The authors did great work in comparing med diets among the New Zealand population.

My few comments are listed below:

The rationale for using the MetSSS as the primary outcome could be strengthened. Explain why this was chosen over individual cardiometabolic risk factor

More details on the behavioral intervention components would be helpful. What specific strategies were used to promote adherence?

Clarify how the 75% food provision was determined/calculated.

The lack of effect on MetSSS despite improvements in diet quality deserves more discussion. Are there potential explanations for this discrepancy?

Ensure consistency in terminology (e.g. NZMedDiet vs Mediterranean dietary pattern

Consider streamlining some of the longer paragraphs for readability.

Proofread carefully for minor typos and grammatical errors