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tion care, which could be achieved through mandatory and greater medical nutrition education. Adherence to cardioprotective dietary patterns can reduce risk for developing cardiometabolic disease. Rates of diet assessment and counselling by physicians are low. Use of a diet screener that rapidly identifies individuals at higher risk due to suboptimal dietary choices could increase diet assessment and brief counselling in clinical care. We evaluated the relative validity and reliability of a 9-item diet risk score (DRS) based on the H