600 patients66,869 observations120 daysLIVE

Patient P-01891

Synthetic patientNBL-101 · Day 97 · 65–74 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Unstable
Tolerance
Stable
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Improving
Discontinuation risk
88%

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 49 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 53 SC-12 recommendedSupportive Compound SC-12
  4. Day 54 Patient acceptedStarted SC-12 in the companion
  5. Day 60 GI symptom burden −21% vs expectedSupportive Compound SC-12
  6. Day 66 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 49.

Primary contributors, last 14 days
  • GI instability-11
  • Inflammatory activity-8
  • Nutritional resilience+6
  • Treatment adherence-2
  • Toxicity+2

What helped?

  • Supportive Compound SC-12Day 53
    Result: symptom burden −21%
LIFE OS recommendation
GI Support Protocol GI-04
91%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 84% 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
56.5/100
stable · +0.1 vs previous 14 d
Toxicity
Blood
47.9/100
worsening · +3.5 vs previous 14 d
Sleep quality
Wearable
37.3/100
improving · +4.7 vs previous 14 d
Energy level
Daily log
2.4/10
worsening · -0.3 vs previous 14 d
Stress level
Daily log
5.8/10
worsening · +0.5 vs previous 14 d
Steps
Wearable
2,957
worsening · -519 vs previous 14 d
Adherence
Companion
48.5 %
worsening · -11.1 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 25 from the failing basin, 63 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 123 similar · onset 8 d · confidence 94%
  • ME-01 Monitoring Escalation
    100% improved among 77 similar · onset 3 d · confidence 75%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 75%
Would not help
  • Keep histamine low
    GI +6.7 next day on high-intake days · n 23
  • Keep fat low
    GI +6.6 next day on high-intake days · n 21
  • Keep simple carbs low
    GI +4.8 next day on high-intake days · n 15
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
    +6.7detractor · 95%
  • Dietary fat load
    +6.6detractor · 95%
  • Simple carbohydrates
    +4.8detractor · 95%
  • Insoluble fibre
    +4.4detractor · 95%
  • Spicy / capsaicin
    +4.1detractor · 88%
  • Alcohol
    +0.5no 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 57 and rising
    • WearableSleep 5.9 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 31/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 70
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 54
  • Autonomic recovery 65
    • WearableResting HR 73 bpm
    • Wearable2,957 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 48
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Rapid metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.1 · butyrate capacity 31/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumLow
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
49 ms
Sleep
5.5 h
Steps
3,202
Resting HR
74 bpm
Daily log: GI score 57, nutritional resilience 44, adherence 49.

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-0149465%S14GI-04improved42
P-0167561%S14NP-02improved38
P-0173251%S14ME-01improved45
P-0177751%S14SC-12improved43
P-0141350%S14GI-04improved44
P-0136049%S14GI-04improved52
P-0148848%S12GI-04improved50
P-0183448%S14NP-02improved44
P-0143647%S14GI-04improved38
P-0153947%S14GI-04improved43
P-0178147%S14NP-02improved45
P-0138945%S14SC-12improved46