My Favorite Topic: Real Food

Almost all diets have one particular strategy in common, which is to increase the amount of real food that people are eating while simultaneously decreasing the amount of manufactured calories, including both stripped carbohydrates and the ultraprocessed oils invented in the 20th century.

Stripped carbohydrates are processed to remove the most nourishing parts, including the bran and germ. Other stripped carbohydrates include white rice, corn starch, corn syrup, and sugar.

It is not a coincidence that white flour, corn starch and powdered sugar look exactly the same. We’ve removed the original identities of these products, so all that is left is a pile of white powder.

Real food comes in eleven categories. These include fruits, vegetables, beans, whole grains, nuts, seeds, dairy, eggs, meat, fish, and poultry. This is food; and food is what nourishes us.

That does not mean that everyone will eat absolutely everything on the list. Some people have allergies (to nuts or dairy, for example), or particular intolerances (such as lactose or gluten). Then there are those who simply do not eat certain foods, whether for religious reasons, or because they identify as vegetarians (who eat neither meat nor fish), vegans (who avoid not only all forms of flesh, but also eggs, dairy, and even, sometimes, honey), or, for yet another example, individuals who avoid grains of any kind.

So I am not saying you must eat everything from the list of eleven categories. What I am saying is that if you want to nourish yourself, these are your choices. Everything else is entertainment. It’s not that you can’t eat entertaining items; I just want you to be aware that they don’t nourish you. They don’t go in the plus category. They’re just for fun. Fun is fine; it is not food.

Please don’t think for a minute that I always say no to treats. If I go somewhere and there’s a plate of brownies, for example, there’s a very good chance that I’m going to eat one. Oatmeal-raisin cookies, too, and my husband’s famous banana-chocolate-chip cake.

This entire paradigm is really about personal choice. There are a couple of important questions to ask yourself here:

1. How much entertainment does it require for you not to feel deprived? Know that this will change with time. What you need on the weekends may be less (or more) than what you feel you need to keep yourself charged up during the week. And what you need in 2025 may be very different from what’s on your 2030 list. I’ve been doing this for a very long time, and I can promise you that the way I eat now is very different from the way I ate when I first began this journey. That’s partly because I have come to understand more as time has gone by. And it’s also because I am not the same person I was 25 years ago. And so on. 

2. How well do you want or need to be nourished? Would you consider yourself in good health? Do you have sufficient energy to be as active as you would like to be? Have you been struggling with gut trouble, joint issues, chronic low energy or other nonspecific symptoms that you suspect may be related to something you’re eating? Do you like the way your skin looks?

If you are aiming to improve the nutritional value of your food, I do not recommend making a complete switch all at once. That’s like throwing out the baby with the bath water. Not to mention that it’s probably unsustainable. And any time you set yourself up for failure, you’re setting yourself up for even more failure. The more things you do that make you feel bad, the harder it is to garner the energy to try again.

Instead, pay attention to how much ultraprocessed items you eat for a couple of weeks, and then think about what it would be like to lower it a little bit. Maybe by changing your breakfast from a bowl of “Frosted Crunchies” to leftovers, or a sweet potato with peanut butter (my favorite). Maybe by skipping your afternoon trip to the vending machine for chips, and packing a good portion of almonds and dark chocolate instead.

Don’t focus on calories and portion sizes. Your brain can tell the difference between real food and entertainment. When you eat food that nourishes you, you don’t feel as hungry. Trust how you feel. When your body is telling you something, try to listen. Remember, too, that if, like most Americans, you’ve been eating a diet consisting of a large proportion of ultraprocessed foods, you may need to eat large portions of nourishing food for a long while, perhaps a year or more, to make up for having been under-nourished for years. So to start with, keep your focus on food.

Finally, I thought I’d include a sample of what I might eat in a day. Please keep in mind that variety is its own valuable variable, so my days tend to look very different from one to the next. Nevertheless, here is a rough overview.  

Breakfast: black coffee, perhaps followed by a bowl of soup and fresh fruit, like berries or citrus. Sometimes leftovers like salmon and green beans, or whatever else I find in the fridge. Yesterday I had avocado toast on a slice of buckwheat bread.

Lunch: I often eat leftovers from the previous night’s dinner, like stew or vegetables. It usually contains some beans, tofu, or fish. Or an avocado, sprinkled with salt, or a bowl of homemade soup and a couple of pieces of fruit. Afternoon snack consists of nuts (any and all kinds), a piece of fruit and a piece of dark chocolate. Before I retired, I used to keep a small knife and cutting board at work for tomatoes and cucumbers, which always taste much better if eaten immediately after slicing.

Dinner: salmon, cod, bean soup, eggs poached in tomato sauce (shakshuka), turkey meatballs, canned tuna. There is always green salad plus one or more vegetables, one of which is always green. Salad can be as simple as lettuce dressed with olive oil and salt, or with sufficient ingredients to constitute an entire meal. There might also be sweet potato, quinoa, kasha, or brown rice. 


A Menace to Satiety

A member of my family texted me a few weeks ago: “Thinking of you as I’m watching CNN report on the effects of ultra processed foods… Followed by an ad on controlling diabetes numbers. (Did they consult you?)”. She knows how long I’ve been thinking about this.

