Tag: diets

  • Beyond Elimination Diets | Dietitian Connection

    Beyond Elimination Diets | Dietitian Connection


    Welcome to a special Gut Health Month episode of The Dietitian Connection Podcast. This March, we’re celebrating Gut Health Month 2026 by bringing dietitians together to deepen our knowledge, strengthen our confidence, and amplify our voice to create meaningful impact in practice and beyond.

    In this episode, we’re joined by leading gut health dietitian Nicole Dynan to explore how dietitians can build confidence in this rapidly growing space. Tune in for practical insights and inspiration to help you feel empowered in your gut health practice.

    Hosted by Kate Agnew

    Biography

    Nicole Dynan is the founder of The Gut Health Dietitian (established in 2014) and one of Australia’s leading gut health experts. After a decade in corporate chronic disease management, Nicole saw first-hand how gut health impacts energy, stress, mood, and overall well-being. Since then, and together with her team, she’s helped over 40,000 people improve their gut health, feel more comfortable, and regain control of their overall health through science-backed nutrition. 


    In this episode, we discuss:

    • How dietitians can build confidence and credibility in gut health through targeted upskilling and staying across emerging research and trends
    • The shift in gut health care from restriction to focusing on foundations
    • Why it’s important for dietitians to raise their voice, strengthen their influence and work together to lead evidence-based gut health conversations
    • The importance of recognising what stage of behaviour change a client is in and adapting your approach to meet them where they are


    The content, products and/or services referred to in this podcast are intended for Health Care Professionals only and are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances. The content is for your information only, and we advise that you exercise your own judgement before deciding to use the information provided. Professional medical advice should be obtained before taking action. The reference to particular products and/or services in this episode does not constitute any form of endorsement. Please see  here  for terms and conditions.


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  • Fasting and Plant-Based Diets for Migraines and Traumatic Brain Injuries 

    Fasting and Plant-Based Diets for Migraines and Traumatic Brain Injuries 

    What effects do fasting and a plant-based diet have on TBI and migraines?

    An uncontrolled and unpublished study purported to show a beneficial effect of fasting on migraine headaches, but fasting may be more likely to trigger a migraine than help it. In fact, “skipped meals are among the most consistently identified dietary triggers” of headaches in general. In a review of hundreds of fasts at the TrueNorth Health Center in California, the incidence of headache was nearly one in three, but TrueNorth also published a remarkable case report on post-traumatic headache.

    The U.S. Centers for Disease Control and Prevention (CDC) estimates that more than a million Americans sustain traumatic brain injuries (TBIs) every year. Chronic pain is a common complication, affecting perhaps three-quarters of those who suffer such an injury. There are drugs, of course, to treat post-traumatic headache. There are always drugs. And if drugs don’t work, there is surgery, cutting the nerves to the head to stop the pain.

    What about fasting and plants? A 52-year-old woman presented with a highly debilitating, difficult-to-manage, unremitting, chronic post-traumatic headache. And when I say chronic, I mean chronic; she experienced pain for 16 years. She then achieved long-term relief after fasting, followed by an exclusively plant-foods diet, free of added sugar, oil, or salt.

    Before then, she had tried drug after drug after drug after drug after drug—with no relief, suffering in constant pain for years. Before the fast, she started out in constant pain. Then, after the fast, the intensity of the pain was cut in half, and though she was still having daily headaches, at least there were some pain-free periods. Six months later, she tried again, and eventually her headaches became mild, lasting less than ten minutes, and infrequent. She continued that way for months and even years, as you can see below and at 1:45 in my video Fasting for Post-Traumatic Brain Injury Headache

    Now, of course, it’s hard to disentangle the effects of the fasting from the effects of the whole food, plant-based diet she remained on for those ensuing years. You’ve heard of analgesics (painkillers). Well, there are some foods that may be pro-algesic (pain-promoting), such as foods high in arachidonic acid, including meats, dairy, and eggs. So, the lowering of arachidonic acid—from which our body makes a range of pro-inflammatory compounds—may be accomplished by eating a more plant-based diet. So, maybe that contributed to the benefit in the fasting case, since many plant foods are high in anti-inflammatory components. In terms of migraine headaches, more plant foods and less animal foods may help, but you don’t know until you put it to the test.

