500 patients67,039 observations150 daysLIVE

Patient P-03146

Synthetic patientONX-7 · Day 140 · 55–64 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Improving
Inflammatory state
Improving
Nutritional resilience
Improving
Discontinuation risk
58%

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 60 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 74 ME-01 recommendedMonitoring Escalation ME-01
  10. Day 75 Patient acceptedStarted ME-01 in the companion
  11. Day 78 GI symptom burden −24% vs expectedGI Support Protocol GI-04
  12. Day 78 Deterioration detected before clinical escalationMonitoring Escalation ME-01
  13. Day 84 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 60.

Primary contributors, last 14 days
  • GI instability-18
  • Toxicity+8
  • Nutritional resilience+7
  • Inflammatory activity-5
  • Treatment adherence-4

What helped?

  • Dietary Support Protocol NP-02Day 39
    Result: symptom burden −23%
  • GI Support Protocol GI-04Day 69
    Result: symptom burden −24%
  • Monitoring Escalation ME-01Day 74
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
Dosing / Timing Recommendation DT-01
67%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 82% 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
4.3/10
worsening · -0.2 vs previous 14 d
Stress level
Daily log
6/10
worsening · +0.5 vs previous 14 d
Pessimism score
Daily log
4.8/10
worsening · +0.3 vs previous 14 d
Sleep quality
Wearable
44.5/100
worsening · -3.6 vs previous 14 d
Libido
Daily log
3.1/10
stable · -0.1 vs previous 14 d
HRV
Wearable
54.5 ms
worsening · -2.4 vs previous 14 d
Toxicity
Blood
34.7/100
stable · -0.9 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 41 from the failing basin, 47 from restoration.

Would help
  • DT-01 Dosing / Timing Recommendation
    82% improved among 11 similar · onset 5 d · confidence 67%
  • CR-01 Clinician Review
    100% improved among 5 similar · onset 5 d · confidence 67%
  • More protein
    GI -5.2 next day on high-intake days · n 24
Would not help
  • AD-05 Adherence Support
    only 27% improved among 11 similar
  • Keep fat low
    GI +4.6 next day on high-intake days · n 23
  • Keep alcohol low
    GI +3.9 next day on high-intake days · n 18
  • Keep lactose low
    GI +3.5 next day on high-intake days · n 18
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
    -5.2supporter · 95%
  • Dietary fat load
    +4.6detractor · 95%
  • Alcohol
    +3.9detractor · 95%
  • Lactose
    +3.5detractor · 95%
  • Histamine load
    -1.9no signal · 43%
  • Caffeine
    -0.5no 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 31/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 45
    • MicrobiomeBacteroides fragilis expansion
    • BloodInflammatory load index 49
  • Mucosal barrier integrity 20
    • Daily logGI symptom score 47 and rising
  • Autonomic recovery 20
    • Wearable3,661 steps/day
DNA
Fictional pharmacogenomic panel
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.6 · butyrate capacity 31/100
  • Akkermansia muciniphilaNormal
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisHigh
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
54 ms
Sleep
6.2 h
Steps
3,132
Resting HR
70 bpm
Daily log: GI score 47, nutritional resilience 42, adherence 55.

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-0338236%S01GI-04improved56
P-0338433%S0155
P-0307428%S0160
P-0344326%S0152
P-0338125%S0155
P-0338925%S0150
P-0309224%S0161
P-0325524%S01HY-01improved53
P-0301423%S0132
P-0317723%S0128
P-0305321%S0139
P-0312821%S0132