500 patients66,097 observations150 daysLIVE

Patient P-03091

Synthetic patientONX-7 · Day 148 · 55–64 · M · baseline S15Steering view · 3DOpen companion preview
Is the drug working?

Immune response 60 at the day-84 endpoint (observed).

Why responding?

Responding: response probability 61%, immune response 62 today; biology is not blocking the drug.

Is a side effect starting?

No side effect starting: immune-related gi adverse events 19, immune-related toxicity 19, no drift from the model.

Still taking it?

4 of 4 scheduled doses in the last 60 days are biologically confirmed (100%). Dose signature: resting HR +4 bpm, HRV −6 ms.

last 4 doses · green confirmed · amber logged only · red missed
Plan for this patient
stable, no actionrecommendowner · Companionreview day 155Human Model →
Next action
No action indicated; maintain.
Kept if

Trajectory is stable relative to similar patients; keep the current content.

Daily to-dos in the companion
  • 🍽Keep meals regular; three to four moderate portions spaced through the day
  • 🍽Include a cooked vegetable portion with each main meal
  • Log the daily check-in; one line is enough
  • A 15-minute walk after lunch
  • 💊Take the scheduled dose as agreed with your care team
  • 💊No additional supplements this week
Adherence
91% stable

Adherence is not the problem.

Changes the plan if

sleep quality falling under 35 while GI rises

LLIFE OS insight
grounded · add an LLM key for prose

P-03091 is on day 148 of ONX-7 (MR, baseline S15): response favorable, tolerance favorable, GI favorable. Over 14 days response moved 0 and GI 0; discontinuation risk is 15%. The state is in the restoration basin, heading towards failing.

Biology sets the gain: FUT2 non-secretor, IL6 high-expression variant; butyrate capacity 75/100, diversity 3.4. Pushing it down: FUT2 non-secretor (-20.9), Clostridioides difficile 0.809% (LPS load) (-18.7), Histamine load (-15.2). Pulling it up: Protein (supports) (+14.8), Butyrate producers intact (+14.7). From the daily log: histamine +3.6 GI next day, protein -3.2 GI next day, lactose +2.4 GI next day.

No action has been tried yet.

No action is indicated now; the trajectory is stable relative to similar patients.

Therapy response
Favorable
Tolerance
Favorable
GI state
Favorable
Inflammatory state
Deteriorating
Nutritional resilience
Improving
Discontinuation risk
15%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted · dose (infusion on day 1 of each 14-day cycle)
  1. Day 0 ONX-7 startedBaseline state S15

What changed?

Trajectory is tracking the baseline prediction.

Primary contributors, last 14 days
  • Inflammatory activity+5
  • Nutritional resilience+4
  • Toxicity-2

What helped?

No interventions yet.

    LIFE OS recommendation
    No intervention is indicated right now. The trajectory is stable relative to similar patients. See what worked for similar patients.

    Daily trackers

    Asset settings

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

    Energy level
    Daily log
    6.4/10
    improving · +0.3 vs previous 14 d
    Stress level
    Daily log
    4.9/10
    improving · -0.5 vs previous 14 d
    Pessimism score
    Daily log
    4/10
    stable · +0.0 vs previous 14 d
    Sleep quality
    Wearable
    63.4/100
    stable · -1.3 vs previous 14 d
    Libido
    Daily log
    4.8/10
    stable · +0.1 vs previous 14 d
    HRV
    Wearable
    38.3 ms
    stable · +0.0 vs previous 14 d
    Toxicity
    Blood
    19.3/100
    stable · -0.1 vs previous 14 d
    This trajectory is decaying — what would help, what would not
    Steering view →

    Heading towards failing · 72 from the failing basin, 18 from restoration.

