500 patients67,039 observations150 daysLIVE

Patient P-03317

Synthetic patientONX-7 · Day 147 · 45–54 · F · baseline S08Open companion preview
Therapy response
Stable
Tolerance
Deteriorating
GI state
Deteriorating
Inflammatory state
Deteriorating
Nutritional resilience
Declining
Discontinuation risk
22%

Trajectory

Baseline → today → 30-day prediction · hover a day for signals and events
solid = observed · dashed = predicted
  1. Day 0 ONX-7 startedBaseline state S08
  2. Day 13 Trajectory diverged from predictionObserved response fell below the model's expected path.
  3. Day 18 HY-01 recommendedHydration Protocol HY-01
  4. Day 19 Patient acceptedStarted HY-01 in the companion
  5. Day 23 GI symptom burden −12% vs expectedHydration Protocol HY-01
  6. Day 29 Tolerance state changedUnstable → Improving

What changed?

Trajectory began diverging from predicted response on Day 13.

Primary contributors, last 14 days
  • Toxicity+11
  • GI instability+10
  • Nutritional resilience-10
  • Inflammatory activity+7
  • Treatment adherence-6

What helped?

  • Hydration Protocol HY-01Day 18
    Result: symptom burden −12%
LIFE OS recommendation
No intervention is indicated right now. The trajectory is stable relative to similar patients.

Biological layers

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

Pathways under pressure
  • Butyrate / short-chain fatty acid production 60
    • MicrobiomeButyrate capacity 24/100
    • MicrobiomeF. prausnitzii depleted
  • Drug metabolism and exposure 35
    • DNADPYD *2A → slower clearance
  • Mucosal barrier integrity 30
    • MicrobiomeAkkermansia low → thinner mucus layer
  • Autonomic recovery 25
    • WearableResting HR 73 bpm
DNA
Fictional pharmacogenomic panel
  • DPYD *2A heterozygous
    Slower drug clearance
  • CYP2D6 Normal metabolizer
    Expected exposure
Microbiome
Shannon diversity 3.1 · butyrate capacity 24/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumNormal
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
42 ms
Sleep
8.1 h
Steps
8,268
Resting HR
69 bpm
Daily log: GI score 10, nutritional resilience 69, adherence 92.

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
  • Keep the current walking rhythm
  • 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-0321550%S16HY-01improved44
P-0324449%S08DT-01improved53
P-0314444%S16HY-01improved52
P-0317944%S05GI-04improved52
P-0323344%S19DT-01improved47
P-0314343%S11DT-01improved49
P-0304042%S0351
P-0317242%S17DT-01no change48
P-0325542%S01HY-01improved53
P-0332842%S15GI-04improved59
P-0344242%S11DT-01improved51
P-0306241%S1144