NutriVisRAG: Multimodal Exemplar Grounding for Nutrient Estimation with Vision-Language Models

Nutrition estimation is a fundamental task in consumer diet tracking, clinical dietetics, chronic disease management, sports and hospital nutrition, and broader food computing systems. The existing approaches have progressed along two largely separate axes, vision models that rely on calibrated RGB-depth captures and ingredient-aware methods that use textual cues but use limited multimodal fusion. We introduce NutriVision, an end-to-end framework that leverages visual geometry and ingredient semantics to estimate calories, mass, fat content, carbohydrates, and protein from a single RGB image and an optional ingredient list. It obtains the unavailable depth modality using DepthAnything-V3 and encodes ingredient descriptions using CLIP. It integrates three complementary mechanisms: (1) an Ingredient-Conditioned Frequency-Aligned Fusion Module (IC-FAFM), which uses textual guidance to reweight and align RGB-depth frequency components; (2) an Ingredient-Aware Mask-based Prediction Head (IA-MPH), whose gating and channel masks are conditioned on food identity; and (3) modality-specific Internal Semantic Modeling (ISM) blocks. On the Nutrition5k dataset, NutriVision achieves a mean PMAE of $\mathbf{13.60\pm0.10\%}$, outperforming our IGSMNet implementation by $0.89$ percentage points and OmniFood8k by $2.90$ percentage points (both $p<0.001$). The module-level ablations identify the ingredient-aware prediction head as the primary architectural contributor, improving mean PMAE by $1.50\pm0.17$ percentage points ($p<0.001$). These results demonstrate that ingredient-conditioned prediction and frequency-aware RGB-depth fusion provide measurable gains for single-image nutrient estimation. More broadly, NutriVision offers a practical route toward nutrition-assessment systems that exploit geometric and semantic cues without requiring specialized depth-sensing hardware

Comprehensive estimation of dietary micronutrients from food images could improve clinical nutrition care, but training such models requires large multimodal datasets linking diverse foods to complete nutrient profiles. We first show that existing multimodal large language models (MLLMs), including leading proprietary models, are unreliable for this task. Across five model families and four independent evaluation benchmarks (ASA24, SNAPMe, FNDDS, and NutriBench), models frequently abstained or returned statistically implausible values. To address this gap without costly expert annotation, we repurposed a decade of population-scale 24-hour dietary recalls as structured prompts for text-to-image generation. This pipeline produced a synthetic corpus of about 1.1 million image-description-nutrient triplets, each pairing a generated food image with a complete 65-nutrient label. To our knowledge, this is the largest synthetic food-image corpus with comprehensive micronutrient annotation planned for public release upon publication. Fine-tuning Qwen3-VL (2B/4B/8B/30B) and GLM-4.6V-Flash on this corpus yielded NutriMLLM, the first family of vision-language models specialized for comprehensive dietary micronutrient estimation. We evaluate these models with a four-component framework that separately measures abstention, hallucination, overall usability, and per-nutrient numerical accuracy. On real food images, every NutriMLLM variant achieved near-complete coverage across all 65 nutrients, and the largest variant matched or exceeded proprietary baselines (GPT-5, Gemini 3, and Claude Sonnet 4.5) in accuracy on most nutrients. These results show that recall-driven synthetic supervision can make image-based comprehensive micronutrient estimation a tractable engineering problem and support dietary assessment, personalized nutrition guidance, and population-scale micronutrient surveillance.

Single-image nutrition estimation can fail silently when visible foods are missed. Even when a food is correctly identified, its proposed region may not support portion estimation. We propose a framework that uses multimodal large language models (MLLMs) to inventory visible foods and separately verify food identity and whether each proposed 2D region supports portion estimation. One whole-image review uses these verification results to identify unresolved gaps and omitted foods, triggering at most one targeted recovery pass. Recovered regions are re-verified without access to the recovery prompt, then reconciled into a final item set for nutrition estimation. The framework requires no task-specific fine-tuning. Matched evaluation on common valid-output samples shows that item-level grounding improves mass accuracy across all tested settings and energy accuracy relative to an adapted retrieval baseline, with item-identity precision and recall also improving, while post-recovery visual coverage is assessed separately at inference time without ground-truth annotations.