Evidence & Methodology
Last reviewed: Oct 12, 2025
Contact: info@tryflourish.ai
Overview
Flourish AI provides educational guidance to help you discuss nutrition and symptoms with your clinician. It is not a substitute for professional medical advice, diagnosis, or treatment. Individual responses to foods vary.
What’s on this page
How Flourish generates guidance
We combine:
Your inputs (logged meals, ingredients, portions, symptoms, timing)
Condition context (IBS, GERD, IBD)
Representative clinical evidence (guidelines, peer-reviewed reviews, and government/academic resources)
Outputs include Meal Trigger Scores, Symptom-Linked Trigger Analyses, and nutrition claims (e.g., “Low fiber”). Links to representative sources are provided below and from in-app “Evidence” links.
We do not disclose user data or proprietary model details here.
Trigger Scoring & Insights
Flourish estimates potential dietary triggers using two complementary methods:
A) Meal Trigger Score
A per-meal estimate (e.g., 0–10) of trigger likelihood for your selected condition(s), based on detected ingredients, preparation, portion, and condition-specific patterns from clinical literature. Additionally, users may add their food intolerances and allergies to their profile. If any of those allergens are identified in meals, the meal trigger scores is elevated accordingly to reflect compatibility with the user's dietary requirements. Over time, the score can adapt to your history if you consistently report reactions.
Representative sources for Irritable Bowel Syndrome
For individuals with IBS, symptoms are often triggered by the fermentation of certain poorly absorbed carbohydrates known as FODMAPs. Identifying meals high in FODMAPs is a key, evidence-based strategy for managing symptoms like gas, bloating, and pain.
ACG — Clinical Guideline: Management of Irritable Bowel Syndrome (2021)
NIDDK — Eating, Diet, & Nutrition for Irritable Bowel Syndrome (2021)
Representative sources for Gastroesophageal reflux disease
In GERD, symptoms can be influenced by meal composition (e.g., high fat or acidity), volume, and timing, as these factors can affect the lower esophageal sphincter and stomach acid. While responses to specific foods vary, tracking these characteristics helps identify personal patterns.
ACG — Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease (2022)
Dietary Intake in Relation to the Risk of Reflux Disease: A Systematic Review (2021). PubMed
Representative sources for Irritable Bowel Disease
While diet does not cause IBD, certain foods and meal components can worsen symptoms like pain and diarrhea, particularly during active flares or in individuals with intestinal narrowing. Common triggers often include high-fiber, high-fat, or spicy foods, though tolerance is highly individual.
B) Symptom-Linked Trigger Analysis (Insights)
When you log a symptom, Flourish reviews recent meals in proximity to that episode, surfaces candidate triggers (e.g., high-fat; FODMAP fructans), and generates hypotheses with brief rationale. It weighs repeated patterns from your history but remains correlational, not diagnostic.
Representative sources for Irritable Bowel Syndrome
Clinical guidelines for IBS recommend a process of dietary trial and observation to identify personal triggers, as food sensitivities vary significantly between individuals. Systematically tracking food intake and symptoms is the primary method for discovering these unique patterns.
ACG — Clinical Guideline: Management of Irritable Bowel Syndrome (2021).
NHS — Diet, lifestyle and medicines for irritable bowel syndrome (IBS) (2022)
Representative sources for Gastroesophageal reflux disease
Because GERD triggers are not universal, major clinical organizations recommend an individualized approach to dietary management. Patients are encouraged to identify and avoid only the specific foods that they personally associate with their reflux symptoms.
AGA — Implementing the AGA Institute Guidelines for GERD (2010). Medscape
Dietary Intake in Relation to the Risk of Reflux Disease: A Systematic Review (2021). PubMed
Representative sources for Irritable Bowel Disease
Health authorities recommend that people with IBD track their diet to identify foods that may worsen their symptoms, as tolerance can change and is highly personal. A food diary is a suggested tool for discovering these patterns to better manage flares and maintain nutrition.
NIDDK — Eating, Diet, & Nutrition for Ulcerative Colitis (2020)
Systematic Review — Using Diet to Treat Inflammatory Bowel Disease (2024). PubMed
Note: Correlation ≠ causation. Confirm changes with a clinician/dietitian.
Supplemental Analysis Notes
Flourish uses a combination of sources including the primary sources above as well as a number of proprietary models and supplemental sources within our knowledge base. Any additional references used in the analysis will be included in analysis reports under the citations section.
