{"meta":{"exportedAt":"2026-10-07T07:00:45.224Z","formatVersion":2,"selection":{"q":"diet-advice","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-dietitian-reports-patient-ai-generated-meal-plan-muscle-loss-constipation","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'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'","relation":"supports","source_id":"s1"}],"assertion":"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."},{"id":"c2","status":"reported","evidence":[{"locator":"'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'","relation":"supports","source_id":"s1"}],"assertion":"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."},{"id":"c3","status":"reported","evidence":[{"locator":"'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'","relation":"supports","source_id":"s1"}],"assertion":"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."},{"id":"c4","status":"reported","evidence":[{"locator":"'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'","relation":"supports","source_id":"s1"}],"assertion":"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."}],"effects":[{"label":"loss of muscle mass shown by body-composition analysis after three months on the AI-generated plan (dietitian's account)","claim_id":"c3","direction":"negative"},{"label":"chronic constipation, attributed by the dietitian to the plan's fibre content of about 9 g a day","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://kobieta.gazeta.pl/zdrowie-i-harmonia/7,197773,33052838,przeszla-na-diete-wygenerowana-przez-ai-poza-kilogramami-stracila.html","kind":"national_news","access":"read","language":"pl","translation_note":"Read in Polish: the full article on kobieta.gazeta.pl. Passages were translated by the research agent, an AI; no human translator reviewed them.","independence_group":"gazeta-pl"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["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."],"geography":{"basis":"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.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"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.","reviewed_on":"2026-10-07"},"ai_involvement":{"basis":"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.","status":"reported"},"person_relations":["communicated_with"]},"name":"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","summary":"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.","incidentKind":"ongoing_experience","incidentDatePrecision":"unknown","exposurePattern":"unknown","reportedDate":"2026-10-05","aiSystem":"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","aiProduct":"Unidentified diet-plan tool","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["medical_deterioration"],"harmOutcomeSummary":"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.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient the dietitian describes, who followed the AI-generated plan and developed the reported effects.","victimAgeRange":"unknown","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://kobieta.gazeta.pl/zdrowie-i-harmonia/7,197773,33052838,przeszla-na-diete-wygenerowana-przez-ai-poza-kilogramami-stracila.html","primarySourceLabel":"Gazeta.pl Kobieta, 5 October 2026: \"Przeszła na dietę wygenerowaną przez AI. Poza kilogramami straciła coś jeszcze\"","firstPublishedAt":"2026-10-07T03:25:18.115991+00:00","updatedAt":"2026-10-07T03:25:18.115991+00:00","scopeVersion":"facts-v3","tags":["health-guidance","diet-advice","nutrition","muscle-loss","constipation","clinician-account","polish-language-source"]}]}