6 Basic Principles of Using Food As Medicine

It is my pleasure to share this special guest post with you about how to begin using your food as medicine.

In my medical practice – and my life – food is always my first go-to medicine. Whether it is recommending simple dietary changes such as cutting out dairy if you have a cold coming on or are bothered with seasonal allergies, to recommending a Mediterranean diet and using foods such as olive oil, pomegranate juice concentrate (unsweetened), and culinary herbs such as cinnamon to treat diabetes and help patients get off of all of their diabetes, high blood pressure, and cholesterol medications – which happens often in my practice – to recommending healthy dietary strategies for optimal health maintenance – I go to food long before I ever reach for a prescription pad!

This week I have the honor of sharing a blog by my friend Dr. James Gordon. Jim is a psychiatrist by training, and was the head of the White House Commission on Complementary and Alternative Medicine established under President Bill Clinton. He has been a true pioneer in bringing integrative medicine to the forefront of awareness for the medical community.

Dr. Gordon is a Clinical Professor of Psychiatry and Family Medicine at Georgetown Medical School. His most recent book is Unstuck: Your Guide to the Seven Stage Journey Out of Depression (Penguin). Further, he is the founder and director of the Center for Mind-Body Medicine which trains people in PTSD recovery in the most war- and disaster-torn parts of the world including Haiti and Gaza. The Center offers a program called Food As Medicine. The next course will be offered September 17-21, 2014 at the Kripalu Center for Yoga and Health in Lenox, Massachusetts, and I will be teaching there, too! 

Food As Medicine

In 1973, when I was a researcher at the National Institute of Mental Health and beginning to become interested in alternative therapies, I met Shyam Singha, a London-based Indian osteopath, naturopath, herbalist, acupuncturist, homeopath, and meditation master. Shyam had gleaming yellow eyes and flowing black hair, and wore impeccably tailored Savile Row suits or floor-length, orange silk gowns.

Lecturing, he paced the front of the hall like a panther. A brilliant, challenging, occasionally terrifying trickster, he became my guide to the frontiers of healing. Together Shyam and I cooked meals that astonished my taste buds, raised my energy, and lifted my mood. The fast, “chaotic” breathing meditation he had learned in the Indian mountains pushed me through fear and anger.

Shortly after meeting Shyam, I was crippled by a back injury. The orthopedists were issuing dire warnings and getting me ready for a surgery I didn’t want.

Desperate, I called Shyam in London. “Eat three pineapples a day, and nothing else for a week,” he said.

I thought the phone had gone bad, and then suspected, not for the first time, that he was mad. He repeated it and explained, using principles of Chinese medicine, how the pineapple would “work on your lung” which was the “mother of the kidney,” and that the kidney was “connected” to the back. It made no sense to me then, but I knew that Shyam knew many things that I and the orthopods didn’t.

And I really didn’t want back surgery.

Amazingly, the pineapple fast worked. Later, Shyam suggested I eliminate gluten, dairy, sugar, red meat and processed food to relieve my occasional allergies, asthma, and eczema. That worked, too.

Ever since, I too have been committed to using food as medicine. Soon I was reading scientific studies that were validating the therapeutic power of traditional remedies and suggesting the need to eliminate or cut down on foods that had become staples of the standard American diet. I began to prescribe nutritional therapies for my medical and psychiatric patients.

By the early 1990s, I had decided it was time to teach what I was learning to my students at Georgetown Medical School. I asked Susan Lord, MD, my colleague at The Center for Mind-Body Medicine, to join me. To honor Hippocrates, who coined the phrase, we called our course “Food As Medicine,” and it quickly became a hit with med students.

The students experimented with diets that eliminated sugar, gluten, dairy, food additives, red meat and caffeine. Many felt less anxious and more energetic; they slept and studied better and learned more easily. They shook their heads at how little attention their curriculum paid to nutrition.

A few years later, Susan and I made an expanded version of this course available nation-wide, to medical school faculty, physicians, other health professionals and anyone who was interested in improving her own nutrition.

Together with the nutritionist Kathie Swift, we created exactly the course we wish we’d had in school — one combining impeccable science and traditional wisdom, presented in the most interesting, practical user-friendly way. We called it “Food As Medicine” (FAM) and we continue to offer it every year.

The course is comprehensive, but the basic principles are simple and straightforward:

1. Eat in harmony with your genetic programming — i.e,. the way our ancestors ate.

This doesn’t mean conforming to a strict Paleo diet, but rather following the principles it suggests. Consider a whole foods plant-based diet with as little processed food and added sugar as possible.

Ideally this means consuming far fewer grains (understanding that some people can’t tolerate wheat and other grains at all); little or no dairy (even if you don’t seem intolerant to it); cold water fish like salmon, sardines and mackerel as the preferred animal product; and far more intestine-activating fiber — we consume a paltry average of 15 grams a day; our Paleolithic ancestors took in 100 grams.

2. Use foods rather than supplements to treat and prevent chronic illness.

Whole foods contain a number of substances that work synergistically and may be far more effective than supplements that just deliver one of them.

