{"meta":{"exportedAt":"2026-10-07T06:08:26.343Z","formatVersion":2,"selection":{"q":"nutrition","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":2,"coverage":{"cases":2,"countries":1,"languages":2,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":2,"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"]},{"id":"2026-trofa-portugal-urologist-handed-patient-unvalidated-gemini-diet-printout","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'Uma consulta no Trofa Saúde Hospital da Trofa terminou com um médico a entregar a uma paciente uma recomendação impressa diretamente do Gemini'; 'o caso ocorreu a 2 de junho durante uma consulta de urologia. Em vez de um plano nutricional personalizado para um problema renal, o paciente recebeu uma folha impressa que trazia, no cabeçalho, a etiqueta de \"vista geral de IA\".'","relation":"supports","source_id":"s1"},{"locator":"'o paciente procurou uma consulta de urologia para acompanhamento de um problema renal e esperava receber um plano nutricional personalizado. Em vez disso, afirma ter recebido uma folha impressa com recomendações alimentares, identificada no topo como uma \"vista geral de IA\", gerada pelo Gemini.'","relation":"supports","source_id":"s2"}],"assertion":"During a urology consultation on 2 June 2026 at the Trofa Saúde Hospital da Trofa, a patient with a kidney problem who expected a personalised nutrition plan received a printed sheet of food recommendations headed 'AI overview', generated by Google's Gemini.","causal_attribution":"Patient's account to Correio da Manhã; relays repeat it."},{"id":"c2","status":"reported","evidence":[{"locator":"'Para quem paga cerca de 90 euros pela consulta numa das unidades do grupo de saúde privado, se não tiver seguro de saúde, a experiência deixou um gosto amargo.'; '\"Nunca experienciei uma coisa assim. Eu preferia que ele demorasse o seu tempo\", confessou o paciente, questionado pelo CM, considerando \"uma falta de consideração\" por parte do profissional de saúde.'; '\"O médico estava a escrever no computador e eu não estava à espera de receber um print do Google\", relatou.'","relation":"supports","source_id":"s1"},{"locator":"'O doente, que pagou cerca de 90 euros pela consulta, descreveu a experiência como inédita e dececionante.'; 'Segundo o seu relato, o médico limitou-se a imprimir e entregar a informação produzida pelo chatbot, sem explicar se tinha revisto ou adaptado o conteúdo ao seu quadro clínico.'","relation":"supports","source_id":"s2"},{"locator":"'Uma paciente que pagou cerca de 90 euros por uma consulta de urologia numa unidade do grupo Trofa Saúde recebeu, no final, um documento alegadamente gerado por Inteligência Artificial'","relation":"supports","source_id":"s3"}],"assertion":"The patient said the doctor simply printed and handed over the list without showing it had been checked against the patient's case, and called it a lack of consideration; the consultation costs about EUR 90 without insurance.","causal_attribution":"Patient's account; CM frames the EUR 90 as the price for patients without health insurance, and whether this patient was insured is not stated."},{"id":"c3","status":"reported","evidence":[{"locator":"'\"A inteligência artificial é um apoio, não um substituto. Toda a informação obtida via IA tem de ser obrigatoriamente validada pelo médico antes de chegar ao paciente. O médico tem a responsabilidade total e intransmissível sobre o ato\"'; 'Apesar das sucessivas tentativas de contacto ao longo das últimas três semanas, o grupo não prestou quaisquer esclarecimentos.'","relation":"supports","source_id":"s1"},{"locator":"'Contactada pelo Correio da Manhã, a Ordem dos Médicos afirma não ter conhecimento formal do caso concreto'; 'Para Carlos Cortes, recorrer a um chatbot para produzir recomendações básicas de alimentação em contexto de urologia representa uma atuação \"profundamente inábil\"'","relation":"supports","source_id":"s2"}],"assertion":"The Ordem dos Médicos, which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'; Trofa Saúde did not answer the paper's questions.","causal_attribution":"Professional body's general statement in response to the paper; it did not examine the case."