1. Presence of comorbid psychiatric disorders (current mania/hypomania or a history of bipolar disorder, psychosis or schizophrenia, predominant anxiety disorder, primary personality disorder, substance abuse or eating disorder) | |
2. Suspicion of depression (Score > 18 in Beck Depression Inventory) [16] | |
3. Participants with severe medical conditions with low survival | |
4. Participants with history of food allergy with hypersensitivity to any of the components of olive oil or nuts, presence of disorders of chewing or swallowing or a low predicted likelihood of changing dietary habits according to the Prochaska and DiClemente stages of change model [35] | |
5. Institutionalized patients and those participants who lack autonomy |