Diet
advice by
Ray Sahelian, M.D.
- How to Have a
Healthy Diet (most of the time) - Diet influences most medical conditions
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Many cases of serious illness and premature death are caused by poor diet. Insufficient consumption of fish, fruits and vegetables
is as bad for human health as smoking. This web page, updated regularly,
provides you with information on healthy diet choices. Please keep in mind that
you don't have to eat perfectly all the time. I personally strive to live
my life as an A rather than an A+. It's too hard to try to be perfect all the
time. I provide an extensive list of healthy dietary choices a few paragraphs
below.
Make changes slowly and accept the fact that there may be times
when you binge on unhealthy snacks and foods. I personally try to do my best and
have a healthy diet, but I have my weaknesses too. For instance, I love
chocolate and occasionally I have a candy bar or ice cream, or a piece of pie.
So, don't be hard on yourself if you can't follow the recommendations perfectly.
If you would like to improve your will power and eat less, consider an effective
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All
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Improves mental concentration and focus
Improves will power and choice of food selection
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Diet influences almost every
disease
The type of foods and drinks we ingest has an influence on a vast number of
chronic diseases. In simple terms, most long term chronic diseases such as heart
disease or arthritis, are due to inflammation. Diet has a great deal to do with
inflammation. What we eat influences the formation of certain inflammatory
prostaglandins, leukotrienes, and a number of other substances that cause
inflammatory changes within our tissues and organs. Most doctors do not
recognize the extent of the influence of diet on health. Even mood disorders can
be influenced by inflammation. Therefore, as much as you can, eat a diet that
has a wide variety, includes plenty of fish and fresh produce, whole grains,
legumes, and healthy fats. Reduce or avoid white bread, sugar, baked goods,
trans fats and foods cooked at very high temperatures.
I am often asked which supplements I recommend to take on a regular basis in
addition to a healthy diet. First makes
sure you are doing your best with good dietary choices as listed below, and then
you can consider the following:
Dietary Supplements for better health
These are some basic supplements to take on a regular basis.
It is a good idea to take a day or two break each week.
MultiVit
Rx, formulated by Ray Sahelian, M.D., has your essential daily supply of the
top vitamins, minerals, and nutrients. One capsule a day is often enough, with a
day or two off each week.
Fish oils 1 to 3 capsules daily if you don't eat fish regularly
Lipoic acid, a powerful
antioxidant, 10 to 50 mg two or three times a week.
Psyllium half or one teaspoon in a glass of water
twice daily with food as a good fiber supplement and for the prevention of constipation.
Calcium for postmenopausal women.
There are many other herbs and nutrients that could be taken in addition to these. For instance curcumin, acai, bee pollen, cinnamon, CoQ10, pomegranate, goji, grape seed extract, graviola, green tea extract, mangosteen, resveratrol, spirulina, etc. There are no hard and fast rules and there is no consensus in the medical community regarding which of these supplements, if any, are beneficial for health in the long run. And we won't find out for sure for decades to come.
Basic Healthy Lifestyle habits
Eat less and live longer. Eat a wide variety of fruits and
vegetables as opposed to the same ones all the time.
Drink a glass or two of cold water first thing in the morning to eliminate the bowels.
Add more fiber to your diet - one option is psyllium. Dietary fiber is thought
to decrease the transit time of food in the colon and to dilute carcinogens,
thus minimizing the body’s exposure to toxins.
Drink 6 to 8 glasses of water per day, more in hot weather. Studies indicate that
5 to 8 glasses of water a day helps maintain good health. Water makes up more than 70 percent
of solid body tissue and helps regulate body temperature, carries nutrients and oxygen to
cells, removes waste, cushions joints and protects organs and tissues. Lack of adequate
water intake leads to headaches, grogginess and dry, itchy skin. Severe dehydration
affects blood pressure, circulation, digestion, kidney function and nearly all body
processes.
Eat more protein and fat at breakfast and lunch, and switch to more complex carbs at night
if you have trouble falling asleep. Carbs, such as vegetable soup, pasta, or grains help
induce sleep at night.
It's better to eat small frequent meals than two or three large meals, although
each person has his or her own routine and schedule and some people may prefer
infrequent large meals.
