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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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I have been involved in the health industry for four decades and in clinical practice for three decades, and have seen every possible variation of supposedly health-promoting diet come and go. Macrobiotic, raw food, fat free, vegan, and high protein diets have been touted as diets for preventing or healing from cancer, most of them offering up a confusing array of contradictory advice. The most recent diet to appear on the scene is the ketogenic (keto) diet, a high fat and low protein regime virtually devoid of carbohydrates. I would like to share my opinion on why I am not in favor of the ketogenic diet in general and the very rare and specific circumstances in which it could possibly have benefit with short-term use in people with brain cancer.

Health Consequences of Ketogenic Diet
A keto diet is high fats, moderate in protein, and extremely low in all carbohydrates (both good and bad). By restricting all (including healthy) carbohydrate consumption to a mere 20-50g per day the keto diet aims to starve the cell of body (including the brain) of glucose. When glucose stores are depleted due to starvation or extremely low carbohydrate consumption, the body goes into ketosis (this is where the name keto diet comes from). In ketosis, the liver breaks fat (and secondary protein) down into ketone bodies as a secondary fuel source for the brain. While this diet, by inducing fat breakdown via ketosis can produce impressive weight loss, this “quick fix” can also come at a cost.


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In my last post, I shared some of the many benefits of whole grains. From helping to protect against cancer and heart disease to improving digestion and metabolism, whole grains are essential to a healthy diet. Of all forms of grain, bread is the most commonly consumed in many countries. Whether it’s a loaf of crusty sourdough or a traditional flatbread, bread offers satisfying nourishment for body and soul.

Often called the “staff of life,” whole grain bread contains more nutrients ounce for ounce than meat, milk, potatoes, fruits, and vegetables. But beyond the excellent nutritional profile, there are emotional and spiritual aspects associated with the humble art of baking bread that offer sustenance on a deeper level.

Bread is Synonymous with the Essentials of Life

Bread is one of the most basic forms of food in many cultures and has been a part of the human diet for at least 30,000 years. “Give us this day, our daily bread,” from the Lord’s Prayer, is a holy reminder of the nourishment that bread provides. In the cultural vernacular, “bread and butter” is synonymous with the essentials of life.

A cornucopia of whole grains is available to us from around the world, including amaranth, barley, corn, oats, quinoa, rice, teff, and wheat (including heirloom varieties such as einkorn and kamut).

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Wheat, the most ancient of the cereal grains, is the most common flour for bread making. But bread can be made from many other grains native to a region.


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Whole Grain, Stone Ground, Organic Bread: It’s Good For You!

 If you’ve been reading my blog, you already know that I’m a big proponent of including grains in our daily diet. Not just any grains, though. Grains that are healthful for us are organic, whole grains, enjoyed either in their whole form or as freshly milled flour.

Despite the current dietary fad of shunning all grains, a growing body of evidence shows that increased intake of less-refined, whole-grain foods has numerous positive health benefits. People who consume greater amounts of whole grains are consistently shown to have a lower risk of developing cardiovascular disease, type 2-diabetes, and many cancers. People who eat whole grains also appear to have better digestive health and are likely to have a lower BMI and gain less weight over time. The bulk of the evidence for the advantages of whole-grains comes from observational studies, but researchers are discovering the same benefits in intervention studies, and are identifying the mechanisms behind the protective properties of whole grains.1

 Whole Grains Protect Against Cardiovascular Disease

 Here’s an example of the health protective benefits of whole grains: A meta-analysis of seven major studies showed that cardiovascular disease (heart attack, stroke, or the need for a procedure to bypass or open a clogged artery) was 21% less likely in people who ate 2.5 or more servings of whole-grain foods per day compared with those who ate less than 2 servings per week.2


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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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Once referred to as “the staff of life,” wheat has become a controversial food. Although people have been consuming wheat in various forms for thousands of years, increasing numbers of health conscious individuals are turning their backs on what was once regarded as a satisfying, nourishing staple.

In some cases, avoiding wheat is essential for health. Those with celiac disease—a serious inflammatory condition caused by an abnormal immune response to gluten—should never eat wheat or any other gluten containing grains. But while only 1% of people have celiac disease, millions more have adopted a gluten free diet—in particular, shunning wheat.


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