Can Personal Requirements Become Supervision for Planning?

Junwei Wu, Runze Yan, Yuzhang Xie, Hanqi Luo, Ziwei Dong +3

Managing multiple chronic conditions through diet requires satisfying disease- and medication-specific requirements jointly across meals and days while preserving established eating habits. These requirements are public in clinical guidelines and drug labels, yet turning them into a feasible plan for one person remains difficult for language-model agents. In our dietitian-approved weekly planning evaluation built from NHANES, thirteen models, from medically fine-tuned 8B models to GPT-6.1 Sol, pass fewer than 3% of complete plans through direct generation. Explicit rules, higher reasoning effort, or model-directed tools leave GPT-6.1 Sol at no more than 8%. We present Noura, which pairs LLM planning with executable personal specifications instantiated from public clinical guidance and individual health and dietary profiles. During planning, the specification grounds foods, optimizes portions, checks the complete multi-day plan, and guides revision. Our key insight is that a specification that rejects a plan can also determine what to learn from it. Noura turns executed plans and contextually credited revisions into supervision for compact models, recovering targets even from…