    Researchers figured a plant-based diet may offer the best of both worlds, so they designed a randomized, controlled, crossover study where those with recurrent migraines were randomized to eat a strictly plant-based diet or take a placebo pill. Then, the groups switched. During the placebo phase, half of the participants said their pain improved, and the other half said their pain remained the same or got worse. But, during the dietary phase, they almost all got better, as you can see here and at 3:11 in my video.

    During that first phase, the diet group experienced significant improvements in the number of headaches, pain intensity, and days with headaches, as well as a reduction in the amount of painkillers they needed to take. In fact, it worked a little too well. Many individuals were unwilling to return to their previous diets after they completed the diet phase of the trial, thereby refusing to complete the study. Remember, the participants were supposed to go back to their regular diets and take a placebo pill, but they felt so much better on the plant-based diet that they refused. We’ve seen this with other trials, where those trying plant-based diets felt so good, they often refused to abandon them, harming the study. So, plant-based diets can sometimes work a little too well.

    All my videos on fasting are available in a digital download here.  



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  • Blended diets & tube feeding

    Blended diets & tube feeding


    Blended tube feeding (BTF) is gaining traction as a personalised approach to enteral nutrition, but what does the evidence say? In this episode, leading expert dietitian Lina Breik unpacks BTF—how it compares to commercial formulas, key considerations for implementation, and common misconceptions. She explores hospital policies, funding barriers, and best practices for ensuring safety and nutritional adequacy. Lina also shares top resources and advice for dietitians navigating this evolving space. If you’re supporting patients on BTF or simply curious about its role in clinical care, this episode is packed with insights. Tune in now!

    Hosted by Rebecca Sparrowhawk

    Biography

    Lina Breik is an Advanced Accredited Practising Dietitian and leading expert in hospital-to-home tube feeding. As the the Founding Lead at Tube Dietitian, Lina is on a mission to seamlessly bridge the gap between hospital care and home life, by empowering patients and carers to manage tube feeding confidently at home. Her dedication to this cause is evident in her ongoing pursuit of a PhD that investigates the challenges and experiences of adults living with feeding tubes. 

     

     

    In this episode, we discuss:

    • What is Blended Tube Feeding (BTF) and the beneficial role it has in nutritional management
    • Key considerations for safe and practical implementation
    • The various challenges and obstacles you may face implementing and managing BTF
    • Common misconceptions and evidence-based insights
    • Available resources and expert advice to support you working in this area.

     


    Additional resources

     

    Connect with Lina at [email protected] or on LinkedIn

    Click here to learn more about Lina’s new book Home Tube Feeding, A mini casebook

    For further reading referenced throughout the podcast:

     

    The content, products and/or services referred to in this podcast are intended for Health Care Professionals only and are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances. The content is for your information only, and we advise that you exercise your own judgement before deciding to use the information provided. Professional medical advice should be obtained before taking action. The reference to particular products and/or services in this episode does not constitute any form of endorsement. Please see  here  for terms and conditions.


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  • Diets with the Lowest Carbon Footprint 

    Diets with the Lowest Carbon Footprint 

    Why don’t environmental groups advocate for climate-friendlier diets?

    In what “was arguably the largest ever environmental protest in the world,” more than one million children in more than one hundred countries joined the “Global Climate March, demanding that governments act now to reduce climate change and global warming.” “The concerns of the young protesters are justified” and “supported by the best available science,” wrote a group of scientists and scholars. “The enormous mobilization of the Fridays for Future/Climate Strike movement shows that young people have understood the situation. As scientists and scholars, we strongly support their demand for rapid and forceful action.”

    In terms of our food supply, there are a number of little tweaks that may help, like feed additives that can reduce cattle belching, but if you put them all together, according to the prestigious EAT-Lancet Commission, we’re only talking about reducing agricultural greenhouse gas emissions by about 10 percent in 2050. In contrast, if we instead switched to plant foods, “increased consumption of plant-based diets could reduce emissions by up to 80%.”

    As you can see below and at 1:02 in my video Which Diets Have the Lowest Carbon Footprint?, all those cow, sheep, and goat burps only represent a fraction of the greenhouse gas emissions from animal agriculture. 

