The science on nutrition and health is advancing with enormous speed. Keeping up with it all takes a considerable amount of time and energy. I read hundreds of scientific papers each year as well as attending dozens of live and online seminars. One of the reasons I write a nutrition blog is to help me assimilate and link up some of the new information.
There are many popular diets that appear in the newspapers and get celebrity endorsements such as the Paleo, Zone, South Beach or DASH diets. These are often promoted in the media as weight-loss or ‘healthy’ diets and are often over-hyped one month only to be knocked down the next, leaving the public bewildered and sceptical. In my work as a clinician such a superficial understanding has no place and I certainly do not promote any one diet as a the Ideal. People are far too individual for that.
However, what few people realise it that behind the headlines some of these diets or aspects of them, have profound disease altering properties. Here are a few examples:
|Diet Name||Protocol||Therapeutic function|
|Mediterranean||Based around real foods inc. fruit, vegetables, nuts, fish, olive oil||Improved metabolic and cardiovascular functioning. Associated with extended life. A basic healthy diet for everyone and the starting point for all the other diets below|
|Ketogenic||Very low carbohydrate, very high fat||Neuroprotective. Used to treat intractable epilepsy, brain trauma, neurodegeneration and as an adjunct to cancer therapy. Role in mitochondrial conditions, endurance sports and diabetes.|
|Atkins||Low carbohydrate||Can provide some of the benefits of the ketogenic diet but is less restrictive. May be used as a follow-on diet for recovering epileptics and diabetics.|
|Zero gluten / zero grains of all kinds / zero beans and legumes||Can help in immune and autoimmune conditions which may involve digestive, skin, joints and/or neurological problems|
|Casein-free, Dairy-free||Zero milk products||As for gluten-free. In mild cases switching from cow to goat and sheep products can be enough.|
|Omega 6/3 balancing||Reduced use of vegetable oils, increased fish, grass-fed meat, flaxseed||Helps in inflammation, reproductive disorders, brain development.|
|Organic||Low pesticide and chemical residue diet||Recommended in all the above diets. Specific in cases where environmental toxins have been identified as problematic|
|Paleo||No grains, pulses, dairy. Eat pasture raised meat, fish, eggs, berries, vegetables||Incorporates many of the above, but carbohydrate levels are more flexible|
|GAPS||Elimination diet often starting with bone broth||An approach suitable for autism spectrum and other conditions that involve the gut-brain axis. Also effective in difficult cases of Crohn’s and ulcerative colitis.|
|Anti-candida||No sugar, low carbohydrate. Probiotics and anti-candida herbs||Incorporates many of the above, but carbohydrate levels are more flexible|
Despite having their own names these diets are not used in isolation and often a combination of several diets will be necessary. For example a gluten-free diet consisting of gluten-free bread, cakes and biscuits, will have a very different effect to a gluten-free Mediterranean diet based around fresh ingredients.
As well as the named diets above I use foods with specific actions in the following:
- Increasing or decreasing intestinal fermentation (e.g. FODMAP, probiotic, prebiotic)
- Altering gut permeability
- Reducing histamine levels
- Increasing antioxidant status
- Increasing liver or gall bladder function
- Altering methylation pathways and gene expression (epigenetics)
- Addressing specific mineral or vitamin imbalances
My dietary recommendations will depend on the individual condition, symptoms and background, and can be informed by lab tests (e.g. genetic testing, organic acid test and food reactivity tests). In some cases lab testing is crucial if dietary changes are to be effective. In some situations nutritional supplements and herbal medicines have a clear role alongside diet.
The term ‘doctor’ originally meant ‘teacher’, and in making dietary recommendations for my patients I spend considerable time explaining the reasons behind the changes. Knowledge, as they say, is power. Empowering patients is what it is all about and is why I run workshops and talks.