600 patients66,869 observations120 daysLIVE

Patient P-01735

Synthetic patientNBL-101 · Day 101 · 75+ · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Unstable
Tolerance
Unstable
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 S14
  2. Day 51 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 51.

Primary contributors, last 14 days
  • Toxicity+9
  • GI instability-8
  • Inflammatory activity-3

What helped?

No interventions yet.

    LIFE OS recommendation
    GI Support Protocol GI-04
    92%
    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
    70.5/100
    improving · -8.5 vs previous 14 d
    Toxicity
    Blood
    61.8/100
    worsening · +4.1 vs previous 14 d
    Sleep quality
    Wearable
    28.7/100
    improving · +5.4 vs previous 14 d
    Energy level
    Daily log
    1.4/10
    stable · -0.1 vs previous 14 d
    Stress level
    Daily log
    6.8/10
    improving · -0.5 vs previous 14 d
    Steps
    Wearable
    2,440
    improving · +756 vs previous 14 d
    Adherence
    Companion
    39.5 %
    worsening · -3.1 vs previous 14 d
    This trajectory is decaying — what would help, what would not
    Steering view →

    Heading towards restoration · 17 from the failing basin, 79 from restoration.

    Would help
    • GI-04 GI Support Protocol
      73% improved among 123 similar · onset 8 d · confidence 97%
    • ME-01 Monitoring Escalation
      100% improved among 77 similar · onset 3 d · confidence 76%
    • NP-02 Dietary Support Protocol
      63% improved among 64 similar · onset 10 d · confidence 76%
    Would not help
    • Keep simple carbs low
      GI +4.4 next day on high-intake days · n 15
    • Keep histamine low
      GI +4.1 next day on high-intake days · n 20
    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.

    • Simple carbohydrates
      +4.4detractor · 95%
    • Histamine load
      +4.1detractor · 95%
    • Alcohol
      -1.1no signal · 30%
    • Spicy / capsaicin
      +0.5no signal · 15%
    • Dietary fat load
      -0.1no signal · 15%
    • Insoluble fibre
      0no signal · 15%

    Biological layers

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

    Pathways under pressure
    • Mucosal barrier integrity 80
      • DNAFUT2 non-secretor lowers mucosal fucosylation
      • MicrobiomeAkkermansia low → thinner mucus layer
      • Daily logGI symptom score 71 and rising
    • Autonomic recovery 65
      • WearableResting HR 87 bpm
      • Wearable2,440 steps/day
      • WearableShort sleep window
    • Butyrate / short-chain fatty acid production 45
      • MicrobiomeF. prausnitzii depleted
      • Daily logFibre intake low in recent food logs
    • Inflammatory signalling 25
      • BloodInflammatory load index 68
    • Drug metabolism and exposure 20
      • BloodToxicity index 62
    DNA
    Fictional pharmacogenomic panel
    • FUT2 rs601338 AA (non-secretor)
      Reduced mucosal fucosylation
    • CYP2D6 Normal metabolizer
      Expected exposure
    Microbiome
    Shannon diversity 2.5 · butyrate capacity 48/100
    • Akkermansia muciniphilaLow
    • Faecalibacterium prausnitziiLow
    • Bacteroides fragilisNormal
    • Bifidobacterium longumLow
    • EnterobacteriaceaeHigh
    Wearable, last 14 days
    daily evolution fed into the runtime
    HRV
    42 ms
    Sleep
    6.8 h
    Steps
    2,927
    Resting HR
    86 bpm
    Daily log: GI score 71, nutritional resilience 32, adherence 40.

    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-0181337%S01NP-02no change40
    P-0132731%S01GI-04improved56
    P-0131027%S0157
    P-0168827%S01GI-04improved40
    P-0187723%S01CR-01improved67
    P-0160417%S0171
    P-0145234%S02GI-04improved46
    P-0163529%S02GI-04improved49
    P-0145925%S0251
    P-0149818%S0256
    P-0149917%S0265
    P-0174117%S0255