Poor dietary habits are a critical determinant of cardiovascular health and a major modifiable risk factor in the development of cardiovascular disease. 1,2 Plant-based, Mediterranean and Dietary Approaches to Stop Hypertension (DASH) diets have all demonstrated clear cardioprotective benefits in primary and secondary prevention. 3-6 However, the standard American diet remains largely low in fruits, vegetables, whole grains and lean protein, and high in ultra-processed foods (UPF). 7,8 The term ultra-proce