I lived in Italy for 2 years when i was younger, when I had my heart attack in 2018 my doctor told me to eat a meditaerranean diet, I told him I had been following a mediterannean diet since 1977 when I returned from italy, a lot of pasta, a lot of bread and a lot of pizza, he said that was not a med. diet, well when I lived there that was ALL they ate and salad of course. BUT they walked a lot!