600 patients66,869 observations120 daysLIVE

Patient P-01743

Synthetic patientNBL-101 · Day 119 · 25–34 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
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 50 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 50 SC-12 recommendedSupportive Compound SC-12
  4. Day 51 Patient acceptedStarted SC-12 in the companion
  5. Day 57 No meaningful changeSupportive Compound SC-12

What changed?

Trajectory began diverging from predicted response on Day 50.

Primary contributors, last 14 days
  • Toxicity+18
  • GI instability-12
  • Nutritional resilience+6
  • Inflammatory activity+4
  • Treatment adherence-3

What helped?

  • Supportive Compound SC-12Day 50
    Result: no meaningful change
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
67.3/100
stable · -2.8 vs previous 14 d
Toxicity
Blood
63.1/100
worsening · +7.5 vs previous 14 d
Sleep quality
Wearable
28.4/100
worsening · -1.9 vs previous 14 d
Energy level
Daily log
1.6/10
worsening · -0.2 vs previous 14 d
Stress level
Daily log
7/10
stable · +0.2 vs previous 14 d
Steps
Wearable
5,509
worsening · -304 vs previous 14 d
Adherence
Companion
41.7 %
stable · +0.6 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 28 from the failing basin, 74 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 79%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 79%
Would not help
  • SC-12 Supportive Compound
    already tried, no meaningful change
  • Keep fat low
    GI +5.5 next day on high-intake days · n 23
  • Keep histamine low
    GI +5.1 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
    +5.5detractor · 95%
  • Histamine load
    +5.1detractor · 95%
  • Simple carbohydrates
    +2.5no signal · 45%
  • Alcohol
    +1.9no signal · 40%
  • Insoluble fibre
    -0.3no signal · 15%
  • Spicy / capsaicin
    +0.3no signal · 15%

Biological layers

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

Pathways under pressure
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 70
  • Mucosal barrier integrity 60
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 67 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Drug metabolism and exposure 60
    • DNACYP2D6 poor metabolizer → higher exposure
    • BloodToxicity index 63
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 37/100
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 45
    • WearableResting HR 74 bpm
    • WearableShort sleep window
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 2.5 · butyrate capacity 37/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
40 ms
Sleep
5.2 h
Steps
5,962
Resting HR
74 bpm
Daily log: GI score 67, nutritional resilience 36, 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
  • Keep the current walking rhythm
  • 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-0161253%S14ME-01improved51
P-0161549%S14ME-01improved48
P-0172849%S14SC-12improved41
P-0153148%S14ME-01improved51
P-0172047%S14NP-02improved47
P-0189744%S14ME-01improved43
P-0160543%S14ME-01improved41
P-0173642%S03ME-01improved46
P-0175142%S14ME-01improved48
P-0141241%S14NP-02improved49
P-0156441%S14ME-01improved39
P-0184541%S14NP-02improved47