600 patients66,869 observations120 daysLIVE

Patient P-01843

Synthetic patientNBL-101 · Day 107 · 55–64 · M · baseline S14Open companion preview
Therapy response
Stable
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 48 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 49 SC-12 recommendedSupportive Compound SC-12
  4. Day 50 Patient acceptedStarted SC-12 in the companion
  5. Day 56 No meaningful changeSupportive Compound SC-12

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • Toxicity-12
  • Inflammatory activity-6
  • GI instability+4
  • Nutritional resilience+2

What helped?

  • Supportive Compound SC-12Day 49
    Result: no meaningful change
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
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 44/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 69 and rising
  • Inflammatory signalling 25
    • BloodInflammatory load index 58
  • Drug metabolism and exposure 20
    • BloodToxicity index 41
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Normal metabolizer
    Expected exposure
  • MTHFR C677T
    Reduced folate turnover
Microbiome
Shannon diversity 3.1 · butyrate capacity 44/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
40 ms
Sleep
7.1 h
Steps
4,751
Resting HR
69 bpm
Daily log: GI score 69, nutritional resilience 38, adherence 47.

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
  • Keep the sleep window steady
  • 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-0165663%S14ME-01improved41
P-0146352%S14NP-02no change41
P-0159552%S14GI-04no change51
P-0169052%S1446
P-0173252%S14ME-01improved45
P-0175152%S14ME-01improved48
P-0183452%S14NP-02improved44
P-0141251%S14NP-02improved49
P-0183051%S1444
P-0132850%S14SC-12no change49
P-0164650%S14GI-04no change42
P-0173350%S05SC-12no change49