600 patients66,869 observations120 daysLIVE

Patient P-01799

Synthetic patientNBL-101 · Day 109 · 45–54 · M · baseline S19Open companion preview
Therapy response
Stable
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
93%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 NBL-101 startedBaseline state S19
  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 43 Trajectory diverged from predictionObserved response fell below the model's expected path.

What changed?

Trajectory began diverging from predicted response on Day 43.

Primary contributors, last 14 days
  • Inflammatory activity-12
  • Nutritional resilience+6
  • Treatment adherence+2

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
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

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 78 and rising
    • WearableSleep 5.6 h, below personal baseline
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 62
    • WearableHRV 31 ms, trending down
  • Autonomic recovery 65
    • WearableResting HR 83 bpm
    • Wearable1,361 steps/day
    • WearableShort sleep window
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 44/100
    • Daily logFibre intake low in recent food logs
  • Drug metabolism and exposure 55
    • DNADPYD *2A → slower clearance
    • BloodToxicity index 52
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Rapid metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.3 · butyrate capacity 44/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
32 ms
Sleep
5.3 h
Steps
1,342
Resting HR
81 bpm
Daily log: GI score 78, nutritional resilience 31, adherence 44.

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-0140749%S14NP-02no change44
P-0175149%S14ME-01improved48
P-0177249%S20NP-02no change50
P-0176048%S1442
P-0182647%S1042
P-0183047%S1444
P-0131146%S14ME-01improved49
P-0136746%S14GI-04no change51
P-0182446%S1442
P-0145445%S14GI-04no change49
P-0146345%S14NP-02no change41
P-0149245%S15ME-01improved44