Nutrition Analysis (general)
Overview:
We estimate nutrition facts for meals on a per ingredient basis aggregating the data up to the meal levels accordingly. We leverage public data sources as well as proprietary models and curated references. The values displayed are best estimates given the inputs from the user. However, the actual verified values may vary across contexts such as preparation methods, specific variations in ingredients composition, etc.
Public data sources & tools:
Supplemental Analysis Notes
We also use proprietary models and curated references not listed here for nutrition facts estimations. These models are cross referenced against public data sources & tools.
Nutrition Analysis - Insight Reports
Overview:
Flourish looks for broadly accepted patterns of healthy, balanced eating and adapts them to your goals and digestive comfort. We benchmark meals against public standards (e.g., Dietary Guidelines for Americans) and show small, actionable tweaks—never judgment. Educational use only; not medical advice.
What we assess (at a glance):
Sodium: flag when patterns trend high vs. common limits.
Fiber: encourage fiber-rich patterns (with IBS nuance in the IBS section).
Protein: compare intake to reference ranges for most adults.
Added sugar: highlight when patterns exceed major guidance.
Saturated fat: contextualize intake within heart-health recommendations.
How we generate this (matches your weekly report flow):
We analyze your logged meals (ingredients, portions, timing) alongside your profile & goals.
We compare estimated nutrients to public reference ranges and surface 1) what’s going well, 2) priority improvements, and 3) gentle experiments you can try.
Reports are weekly and personalized: data-driven, specific (e.g., “higher sodium on 4/7 days—mostly dinner”), and framed as small steps.
Representative sources:
Dietary Guidelines for Americans 2020–2025 (USDA/HHS) — overall healthy patterns.
USDA FoodData Central — public nutrient database used for estimates.
American Heart Association — consumer guidance on sodium and saturated fat.
NIDDK (NIH) — digestive-health context for fiber and meal patterns.
We also use additional references not listed here. These references will be included in reports where used
Flora Chat
What it is. Flora Chat is an educational assistant. It uses your profile and goals, recognized GI context (e.g., IBS, GERD, IBD), and widely accepted nutrition guidance to help you understand your data and navigate the app. It is not a substitute for medical care.
How responses are generated:
Context assembly — We consider your selected conditions, goals, recent logs, and the screen you’re on.
Consensus guidance — We reference clinical society guidelines, government/academic pages, and high-quality reviews summarized on this page.
Drafting — A top foundational model generates a concise, supportive reply.
Citations footer — Depending on mode, the message ends with a small footer (see below).
Chat modes & what the header/footer shows:
General (default): The header shows “Sources & methodology”. Tapping opens this section for a plain-English explanation and quick links to topic citations (below).
Scientific References: The footer lists specific sources (e.g., ACG GERD Guideline (2022); NIDDK—GERD; WHO Sugars (2015)). Tapping opens those external sources directly.
We use representative, consensus sources; our broader knowledge base is curated and proprietary.
Quick links to topic citations:
Use these to jump to citations on this page:
General nutrition: Healthy patterns
IBS / FODMAPs: IBS overview · Onion & garlic (fructans) · Lactose · Polyols
GERD: GERD overview · High-fat meals · Capsaicin/spicy · Tomato sauces
IBD: IBD overview
Safety & limitations:
Flora Chat is educational and may not reflect your unique needs. It does not diagnose or provide treatment. For urgent or worsening symptoms, seek medical care.
How we generate tips
Goal. Provide quick, evidence-based, and daily personalized nutrition/lifestyle tips to support gastrointestinal wellness (e.g., IBS, GERD, IBD). Each tip aims to educate and encourage small, positive changes without giving medical advice.
What we use.
Established clinical guidelines and consensus recommendations (GI societies, nutrition authorities).
Trusted sources from government health agencies and peer-reviewed research.
User profile (conditions, preferences) and recent logs (meals, symptoms, routines).
A curated knowledge base of diet–symptom relationships (e.g., FODMAPs for IBS, common GERD triggers).
Ongoing expert review to keep tips accurate and relevant.
How it works.
Evidence curation: We maintain a library of concise tips mapped to high-quality sources (guidelines, NIH/WHO resources, recent reviews).
Context signals: Each day, the system reads your profile and recent activity (e.g., new symptom logs like bloating, recent meals, time-of-day patterns).
Tip selection: The system scores and selects tips most relevant to your current context (e.g., a recent bloating log may surface a gentle, soluble-fiber pacing tip).
