500 patients67,039 observations150 daysLIVE

Patient P-03332

Synthetic patientONX-7 · Day 98 · 55–64 · M · baseline S14Steering view · 3DOpen companion preview
Therapy response
Declining
Tolerance
Stable
GI state
Unstable
Inflammatory state
Unstable
Nutritional resilience
Unstable
Discontinuation risk
96%

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 No meaningful changeDietary Support Protocol NP-02
  5. Day 60 Trajectory diverged from predictionObserved response fell below the model's expected path.
  6. Day 76 ME-01 recommendedMonitoring Escalation ME-01
  7. Day 77 Patient acceptedStarted ME-01 in the companion
  8. Day 80 Deterioration detected before clinical escalationMonitoring Escalation ME-01

What changed?

Trajectory began diverging from predicted response on Day 60.

Primary contributors, last 14 days
  • Treatment adherence-23
  • GI instability+10
  • Inflammatory activity+9
  • Nutritional resilience-8
  • Toxicity-2

What helped?

  • Dietary Support Protocol NP-02Day 39
    Result: no meaningful change
  • Monitoring Escalation ME-01Day 76
    Result: deterioration detected before clinical escalation
LIFE OS recommendation
GI Support Protocol GI-04
91%
probability of meaningful tolerance improvement
  • 284 similar trajectories
  • 81% showed improvement
  • median effect visible after 8 days

Daily trackers

Molecule settings

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

Energy level
Daily log
1.6/10
worsening · -1.1 vs previous 14 d
Stress level
Daily log
7.7/10
worsening · +0.5 vs previous 14 d
Pessimism score
Daily log
5.9/10
worsening · +0.6 vs previous 14 d
Sleep quality
Wearable
24.8/100
worsening · -8.3 vs previous 14 d
Libido
Daily log
2/10
worsening · -0.2 vs previous 14 d
HRV
Wearable
24.9 ms
worsening · -3.6 vs previous 14 d
Toxicity
Blood
52.3/100
stable · +0.4 vs previous 14 d
This trajectory is decaying — what would help, what would not
Steering view →

Heading towards failing · 32 from the failing basin, 82 from restoration.

Would help
  • GI-04 GI Support Protocol
    72% improved among 32 similar · onset 8 d · confidence 97%
  • SC-12 Supportive Compound
    89% improved among 9 similar · onset 6 d · confidence 80%
  • CR-01 Clinician Review
    100% improved among 5 similar · onset 5 d · confidence 80%
  • More protein
    GI -6 next day on high-intake days · n 17
Would not help
  • NP-02 Dietary Support Protocol
    already tried, no meaningful change
  • AD-05 Adherence Support
    only 13% improved among 8 similar
  • Keep fat low
    GI +5.7 next day on high-intake days · n 26
  • Keep histamine low
    GI +5.7 next day on high-intake days · n 23
  • Keep lactose low
    GI +5.4 next day on high-intake days · n 23
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
    -6supporter · 95%
  • Dietary fat load
    +5.7detractor · 95%
  • Histamine load
    +5.7detractor · 95%
  • Lactose
    +5.4detractor · 95%
  • Caffeine
    +2.5no signal · 47%
  • Alcohol
    +2.3detractor · 55%

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 77 and rising
    • WearableSleep 6.1 h, below personal baseline
  • Butyrate / short-chain fatty acid production 80
    • MicrobiomeButyrate capacity 38/100
    • MicrobiomeF. prausnitzii depleted
    • Daily logFibre intake low in recent food logs
  • Inflammatory signalling 65
    • DNAIL6 -174 variant raises baseline inflammatory tone
    • BloodInflammatory load index 72
    • WearableHRV 25 ms, trending down
  • Autonomic recovery 65
    • WearableResting HR 86 bpm
    • Wearable3,988 steps/day
    • WearableShort sleep window
  • Drug metabolism and exposure 20
    • BloodToxicity index 52
DNA
Fictional pharmacogenomic panel
  • FUT2 rs601338 AA (non-secretor)
    Reduced mucosal fucosylation
  • IL6 -174 G/C
    Higher inflammatory tone
  • CYP2D6 Intermediate metabolizer
    Expected exposure
Microbiome
Shannon diversity 3 · butyrate capacity 38/100
  • Akkermansia muciniphilaLow
  • Faecalibacterium prausnitziiLow
  • Bacteroides fragilisNormal
  • Bifidobacterium longumLow
  • EnterobacteriaceaeHigh
Wearable, last 14 days
daily evolution fed into the runtime
HRV
27 ms
Sleep
6.0 h
Steps
3,268
Resting HR
87 bpm
Daily log: GI score 77, nutritional resilience 24, 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-0310518%S12AD-05no change60
P-0320418%S16AD-05improved48
P-0335118%S07AD-05no change51
P-0348218%S05AD-05no change67
P-0311117%S07AD-05no change48
P-0318717%S12AD-05no change80
P-0303416%S14AD-05no change30
P-0315816%S17AD-05no change37
P-0320816%S02BR-03improved57
P-0309933%S17CR-01improved55
P-0335728%S02CR-01improved50
P-0303127%S16CR-01improved49