## Appendix A Automated Accuracy Evaluation Results  
Included are 10 sample question-answer sets used for our automated accuracy evaluation, followed by a table showing BERTScore and Semantic Textual Similarity evaluation results for all 100 question-answer sets. Question 1:
* **Question Text:** Are anti-inflammatory foods associated with a protective effect for cutaneous melanoma? * **Reference Text:** Food components considered as anti-inflammatory, such as vitamin D, vitamin A, folic acid, niacin, vitamin C, omega-3 fatty acids, and carotenoids (\(\beta\)-carotene, lutein, zeaxanthin, and lycopene), were not associated with a protective effect for melanoma. Other anti-inflammatory food items, such as tea, fruits, and vegetables, except for citrus fruits that were borderline associated with an increased risk, were not associated with cutaneous melanoma. In conclusion, the only anti-inflammatory food item that was consistently associated with a protective effect for cutaneous was coffee in particular caffeinated coffee. * **System Generated Text:** While these findings are promising, they are primarily based on observational studies, reviews of existing literature, and a limited number of clinical trials. The mechanisms by which these foods and compounds exert their effects are complex and not fully understood. Additionally, the studies vary in their methodologies, populations studied, and the types of anti-inflammatory compounds examined. Question 2:
* **Question Text:** Does omega-3 PUFAs supplementation improve metabolic syndrome and related cardiovascular diseases? * **Reference Text:** Supplementation of omega-3 polyunsaturated fatty acids had a favorable effect on improving triglyceride, total cholesterol, high-density lipoprotein, systolic blood pressure, diastolic blood pressure, interleukin-6, tumor necrosis factor-\(\alpha\), C-reactive protein, and interleukin-1 levels, yet did not affect low-density lipoprotein, monocyte chemoattractant protein-1, intracellular adhesion molecule-1, and soluble endothelial selectin among patients with metabolic syndrome and related cardiovascular diseases. * **System Generated Text:** In conclusion, omega-3 polyunsaturated fatty acids supplementation can be beneficial for reducing triglycerides and improving some cardiovascular risk factors in individuals with metabolic syndrome. However, the effects on cholesterol levels and other metabolic markers can vary. It is advisable for individuals considering omega-3 supplements to consult with healthcare providers to tailor the approach based on personal health needs and risks. **Question 3:**  
* **Question Text:** Is dairy consumption associated with depressive symptoms or disorders in adults? * **Reference Text:** Findings were mixed, with one study reporting a positive association; five studies reporting no association; and seven studies reporting mixed associations depending on dairy type, gender or population group. We found conflicting and inconsistent associations in studies that were generally of fair quality. Future longitudinal and intervention studies that employ more rigorous dietary assessment methods are warranted. * **System Generated Text:** There is some evidence suggesting that dairy consumption might be associated with lower depressive symptoms, particularly in specific populations such as those with multiple sclerosis or post-myocardial infarandomized controlled trialion. More comprehensive studies are required to establish a clear causal relationship between dairy consumption and depressive symptoms in the general adult population. Given the mixed evidence, individuals should consider maintaining a balanced diet and consult healthcare professionals for personalized dietary advice, especially if experiencing depressive symptoms. **Question 4:**  
* **Question Text:** Does taking vitamin, mineral and fatty acid supplements prevent cognitive decline? * **Reference Text:** There was little evidence of a beneficial effect from taking B vitamins or antioxidant supplements on global cognitive function in later life.