Sleep has a major influence on health—Good sleep enhances
libido. See also how to
improve sex drive with herbs.
Alcohol such as beer and wine are acceptable in moderation, such as a glass a day.
Dental cleaning and flossing brush and floss at night before bed.
Limit exposure to excessive sun in order to avoid wrinkled and damaged skin.
Limit caffeine intake. People who consume caffeine may experience an increase
in blood pressure, feel more stressed and produce more stress hormones than on days when
they opt for decaf. The effects of caffeine appear to persist until people go
to bed, even if they don't consume any caffeine after 1 pm.
EXERCISE
Aerobic, walking
at
least 20 to 30 minutes four to five times per week. Improves cardiovascular fitness and
energy, improves mood and sleep, reduces anxiety, and may help those with chronic pain.
Avoid exercising within 3 hours of bedtime since the increased body temperature could
interfere with sleep. Find new neighborhoods or trails to walk and enjoy.
Regular stretching over a few days or weeks before sports or exercise appears to
improve performance, while performing stretches only just before these
activities may actually decrease performance.
People over 55 who start an
exercise program can
expect to lose a significant amount of fat in six months, but not bone mass.
These results contradict long-held concerns that losing fat might also mean
losing bone, since studies show that people who carry more body fat also tend to
have stronger bones.
Weights, pushups, situps at least 5 to 15 minutes per day. Improves muscle tone and body image. Situps strenghten and tone the abdominal muscles and thus lessen the look of a pot belly. Try to do 10 to 30 situps twice a day and 5 to 20 pushups twice a day.
Stretching and yoga at least once a week. Yoga improves joint, tendon, and ligament flexibility, helps you relax, improves mood, and increases energy. If you're new to yoga, buy a beginner's yoga video and start with 5 to 10 minutes a day. Stretching before exercise reduces the risk of muscle injury. Yin yoga, or relaxation yoga, is a great option.
Subscribe to a FREE Supplement Research Update newsletter at Physician Formulas. Twice a month we email a brief abstract of several studies on various supplements and natural medicine topics, including the latest diet research, and their practical interpretation by Ray Sahelian, M.D.
FOOD CHOICES
Try to have a balance of protein, fat, and
carbohydrate. Avoid extreme and fad
diets. Frequent, small meals are preferable to large meals. Try to have more protein
during the day, and switch to slightly more complex carbs in the evening. Protein helps
with alertness while carbs induce sleep. Limit your intake of simple carbohydrates, choose
carbohydrates with low glycemic index.
Food
Glycemic
index
Instant rice 90
Baked potato 85
Corn flakes 84
White bread 70
Banana
50
Spaghetti 41
Apple
36
Lentils
29
Peanuts 14
Broccoli
very low
Protein
Most people do
well including a good amount of protein in their diet. Protein helps with muscle strength
and maintains steady blood sugar levels. Chicken,
turkey, eggs, lean beef, lamb, tofu, low fat milk, yogurt,
kefir, or cheese are good sources of
protein. Occasionally have
goat milk instead of cow milk.
Fish
has omega-3 fatty acids that thin the blood, lower blood pressure, improve vision,
are good for the heart, reduce inflammation, and have many other benefits. Salmon, halibut
and sardines have high concentrations of fish oils specifically EPA and
DHA. Use
a small grill, such as the Foreman grill, to cook fish within minutes. People who eat
several servings of fish each week lower their risk of heart disease, heart
rhythm disturbances, and death.
Salmon goes
well with mustard, especially Dijon mustard
Tuna packed in
water -- add chopped onions, lemon juice and a bit of olive oil
Halibut mixes well with
salsa
Choose sardines packed
in mustard or tomato sauce
Buy and cook other fish
and shellfish such as catfish, sole, mahi mahi, cod,
oyster, swordfish, etc. They are great sources of protein.
Beans / Legumes - beans contain good amounts of protein, lots of fiber, and help lower cholesterol levels. Include Black beans, chickpea (garbanzo), fava, green, kidney, lima, lupin, navy, pinto, soybean, and lentils. Soybean contains isoflavones such as genistein.
Bread
and grains -
whole grains contain lots of fiber and
lignans.