So I decided to write about ultra processed “items” this week. The media has got to stop calling them food.

An old friend once came to visit, and she told me that she’d been discussing my dietary recommendations with her clever boyfriend. He spent some time mulling them over, and then said: “Processed food is a menace to satiety.” Ha. Indeed it is. Continue reading


And the Winner is Real Food

Years ago, the article Can We Say What Diet is Best for Health?, by David Katz and Stephanie Meller from Yale University School of Public Health, was published in the Annual Review of Public Health. A related essay by James Hamblin, Science Compared Every Diet, and the Winner is Real Food, was subsequently published in the Atlantic.  

Katz and Meller compared low-carb, low-fat, low-glycemic, Mediterranean, DASH, Paleolithic, and vegan diets, concluding that “A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention.”  Michael Pollan said, “Eat food. Mostly plants. Not too much.” More recent research continues to confirm these findings. Continue reading


Is it Really Food?

While talking with patients about how to improve the nutritional value of their meals, we used to talk about real food that had not been processed, refined, stripped, polished, fortified, enriched or otherwise modified. Fruits, vegetables, legumes, nuts, seeds, grains, fish, eggs, dairy products, and meats. And that’s about it.

Here are some guidelines: The first is not to eat anything you have to be told is food. If you have to be told it’s food, it isn’t. Like “processed American cheese food.” Talk about truth in advertising. Some products at the supermarket have names that have nothing whatsoever to do with food. Like Miracle Whip®. Or Cool Whip®. These are not foods either, and that’s why I’m not buying. Continue reading


A Monthly Column

A few months ago I was approached with a lovely proposal.

Would I like to author a new monthly column on health and wellness for the Cleveland Jewish News? You bet I would! I am thrilled to be able to share these with you today.

I’ve included links to the first two columns below, and I hope you enjoy reading them as much as I enjoyed writing them! They are not meant to take the place of YHIOYP. I’ll keep writing this blog just as I always have.

The first column is entitled Real Food Nourishes; Manufactured Calories Entertain.

The second is Developing [a] Firm Foundation: Three Pillars of Wellness.

The next one will be out the second week of January! Til next time, stay well!


Real Food for Real People

In discussing the nutritional value of the things we eat, I often talk about real food, by which I mean food that has not been ultraprocessed, refined, stripped, polished, fortified, degerminated, enriched, or otherwise modified. Real food means fruits, vegetables, legumes (beans and lentils), nuts, seeds, whole grains, fish, eggs, dairy products, and meats, like poultry, beef, or game. And that’s about it. Continue reading


Real Breakfasts for All You Champions

Last week I wrote about the sorry story of how boxed cereals came to predominate morning choices for breakfast; this week I’m sharing some of my own breakfast choices. The first thing I am going to point out is that my breakfasts do not differ significantly from other meals I eat through the day. That is to say, I don’t keep a separate list of breakfast options from lunch and dinner options. While I would say that I probably eat less spicy stuff at breakfast time, it’s more of a suggestion than a hard-and-fast rule, as you will see.

A major category of breakfasts in my house is the leftovers I find in the refrigerator, with or without a little extra something. So it could be that I heat up a bowl of leftover stir-fried vegetables, and that might be enough by itself, but I might also add some leftover rice if there is any. Or maybe I will fry an egg and slide it on top, or melt a slice of cheese (vegan for me) on top.  Continue reading


Fun is Fine, It’s Just Not Food

There is a very big difference between nutrition and entertainment. Food is nourishing. It’s what goes into our mouths when we choose stuff that’s loaded with fiber and color, like vegetables and beans, nuts, fruits, seeds, and whole grains. Fun, on the other hand, is nothing like food. Fun (which often goes by interesting names like “junk food” or “fast food” or “processed food”) is made with products like white flour, white rice, corn syrup, corn starch, commodity oils (soy, corn, cottonseed) and, of course, sugar, which you tend to find in items that are ultraprocessed. Food nourishes you. Fun entertains you. Sometimes you feel like a little entertainment. That’s fine. Go ahead and enjoy. But it doesn’t go in the plus category. It’s just for fun. Continue reading


Processed Food: A Menace to Satiety

Have you ever thought about the fact that you might be able to eat your way through several pounds of potato chips, but not the same weight of baked potatoes? How many pounds of baked potatoes do you think you could actually eat in one sitting? A friend of mine came for a visit a while back, and reported to me that she had been discussing my recommendations with her clever boyfriend. This is how he summed it up: “Processed food is a menace to satiety.”  Continue reading


When it’s Not Really Fruit or Vegetables

If I had just ten seconds to share nutrition advice, I know exactly what I would say: Eat more fruits and vegetables. And I don’t think that would surprise anyone. We all know that fruits and vegetables are nutritional powerhouses, rich in not only fiber but also phytonutrients, and everyone knows it’s a good idea to eat more of them. Especially since most of us don’t eat enough produce to begin with.

Now, the brand managers in the food industry know that we know we should eat more fruits and vegetables. This is why there are so many processed food items containing fruit-related words, or some version of the actual word “fruit.” Vegetables, too, to a lesser extent. Like vegetable oil. And which “vegetable” would that be, please? Continue reading