Provider Summary — Tissue repair & energy support draft

{
  "components": [
    {
      "name": "BPC-157",
      "evidence": [],
      "dosingText": "Reference dosing as documented in source (verbatim; not a recommendation).",
      "safetyNotes": "Stop and contact the clinic if you feel unwell.",
      "dosingSource": "Internal Clinic Protocols — Provider (internal_protocol)",
      "componentType": "peptide",
      "dosingReviewed": false,
      "monitoringNotes": "Note any injection-site reactions.",
      "providerRationale": "Tissue repair / gut-lining support.",
      "providerInstruction": "As directed by your provider each morning."
    }
  ],
  "lab_snapshot": {
    "systems": {
      "immune": 0,
      "hormonal": 0,
      "metabolic": 83,
      "nutritional": 11,
      "inflammatory": 100,
      "mitochondrial": 0,
      "detoxification": 0,
      "connective_tissue": 77,
      "neuroinflammatory": 89
    },
    "confidence": 0.31,
    "missingMarkers": [
      "hscrp",
      "esr",
      "fibrinogen",
      "wbc",
      "neutrophils",
      "lymphocytes",
      "monocytes",
      "eosinophils",
      "basophils",
      "igg",
      "iga",
      "igm",
      "lactate",
      "pyruvate",
      "ck",
      "tsh",
      "free_t3",
      "free_t4",
      "reverse_t3",
      "testosterone",
      "estradiol",
      "progesterone",
      "dhea_s",
      "am_cortisol",
      "triglycerides",
      "hdl",
      "ldl",
      "folate",
      "iron",
      "iron_saturation",
      "magnesium",
      "zinc",
      "copper",
      "ast",
      "alt",
      "ggt",
      "bilirubin",
      "albumin",
      "creatinine",
      "egfr"
    ],
    "abnormalMarkers": [
      {
        "flag": "low",
        "value": 24,
        "marker_name": "Vitamin D"
      },
      {
        "flag": "high",
        "value": 9,
        "marker_name": "CRP"
      },
      {
        "flag": "high",
        "value": 620,
        "marker_name": "Ferritin"
      },
      {
        "flag": "high",
        "value": 108,
        "marker_name": "Fasting glucose"
      },
      {
        "flag": "high",
        "value": 22,
        "marker_name": "Fasting insulin"
      },
      {
        "flag": "high",
        "value": 6.1,
        "marker_name": "HbA1c"
      },
      {
        "flag": "low",
        "value": 300,
        "marker_name": "B12"
      }
    ]
  },
  "signed_off_at": "2026-06-14T00:33:03.739+00:00",
  "safety_snapshot": {
    "highFlags": [
      {
        "category": "cancer_history",
        "description": "Prior cancer history requires physician review before regenerative or immune-modulating protocol consideration."
      },
      {
        "category": "reaction_history",
        "description": "High-reactivity or severe flare history may increase risk of intolerance."
      },
      {
        "category": "reaction_history",
        "description": "MCAS/high-reactivity history may increase risk of intolerance."
      }
    ],
    "criticalFlags": [],
    "overallRiskLevel": "High Review Priority",
    "overallRiskScore": 68,
    "missingInformation": [
      "allergy_history_confirmed",
      "cancer_screening_confirmed",
      "pregnancy_status_confirmed",
      "infection_status_confirmed"
    ],
    "monitoringConsiderations": [
      "Oncology / cancer-history review",
      "Metabolic monitoring",
      "Allergy and reaction history review",
      "Physician review before protocol selection"
    ]
  },
  "outcome_snapshot": {
    "trends": {
      "pem": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 8
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 4
        }
      ],
      "pain": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 7
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 3
        }
      ],
      "sleep": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 3
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 7
        }
      ],
      "fatigue": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 8
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 4
        }
      ],
      "brain_fog": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 7
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 3
        }
      ],
      "functional": [
        {
          "date": "2026-03-03T09:00:00+00:00",
          "value": 20
        },
        {
          "date": "2026-04-02T09:00:00+00:00",
          "value": 60
        }
      ]
    },
    "baselineVsCurrent": [
      {
        "metric": "fatigue_score",
        "current": 4,
        "baseline": 8
      },
      {
        "metric": "brain_fog_score",
        "current": 3,
        "baseline": 7
      },
      {
        "metric": "pain_score",
        "current": 3,
        "baseline": 7
      },
      {
        "metric": "sleep_quality_score",
        "current": 7,
        "baseline": 3
      },
      {
        "metric": "pem_score",
        "current": 4,
        "baseline": 8
      },
      {
        "metric": "work_capacity_percent",
        "current": 60,
        "baseline": 20
      }
    ],
    "clinicalImprovementScore": 69,
    "functionalImprovementScore": 68
  },
  "protocol_plan_id": "b079f7ed-24f8-4e80-923d-51385090335d",
  "phenotype_snapshot": {
    "scores": {
      "gut_immune": 0,
      "dysautonomia": 0,
      "babesia_pattern": 63,
      "connective_tissue": 7,
      "mold_cirs_pattern": 0,
      "neuroinflammation": 32,
      "bartonella_pattern": 0,
      "immune_dysregulation": 0,
      "metabolic_dysfunction": 0,
      "mitochondrial_dysfunction": 19
    },
    "primary": "babesia_pattern",
    "secondary": "neuroinflammation",
    "recoveryStage": "improving"
  },
  "provider_instructions": [
    {
      "name": "BPC-157",
      "instruction": "As directed by your provider each morning."
    }
  ],
  "dosing_references_used": [
    {
      "name": "BPC-157",
      "dosing": "Reference dosing as documented in source (verbatim; not a recommendation).",
      "source": "Internal Clinic Protocols — Provider (internal_protocol)"
    }
  ],
  "evidence_references_used": []
}