500 patients67,039 observations150 daysLIVE

Patient P-03201

Synthetic patientONX-7 · Day 139 · 75+ · M · baseline S15Steering view · 3DOpen companion preview
Therapy response
Improving
Tolerance
Deteriorating
GI state
Stable
Inflammatory state
Deteriorating
Nutritional resilience
Declining
Discontinuation risk
46%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 ONX-7 startedBaseline state S15
  2. Day 102 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 102 GI-04 recommendedGI Support Protocol GI-04
  4. Day 103 Patient acceptedStarted GI-04 in the companion
  5. Day 111 GI symptom burden −12% vs expectedGI Support Protocol GI-04
  6. Day 117 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 102.

Primary contributors, last 14 days
  • Treatment adherence-13
  • Toxicity+11
  • Inflammatory activity+8
  • Nutritional resilience-6

What helped?

  • GI Support Protocol GI-04Day 102
    Result: symptom burden −12%
LIFE OS recommendation
Dosing / Timing Recommendation DT-01
62%
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
3.6/10
stable · -0.1 vs previous 14 d
Stress level
Daily log
5.1/10
stable · +0.2 vs previous 14 d
Pessimism score
Daily log
3.6/10
stable · +0.0 vs previous 14 d
Sleep quality
Wearable
27.4/100
worsening · -2.2 vs previous 14 d
Libido
Daily log
3.5/10
worsening · -0.4 vs previous 14 d
HRV
Wearable
52.8 ms
stable · -1.5 vs previous 14 d
Toxicity
Blood
35.9/100
worsening · +2.9 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards restoration · 49 from the failing basin, 47 from restoration.

Would help
  • DT-01 Dosing / Timing Recommendation
    82% improved among 11 similar · onset 5 d · confidence 61%
  • NP-02 Dietary Support Protocol
    57% improved among 14 similar · onset 10 d · confidence 61%
  • HY-01 Hydration Protocol
    57% improved among 7 similar · onset 4 d · confidence 61%
  • More protein
    GI -5.9 next day on high-intake days · n 13
Would not help
  • AD-05 Adherence Support
    only 25% improved among 8 similar
  • Keep histamine low
    GI +6.4 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.

  • Histamine load
    +6.4detractor · 95%
  • Protein
    -5.9supporter · 95%
  • Caffeine
    +1.5no signal · 28%
  • Alcohol
    +1.4no signal · 25%
  • Dietary fat load
    -0.6no signal · 15%
  • Lactose
    -0.6no signal · 15%

Biological layers

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

Pathways under pressure
  • Mucosal barrier integrity 90
    • DNAFUT2 non-secretor lowers mucosal fucosylation
    • MicrobiomeAkkermansia low → thinner mucus layer
    • Daily logGI symptom score 51 and rising
    • WearableSleep 5.9 h, below personal baseline
  • Butyrate / short-chain fatty acid production 45
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Autonomic recovery 40
    • Wearable2,631 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 35
    • DNADPYD *2A → slower clearance
  • Inflammatory signalling 25
    • BloodInflammatory load index 54
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 2.9 · butyrate capacity 45/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeNormal
Wearable, last 14 days
daily evolution fed into the runtime
HRV
50 ms
Sleep
6.3 h
Steps
2,742
Resting HR
70 bpm
Daily log: GI score 51, nutritional resilience 42, adherence 67.

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-0346546%S17CR-01improved65
P-0316644%S20CR-01improved62
P-0345143%S0862
P-0327142%S1966
P-0304641%S20GI-04no change53
P-0338241%S01GI-04improved56
P-0300440%S0356
P-0314639%S14GI-04improved53
P-0322539%S19GI-04improved50
P-0326039%S1954
P-0326739%S0562
P-0328038%S1357