Evidence access: Each tip includes a “Learn why” link that routes to this Evidence page at the relevant section, where representative sources are listed.
Personalization. Tips are re-prioritized daily based on your profile and latest logs (e.g., IBS-C users may see soluble-fiber guidance; recent late-night meals may surface reflux-timing tips).
Limitations. Tips are educational and not medical advice; for individualized care, consult a healthcare professional.
Sources for tips (by topic)
General healthy eating
A healthy diet emphasizes a variety of vegetables, fruits, whole grains, lean proteins, and low-fat dairy, while limiting added sugars, saturated fat, and sodium. Such balanced eating patterns provide essential nutrients and help reduce the risk of chronic diseases.
Representative sources:
Fiber
Dietary fiber supports digestive health and regularity, helps prevent constipation, and may lower risks of heart disease and diabetes. Most adults are advised to consume roughly 25–38 grams of fiber daily; gradually increasing fruits, vegetables, whole grains, beans, and other high-fiber foods can improve overall GI function.
Representative sources:
IBS overview
For IBS, diet and lifestyle changes are often first-line. Increasing soluble fiber (e.g., psyllium or oats) can improve IBS constipation and overall symptoms, while a time-limited low-FODMAP trial may help identify personal trigger foods; personalization is essential because triggers vary among individuals.
Representative sources:
FODMAPs: Onion and garlic
Onions and garlic are high in fructans (FODMAPs) that can ferment in the gut and trigger gas and bloating for some people with IBS, so they are often restricted during the initial low-FODMAP phase.
Representative sources:
FODMAPs: Polyols
Polyols (sugar alcohols like sorbitol and mannitol) are poorly absorbed and may draw water into the colon, triggering bloating or diarrhea in IBS; they occur naturally in certain fruits and in many “sugar-free” products.
Representative sources:
FODMAPs: Lactose
Lactose (milk sugar) can trigger IBS symptoms in lactose-intolerant individuals; using lactose-free dairy or limiting high-lactose foods helps many, though tolerance varies.
Representative sources:
GERD overview
Lifestyle changes can ease GERD symptoms: avoid large or late meals (finish ~3 hours before bed), identify personal trigger foods or drinks, and consider measures like weight management and head-of-bed elevation.
Representative sources:
High-fat meals (GERD)
High-fat meals can delay stomach emptying and relax the lower esophageal sphincter, which may worsen reflux; choosing smaller portions and lower-fat cooking methods can help.
Representative sources:
Capsaicin / spicy (GERD)
Spicy foods containing capsaicin may irritate the esophagus and trigger heartburn in some individuals; tolerance varies, so moderating very spicy meals can reduce symptom flare-ups.
Representative sources:
Tomato / tomato sauces (GERD)
Tomatoes and tomato-based products are acidic and may aggravate reflux in some people; recognizing and adjusting for personal triggers (e.g., using less tomato sauce) can help manage symptoms.
Representative sources:
IBD overview
No single diet cures IBD, but balanced patterns (e.g., Mediterranean-style) that emphasize whole foods and limit ultra-processed items can support overall health; during flares or strictures, fiber texture and quantity may need adjustment.
Representative sources:
Sodium
Excess sodium intake is linked to higher blood pressure. Adults are advised to consume less than 2,300 mg sodium per day; reducing processed and restaurant foods can help meet this guideline.
Representative sources:
Added sugar
Added sugars provide calories with few nutrients and can contribute to weight gain and metabolic issues. Dietary guidance advises limiting added sugars to less than 10% of daily calories.
Representative sources:
Saturated fat
Added sugars provide calories with few nutrients and can contribute to weight gain and metabolic issues. Dietary guidance advises limiting added sugars to less than 10% of daily calories.
Representative sources:
Care Plan
How we generate your Care Plan: Your Care Plan is created through a blend of your input and evidence-based AI guidance:
Profile inputs: It starts with the profile you build at onboarding. We take into account your reported GI conditions (like IBS, GERD, IBD), key symptoms (e.g. constipation, bloating, heartburn), any other health factors (such as PCOS or diabetes), your dietary pattern (vegetarian, dairy-free, halal, etc.), cuisine preferences, allergies/intolerances, personal trigger foods, “safe” foods, and your goals (for example, “reduce reflux at night” or “more regular bowel habits”).
