Patient P-01799
Synthetic patientNBL-101 · Day 109 · 45–54 · M · baseline S19Steering view · 3DOpen 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 eventssolid = observed · dashed = predicted
- Day 0 NBL-101 started — Baseline state S19
- Day 31 NP-02 recommended — Dietary Support Protocol NP-02
- Day 32 Patient accepted — Started NP-02 in the companion
- Day 42 No meaningful change — Dietary Support Protocol NP-02
- Day 43 Trajectory diverged from prediction — Observed 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 31Result: 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
Daily trackers
Molecule settingsThe trackers this program marks as important, last 14 days vs the 14 before.
GI burden
Companion78.3/100
worsening · +7.1 vs previous 14 d
Toxicity
Blood51.7/100
stable · +0.3 vs previous 14 d
Sleep quality
Wearable17.4/100
worsening · -5.8 vs previous 14 d
Energy level
Daily log1/10
worsening · -0.4 vs previous 14 d
Stress level
Daily log7.6/10
stable · +0.2 vs previous 14 d
Steps
Wearable1,361
worsening · -169 vs previous 14 d
Adherence
Companion43.9 %
stable · -0.7 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →Heading towards restoration · 31 from the failing basin, 77 from restoration.
Would help
Would not help
- NP-02 Dietary Support Protocolalready tried, no meaningful change
- Keep histamine lowGI +5.7 next day on high-intake days · n 23
- Keep fat lowGI +5.3 next day on high-intake days · n 23
- Keep alcohol lowGI +4.4 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.
- Histamine load+5.7detractor · 95%
- Dietary fat load+5.3detractor · 95%
- Alcohol+4.4detractor · 95%
- Simple carbohydrates+4detractor · 78%
- Spicy / capsaicin+3.1detractor · 68%
- Insoluble fibre-0.7no signal · 15%
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/CHigher inflammatory tone
- DPYD *2A heterozygousSlower drug clearance
- CYP2D6 Rapid metabolizerExpected 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.
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.
| Patient | Similarity | Baseline | Intervention | Outcome | Response today |
|---|---|---|---|---|---|
| P-01407 | 49% | S14 | NP-02 | no change | 44 |
| P-01751 | 49% | S14 | ME-01 | improved | 48 |
| P-01772 | 49% | S20 | NP-02 | no change | 50 |
| P-01760 | 48% | S14 | — | — | 42 |
| P-01826 | 47% | S10 | — | — | 42 |
| P-01830 | 47% | S14 | — | — | 44 |
| P-01311 | 46% | S14 | ME-01 | improved | 49 |
| P-01367 | 46% | S14 | GI-04 | no change | 51 |
| P-01824 | 46% | S14 | — | — | 42 |
| P-01454 | 45% | S14 | GI-04 | no change | 49 |
| P-01463 | 45% | S14 | NP-02 | no change | 41 |
| P-01492 | 45% | S15 | ME-01 | improved | 44 |