600 patients66,869 observations120 daysLIVE

Patient P-01765

Synthetic patientNBL-101 · Day 115 · 35–44 · M · baseline S14Open companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Stable
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
92%

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 48 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 GI symptom burden −22% vs expectedSupportive Compound SC-12
  6. Day 63 Tolerance state changedUnstable → Improving
  7. Day 72 ME-01 recommendedMonitoring Escalation ME-01
  8. Day 73 Patient acceptedStarted ME-01 in the companion
  9. Day 76 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • Inflammatory activity-6
  • GI instability+4
  • Treatment adherence-4
  • Nutritional resilience-3
  • Toxicity-2

What helped?

  • Supportive Compound SC-12Day 50
    Result: symptom burden −22%
  • Monitoring Escalation ME-01Day 72
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
GI Support Protocol GI-04
92%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 83% showed improvement
  • median effect visible after 8 days

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 56 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Autonomic recovery 65
    • WearableResting HR 83 bpm
    • Wearable2,507 steps/day
    • WearableShort sleep window
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 34/100
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 55
    • DNADPYD *2A → slower clearance
    • BloodToxicity index 44
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 51
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.6 · butyrate capacity 34/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
38 ms
Sleep
5.6 h
Steps
1,902
Resting HR
82 bpm
Daily log: GI score 56, nutritional resilience 41, adherence 45.

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-0156448%S14ME-01improved39
P-0165647%S14ME-01improved41
P-0172846%S14SC-12improved41
P-0183446%S14NP-02improved44
P-0139445%S05SC-12improved44
P-0165545%S14GI-04no change29
P-0135644%S14GI-04improved42
P-0143644%S14GI-04improved38
P-0151744%S06NP-02improved27
P-0155644%S14GI-04improved44
P-0140243%S04GI-04improved37
P-0140943%S14SC-12improved41