Food Ecosystem

Health

Let your food be your medicine: not a slogan for a supplement stack, but a reminder that most of what protects long-term health sits in ordinary, repeated food choices rather than a single program or product. This page starts with what already exists in the health-programs service landscape, then lays out evidence-aware patterns this ecosystem's own tools already support.

General information, not medical advice. Nothing on this page is a diagnosis, a prescription or a substitute for a conversation with a doctor or registered dietitian, especially for anyone managing a diagnosed condition, pregnant, or on medication.

What exists

The health-programs slice of the wider service landscape survey (full detail on the landscape page): 3 services researched, 0 of them open source. That zero is not a rounding error, it is the honest finding: this is the one subsystem in the whole landscape survey with no open source entry at all, only paid, closed behavior-change and clinical programs.

Noom

proprietary

Proprietary behavior-change weight and health management program combining a CBT-based curriculum with full-time human coaches, now extended to diabetes and menopause.

Gap: Closed curriculum, paid coaching model, no values scoring or provenance, no OSS equivalent exists in this subsystem at all.

ZOE

proprietary

Proprietary personalized nutrition program using at-home lab testing (continuous glucose monitor, stool microbiome sequencing, blood-fat response) to score foods 0-100 for an individual.

Gap: Depends on paid lab testing and a proprietary algorithm trained on 300,000+ profiles; closed, no values scoring, no OSS equivalent possible without the underlying research dataset.

Virta Health

proprietary

Proprietary clinically supervised type 2 diabetes reversal program combining a carbohydrate-restricted nutrition protocol with continuous remote care from physicians.

Gap: Requires licensed medical supervision and works with health plans/employers rather than individuals directly; closed, no OSS equivalent, no values scoring.

Open-source gap: the strongest pattern worth an open equivalent, per the landscape survey's own replicate-as-OSS flag, is Noom's CBT-based behavior-change curriculum structure, not any paid human-coaching layer. That replication is out of scope for this page; it stays a landscape finding, not a built feature here.

Program patterns

Four evidence-aware patterns, each with what it is, an evidence one-liner backed by a named tier-A or tier-B source, and how this ecosystem's own tools already support it today or once the linked app merges.

Mediterranean-style pattern

What it is: Vegetables, fruit, whole grains, legumes and olive oil as the daily base, fish and poultry over red and processed meat, and meals built around what is in season rather than a fixed macro target.

Evidence: A Cochrane review of 30 randomized controlled trials found moderate-quality evidence of fewer strokes with a Mediterranean-style diet in primary prevention, alongside genuine uncertainty about clinical cardiovascular outcomes in secondary prevention, so the pattern reads as promising rather than proven for hard endpoints.

Cochrane Library / Rees et al., 2019, [A]

Ecosystem support: Grow the pattern from the grocery aisle: the groceries tool's regional and seasonal criteria already score toward the same producers and produce this pattern favors, and the diet profile allows a household to mark which pattern it is following via the diet profile.

Fibre-first pattern

What it is: Building meals around legumes, vegetables, fruit and whole grains first, so fibre intake climbs as a side effect of what fills the plate rather than a separate supplement or tracked target.

Evidence: WHO's 2023 carbohydrate-intake guideline and EFSA's dietary reference values converge on at least 25g of fibre a day for adults, linked to lower risk of cardiovascular disease, type 2 diabetes and colorectal cancer; the DGE (Deutsche Gesellschaft für Ernährung) sets a higher bar of 30g a day in its 2024 update, noting that German survey data shows average intake closer to 18-19g.

WHO, 2023, [A]; EFSA NDA Panel, 2010, [A]; DGE, 2024, [A]

Ecosystem support: A calorie-counter log turns "eat more fibre" into a visible daily gram count, and the groceries tool's fibre-relevant categories (whole grains, legumes, produce) already sit inside its values scoring.

Time-restricted eating (presented neutrally)

What it is: Compressing daily eating into a fixed window, commonly 8 to 10 hours, without necessarily changing what or how much is eaten within it.

Evidence: A 2026 Cochrane review of 22 randomized controlled trials in almost 2,000 adults with overweight or obesity found intermittent fasting, including time-restricted eating, produced weight loss similar to standard calorie-restricted diets, not clearly better; a milder 2 to 3 hour reduction in the daily eating window still produced modest results (roughly 2-3kg over 6-12 months) for some, so this pattern is neither a shortcut nor a myth, it is one option among several with comparable outcomes.

Cochrane Library / Garegnani et al., 2026, [A]

Ecosystem support: A calorie-counter log can mark an eating window without judging it, and a meal-planner plan can concentrate meals inside a chosen window instead of scattering them across the day.

Anti-inflammatory basics

What it is: Regular oily fish, nuts, olive oil, vegetables and whole grains, and less ultra-processed food and refined sugar; a pattern of ingredients rather than a single certified "anti-inflammatory diet".

Evidence: The EU list of permitted health claims contains no "anti-inflammatory" or "reduces inflammation" wording. What it does authorize for EPA and DHA (omega-3 fatty acids found in oily fish) is narrower: at a daily intake of 250mg they "contribute to the normal function of the heart", an EFSA-assessed claim under EU regulation. That narrower, cardiovascular claim, not a blanket anti-inflammation promise, is the honest basis for this pattern.

EUR-Lex / Commission Regulation (EU) No 432/2012, [A]

Ecosystem support: Groceries scores already weigh ultra-processing and packaging, two of the levers this pattern leans on, and a calorie-counter log can track oily-fish and nut frequency directly.

Groceries scores for all four patterns come from the same ideal-groceries values tool, nothing new is built here; this page only points at where a pattern's ingredients already show up in that scoring.

Ecosystem tools referenced above:

Continue points

  • Per-pattern progress tracking that reads the calorie-counter log to show progress toward Mediterranean-style, fibre-first, time-restricted, and anti-inflammatory targets.
  • Diet-profile integration with meal planner, so a household's chosen dietary style influences recipe recommendations and defaults.
  • The health-programs open-source gap (zero OSS entries) is a real opportunity: an open, CBT-structured behavior-change curriculum is flagged as a replicate-as-OSS candidate but not built in this wave.