600 patients66,869 observations120 daysLIVE

Patient P-01801

Synthetic patientNBL-101 · Day 113 · 65–74 · F · baseline S14Open companion preview
Therapy response
Declining
Tolerance
Improving
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 39 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 46 SC-12 recommendedSupportive Compound SC-12
  4. Day 47 Patient acceptedStarted SC-12 in the companion
  5. Day 53 GI symptom burden −17% vs expectedSupportive Compound SC-12
  6. Day 59 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 39.

Primary contributors, last 14 days
  • GI instability+21
  • Nutritional resilience-16
  • Inflammatory activity+11
  • Toxicity-8
  • Treatment adherence-3

What helped?

  • Supportive Compound SC-12Day 46
    Result: symptom burden −17%
LIFE OS recommendation
GI Support Protocol GI-04
91%
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
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 39/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 73 and rising
    • WearableSleep 5.1 h, below personal baseline
  • Autonomic recovery 45
    • WearableResting HR 76 bpm
    • WearableShort sleep window
  • Inflammatory signalling 25
    • BloodInflammatory load index 66
  • Drug metabolism and exposure 20
    • BloodToxicity index 41
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 3.2 · butyrate capacity 39/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
52 ms
Sleep
5.3 h
Steps
6,859
Resting HR
75 bpm
Daily log: GI score 73, nutritional resilience 31, adherence 39.

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-0153151%S14ME-01improved51
P-0144746%S15GI-04improved44
P-0161545%S14ME-01improved48
P-0172045%S14NP-02improved47
P-0141244%S14NP-02improved49
P-0165644%S14ME-01improved41
P-0167544%S14NP-02improved38
P-0172844%S14SC-12improved41
P-0173644%S03ME-01improved46
P-0188744%S12ME-01improved43
P-0136843%S14GI-04improved53
P-0183443%S14NP-02improved44