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Low reported severity

Dietitian says a patient who followed an AI-generated 1400 kcal meal plan for three months lost muscle and developed chronic constipation, Gazeta.pl reports

Gazeta.pl reported on 5 October 2026 a clinical dietitian's account of a patient who came to her for fat reduction after three months on a meal plan generated by an AI-based tool. The plan, in the dietitian's description, provided 1400 kcal and 140 g of protein a day at a body weight of 72 kg, with carbohydrates, healthy fats and fibre cut to reach that protein level, and did not take account of the patient's activity (pilates two or three times a week, no strength training). After three months the patient had lost 3.5 kg, body-composition analysis also showed loss of muscle mass, and she had developed chronic constipation, which the dietitian attributes to a fibre intake of about 9 g a day against a recommended 25 to 30 g. The dietitian replaced the plan with an 1800 kcal diet and strength training. The tool is not named and the event date and place are not stated.

AI system
Unidentified diet-plan tool
Occurred
Event date unknown
Reported
5 October 2026
Event location
Unknown
What the AI did
Communicated with the person
Reported harm
Medical Deterioration
Whose AI use
Their own AI use
Setting
Health
Evidence
AI involvement reported · Causal attribution alleged · 1 source
4 claims: 4 reported. 4 open questions
People reported harmed
1 person

AI system as recorded: A meal plan generated by an AI-based tool ('jadłospis wygenerowany przez narzędzie oparte na sztucznej inteligencji'); the article does not name the tool or say whether it was a chatbot or a diet application

What Happened

The AI-generated plan. Gazeta.pl (kobieta.gazeta.pl, 5 October 2026) quotes a clinical dietitian on one of her patients, who came to her to reduce body fat and improve body composition. For the previous three months the patient had followed a meal plan generated by a tool based on artificial intelligence. The dietitian describes the plan as 1400 kcal and 140 g of protein a day at a body weight of 72 kg, about 2 g of protein per kilogram.

What the dietitian says was wrong with it. The protein amount itself was not the error, she says. The plan did not take the patient's lifestyle into account: her main activity was pilates two or three times a week and she did no strength training. At so low a calorie level, the very high protein was reached at the cost of carbohydrates, healthy fats and dietary fibre; the extremely low calorie level was, in her words, certainly not neutral for the hormonal system; and the plan's quality was low, with many processed protein products.

Consequences. After three months the patient had lost 3.5 kg, but body-composition analysis also showed a loss of muscle mass, which the dietitian says is what a reduction diet must avoid at all costs. The patient had also developed chronic constipation, which the dietitian attributes to a fibre intake of only about 9 g a day against a recommended 25 to 30 g.

Response. The dietitian proposed an 1800 kcal plan with 120 g of protein, whole grains, more vegetables, plant protein sources and adequate fibre, plus one or two strength sessions a week. She says this approach reduced body fat while preserving and gradually increasing muscle mass; no figures are given.

Limits. The account is the dietitian's, given in a feature on protein intake. The tool is not named, the generated plan is not reproduced, and the article does not say what the patient asked the tool or whether it was a chatbot or a diet application. The dates of the diet, the patient's age and the place are not stated. The muscle loss is not quantified.

Reported harm

In the dietitian's account, three months on the AI-generated meal plan left the patient with a loss of muscle mass shown by body-composition analysis and chronic constipation attributed to the plan's low fibre content.

Outcome

Unknown

The dietitian says she replaced the plan with a more balanced 1800 kcal diet with 120 g of protein, more whole grains, vegetables, plant protein and fibre, and one or two strength sessions a week. The dietitian says this approach allowed the patient to reduce body fat while preserving and gradually increasing muscle mass; the article gives no figures or timeframe for that result and no other follow-up.

What remains unknown

  • The AI tool is not named, and the article does not say whether it was a chatbot or a diet application, or what the patient asked it.
  • The generated plan is not reproduced; its composition is known only from the dietitian's description.
  • The dates of the three-month diet and of the consultation are not stated; the patient's age and location are not stated.
  • The muscle loss is not quantified, and no other possible causes of the constipation are discussed.

What the evidence supports

AI involvement: reported. The article states that the patient's meal plan was generated by an AI-based tool and gives what that plan prescribed: 1400 kcal and 140 g of protein a day at 72 kg, with carbohydrates, healthy fats and fibre cut to reach that level, and about 9 g of fibre a day. The dietitian connects that composition to the harm: the fibre level to the chronic constipation, and the low calories with high protein and no strength training to the muscle loss. The tool is not named, the plan is not reproduced, and the account is the dietitian's as quoted by one outlet.

4 claims: 4 reported. What the statuses mean

Reported A patient who consulted the dietitian to reduce body fat had for the previous three months followed a meal plan generated by an AI-based tool, which provided 1400 kcal and 140 g of protein a day at a body weight of 72 kg.