Consensus evidence: Based on your profile, our system references a library of clinical guidelines and nutrition research for digestive health. These include widely accepted recommendations on managing specific conditions and general healthy eating habits. For instance, we incorporate guidance from gastroenterology societies on IBS and GERD (like tips on meal timing for reflux, or adding soluble fiber for IBS), as well as public health advice on balanced diets (such as limiting added sugars, saturated fats, and excess sodium). This evidence base has been distilled into our internal “guidance tables” and rules. Leveraging this evidence, we then curate a personalized plan that is meant to be educational and not medical advice. The tone is educational and empathetic – it outlines strategies and insights without alarmism and without making any promises of a “cure.”
Safety filters and review: The AI is constrained by strict rules. It cannot diagnose new conditions or prescribe treatments/medications. It avoids definitive language where things vary by person (you’ll see words like “may help” or “common trigger” rather than absolute statements, reflecting that everyone is different). The content is reviewed for accuracy and tone to ensure it aligns with medical consensus and is appropriate for a general audience. We also make sure the plan clearly states it’s not medical advice, but rather personalized education.
Adaptive updates: Your Care Plan isn’t static – it’s designed to update as you log more data. The app periodically re-runs the above process to refine the plan based on new patterns. For example, if your logs suggest that a particular food frequently causes you issues, future versions of the plan might call that out more. Or if your symptoms improve significantly in one area, the plan may shift focus to other goals. In this way, the guidance evolves with you, just as a human coach would adjust advice over time.
Representative sources: (a selection of sources that inform the Care Plan’s guidance)
General healthy eating & patterns: Broad nutrition principles for health and chronic disease prevention, including Dietary Guidelines for Americans 2020–2025 (USDA/HHS) for balanced eating patterns and WHO guidance on healthy diets (emphasizing fruits, vegetables, whole grains, and limiting added sugars, unhealthy fats, and salt). These consensus resources underscore the benefits of Mediterranean-style or high-fiber diets in reducing long-term risks.
USDA & HHS – Dietary Guidelines for Americans 2020–2025 (nationwide nutrition recommendations).
World Health Organization – Healthy Diet Factsheet (global perspective on core diet principles).
IBS & FODMAPs: Clinical and research-based guidance on managing Irritable Bowel Syndrome through diet. This includes the American College of Gastroenterology’s IBS management guideline (2021), which supports gradual diet changes like adding soluble fiber (psyllium) and considers a short-term low-FODMAP trial for symptom relief. We also reference Monash University’s pioneering work on the Low-FODMAP diet (Monash’s patient resources) for identifying trigger foods like certain fermentable carbs. These sources reinforce that IBS triggers vary widely and an individualized approach (trial and observation) is key.
ACG – Clinical Guideline: Management of IBS (2021) – Dietary and lifestyle recommendations for IBS (e.g. fiber, low-FODMAP) from GI specialists.
Monash University – Low FODMAP Diet Resources – Practical guidance on reducing FODMAPs (e.g. garlic, onion, certain sugars) to identify sensitivities.
GERD & reflux: Authoritative sources on Gastroesophageal Reflux Disease and acid reflux management. We draw on the American College of Gastroenterology GERD Guideline (2022) for evidence-based tips (like weight management and elevating the bed for nighttime reflux). For diet specifics, we use NIH resources (e.g. NIDDK – Eating, Diet & Nutrition for GERD) which list common triggers such as high-fat, spicy, or acidic foods and recommend eating smaller meals and not lying down right after eating. Patient-focused expertise from groups like IFFGD (International Foundation for GI Disorders) is also factored in – for example, IFFGD’s “Diet Changes for GERD” article, which notes that while no single “GERD diet” fits all, many people benefit from avoiding their personal trigger foods and timing meals to keep reflux in check.
ACG – Clinical Guideline for GERD (2022) – Latest clinical recommendations on managing reflux (lifestyle modifications and individualized trigger avoidance).
NIDDK (NIH) – Diet & Nutrition for GERD – Overview of how foods and habits can affect GERD symptoms (for example, foods to limit and meal timing).
IFFGD – Diet Changes for GERD (2021) – Educational article on common reflux triggers, meal size/timing, and listening to one’s own trigger pattern.