Choose 100 % whole
wheat without sugar added or preferably sprouted multi-grain bread. These are usually
found in health food stores. Avoid white or refined breads since they are mostly empty
carbohydrate calories.
Eat a variety of
unprocessed and whole grains such as barley, kamut, millet, oats, quinoa, rice, rye. Avoid
refined breakfast cereals. Whole-grain foods, such as fiber-rich bread and bran cereal,
may lower the risk of heart disease, type 2 diabetes, and certain types of cancer by
reducing cholesterol and making the body more responsive to insulin.
Nuts and Seeds
Eat
a variety but in small portions, and preferably raw. Examples include almond, brazil, cashew, hazelnut, macadamia, peanut, pecan,
walnut. Seeds include
chia seeds, pumpkin,
sesame, and sunflower.
Fruits
Try many
different ones. Each fruit has a different set of beneficial plant substances such as carotenoids and flavonoids that have antibacterial, antiinflammatory, antitumor and
antioxidant properties. Reduce your fruit intake if you are diabetic. Avoid drinking lots
of fruits juices since they contain a large amount of fructose. Fructose can elevate blood
sugar and lead to weight gain.
Wash all fruits before
eating to reduce pesticides and contamination by germs. Buy organic when possible.
Include the following: apple,
banana, berries (blueberry, cranberry, raspberry, strawberry)
cantaloupe,
cherry, coconut,
fig, guava, grape, grapefruit, kiwi, lemon,
lychee, lime, mango, orange, papaya, peach, pear,
pineapple, plum, pomegranate, prickly pear,
quince, and
watermelon.
Vegetables
Try many different ones. Each vegetable has a different set of beneficial plant
substances called
carotenoids -- such as
lutein and zeaxanthin
-- and flavonoids, such
as quercetin, that have antibacterial, antiinflammatory, antitumor and
antioxidant properties. Buy a new vegetable each week listed below. Wash all vegetables
before eating to reduce pesticides. Buy
organic whenever possible.
Artichoke,
asparagus, avocado, beet, broccoli (has
sulforaphane), Brussels sprouts, cabbage, carrot, cauliflower,
celery, chard, corn, cucumber, eggplant, endive, garlic, ginger, kale, lettuce, mushroom,
okra, olive, onion, parsley, pepper, radish, scallion, spinach, sprouts, squash,
tomato, yam, yucca, zucchini....
Reduce your intake of
white potatoes since they are mostly carbohydrates. Substitute yams or yucca.
Oils and Fats
Flaxseed oil
and extra virgin olive oil are good choices. I am still uncertain of the
benefits, if any, of additional
coconut oil intake,
although small amounts seem reasonable to add to one's diet. You can also add flaxseeds to vegetable
soups. Use less safflower, sunflower, and corn oils since they contain omega-6 oils that
compete with good oils such as omega-3s. In our country we consume a high ratio of omega-6
oils to omega-3 oils and some scientists think this may cause many health problems.
Reduce saturated fats
found in animal products such as meat, poultry, whole-milk dairy products, lard, and in
certain vegetable products such as palm oil, coconut oil, cocoa butter.
Reduce or eliminate
trans fats. Trans fats are formed when
vegetable oils are partially hydrogenated to make them more stable and solid, and recent
evidence suggests that they may be as bad for the heart as saturated fat. They are usually
found in commercially baked goods such as cookies, crackers, cakes, french fries,
onion rings, donuts, processed foods, etc. Margarine also has trans fats.
Blood flow to the heart
is hampered after high-fat meal.
Olestra consumption
reduces blood levels of carotenoids.
Snacks
Baby
carrots, cherry tomatoes, edamame (soybeans in pods), grapes
Nuts raw cashews, almonds, filberts, walnuts
Dried fruits raisins, dates, papaya, pineapple, prunes. Use small
amounts.
Cheese with
slices of apple or tomatoes. Queso fresco (a Mexican cheese) goes great with apples.
Cooked Kashi at night with milk, raisins, or a small amount
of 100% maple syrup.
Boil a few Brussels sprouts and snack on them throughout the day.
Boil some sweet potatoes and eat portions of them as snacks.
Make your own chocolate or cocoa with stevia. Buy unsweetened chocolate or cocoa and add
stevia, vanilla extract, milk, and water.
