600 patients66,869 observations120 daysLIVE

Patient P-01879

Synthetic patientNBL-101 · Day 117 · 55–64 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Improving
GI state
Deteriorating
Inflammatory state
Stable
Nutritional resilience
Stable
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 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 46 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 46 SC-12 recommendedSupportive Compound SC-12
  7. Day 47 Patient acceptedStarted SC-12 in the companion
  8. Day 53 GI symptom burden −16% vs expectedSupportive Compound SC-12
  9. Day 59 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 46.

Primary contributors, last 14 days
  • GI instability+7
  • Toxicity-5

What helped?

  • Dietary Support Protocol NP-02Day 31
    Result: no meaningful change
  • Supportive Compound SC-12Day 46
    Result: symptom burden −16%
LIFE OS recommendation
GI Support Protocol GI-04
87%
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
51.2/100
worsening · +4.6 vs previous 14 d
Toxicity
Blood
45.6/100
worsening · +8.1 vs previous 14 d
Sleep quality
Wearable
26.4/100
worsening · -5.5 vs previous 14 d
Energy level
Daily log
2.9/10
worsening · -0.3 vs previous 14 d
Stress level
Daily log
6.6/10
worsening · +0.6 vs previous 14 d
Steps
Wearable
395
improving · +182 vs previous 14 d
Adherence
Companion
47.3 %
worsening · -3.0 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 37 from the failing basin, 51 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 124 similar · onset 8 d · confidence 90%
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 73%
  • CR-01 Clinician Review
    100% improved among 8 similar · onset 5 d · confidence 73%
Would not help
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • Keep fat low
    GI +6.3 next day on high-intake days · n 18
  • Keep simple carbs low
    GI +4.7 next day on high-intake days · n 18
  • Keep fibre low
    GI +3.8 next day on high-intake days · n 14
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
    +6.3detractor · 95%
  • Simple carbohydrates
    +4.7detractor · 95%
  • Insoluble fibre
    +3.8detractor · 62%
  • Spicy / capsaicin
    +1.2no signal · 21%
  • Histamine load
    -0.4no signal · 15%
  • Alcohol
    -0.2no signal · 15%

Biological layers

Which pathways look influenced, and by which layer of this person's biology.

Pathways under pressure
  • Drug metabolism and exposure 95
    • DNACYP2D6 poor metabolizer → higher exposure
    • DNADPYD *2A → slower clearance
    • BloodToxicity index 46
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 40/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 65
    • WearableResting HR 86 bpm
    • Wearable395 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 50
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 51 and rising
  • Inflammatory signalling 40
    • BloodInflammatory load index 49
    • WearableHRV 19 ms, trending down
DNA
Fictional pharmacogenomic panel
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 1.8 · butyrate capacity 40/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
17 ms
Sleep
6.3 h
Steps
1,172
Resting HR
85 bpm
Daily log: GI score 51, nutritional resilience 44, 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
  • 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-0181922%S1372
P-0160422%S0171
P-0138622%S1370
P-0135222%S2070
P-0169928%S04GI-04improved69
P-0150822%S1868
P-0150923%S1768
P-0187522%S1167
P-0181723%S1467
P-0187728%S01CR-01improved67
P-0162924%S1966
P-0171429%S14GI-04improved66