IBD & nutrition context: Resources covering Crohn’s disease and ulcerative colitis (Inflammatory Bowel Disease) and how diet plays a role. While there is no single “IBD diet,” certain patterns emerge. We use expert reviews like the AGA Clinical Practice Update on Diet in IBD (2023–2024) which summarizes how, during flares, patients might need to modify fiber texture or avoid exacerbating foods. Trusted patient guides, such as the Crohn’s & Colitis Foundation’s dietary recommendations (“What Should I Eat?”), and NIH information (NIDDK – Eating for Ulcerative Colitis) reinforce that people with IBD should individualize their diet: eating a balanced, nutritious diet in remission, and adjusting during active symptoms (for instance, a bland, low-residue diet if intestines are inflamed). These sources all encourage using a food diary to identify personal trigger foods in IBD.
AGA – Diet and Nutritional Therapy in IBD (2023 update) – Expert review on diet adjustments for Crohn’s/Colitis management.
Crohn’s & Colitis Foundation – IBD Nutrition Guide (“What Should I Eat?”) – Patient-friendly advice on foods to consider or avoid, and maintaining nutrition.
NIDDK (NIH) – Eating, Diet & Nutrition for Ulcerative Colitis – Outlines dietary tips for UC, including staying hydrated, avoiding high-fiber during flares, etc.
PCOS & metabolic health: Evidence-based recommendations on diet for polycystic ovary syndrome and related metabolic conditions (like insulin resistance or type 2 diabetes). We reference the Academy of Nutrition and Dietetics (2021) review on Nutrition for PCOS, which suggests that general healthy patterns such as the Mediterranean diet or DASH diet can improve PCOS outcomes. These diets emphasize whole grains, fruits/veggies, lean proteins and healthy fats – helping with weight management and blood-sugar control, which are key in PCOS. For diabetes and heart health, we follow major guidelines (American Diabetes Association, American Heart Association) which similarly promote high-fiber, plant-rich eating and limited added sugars and saturated fats. In short, what’s good for digestion (fiber, balanced meals, less processed food) often aligns with what’s good for metabolic conditions.
Academy of Nutrition & Dietetics – Diet and PCOS (2021, reviewed 2025) – Explains how Mediterranean/DASH-style eating and regular exercise help manage PCOS symptoms and insulin resistance.
American Diabetes Association – Standards of Medical Care – Nutrition Therapy – Endorses individualized healthy eating plans (Mediterranean, low-carb, etc.) for blood glucose management, stressing no one-size-fits-all and the importance of personal preferences and cultural needs.
CDC / NIH – Diabetes & Diet Resources – Government health information linking high-fiber, balanced diets to better glycemic control and cardiovascular risk reduction in those with or at risk for diabetes.
Self-monitoring & behavior change: Sources that highlight the value of self-tracking and gradual habit changes for managing health. Gastroenterology guidelines for IBS and reflux encourage keeping a food and symptom diary to identify triggers. Similarly, organizations like the NHS and IFFGD advise patients to note what they eat and how they feel as a first step in gaining control over symptoms. In broader nutrition and weight management research, self-monitoring is consistently one of the most effective behavior-change strategies – simply logging meals or symptoms can increase awareness and motivate healthier choices. Additionally, habit-building insights (from psychology research and public health guidance) support the approach of making small, sustainable changes (such as one extra glass of water or a regular meal time each day) rather than drastic overhauls. The Care Plan’s methodology is in line with these principles: encouraging you to track your journey and adopt modest, attainable changes that can compound into improvements over time.
AGA & NHS (IBS guidance) – Patient advice to track diet and symptoms – Both U.S. and U.K. IBS resources recommend journaling food intake and symptom flare-ups to figure out personal trigger foods and habits.
Behavioral Nutrition Research – Self-Monitoring in diet change – A large body of evidence (systematic reviews in weight loss and diabetes care) shows that people who regularly log their food and symptoms tend to have better outcomes, as this practice builds mindfulness and accountability.
WHO & CDC (healthy habits) – Gradual improvement approach – Public health experts emphasize that healthy habits stick best when they fit one’s lifestyle and are introduced incrementally. For example, the WHO notes that while core diet principles are universal, how you implement them should suit your individual life and culture, and the CDC highlights practical small steps (like adding one serving of vegetables, or walking for 10 minutes) as building blocks of better health.
Limitations & safety
Ingredient detection and restaurant recipes can vary; portion sizes affect outcomes.
Associations between foods and symptoms are hypotheses, not proof of causation.
Always consult a qualified clinician for diagnosis/treatment. Seek urgent care for alarming symptoms.
Reviews & Updates
Reviewed by our care plan team of registered dietitians & medical advisors.
How users can suggest a correction → contact: info@tryflourish.ai
Smart Eating, Better Living