    That’s why, according to the Intergovernmental Panel on Climate Change (IPCC), becoming a so-called “climate carnivore” and just cutting down on ruminant products like beef wouldn’t reduce greenhouse gas emissions as much as eating a healthier diet and limiting meat across the board. And the fewer animal products, the better, as seen below and at 1:32 in my video

    “Which diet has the least environmental impact on our planet?” A systematic review found that “the vegan diet”—eating completely plant-based—“is the optimal diet for the environment,” but it isn’t all or nothing, as you can see below and at 1:49 in my video. Even just cutting down on meat to less than an ounce or two a day could get you halfway there in terms of reducing greenhouse gas emissions. 

    When it comes to land use, as you can see here and at 1:56, a healthier diet, like a Mediterranean diet, may decrease your footprint by about a quarter, whereas even more plant-based diets can drop land use by 50 percent or more. 

    In general, diets that include meat require about 3 times more water, 13 times more fertilizer, more than twice the energy, and 40 percent more pesticides than eating patterns that don’t. If you look even more broadly at the total environmental impact of omnivorous versus vegetarian versus vegan diets and consider not just global warming, but also ocean acidification, agricultural run-off, smog, the ecotoxicity of the water and soil, and direct human toxicity of the air we breathe, the water we drink, and the soil we grow our food from, eating eggs and dairy may be 9 times worse than plants and eating eggs, dairy, and meat may be 17 times worse than sticking to plant foods. As a bonus, “replacing all animal-based items in the US diet with plant-based alternatives will add enough food to feed, in full, 350 million additional people, well above the expected benefits of eliminating all supply chain food waste.” That’s more than the U.S. population and more than if we completely irradicated food waste.

    Changing meat-eating habits may be seen as a relatively cheap and easy way to mitigate climate change, in contrast to many other climate mitigation behaviors,” factors outside our control. However, surveys suggest few “seem to recognize the option of eating less meat as a significant opportunity for helping the mitigation process.” Indeed, “research has shown that consumers often underestimate the impacts of meat consumption on the environment, in general, and on climate change, in particular…The outstanding effectiveness of the less meat option (as established by climate experts) was recognized by merely 12% of the Dutch and 6% of the American sample,” and that’s after they were prompted to assume climate change is actually happening.

    “There is overwhelming scientific consensus that climate change is real and that we’re driving it,” but only about half of U.S. adults believe it. This is not by coincidence. Just like the tobacco industry tried to subvert the “overwhelming evidence that smoking and secondhand smoke cause cancer and heart disease,” companies like “Exxon orchestrated a climate change denial campaign that stalled meaningful efforts to reduce greenhouse gases for decades.”

    Certainly, environmental groups should know better, though. “None of the highest profile NGOs examined…featured meat consumption and climate change among their primary climate change web campaigns.” They were all “aware of the scientific evidence connecting livestock production and meat consumption to climate change,” but, evidently, “scientific evidence alone was not sufficient to compel NGOs to adopt campaigns on the issue.” It’s like another form of denialism that can become “a negative feedback loop”; it’s an unpopular topic to discuss, so you don’t discuss it, so it remains unpopular to discuss. “This in turn deprives the issue of the attention that would be needed for it to increase in prominence” and break out.

    When environmental groups have messaged about it, they “have favored asking for moderate reductions in meat consumption,” which is “notable given research demonstrating the environmental benefits of totally or nearly meat-free diets.” It could be a much more powerful lever at the individual level to go even further, but they don’t want to be seen as telling people what to do. Instead, they advocate for small changes, like turning off your computer monitor at lunchtime or printing on both sides of a sheet of paper. However, the “cumulative impact of large numbers of individuals making marginal improvements in their environmental impact will be a marginal collective improvement in environmental impact. Yet, we live at a time when we need urgent and ambitious changes.”

    This is the last video in a three-part series. If you missed the first two, see Win-Win Dietary Solutions to the Climate Crisis and Which Foods Have the Lowest Carbon Footprint?.

    Also check out Friday Favorites: Which Foods and Diets Have the Lowest Carbon Footprint?.

    For more, I also have an older video, Diet and Climate Change: Cooking Up a Storm, and this digital download on using plant-based or cultivated meat as a climate (and pandemic) mitigation strategy. 



