600 patients66,869 observations120 daysLIVE

Patient P-01775

Synthetic patientNBL-101 · Day 112 · 45–54 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Favorable
GI state
Unstable
Inflammatory state
Improving
Nutritional resilience
Unstable
Discontinuation risk
84%

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 SC-12 recommendedSupportive Compound SC-12
  6. Day 45 Patient acceptedStarted SC-12 in the companion
  7. Day 47 Trajectory diverged from predictionObserved response fell below the model's expected path.
  8. Day 51 GI symptom burden −24% vs expectedSupportive Compound SC-12
  9. Day 57 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 47.

Primary contributors, last 14 days
  • Inflammatory activity-8
  • Treatment adherence-6
  • Nutritional resilience+5
  • GI instability-4
  • Toxicity-4

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
  • Supportive Compound SC-12Day 44
    Result: symptom burden −24%
LIFE OS recommendation
GI Support Protocol GI-04
88%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 83% 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
60.6/100
worsening · +3.8 vs previous 14 d
Toxicity
Blood
29.4/100
improving · -3.0 vs previous 14 d
Sleep quality
Wearable
16.9/100
stable · -0.4 vs previous 14 d
Energy level
Daily log
2.9/10
stable · +0.1 vs previous 14 d
Stress level
Daily log
7.3/10
stable · -0.1 vs previous 14 d
Steps
Wearable
6,498
stable · +152 vs previous 14 d
Adherence
Companion
46.3 %
stable · -1.8 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 32 from the failing basin, 59 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 124 similar · onset 8 d · confidence 91%
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 70%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 70%
Would not help
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +6.6 next day on high-intake days · n 23
  • Keep histamine low
    GI +5.8 next day on high-intake days · n 23
  • Keep alcohol low
    GI +5.8 next day on high-intake days · n 22
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
    +6.6detractor · 95%
  • Histamine load
    +5.8detractor · 95%
  • Alcohol
    +5.8detractor · 95%
  • Spicy / capsaicin
    +5detractor · 95%
  • Insoluble fibre
    +4.4detractor · 87%
  • Simple carbohydrates
    -2.6no signal · 47%

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 61 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Inflammatory signalling 85
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 50
    • WearableHRV 21 ms, trending down
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 24/100
    • 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 Rapid metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 3 · butyrate capacity 24/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
19 ms
Sleep
5.6 h
Steps
5,586
Resting HR
74 bpm
Daily log: GI score 61, nutritional resilience 40, adherence 46.

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-0132749%S01GI-04improved56
P-0181341%S01NP-02no change40
P-0168838%S01GI-04improved40
P-0131029%S0157
P-0187726%S01CR-01improved67
P-0182122%S0158
P-0182322%S0157
P-0160421%S0171
P-0184621%S0137
P-0163536%S02GI-04improved49
P-0145233%S02GI-04improved46
P-0145928%S0251