Abstract
BACKGROUND: Reliable nutrient profiling and semantic interoperability are essential for scalable dietary assessment, food labeling (e.g., traffic-light schemes), and FAIR integration of food composition and consumption data. However, general-purpose large language models (LLMs) are not systematically exposed to structured recipe-nutrition mappings and food ontologies, limiting their accuracy and trustworthiness in food and nutrition tasks. SCOPE AND APPROACH: We review recent LLM advances in life sciences and healthcare and analyze the gap in food and nutrition applications. To address this gap, we introduce FoodyLLM, a domain-specialized LLM fine-tuned on 225k task-aligned QA pairs for (i) recipe nutrient estimation, (ii) traffic-light classification, and (iii) ontology-based entity linking to support FAIR food data interoperability. We benchmark FoodyLLM against strong general-purpose baselines (e.g., Llama 3 8B, Gemini 2.0) under zero-/few-shot prompting across five evaluation folds. KEY FINDINGS: Across all tasks, FoodyLLM substantially outperforms general-purpose LLMs for nutrient estimation across all macronutrients (fat, protein, salt, saturates, sugar), accuracy increases from 0.43 to 0.63 to 0.91-0.97; for traffic-light classification across all nutrients and color categories, macro F1 improves from 0.46 to 0.80 to 0.86-0.97; and for ontology-based food entity linking across FoodOn, SNOMED-CT, and Hansard, macro F1 increases from 0.33 to 0.44 (best general-purpose baseline) to 0.93-0.98 on artificial NEL data, and from 0.24 to 0.51 to 0.67-0.84 on real corpora (CafeteriaSA and CafeteriaFCD). Overall, our results demonstrate the practical value of domain-specialized LLMs in food and nutrition research. They enable automated dietary assessment, large-scale nutritional monitoring, and FAIR data integration, while opening new pathways toward sustainable and personalized nutrition.