Not to harsh on the pp who,posted this beautiful picture, but,
This is not "healthy" food. It's still cake made with a lot of sugar and animal fats and cookies and vegetable oil. A bite of puréed pumpkin in each piece doesn't change the essential character of the food.
I know people make all these tiny modifications at the margins because it makes them feel more virtuous and in control. And I guess that's worth something, psychologically. I'm just tired of having to listen to all the malarkey and I wish this contingent would just each a effing sandwich once in a while, without the angst and obsessive need for control. It really does. Not. Matter. in the end as long as you observe sensible portion control.