Sweeteners
Fluids
Reduce
consumption of sugared soft drinks or any fluids with added sugar, fructose, or corn syrup
. Have a variety of herbal teas or decaf coffee. Keep several types of herbal teas on your
kitchen counter and alternate (I have close to a dozen different herbal teas on my
counter).
Vegetable juices, such as tomato juice or V8 are great options (they contain lots of carotenoids and flavonoids). Even though fruit juices have healthy ingredients, limit your
intake since they contain a lot of fructose, or dilute them with water.
It's okay to occasionally have diet soft drinks. However since most of them contain
caffeine, try to drink them in the early part of the day.
Herbal teas There are quite a
number of herbal teas that are delicious. Use stevia as a sweetener. Try these various
teas: alfalfa, chamomile, cinnamon, earl grey, fennel,
ginger, green (contains caffeine),
hibiscus, hops (for nighttime), hyssop,
lemon balm, licorice (avoid drinking daily since
high doses of licorice cause high blood pressure and loss of potassium),
milk thistle,
mint, nettle, peppermint, rose hips.
Drink 4 to 8 glasses of water a day.
Coffee has antioxidants, but limit regular coffee intake to less than 2 cups a day due to
caffeine content. Decaf is fine, but even decaf at night can interfere with sleep since
there's still some caffeine in it.
Spices
Use a
variety of herbs and spices. Many of them have antioxidants and other beneficial
compounds. For instance, curry has curcumin, rosemary has rosmarinic acid and ginger has
vanillin and zingerone. All of these compounds have health
benefits.
Basil, bay leaves,
cumin, chili powder,
coriander, dill, fennel, garlic,
ginger,
oregano, pepper, rosemary, sage, thyme
Garlic appears to protect against fungal and bacterial
infections, high cholesterol, high blood pressure, blood clots and even cancer.
But there is very little solid research to show how much garlic or what form of
the plant holds the most promise as a disease-fighter.
Superfoods
These are
foods that have a very high concentration of beneficial and perhaps unique
substances. Some of these include colostrum and caviar (or
salmon roe, salmon
eggs).
Recipes
Garbanzo
beans with lemon juice, garlic, and virgin olive oil
Tofu, garlic, and olive oil added to canned lentil, vegetable or
bean soup
Reduce These Foods
Don't try for perfection. If you have an urge to eat chocolate or an unhealthy
snack or meal, it's okay to do so once in a while.
Sugar, fructose, glucose, corn
syrup, syrups, honey, jams and jellies, baked goods, brownies, cake, candy bars, cookies,
ice cream, excess fruit juices, energy bars with sugar, muffins, refined white bread,
white rice, regular sodas, sugared drinks (including Gatorade, sugared iced tea).
Unhealthy fats include lard, bacon, hot dogs,
pork rinds, ribs, sausages, lunch meats, hydrogenated oils, corn chips, potato chips,
fried foods, trans fatty acids, and margarine. Small amounts of butter are acceptable.
***Baking or frying carbohydrate-rich foods
such as potatoes or cereals forms
acrylamide, a much studied substance classified as a
probable human carcinogen. An ordinary bag of potato crisps may contain up to 500 times
more of the substance than the top level allowed in drinking water by the World Health
Organisation (WHO). Reduce your intake of bread, bagels, baked goods, donuts, and
biscuits. Avoid baking or frying at high temperatures.***
Diet Research Update
Eating a diet rich in beans, nuts and cereals
could help to prevent cancer because the foods contain a natural compound that
inhibits the growth of tumors.The substance is called inositol pentakisphosphate,
and also found in lentils and peas. Inositol pentakisphosphate inhibits an
enzyme called phosphoinositde 3-kinase, which promotes tumour growth. When the
researchers tested inositol pentakisphosphate in mice and cancer cells in the
laboratory, it killed the animal tumors and enhanced the effect of drugs used
against ovarian and lung cancer cells.
