500 patients67,039 observations150 daysLIVE

Patient P-03145

Synthetic patientONX-7 · Day 139 · 55–64 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Deteriorating
Inflammatory state
Deteriorating
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 −28% vs expectedDietary Support Protocol NP-02
  5. Day 56 Tolerance state changedUnstable → Improving
  6. Day 61 Trajectory diverged from predictionObserved response fell below the model's expected path.
  7. Day 69 GI-04 recommendedGI Support Protocol GI-04
  8. Day 70 Patient acceptedStarted GI-04 in the companion
  9. Day 78 GI symptom burden −30% vs expectedGI Support Protocol GI-04
  10. Day 84 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 61.

Primary contributors, last 14 days
  • Nutritional resilience-18
  • GI instability+17
  • Inflammatory activity+13
  • Toxicity+12
  • Treatment adherence-8

What helped?

  • Dietary Support Protocol NP-02Day 39
    Result: symptom burden −28%
  • GI Support Protocol GI-04Day 69
    Result: symptom burden −30%
LIFE OS recommendation
Dosing / Timing Recommendation DT-01
70%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 75% showed improvement
  • median effect visible after 5 days

Daily trackers

Molecule settings

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

Energy level
Daily log
2.5/10
worsening · -1.0 vs previous 14 d
Stress level
Daily log
6.9/10
worsening · +1.1 vs previous 14 d
Pessimism score
Daily log
5.7/10
worsening · +0.7 vs previous 14 d
Sleep quality
Wearable
30.4/100
worsening · -8.0 vs previous 14 d
Libido
Daily log
3.1/10
worsening · -0.8 vs previous 14 d
HRV
Wearable
31.6 ms
worsening · -4.1 vs previous 14 d
Toxicity
Blood
39.8/100
worsening · +11.6 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 33 from the failing basin, 56 from restoration.

Would help
  • ME-01 Monitoring Escalation
    100% improved among 11 similar · onset 3 d · confidence 77%
  • DT-01 Dosing / Timing Recommendation
    75% improved among 12 similar · onset 5 d · confidence 77%
  • SC-12 Supportive Compound
    89% improved among 9 similar · onset 6 d · confidence 77%
  • More protein
    GI -5.7 next day on high-intake days · n 25
Would not help
  • AD-05 Adherence Support
    only 30% improved among 10 similar
  • Keep fat low
    GI +5.4 next day on high-intake days · n 19
  • Keep lactose low
    GI +5 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.

  • Protein
    -5.7supporter · 95%
  • Dietary fat load
    +5.4detractor · 95%
  • Lactose
    +5detractor · 95%
  • Histamine load
    -1.4no signal · 28%
  • Alcohol
    +0.3no signal · 15%
  • Caffeine
    -0.2no signal · 15%

Biological layers

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

Pathways under pressure
  • Inflammatory signalling 85
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 53
    • WearableHRV 32 ms, trending down
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 42/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Mucosal barrier integrity 60
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 57 and rising
    • WearableSleep 6.1 h, below personal baseline
  • Autonomic recovery 40
    • Wearable300 steps/day
    • WearableShort sleep window
DNA
Fictional pharmacogenomic panel
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.5 · butyrate capacity 42/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
38 ms
Sleep
5.7 h
Steps
1,580
Resting HR
67 bpm
Daily log: GI score 57, nutritional resilience 36, adherence 47.

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-0338233%S01GI-04improved56
P-0338430%S0155
P-0307425%S0160
P-0338925%S0150
P-0325524%S01HY-01improved53
P-0317723%S0128
P-0338123%S0155
P-0344323%S0152
P-0301422%S0132
P-0305322%S0139
P-0309222%S0161
P-0312821%S0132