Causal attribution. The dietitian's description of the plan, quoted by Gazeta.pl. The plan itself is not reproduced and the tool is not named.

  • kobieta.gazeta.pl(opens in new tab) supports · Polish
    'Wcześniej przez trzy miesiące stosowała jadłospis wygenerowany przez narzędzie oparte na sztucznej inteligencji'; 'Dieta dostarczała 1400 kcal oraz 140 g białka dziennie przy masie ciała wynoszącej 72 kg'
Reported The dietitian says the plan did not take the patient's lifestyle into account (pilates two or three times a week, no strength training), that at so low a calorie level its very high protein came at the cost of carbohydrates, healthy fats and fibre, and that its quality was low with many processed protein products.

Causal attribution. The dietitian's professional assessment of the plan, as quoted.

  • kobieta.gazeta.pl(opens in new tab) supports · Polish
    'zalecenia nie uwzględniały stylu życia'; 'osiągnięcie bardzo wysokiej podaży białka odbyło się kosztem innych składników diety. Były to głównie węglowodany, zdrowe tłuszcze oraz błonnik pokarmowy'; 'jakość jadłospisu była niska'
Reported After three months on the plan the patient had lost 3.5 kg, body-composition analysis also showed a loss of muscle mass, and she had developed chronic constipation, which the dietitian attributes to a fibre intake of about 9 g a day against a recommended 25 to 30 g.

Causal attribution. The dietitian attributes the constipation to the plan's low fibre and presents the muscle loss as a result of the diet; the article offers no other cause.

  • kobieta.gazeta.pl(opens in new tab) supports · Polish
    'po trzech miesiącach restrykcyjnej diety schudła 3,5 kg. Analiza składu wykazała jednak również utratę masy mięśniowej'; 'u pacjentki pojawiły się przewlekłe zaparcia. Był to skutek niskiego spożycia błonnika'; 'Wynosiło zaledwie około 9 g dziennie, podczas gdy rekomendowana ilość to 25-30 g'
Reported The dietitian replaced the plan with an 1800 kcal diet with 120 g of protein, more whole grains, vegetables, plant protein and fibre, and recommended one or two strength sessions a week.

Causal attribution. The dietitian's description of her own response; she says the new plan reduced body fat while preserving and gradually increasing muscle mass, without figures.

  • kobieta.gazeta.pl(opens in new tab) supports · Polish
    'Ekspertka zaproponowała kobiecie bardziej zbilansowany model żywienia oparty na diecie 1800 kcal ze 120 g białka dziennie'; 'zaleciłam włączenie jednego lub dwóch treningów siłowych tygodniowo'; 'Jak podkreśla nasza rozmówczyni, takie podejście pozwoliło skutecznie zredukować tkankę tłuszczową przy jednoczesnym zachowaniu, a także stopniowym zwiększaniu masy mięśniowej'

Sources

1 source inspected. Sources that repeat one account do not corroborate each other.

How the sources were read, and where the events happened

Read in Polish: the full article on kobieta.gazeta.pl. Passages were translated by the research agent, an AI; no human translator reviewed them. Applies to s1.

Event countries: Unknown. Affected-person countries: Unknown. Court countries: Unknown.

The article does not state where the patient lives or where the consultation took place. The outlet is Polish and the dietitian practises in Poland, but neither fact locates this patient's diet or consultation, so no country is recorded.

Reviewed for publication 2026-10-07: Published as a clinician's attributed account of one patient: the article states what the AI-generated plan prescribed and the dietitian connects that composition to the muscle loss and chronic constipation she found. Single source; claims are marked reported, the patient is unnamed, and the unknowns (tool, dates, place, quantification) are recorded.

People described

A woman who consulted a clinical dietitian after three months on an AI-generated meal plan; age not stated

People reported harmed in this case

1 person

1 AI participant · 0 other people harmed

One person: the patient the dietitian describes, who followed the AI-generated plan and developed the reported effects.

Counted once within this case. The same person may appear in other cases. This count does not establish AI causation.

Cite this case

Compiled per our published methodology: verification statuses, sourcing standards, and corrections process.

APA

NOPE. (2026). Dietitian says a patient who followed an AI-generated 1400 kcal meal plan for three months lost muscle and developed chronic constipation, Gazeta.pl reports. AI incidents. https://nope.net/incidents/2026-dietitian-reports-patient-ai-generated-meal-plan-muscle-loss-constipation

BibTeX

@misc{2026_dietitian_reports_patient_ai_generated_meal_plan_muscle_loss_constipation,
  title = {Dietitian says a patient who followed an AI-generated 1400 kcal meal plan for three months lost muscle and developed chronic constipation, Gazeta.pl reports},
  author = {NOPE},
  year = {2026},
  howpublished = {AI incidents},
  url = {https://nope.net/incidents/2026-dietitian-reports-patient-ai-generated-meal-plan-muscle-loss-constipation}
}

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