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I’ve spent the past four decades researching and refining the diet that I’ve found best supports health and healing. The Eclectic Triphasic Medical System (ETMS) approach to diet is based on traditional wisdom and supported by scientific research. It is sensible, balanced, diverse, nutrient-rich, and delicious.

In my last post, I addressed the currently popular ketogenic diet, which many people have adopted for weight loss. Other people pursue the carbohydrate-restrictive, fat-laden keto diet with the hope of curing cancer. Neither of these outcomes is supported by research.

Guidelines for the ETMS Diet: An Optimal Nutrition Plan

The primary guidelines of the ETMS diet are based on a pesca-flexa-vegetarian diet, which I describe in detail here: https://www.donnieyance.com/pesca-flexa-vegetarianism


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Enhancing Cellular Defense Mechanisms with Adaptogens

Aging is associated with a decrease in adaptive abilities along with increased vulnerability to stress. At the same time, aging is a complex process involving a persistent activation of some stress response systems, often involving transcriptional reprogramming, and the activation of vitagenes, which can be consider a ‘geroprotective’ adaptation.13   Environmental stressors induce specific and predictable epigenetic changes that can eventually result in an adaptive response to the stimulus. It seems likely that mild stress-induced hormetic response involves mechanisms similar to those that underlie developmental epigenetic adaptations.

The illustration below shows the involvement of hormesis in the epigenetic processes that determine age-related disorders and longevity.14

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Dose–response curve depicting the quantitative features of hormesis

Hormesis is a biological phenomenon whereby a beneficial effect (improved health, stress tolerance, growth or longevity) results from exposure to low doses of an agent that is otherwise toxic or lethal when given at higher doses.


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I’m often asked what I consider to be the healthiest diet. Through decades of nutritional research and experimentation, I’m convinced that a diet of primarily organic, plant-based Mediterranean foods—including whole grains, fruits, vegetables, nuts, legumes, eggs, dairy products (cow, goat and sheep milk derived) and healthy fats (mostly olive oil), with fish and seafood playing a key role as a main protein source—is by far the best diet for long term health. The term “pesca-flexa-vegetarian” comes closest to describing the diet that my family and I eat.

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In my last post, I broadly discussed the exciting field of epigenetics, which is radically changing the landscape of what we’ve long believed about genetics and biological destiny. Emerging research shows that food and herbs may be the most important factors in our genetic well-being, directly affecting our health, disease risk, and longevity.

As a clinical herbalist, I find the relationship between herbs and epigenetics particularly compelling. A large body of research shows that a wide array of botanical compounds work in a variety of ways to maintain health at the cellular level, and offer great promise in improving our molecular expression, protecting against cellular stressors and aging by normalizing gene behavior. We cannot change the genes we have, but we can positively alter the fate and behavior of our genes by supplying them with beneficial herbal and dietary compounds.

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The science of epigenetics is turning what we’ve long held true about biological destiny upside down. Although it remains true that our DNA—our genetic code—provides the blueprint for our physiological makeup, researchers have discovered that there’s something extra controlling our genes—and food and herbs may in fact be the most important factors in our genetic well-being.

That extra “something” controlling our genes is the epigenome, the cellular material that sits on top of the genome (the complete set of genetic material present in a cell or organism). While epigenomes do not alter the genetic code, they direct genes to switch on (becoming active) or off (becoming dormant) through a variety of biological mechanisms. This intriguing finding means that your genetic heritage is not the primary determinant of your health, disease risk, or longevity.

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Closely related to the culinary herb sweet basil (Ocimum basilicum), holy basil (Ocimum sanctum) is a plant with a rich history of use as a healing herb. Because this venerable herb has so many applications, it has become one of my favorites. I often include holy basil in adaptogenic tonics, and also find it useful for specific conditions, ranging from support for cancer and cardiovascular disease to improving skin health.

Native to India, holy basil is also known as tulsi, which means “the incomparable one.” Considered as sacred in the Hindu faith, most traditional homes and temples in India have at least one tulsi plant, which is used in prayers to insure personal health, spiritual purity, and family well-being. In Ayurvedic medicine, tulsi is classified as a rasayana, an herb that nourishes a person’s growth to perfect health and enlightenment and promotes long life.


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