A user health profile is created at a personal food item customization system. The personal food item customization system receives a food item recipe including a plurality of ingredients, identifies at least one ingredient that includes a nutritional value that places the food item outside of a nutritional parameter range in the user health profile, modifies one or more identified ingredients in the food item recipe to bring the nutritional value of the nutrient in the food item within the nutritional parameter range, and generates a user specific food item recipe.