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  • WHO releases updated guidelines on defining healthy diets – The Nutrition Source

    Harvard experts say most recommendations are well-supported, but guidance on total fat intake omits decades of evidence

    The World Health Organization (WHO) has released updated guidelines for defining healthy diets, with particular attention to carbohydrates, total fat, and specific types of fat such as saturated and trans fats. The guidelines are an addition to their previous recommendations on added sugars, sodium, and non-sugar sweeteners. With the exception of total fat intake, the recommendations below are geared toward everyone ages 2 and older:

    • A healthy dietary pattern—a combination of foods that is influenced by availability, affordability, preferences, culture, traditions, and other factors—is encouraged with the core tenets of adequacy, diversity, balance, and moderation.
    • A variety of food groups and a variety of foods within each food group are encouraged to reduce the risk of vitamin and mineral deficiencies, and to provide health-promoting components found in a diverse diet.
    • Carbohydrate intake should comprise 40-70% of total calorie intake and come mainly from minimally processed whole grains, vegetables, fruits, and legumes, with research finding that these foods are associated with a reduced risk of deaths from any cause and diet-related non-communicable diseases (e.g., diabetes, cardiovascular disease, cancer). They advised 400 grams of fruits and vegetables daily (equivalent to about 2 servings each), and 25 grams fiber daily.
    • Saturated fatty acid intake should be reduced to 10% or less of total calorie intake, and trans fat intake to 1% of total calorie intake, which is associated with reduced risk of deaths from any cause, reduced cardiovascular disease, and lower LDL levels. They advise replacing saturated fatty acids with polyunsaturated fatty acids.
    • Total fat intake for adults ages 20 and older should comprise 30% or less of total calorie intake for the prevention of unhealthy weight gain, and the type of fat consumed should be mostly unsaturated fatty acids. This amount was associated with reduced body weight, body mass index, waist circumference, and body fat percentage. They cited evidence that suggested a dose response, in that the more fat intake was reduced, the greater the reduction in body weight. A reduced-fat intake was associated with a lower calorie intake, leading to decreased weight. The guidelines also cited that individuals who can maintain their weight may be able to consume higher levels of fat greater than 30%; for example, one may consume 40% of calories from fat but intakes of carbohydrate and protein would decrease in order to maintain energy balance by consuming the same calorie level. [1]

    Experts in the Department of Nutrition at the Harvard T.H. Chan School of Public Health disagreed with the WHO guidelines to limit total fat intake to 30% or less of total calorie intake, citing evidence from dozens of long-term cohort studies and randomized trials that showed a lack of benefit of low-fat diets for lowering risk of chronic conditions including cancer, diabetes, cardiovascular disease, and weight loss. For example, the PREDIMED trials—which randomly assigned people to a Mediterranean diet with a higher fat intake of 39-42% of total calories (mostly from unsaturated fats) or a low-fat diet—found a lower risk of cardiovascular disease and type 2 diabetes on the higher fat diet. [2,3] The Harvard researchers also expressed concern that lowering total fat intake could mean increasing carbohydrate intake, especially refined carbohydrates and sugars, which has been shown to increase blood pressure and triglycerides.

    “The new WHO recommendation that intake of total fat be limited to 30% of calories is narrowly based on one deeply flawed meta-analysis of weight gain,” said Dr. Walter Willett, Professor of Epidemiology and Nutrition. “This ignores the last several decades of research on dietary fat and excludes the traditional Mediterranean diet, which has been widely recognized as a healthy model for eating, based on a massive body of evidence. Although other aspects of the WHO dietary recommendations are well-supported, the limit on total fat is best ignored.”

    In the meta-analyses supporting the WHO guidelines, Willett and colleagues noted that the WHO report did not include a comprehensive assembly of randomized controlled trials but rather selective studies in which weight change was not the primary outcome, and many participants had chronic conditions like cancer, diabetes, and cardiovascular disease, and therefore were not considered healthy.

    They also noted that the meta-analyses excluded studies that were carefully designed to look at dietary fat and weight changes, and that many of the included studies provided an unequal intervention. For example, in many studies, the low-fat diet group received intensive guidance and monitoring of fat reduction, whereas the control group received no advice or monitoring. This is meaningful as close dietary guidance and monitoring itself results in small reductions in weight.

    “Even if the result of the meta-analysis were to be believed, the difference between the low- and high-total fat groups was only about two pounds (0.9 kg after accounting for sample size), hardly sufficient to be setting global dietary recommendations,” Willett added. “On the other hand, the type of dietary fat has major implications for long term health and wellbeing, and the recommendation to emphasize unsaturated sources of fat from plants over those high in saturated and trans fat is well-founded.”

    Last updated July 18.

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