• Mediterranean and plant-based diets are cost-effective for preventing cardiovascular disease and type 2 diabetes, with ICERs below $50,000/QALY.
• Nutritional interventions yield net cost savings in high-risk populations by reducing hospitalizations and medication use.
• Economic modeling demonstrates long-term health benefits and cost-effectiveness across diverse willingness-to-pay thresholds.
• Findings support policy and clinical integration of nutritional counseling and food-based interventions for chronic disease prevention.
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