Why take the powerful antioxidant lycopene in a pill when you can eat a tomato that contains both lycopene and a number of other antioxidants, along with vitamins, minerals and other nutrients that work together to prevent heart disease by decreasing cholesterol and lipid levels and stopping abnormal blood clotting?

3. Combine your nutritional plan with a program to reduce stress and raise awareness about how as well as what we eat.

Stress inhibits and interferes with every aspect of digestive functioning and with the efficient use of nutrients. Stressed-out people can’t make very good biological use of even the most healthy diets.

Learning to eat slowly and mindfully will increase your enjoyment of meals, reduce your consumption of food (most of us eat so fast we don’t have time to register signals from our stomach that we are full), and help you make food choices that are better for you.

4. Understand that we are all biochemically unique.

We may be the same age and ethnicity, have very similar health status, ethnicity, and income, but you may use 100 times as much B6 as I do, and I may require 100 times more Zinc.

Sometimes we may need a nutritionally oriented physician, dietician or nutritionist to do specific, sophisticated tests to determine our deficiencies and requirements. We can always learn a great deal about what’s good for us by experimenting with different diets and foods, and by paying close attention to the outcomes.

5. Find a health professional who will help you begin treatment of chronic conditions with nutrition and stress management (as well as exercise) rather than medication.

Except in life threatening situations, this is the sane, common sense way to go. The prescription antacids, Type 2 diabetes drugs, and antidepressants that tens of millions of Americans use to decrease acid reflux, lower blood sugar, and improve mood, only treat symptoms and do not address causes. And they have very significant and often dangerous side-effects. If they are only prescribed, as they should be, after a thorough trial of non-pharmacological treatment, they will rarely be necessary.

6. Don’t become a food fanatic.

Use these guidelines (and others that make sense to you), but don’t beat yourself up for deviating from them. Just notice the effect of a questionable choice, learn, and return to your program.

And don’t waste your time and energy judging others for what they eat! It will just make you cranky and self-righteous, stressful emotional states that will ruin your digestion. And it sure won’t do those other people any good.

To Learn More About Food as Medicine 

So far, more than 2,500 people have completed the program. The course is comprehensive and is taught by leaders in the field, including Drs. Mark Hyman and Aviva Romm.

We start with the evolution (or, more precisely, the degeneration) of the human diet and move through the basic physiology of digestion and the biochemistry of nutrition and detoxification.

We help participants develop evidence-based diets to enhance wellness and successfully prevent and treat specific conditions; give a basic grounding in supplements and herbs; discuss the benefits and limitations of popular diets; and, of course, serve delicious, healing food, and show our attendees how to cook it.

The focus of the next FAM will be women’s health. It will be held at the Kripalu Center for Yoga and Health in Lenox, Massachusetts, September 17-21, 2014.

On behalf of myself, Jim, and the other faculty, I hope you will join us!

With love,






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Your point about finding a doctor who will treat by natural means is one of my biggest hang-ups right now with my family's health. In Nashville where I live, I know of only a few MDs and nurse practitioners who are committed holistic practitioners; of those, I know of only two who accept insurance & aren't "out-of-network." I've tried out both of these doctors. One is strangely passive and reticent, and in my opinion has too many people to think about; the other one is my current doctor, who–I've been surprised by the wide gap between what I'm reading and what my supposedly complementary/integrative MD is up on. There is little choice for those of us who cannot afford out-of-network providers–at least where I live. I feel strongly there must be "conventional" doctors here who are into alternative, holistic health care but I do not know how to find them. There are "find a practitioner" websites, but I've exhausted those. Personal networking should turn up some options, but it has not.


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    Health insurance is being exposed for the scam it is. Don't get me wrong....I'm super happy I have the insurance, but it limits my health freedom in so many ways. It dictates what doctors I can see, what hospitals I can go to, what prescriptions I can get and where I can get them, what tests I can get, etc. To me, health insurance is more focused on paying the doctor than helping the patient through their financial time of need. I would love to see the day where doctors do not know whether you have insurance or not and they would proudly display their rates of service on their websites and in their offices. They would treat every single patient the same and expect that they all have to pay out of pocket. Filing insurance claims of any type is a very personal thing that only the claimant should be doing. Doctors and their related staff should NOT be doing insurance work. Not only does it take the staff away from actually treating patients, but it also introduces corruption. For example, we have a hospital where I live that is very well-known to increase their rates astronomically for a certain insurance company. That way it looks like insurance covers more than they actually do and it makes you spend more of your deductible as a result....and the hospital gets paid more. Maybe once insurance releases its stranglehold on the healthcare industry, more doctors would be open to treating in holistic ways.


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Great information. you rock Aviva! Keep taking care of us ladies!!!


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Leeya Engel

I love this perspective. It really is what I try to do in my own life. Aviva, I found your blog when reading up on glucola and I am so glad that I did as I have been enjoying it ever since! - Leeya Engel from Tel Aviv