    Would help
    • No untried action with strong evidence. Compose one from primitives.
    • More protein
      GI -3.2 next day on high-intake days · n 20
    Would not help
    • Keep histamine low
      GI +3.6 next day on high-intake days · n 21
    • Keep lactose low
      GI +2.4 next day on high-intake days · n 16
    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
      +3.6detractor · 95%
    • Protein
      -3.2supporter · 95%
    • Lactose
      +2.4detractor · 74%
    • Caffeine
      -1.4no signal · 42%
    • Dietary fat load
      -1.2no signal · 28%
    • Alcohol
      +0.1no signal · 15%

    DeepGene damage signature

    The metagenomic + host-DNA read-out that initializes this patient's biology and, on retest, measures whether the steering worked.

    Damage score · retest day 90
    13/100
    vs baseline (day 0)
    -27
    8 improved · 1 worsened
    synthetic signature · consistent with this patient's biology
    • 1 opportunist above range: Clostridioides difficile
    • 1 keystone species absent
    • 5 resistance genes
    Pathogens / opportunists1/5
    from 3
    Keystone species1/8
    from 2
    Diversity0/2
    from 1
    Metabolic modules0/4
    Vitamin synthesis1/7
    from 2
    Oral translocation0/1
    from 1
    Host DNA0/1
    Tissue recycling0/1
    Central mechanisms0/2
    Virulence factors1/1
    from 2
    Antibiotic resistance genes5/5
    Genetic predisposition2/2
    Opportunists above range
    Clostridioides difficile 0.809% AR
    Keystone species absent
    Akkermansia muciniphila
    Capacity
    Shannon 3.42 · butyrate 776 CPM · SCFA 1276
    1 vitamins below
    Host & mechanisms
    tissue recycling 25/100
    oral translocation 1.87% AR
    5 resistance genes · 1 virulence factors

    Biological layers

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

    Pathways under pressure
    • Mucosal barrier integrity 60
      • DNAFUT2 non-secretor lowers mucosal fucosylation
      • MicrobiomeAkkermansia low → thinner mucus layer
    • Inflammatory signalling 25
      • DNAIL6 -174 variant raises baseline inflammatory tone
    • Butyrate / short-chain fatty acid production 25
      • MicrobiomeF. prausnitzii depleted
    DNA
    Fictional pharmacogenomic panel
    • FUT2 rs601338 AA (non-secretor)
      Reduced mucosal fucosylation
    • IL6 -174 G/C
      Higher inflammatory tone
    • CYP2D6 Normal metabolizer
      Expected exposure
    Microbiome
    Shannon diversity 3.4 · butyrate capacity 75/100
    • Akkermansia muciniphilaLow
    • Faecalibacterium prausnitziiLow
    • Bacteroides fragilisNormal
    • Bifidobacterium longumNormal
    • EnterobacteriaceaeHigh
    Wearable, last 14 days
    daily evolution fed into the runtime
    HRV
    38 ms
    Sleep
    7.8 h
    Steps
    3,881
    Resting HR
    65 bpm
    Daily log: GI score 19, nutritional resilience 66, adherence 91.

    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
    • Keep meals regular; three to four moderate portions spaced through the day
    • Include a cooked vegetable portion with each main meal
    • 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
    • Log the daily check-in; one line is enough
    • 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
    • No additional supplements this week
    • Fictional demo item: continue vitamin D as before

    284 biologically similar trajectories

    Black: this patient. Green: similar patients whose intervention worked. Orange: similar patients where it did not.

    PatientSimilarityBaselineInterventionOutcomeResponse today
    P-0326442%S17AD-05improved51
    P-0335837%S06AD-05improved51
    P-0305230%S14AD-05no change77
    P-0310845%S01BR-03no change60
    P-0318144%S11BR-03improved65
    P-0322839%S20BR-03no change68
    P-0328333%S11BR-03no change50
    P-0346232%S20BR-03improved77
    P-0321331%S16BR-03improved47
    P-0341831%S18BR-03improved40
    P-0320733%S16CR-01improved72
    P-0300131%S14CR-01improved53