I would occasionally check the estimates, maybe once every few days for meals I wasn't already pretty sure of, and it was generally accurate. Where it was extremely inaccurate was on portions, and anyone who has dealt with computer vision could tell you, you can't get scale from a picture. So I'd have to weigh some meals or ingredients, which would generally make things more accurate again.
So, I think it's possible, but you need multimodal data and grounded with regular checks.