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‘AI Diet Fix’ Ends in 19th‑Century Psychiatric Syndrome: Case report of bromide poisoning raises urgent safety questions for Thai salt‑reduction push

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A new clinical case report describes how a 60-year-old man developed bromism—an archaic psychiatric syndrome rarely seen since the early 20th century—after replacing table salt with sodium bromide based on information he said he gleaned from a chatbot. The case, published this week in Annals of Internal Medicine: Clinical Cases, underscores the dangers of relying on unvetted artificial intelligence (AI) advice for health decisions and arrives as Thailand accelerates efforts to reduce population salt intake to curb hypertension and heart disease. Investigators said the man mistakenly treated a chemical substitution used in cleaning and pool treatment as if it were a safe dietary swap, leading to psychosis, hospitalization, and weeks-long treatment for bromide toxicity. The report has triggered global debate over AI safety guardrails in consumer health and the practical, safer paths Thais can take to cut sodium without risking harm (acpjournals.org; 404media.co; arstechnica.com).

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