Update Log
Every content update on Clinical Nutrition Report — what changed, when, and why. We publish this so readers can audit our editorial cadence and the substance of each refresh. See our editorial policy.
April 2026 (19 updates)
Initial publication of single-app review.
Expanded the 'when not to track' section after Westbrook revision pass.
Updated MyFitnessPal pricing (Premium increased from $19.99/mo to current). Re-verified all annual prices.
Updated Lose It! pricing after vendor's annual-plan adjustment. Comparison row outcomes unchanged.
Added entries for adaptive thermogenesis (revised from earlier stub) and dietary recall bias.
Re-reviewed at 90-day mark. Added 'limitations and future work' section after academic-reader feedback.
Added Westbrook to byline; she revised ED-aware framing in the per-meal protein-distribution section.
Quarterly top-5 re-test complete. Added Krishnamurthy commentary on photo-recognition score variance across the eight apps.
Re-reviewed at 6-month mark. No substantive changes; minor copy tightening.
Refreshed after Cal AI v3.2 release; comparison rows updated for new feature parity.
Updated MyFitnessPal Premium pricing (Premium increased from $19.99/mo to current). Re-verified annual prices.
Re-reviewed at 90-day mark. Added link to ANAD helpline; verified all national hotline numbers.
Updated photo-recognition top-3 accuracy data after spring re-test battery.
Re-reviewed for evidence currency. Updated screenshots and current pricing on both apps.
Added entries for protein floor, USDA FoodData Central, and Atwater system.
Re-tested for v3.2 release. AI photo recognition MAPE re-measured.
Updated annual pricing across all 7 alternatives. Two apps moved one position on price-adjusted score.
Added FAQ section addressing reader questions about why mixed-dish accuracy is consistently worst.
Quarterly re-test complete. v2.6 release; database coverage improved from 88% to 91% on standard query panel.
March 2026 (14 updates)
Refreshed citations after publication of the JAMA Internal Medicine GLP-1 muscle preservation cohort study.
Corrected typo in Carbon Diet Coach pricing (was '$14.99/mo'; corrected to '$15.99/mo per current vendor pricing').
Initial publication of head-to-head comparison.
Added entries for portion size estimation and calorie compensation.
Initial publication of single-app review. Re-test cadence: quarterly (top-5).
Replaced outdated screenshot of Cal AI; updated to current v3.1 UI.
Initial publication of beginner-level explainer. Drafted by Lindqvist; reviewed by Westbrook for ED-safe framing.
Added category-level MAPE breakdown table after reader request. No conclusions changed.
Initial publication of head-to-head comparison.
Added entries for mean absolute percentage error, top-1/top-3 accuracy, and confidence calibration.
Initial publication of single-app review.
Initial publication. Companion piece to the photo benchmark research study.
Initial publication. Ranking weights derived directly from the March 2 photo benchmark.
Initial publication of original research study. 30-plate photo battery across 6 apps; full MAPE breakdown.
February 2026 (10 updates)
Added entries for ultra-processed food (NOVA classification) and energy availability.
Re-reviewed at 4-month mark. Updated FDA-label citations.
Initial publication of macro-tracker ranking. 6 apps evaluated with sport-nutrition focus.
Added warning-signs checklist after reader feedback that the original article was too dense.
Quarterly re-test of top-5 apps complete. No rank-position changes.
Initial publication of head-to-head comparison.
Added entries for GLP-1 receptor agonist, semaglutide, tirzepatide, and sarcopenic obesity.
Initial publication. 7 alternatives evaluated against MyFitnessPal as the baseline.
Initial publication. ISSN position-stand summary with evidence grades.
Initial publication. 6 apps evaluated for GLP-1-specific features (protein floors, sub-1200-kcal warnings).
January 2026 (9 updates)
Added Krishnamurthy to byline as research consultant for evidence-grading review.
Re-tested for v2.4 release. Score adjusted; AI photo MAPE improved from 11.2% to 9.4%.
Added entries for orthorexia, intuitive eating, and HAES (Health at Every Size).
Initial publication. Authored and reviewed by Westbrook; covers the warning-sign threshold for clinician escalation.
Added 'why we excluded X' section addressing reader questions about apps not in the ranking.
Updated MyFitnessPal Premium pricing after vendor announcement.
Re-reviewed for evidence currency at 90-day mark. No substantive changes; reviewed-by line updated.
Added entries for AI photo recognition, OCR-based logging, food database verification, and barcode scanning.
Initial publication of flagship ranking. 8 apps tested against full rubric.
December 2025 (7 updates)
Initial publication of corrections policy. 72-hour correction target documented.
Holiday-aware update: added section on managing GLP-1 nausea around holiday meals.
Added entries for protein leverage hypothesis, leucine threshold, and intermittent fasting.
Initial publication of head-to-head comparison focused on AI photo recognition.
Expanded mechanism subsection on differences between bomb-calorimetric and Atwater-derived calorie values.
Initial publication of standardized medical disclaimer.
Initial publication of head-to-head comparison.
November 2025 (8 updates)
Initial publication. Status: no affiliate accounts maintained with apps in ranking universe.
Added entries for adaptive thermogenesis, set point theory, leptin, and sarcopenia.
Refreshed citations after publication of the SURMOUNT-4 maintenance data.
Initial publication of AI policy disclosure. Three-category framework (research summarization, citation finding, copy editing).
Added FAQ section after reader question on per-meal protein distribution.
Added entries for resting metabolic rate, thermic effect of food, NEAT, body recomposition, and macronutrient distribution.
Initial publication of single-app review. Scored against full 100-point rubric.
Initial publication of junior writer & fact-checker biography.
October 2025 (8 updates)
Initial publication. ISSN protein-target citations verified by Lindqvist.
Initial publication. Reviewed by Westbrook for ED-safe framing prior to publish.
Initial glossary entry covering vitamins and minerals.
Initial publication of ED resource page with national hotlines and warning-signs list. Authored and signed off by Westbrook.
Initial publication of associate reviewer (behavioral & ED-informed) biography. iaedp supervision noted.
Initial glossary entry covering protein, carbohydrate, and fat.
Initial glossary entry. Drafted by Lindqvist; reviewed by Krishnamurthy.
Initial publication of research lead biography. Evidence-grading framework attached.
September 2025 (5 updates)
Initial publication of the about page, founding story, and editorial philosophy.
Initial publication of senior reviewer (sport & performance) biography. Disclosed prior ISSN-affiliated honoraria.
Initial publication of editor-in-chief biography with credentials, conflict-of-interest statement, and editorial scope.
Initial publication of the four-stage review process and 18-month re-review cadence.
Initial publication of the Clinical Nutrition Report methodology document. 25/20/20/15/10/10 weighted rubric established.