A clinical-grade oncology nutrition engine built on ESPEN & ASPEN guidelines — with deep cultural empathy for every patient's heritage, across every treatment day.
Every meal an oncology patient tolerates — or refuses — is a clinical event. Yet most cancer centres have no systematic nutritional intelligence layer.
Up to 85% of cancer patients — particularly GI and Head & Neck — experience clinically significant nutritional decline, yet formal nutritional assessment remains inconsistent.
Between 20% and 40% of cancer-related deaths are directly attributable to malnutrition, progressive cachexia, or metabolic complications — not the primary tumour burden.
When oral intake drops below 60–85% of estimated requirements for more than 7–14 days, medical nutrition support (Enteral or Parenteral) must be initiated. Most clinics have no automatic trigger for this.
Select each stage to view clinical criteria, metabolic targets, and the AI engine configuration. The window of maximum therapeutic impact is Pre-Cachexia.
Weight loss ≤5% over 6 months, early anorexia signals, subclinical inflammation. GNRI 92–98 (moderate risk zone). Vital therapeutic window — most responsive to intervention.
{ stage: "pre_cachexia",
protein_target: 1.5,
epa_dha_g: 1.5,
anti_inflammatory: true,
ons_flag: true,
gnri_monitoring: "2_weekly" }Each layer is independently addressable and contributes to the full protocol pipeline — from intake to audio companion.
A frictionless, adaptive intake process that builds the complete patient biological and cultural profile without causing cognitive fatigue — designed for clinical teams and patients equally.
Clinical inputs: cancer type, TNM staging, active treatment modality (chemo/radiation/immunotherapy), cycle day vs. rest day, current medications, and critical lab values — ANC, platelet count, serum albumin (g/L), CRP.
Symptom & Sensory PRO Tracking: Structured logging for nausea (0–10 CTCAE grade), taste alteration type (metallic, cardboard, sweet amplification, absent), appetite score, bowel status, and current digestive capacity.
Cultural Heritage Profile: Captures dietary identity through structured preference mapping — specific regional sub-cuisines, spice tolerance index (1–10), fasting traditions (Ramadan, Navratri, Yom Kippur), religious dietary laws (Halal, Kosher, Jain, Sattvic), and trusted ancestral wellness systems (Ayurveda, TCM, Unani).
GNRI Auto-Calculator: Requires serum Albumin (g/L) and actual/ideal weight ratio. Auto-alerts when GNRI <98 (moderate risk) or <92 (high risk). GLIM two-step framework for full malnutrition diagnosis.
{ cancer_type, tnm_stage,
treatment: { modality, cycle_day,
rest_day, medications[] },
labs: { anc, platelets,
albumin_gL, crp_mgL },
symptoms: { nausea_ctcae,
taste_type, appetite_0_10,
bowel_status },
cultural: { region, sub_cuisine,
spice_tolerance, fasting[],
religious_law, wellness_system } }Each cancer type triggers a distinct protocol pathway with unique metabolic targets, food safety rules, and surgical adaptation logic.
{ pathway: "breast",
bmi_target: "≤25",
soy_isoflavones_mg_food: 10,
fiber_g: 30,
alcohol: "eliminate",
supplement_antioxidant: "blocked" }Every clinical symptom mapped to culturally authentic, clinically validated food responses. Select a symptom and a cultural heritage below to reveal the protocol.
Step 1 — Select the active symptom
Step 2 — Select the cultural heritage
Cook yellow moong dal and white rice with no spice, tamarind, or chili. Add a small amount of plain ghee. Cool to room temperature before serving.
Ultra-soft texture eliminates mucosal abrasion. Moong dal provides ~7g protein/100g for mucosal tissue repair. Ghee provides anti-inflammatory butyrate.
Khichdi is the universal Ayurvedic healing food, prescribed during "Vikriti" (disease state) for its digestive ease and restorative warmth.
Configure a patient profile below and compile a sample protocol to preview the engine output.
Configure patient profile and compile to preview protocol output.
The interface is designed around a single philosophy: reduce cognitive load to zero on the hardest days. Calm, warm, non-demanding. Never a fitness tracker. Never a cold clinical portal.
A breathing, organic animated ring at the screen's centre in warm amber tones. Reads "You've nourished well today" — not a percentage bar. Pulses gently at 4-second intervals to evoke calm.
One tap on the lowest-energy day surfaces 3 ultra-simple comfort recipes (≤3 ingredients) from the patient's own cultural cuisine. No navigation. No decisions. Just immediate, culturally grounded relief.
A dedicated async view for the family member cooking the meals. Clinical restrictions are translated into a beautiful, step-by-step grocery list using their own traditional cooking methods. The clinical logic is invisible; the care is clear.
On chemo days the interface enters "Quiet Mode" — warmer amber palette, reduced content, single-item focus. On rest days it opens fully. The design breathes with the treatment cycle.
Clinical safety is the non-negotiable foundation. The platform enforces hard safety rules across food safety, supplement contraindications, and ancestral remedy reconciliation.
When ANC drops below 500/μL in haematological patients, the engine automatically activates enhanced FDA food safety mode — all raw produce, unpasteurized products, and high-risk foods are silently removed from meal suggestions.
High-dose Vitamin C, Vitamin E, and beta-carotene supplements are blocked during active radiation and anthracycline chemotherapy — their pro-oxidant mechanisms may reduce treatment efficacy. Food-source antioxidants are always permitted.
St. John's Wort (CYP3A4 inducer), grapefruit (CYP3A4 inhibitor), and high-dose turmeric supplements (anticoagulant interaction) are flagged and blocked. Culturally equivalent safe substitutes are offered with an empathetic explanation, never a rejection.
For the first 4 weeks post-ostomy surgery, all high-insoluble-fiber foods (raw vegetables, whole seeds, nuts, fruit skins) are categorically excluded. Gradual reintroduction begins at Week 4 per clinical schedule.
Post-gastrectomy patients: liquids and solids are never scheduled at the same time. Refined sugars are eliminated. PERT reminders are generated at every fat-containing meal.
20 patients, 60 days, no cost. We configure the cultural presets, connect to your EMR workflow, and train your dietitian team.