500 patients67,039 observations150 daysLIVE

Patient P-03037

Synthetic patientONX-7 · Day 140 · 55–64 · M · baseline S14Open companion preview
Therapy response
Declining
Tolerance
Stable
GI state
Unstable
Inflammatory state
Stable
Nutritional resilience
Unstable
Discontinuation risk
87%

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 −23% vs expectedDietary Support Protocol NP-02
  5. Day 56 Tolerance state changedUnstable → Improving
  6. Day 63 Trajectory diverged from predictionObserved response fell below the model's expected path.
  7. Day 63 GI-04 recommendedGI Support Protocol GI-04
  8. Day 64 Patient acceptedStarted GI-04 in the companion
  9. Day 72 No meaningful changeGI Support Protocol GI-04

What changed?

Trajectory began diverging from predicted response on Day 63.

Primary contributors, last 14 days
  • GI instability+9
  • Nutritional resilience-4
  • Treatment adherence-4

What helped?

  • Dietary Support Protocol NP-02Day 39
    Result: symptom burden −23%
  • GI Support Protocol GI-04Day 63
    Result: no meaningful change
LIFE OS recommendation
Supportive Compound SC-12
78%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 88% showed improvement
  • median effect visible after 6 days

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 43
  • Butyrate / short-chain fatty acid production 55
    • MicrobiomeButyrate capacity 33/100
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 57
  • Autonomic recovery 45
    • WearableResting HR 77 bpm
    • Wearable2,020 steps/day
  • Mucosal barrier integrity 20
    • Daily logGI symptom score 66 and rising
DNA
Fictional pharmacogenomic panel
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Poor metabolizer
    Higher exposure at standard dose
Microbiome
Shannon diversity 2.2 · butyrate capacity 33/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiNormal
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
39 ms
Sleep
6.7 h
Steps
3,011
Resting HR
79 bpm
Daily log: GI score 66, nutritional resilience 39, adherence 38.

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-0332357%S14GI-04improved48
P-0343049%S14SC-12improved45
P-0304948%S14GI-04improved49
P-0329348%S14GI-04no change41
P-0346047%S11SC-12improved46
P-0341346%S14ME-01improved48
P-0339045%S14ME-01improved41
P-0334144%S14NP-02improved49
P-0334541%S14SC-12improved56
P-0309040%S02GI-04improved48
P-0322640%S05GI-04improved43
P-0303039%S14NP-02improved43