500 patients67,039 observations150 daysLIVE

Patient P-03030

Synthetic patientONX-7 · Day 147 · 45–54 · F · baseline S14Steering view · 3DOpen companion preview
Therapy response
Stable
Tolerance
Deteriorating
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
82%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 ONX-7 startedBaseline state S14
  2. Day 39 NP-02 recommendedDietary Support Protocol NP-02
  3. Day 40 Patient acceptedStarted NP-02 in the companion
  4. Day 50 GI symptom burden −21% vs expectedDietary Support Protocol NP-02
  5. Day 56 Tolerance state changedUnstable → Improving
  6. Day 64 GI-04 recommendedGI Support Protocol GI-04
  7. Day 65 Patient acceptedStarted GI-04 in the companion
  8. Day 69 Trajectory diverged from predictionObserved response fell below the model's expected path.
  9. Day 73 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 69.

Primary contributors, last 14 days
  • Toxicity+18
  • Inflammatory activity+11
  • GI instability+3
  • Nutritional resilience-3
  • Treatment adherence-3

What helped?

  • Dietary Support Protocol NP-02Day 39
    Result: symptom burden −21%
  • GI Support Protocol GI-04Day 64
    Result: no meaningful change
LIFE OS recommendation
Supportive Compound SC-12
83%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 88% showed improvement
  • median effect visible after 6 days

Daily trackers

Molecule settings

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

Energy level
Daily log
2.7/10
stable · -0.1 vs previous 14 d
Stress level
Daily log
7/10
worsening · +0.3 vs previous 14 d
Pessimism score
Daily log
6.7/10
stable · +0.2 vs previous 14 d
Sleep quality
Wearable
19.2/100
stable · -0.4 vs previous 14 d
Libido
Daily log
2.8/10
worsening · -0.2 vs previous 14 d
HRV
Wearable
15 ms
worsening · -2.0 vs previous 14 d
Toxicity
Blood
50.7/100
stable · -0.2 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 20 from the failing basin, 72 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 11 similar · onset 3 d · confidence 81%
  • SC-12 Supportive Compound
    89% improved among 9 similar · onset 6 d · confidence 81%
  • DT-01 Dosing / Timing Recommendation
    63% improved among 8 similar · onset 5 d · confidence 81%
  • More protein
    GI -4.4 next day on high-intake days · n 21
Would not help
  • GI-04 GI Support Protocol
    already tried, no meaningful change
  • AD-05 Adherence Support
    only 27% improved among 11 similar
  • Keep histamine low
    GI +3.9 next day on high-intake days · n 24
  • Keep fat low
    GI +3.2 next day on high-intake days · n 27
  • Keep lactose low
    GI +3.2 next day on high-intake days · n 22
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.

  • Protein
    -4.4supporter · 95%
  • Histamine load
    +3.9detractor · 95%
  • Dietary fat load
    +3.2detractor · 95%
  • Lactose
    +3.2detractor · 95%
  • Caffeine
    -0.2no signal · 15%
  • Alcohol
    0no signal · 15%

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
  • Autonomic recovery 65
    • WearableResting HR 77 bpm
    • Wearable300 steps/day
    • WearableShort sleep window
  • Inflammatory signalling 60
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 62
    • WearableHRV 15 ms, trending down
  • Mucosal barrier integrity 50
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • Daily logGI symptom score 66 and rising
  • Drug metabolism and exposure 20
    • BloodToxicity index 51
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 3.1 · butyrate capacity 44/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
17 ms
Sleep
6.0 h
Steps
712
Resting HR
74 bpm
Daily log: GI score 66, nutritional resilience 34, adherence 42.

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-0338428%S0155
P-0338225%S01GI-04improved56
P-0307419%S0160
P-0317719%S0128
P-0305318%S0139
P-0325518%S01HY-01improved53
P-0338118%S0155
P-0338918%S0150
P-0344318%S0152
P-0346718%S0120
P-0301417%S0132
P-0309217%S0161