Cereals, breads and other products containing whole or milled barley grain can
now claim to reduce the risk of heart disease. The U.S. Food and Drug
Administration's ruling allows companies to immediately begin advertising the
benefit on their product packages, which many food makers hope will help boost
consumer sales. "Consumers can expect to see whole barley and dry milled barley
products such as flakes, grits, flour, meal, and barley meal bearing the health
claim," the FDA said in a statement.To qualify, barley-containing foods must
provide at least 0.75 grams of soluble fiber per serving. Like other grains,
barley contains fiber that health experts say can help reduce the risk of
coronary heart disease, which can restrict blood flow and lead to chest pain and
heart attacks. The barley trade group, in its request, said new data showed 3
grams of barley lowered cholesterol by about 5 percent -- similar to oatmeal.
Scientists have discovered why eating a Mediterranean diet rich in fruits, vegetables and particularly olive oil can help to protect women from developing breast cancer. The key is oleic acid, the main component of olive oil. Dr Javier Menendez, of Northwestern University Feinberg School of Medicine in Chicago, said oleic acid blocks the action of a cancer-causing oncogene called HER-2/neu, which is found in about 30 percent of breast cancer patients. "We have something now that is able to explain why the Mediterranean diet is so healthy," Menendez told Reuters. Doctors and researchers had been aware that eating a Mediterranean diet reduced the risk of breast cancer and other illnesses such as heart disease. But until now they did not know how.
Researchers may have come up with another
reason to eat well. A new study suggests diets rich in fruits, vegetables and
dairy foods can prevent the disabilities that often come with age. The study,
which followed 9,404 middle-aged Americans for nine years, found that a healthy
diet seemed particularly beneficial among African-American women, who are
generally at greater risk than white women of developing physical limitations as
they age. Researchers found that African American women who ate the most fruits
and vegetables on a daily basis were about one-third to one-half less likely
than those with the lowest intakes to develop problems with activities such as
walking, climbing stairs and doing household chores. High intakes of dairy
products such as milk, cheese and yogurt showed an even stronger protective
effect. Similar benefits were found among white women -- at least when it came
to fruit and vegetable intake -- though the protective effect was not as great.
The findings are published in the American Journal of Clinical Nutrition.
Fatty acid profile, tocopherol, squalene and phytosterol content
of walnuts, almonds, peanuts, hazelnuts and the macadamia nut.
Int J Food Sci Nutr. 2004 May;55(3):171-8.
Nuts are high in fat but have a fatty acid profile that may be beneficial in
relation to risk of coronary heart disease. Nuts also contain other potentially
cardioprotective constituents including phytosterols, tocopherols and squalene.
In the present study, the total oil content, peroxide value, composition of
fatty acids, tocopherols, phytosterols and squalene content were determined in
the oil extracted from freshly ground walnuts, almonds, peanuts, hazelnuts and
the macadamia nut. The total oil content of the nuts ranged from 37.9 to 59.2%,
while the peroxide values ranged from 0.19 to 0.43 meq O2/kg oil. The main
monounsaturated fatty acid was oleic acid (C18:1) with substantial levels of
palmitoleic acid (C16:1) present in the macadamia nut. The main polyunsaturated
fatty acids present were linoleic acid (C18:2) and
linolenic acid (C18:3).
alpha-Tocopherol was the most prevalent tocopherol except in walnuts. The levels
of squalene detected ranged from 9.4 to 186.4 microg/g. beta-Sitosterol was the
most abundant sterol, ranging in concentration from 991.2 to 2071.7 microg/g
oil. Campesterol and stigmasterol were also present in significant
concentrations. Our data indicate that all five nuts are a good source of
monounsaturated fatty acid, tocopherols, squalene and phytosterols.
Making the switch from a regular meat-and-dairy diet to an all plant-based, vegan diet may be easier than it would seem, new research suggests. Among a group of overweight, postmenopausal women, most of those who followed a vegan diet -- which contains no animal products such as dairy, meat or eggs -- said they enjoyed the diet. Most women also said they were mostly or completely used to the vegan diet after 14 weeks, and planned to continue it, for the most part at least, in the future. Moreover, women eating only vegan foods lost an average of 13 pounds, more than women who followed a standard low-fat diet.
Food containing olive oil can carry
labels saying they may reduce the risk of coronary heart disease, the government
says, citing limited evidence from a dozen scientific studies about the benefits
of monounsaturated fats.