}],"effects":[{"label":"a paid urology consultation ended with an unvalidated Gemini food list instead of a personalised nutrition plan, which the patient called a lack of consideration","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","kind":"news_report","access":"read","language":"pt","translation_note":"Original report; full Portuguese body read by curl on 2026-09-29. Researcher's English rendering; no human translation.","independence_group":"correio-da-manha"},{"id":"s2","url":"https://www.onoticiasdatrofa.pt/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica/","kind":"news_report","access":"read","language":"pt","translation_note":"Local paper's rewrite of the Correio da Manhã report (16 July 2026), read by curl on 2026-09-29; it credits CM and adds no independent reporting.","independence_group":"correio-da-manha"},{"id":"s3","url":"https://postal.pt/nacional/paciente-paga-90e-por-consulta-de-urologia-no-privado-e-as-recomendacoes-do-medico-foram-geradas-por-inteligencia-artificial/","kind":"news_report","access":"read","language":"pt","translation_note":"Postal rewrite of the CM report (16 July 2026), read by curl on 2026-09-29; it refers to the patient in the feminine, while CM mostly uses the masculine, so the record does not state gender.","independence_group":"correio-da-manha"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The content of the printed recommendations and whether any of it was inappropriate for the patient's condition.","The doctor's identity and whether the hospital or the Ordem dos Médicos took any action.","Whether the patient was insured and what the patient actually paid."],"geography":{"basis":"The consultation took place at the Trofa Saúde Hospital da Trofa in Trofa, Portugal (Correio da Manhã). The patient's country of residence is not stated.","court_countries":[],"event_countries":["PT"],"affected_person_countries":[]},"publication":{"basis":"Published as a concrete adverse experience in which AI output, relayed unvalidated by a hospital doctor, replaced personalised advice in a paid consultation. It rests on the patient's account in one Correio da Manhã report and its relays; no health harm is reported, and neither the patient nor the doctor is named.","reviewed_on":"2026-09-29"},"ai_involvement":{"basis":"The patient's printout was headed 'vista geral de IA', the label of Google's AI overview, and Correio da Manhã identifies it as Gemini output; the printout itself was not inspected and the hospital did not comment.","status":"reported"},"person_relations":["communicated_with"]},"name":"Trofa, Portugal: a patient at a private urology consultation (about EUR 90 without insurance) for a kidney problem, expecting a personalised nutrition plan, was handed a printout of Google Gemini food recommendations headed 'AI overview'; the Portuguese Medical Association called the practice 'profoundly inept'","summary":"According to Correio da Manhã, during a urology consultation at the Trofa Saúde Hospital da Trofa on 2 June 2026, a patient being followed for a kidney problem expected a personalised nutrition plan but received a printed sheet of food recommendations headed 'vista geral de IA' ('AI overview'), generated by Google's Gemini. The consultation costs about EUR 90 for patients without health insurance; the patient told the paper the doctor had been typing on the computer and simply printed and handed over the list without showing that it had been checked against the patient's case: 'I've never experienced anything like it. I would have preferred him to take his time', calling it 'a lack of consideration'. The Portuguese Medical Association (Ordem dos Médicos), which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'. Trofa Saúde did not respond to the paper over three weeks.","incidentDate":"2026-06-02","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-07-15","aiSystem":"Google Gemini ('AI overview' output), used by a hospital urologist to produce dietary recommendations that were printed and handed to the patient","aiProduct":"Gemini (reported)","aiCompany":"Google","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress"],"harmOutcomeSummary":"The patient says a private consultation (about EUR 90 without insurance) ended with a printed Google Gemini food list instead of a personalised nutrition plan, handed over without any sign it had been checked against the patient's case, and called it 'a lack of consideration' (patient's account to Correio da Manhã; no health effect is reported).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, who received the Gemini printout and described the consultation to Correio da Manhã. The patient is counted as a participant because the AI-generated text itself was handed to them as the doctor's recommendation. Exact 1.","victimAgeRange":"unknown","jurisdiction":"PT","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","primarySourceLabel":"Correio da Manhã, 15 July 2026: Urologista do Hospital da Trofa entrega recomendações geradas por IA a paciente sem validação médica","firstPublishedAt":"2026-09-29T09:00:39.286269+00:00","updatedAt":"2026-09-30T01:17:57.094189+00:00","scopeVersion":"facts-v3","tags":["gemini","google","ai-overview","healthcare","urology","private-hospital","portugal","ordem-dos-medicos","institutional-use","portuguese-language"]}]}