600 patients66,869 observations120 daysLIVE

Patient P-01897

Synthetic patientNBL-101 · Day 111 · 55–64 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Deteriorating
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 57 ME-01 recommendedMonitoring Escalation ME-01
  4. Day 58 Patient acceptedStarted ME-01 in the companion
  5. Day 61 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 48.

Primary contributors, last 14 days
  • Treatment adherence+9
  • Toxicity+5
  • Nutritional resilience-3

What helped?

  • Monitoring Escalation ME-01Day 57
    Result: deterioration detected before clinical escalation
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

Daily trackers

Molecule settings

The trackers this program marks as important, last 14 days vs the 14 before.

GI burden
Companion
73.7/100
worsening · +8.2 vs previous 14 d
Toxicity
Blood
51.5/100
stable · +0.1 vs previous 14 d
Sleep quality
Wearable
6.5/100
worsening · -5.6 vs previous 14 d
Energy level
Daily log
0.9/10
worsening · -0.5 vs previous 14 d
Stress level
Daily log
7/10
worsening · +0.4 vs previous 14 d
Steps
Wearable
483
worsening · -354 vs previous 14 d
Adherence
Companion
44.7 %
stable · -0.1 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 22 from the failing basin, 77 from restoration.

Would help
  • GI-04 GI Support Protocol
    73% improved among 124 similar · onset 8 d · confidence 97%
  • NP-02 Dietary Support Protocol
    63% improved among 64 similar · onset 10 d · confidence 81%
  • SC-12 Supportive Compound
    76% improved among 51 similar · onset 6 d · confidence 81%
Would not help
  • Keep simple carbs low
    GI +4.1 next day on high-intake days · n 23
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.

  • Simple carbohydrates
    +4.1detractor · 95%
  • Histamine load
    -1.6no signal · 45%
  • Alcohol
    -1.5no signal · 35%
  • Spicy / capsaicin
    +0.7no signal · 18%
  • Dietary fat load
    +0.2no signal · 15%
  • Insoluble fibre
    +0.1no signal · 15%

Biological layers

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

Pathways under pressure
  • Autonomic recovery 65
    • WearableResting HR 79 bpm
    • Wearable483 steps/day
    • WearableShort sleep window
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 74 and rising
    • WearableSleep 5.0 h, below personal baseline
  • Butyrate / short-chain fatty acid production 45
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 25
    • BloodInflammatory load index 62
  • Drug metabolism and exposure 20
    • BloodToxicity index 52
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 2 · butyrate capacity 45/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
42 ms
Sleep
4.9 h
Steps
783
Resting HR
81 bpm
Daily log: GI score 74, nutritional resilience 29, adherence 45.

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-0146366%S14NP-02no change41
P-0184164%S1448
P-0157261%S14GI-04worsened41
P-0183058%S1444
P-0176257%S14NP-02no change40
P-0172156%S1437
P-0188855%S1456
P-0161252%S14ME-01improved51
P-0158251%S14GI-04no change45
P-0164651%S14GI-04no change42
P-0165651%S14ME-01improved41
P-0173651%S03ME-01improved46