worsening · -0.4 vs previous 14 d
Stress level
Daily log
6.5/10
stable · +0.0 vs previous 14 d
Steps
Wearable
3,379
improving · +134 vs previous 14 d
Adherence
Companion
41.7 %
worsening · -5.3 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 26 from the failing basin, 71 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 123 similar · onset 8 d · confidence 93%
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 74%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 74%
Would not help
  • SC-12 Supportive Compound
    already tried, no meaningful change
  • Keep fat low
    GI +5.1 next day on high-intake days · n 24
  • Keep histamine low
    GI +5 next day on high-intake days · n 25
  • Keep alcohol low
    GI +4.9 next day on high-intake days · n 18
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.

  • Dietary fat load
    +5.1detractor · 95%
  • Histamine load
    +5detractor · 95%
  • Alcohol
    +4.9detractor · 95%
  • Insoluble fibre
    -1.4no signal · 29%
  • Spicy / capsaicin
    -1.2no signal · 28%
  • Simple carbohydrates
    -0.3no signal · 15%

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 69 and rising
    • WearableSleep 5.4 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 36/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 80 bpm
    • Wearable3,379 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 49
  • Inflammatory signalling 25
    • BloodInflammatory load index 63
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 3 · butyrate capacity 36/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
46 ms
Sleep
5.3 h
Steps
1,471
Resting HR
79 bpm
Daily log: GI score 69, nutritional resilience 30, adherence 42.

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-0137718%S11AD-05no change42
P-0148318%S14AD-05no change35
P-0168919%S13BR-03no change50
P-0170828%S07CR-01improved59
P-0137125%S06CR-01improved63
P-0138825%S17CR-01improved59
P-0183525%S17CR-01improved56
P-0169624%S20CR-01improved59
P-0187724%S01CR-01improved67
P-0144222%S13CR-01improved61
P-0143019%S05CR-01improved54
P-0134218%S11DT-01improved48