Rabu, 18 April 2018

Do You Recommend Prescriptive Diets to Your Patients?

Do You Recommend Prescriptive Diets to Your Patients?


Physicians are used to talking to patients about diet for weight loss or even disease prevention, but they may be thrown for a loop when asked about more prescriptive eating plans.

For example, the ketogenic, or keto, diet has been positioned as a treatment for serious and life-threatening conditions. Its proponents say they are doing more than practicing healthy eating; they’re applying a nonpharmacologic approach that may directly affect medical outcomes.

Research suggests that variations on the keto diet — high in fat and protein with minimal amounts of carbohydrates — may indeed be useful for controlling epilepsy. But for other chronic diseases, such as diabetes, obesity, and cancer, the evidence is less clear. If not done correctly, following a keto plan carries important risks, including nutritional deficiencies, hypovolemia, hypokalemia, kidney stones, and gout.

The gluten-free diet has also gained popularity as a way to minimize various health problems, including weight gain, gastrointestinal distress, and high cholesterol. For people with celiac disease, avoiding the gluten protein found in certain grains is a medical necessity. However, there is far less science to support the idea that a gluten-free diet is beneficial for anyone else. There may even be risks, including an elevated chance of developing coronary heart disease, nutritional deficiencies, obesity, and cancer.



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