Some of the benefits of a
Mediterranean-type diet -- rich in vegetables, fruits, legumes and olive oil and
light on red meat -- may stem from the diet's effect on inflammation. In a study
from Greece, markers of inflammation and blood clotting that are related to
heart disease were lowest in people who adhered most closely to the traditional
Mediterranean diet.
High intake of fatty foods is associated with GERD.
Consuming too much fructose -- a form of sugar found in corn syrup, honey and fruit -- appears to alter levels of hormones involved in appetite regulation in such a way as to encourage overeating, a new study suggests.After people in the study ate a meal followed by a drink flavored with the same amount of fructose found in two cans of soda, they showed relatively low levels of insulin and leptin, hormones that help people know that they are full. On the other hand, they showed relatively high levels of ghrelin, a hormone that stimulates eating. These hormonal changes could promote overeating,. Sugar occurs in two forms, fructose and glucose. Glucose, but not fructose, stimulates insulin secretion, which in turn regulates leptin production. Both fructose and glucose are naturally found in fruit and fruit juices. However, over the years manufacturers have sweetened sodas and some foods with corn syrup, which contains concentrated amounts of fructose. To investigate whether drinking fructose plays a role in obesity, Teff and her colleagues asked 12 normal-weight women to wash down balanced meals with drinks sweetened with either fructose or glucose. When the women drank the fructose drink, their levels of insulin and leptin were lower than when they consumed a drink flavored with glucose, and levels of ghrelin were higher, the researchers report in the Journal of Clinical Endocrinology and Metabolism. In addition, drinking the fructose drink was associated with a spike in levels of blood fats, a known risk factor for cardiovascular disease.
Downing a big fast-food breakfast may spur a temporary but large inflammatory response in the blood vessels, a small study suggests. Researchers say that while an occasional indulgence in such high-fat, high-carbohydrate fare probably poses no concern, the new findings suggest that making it a regular routine could lead to chronic blood vessel inflammation and complications, such as heart attack and stroke. The study included nine healthy, normal-weight adults who were fed a breakfast of one Egg McMuffin, a Sausage McMuffin and two servings of hash browns from McDonald's. The meal weighed in at 910 calories, 81 grams of carbohydrates, 51 grams of fat and 32 grams of protein.
Foods cooked at high heat
linked to inflammation
People may be able to lower their risk of
heart, diabetes, and possibly other diseases by consuming cool foods, or dishes cooked at
relatively low temperatures, such as salads and tuna fish, preliminary research suggests.
Foods cooked at high temperatures spurred the
production of advanced glycation end products (AGEs), compounds in the blood that
stimulate cells to produce inflammation-causing proteins, which are potentially
harmful in diabetes. While AGEs are normally produced in the body at a
slow rate, they can be toxic and form more quickly when food is heated to high
temperatures. Inflammation is associated with heart disease among all people, but people
with diabetes are thought to be particularly vulnerable. People who consumed foods cooked at lower
temperatures had lower levels of both AGEs and inflammatory proteins than people who
consumed the same foods cooked at higher temperatures. After 6 weeks, levels of tumor
necrosis factor-alpha (TNF-alpha) and concentrations of the inflammatory protein
C-reactive protein (CRP) had also risen among those consuming the diet high in AGEs and
declined among those in the reduced AGE group. TNF-alpha and CRP are both markers showing
increased inflammation.
Different diet
types
Mediterranean diet, South beach diet, zone diet, Atkins diet,
and low carb diet.
Diet emails
Q. I read your site often and benefit from the cutting edge information
you provide. My question is a relatively simple one but I'll still
ask it. Is there any reason why a male should not take iron, say in a
multi-vitamin supplement at an RDA recommended level? Or is it best for
males to avoid iron supplementation altogether?
A. Since men do not lose iron like women do during periods,
there is no need to supplement with this mineral unless blood studies show iron deficiency
anemia. High doses of iron could act as a pro-oxidant and be harmful in those whose bodies
have the tendency to store iron such as in a condition called hemochromatosis which
affects a small minority of the population.
Q. Can you tell me about
glyconutrients?
A. You can find information on diet and glyconutrients
at the website.
Additional links
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with bioflavonoids supplement
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E complex supplement
B complex
supplement