Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

When a diet is changed, a behavior is changed first

Michel Accad, MD
Physician
November 4, 2017
Share
Tweet
Share

Here’s the typical story we come across every day:

Jack was overweight and had a terrible cardio-metabolic profile. Jack changed his diet: He eliminated X, Y, Z and added more A, B, and C. He’s now lost 30 pounds, and he feels fantastic. His numbers are also perfect: His HDL is through the roof, his LDL is undetectable, and his A1c is smack in the normal range.

Todd was overweight and had a terrible metabolic profile. Todd changed his diet, but he did not eliminate X, Y, or Z. In fact, he did the opposite. He increased his intake of X, Y, and Z but eliminated A, B, and C. He’s now lost 30 pounds, and he feels fantastic. His numbers are also perfect: His HDL is through the roof, his LDL is undetectable, and his A1c is smack in the normal range.

Jack swears by this diet and encourages everyone to follow suit. The diet makes sense because X, Y, and Z can promote a really harmful metabolic pathway, whereas A, B, and C can do the opposite. There are numerous studies that show this.

Todd swears by this diet and encourages everyone to follow suit. The diet makes sense because A, B, and C can promote a really harmful metabolic pathway, whereas X, Y, and Z can do the opposite. There are numerous studies that show this.

Jack and Todd both have followers who have experienced what they have experienced. Now Jack and his followers argue endlessly with Todd and his followers. Each group accuses the other of disregarding the evidence, of being disingenuous, of being unhealthy, of making things up.

But there’s something wrong with this picture because both Jack and Todd are credible individuals, and so are most of their followers. Most of those who have followed Jack’s diet have experienced benefit, and most of those who have followed Todd’s diet have experienced benefit. So who’s right?

Both sides are right. And therefore both sides are wrong.

When Jack and Todd changed their diet, they changed something first. They changed themselves. For human beings, a diet is not just a list of foods and ingredients. For humans, a diet is also behavior. When a diet is changed, a behavior is changed first.

What you become doesn’t follow what you eat. What you eat follows what you’ve become.

Michel Accad is a cardiologist and founder, Athletic Heart of San Francisco. He blogs at Alert & Oriented.

Image credit: Shutterstock.com

Prev

Why positive role models are essential in medical education

November 4, 2017 Kevin 0
…
Next

Why quality reports for hospitals and doctors are interesting but flawed

November 5, 2017 Kevin 2
…

ADVERTISEMENT

Tagged as: Cardiology, Primary Care

< Previous Post
Why positive role models are essential in medical education
Next Post >
Why quality reports for hospitals and doctors are interesting but flawed

ADVERTISEMENT

More by Michel Accad, MD

  • A pandemic is not a war. It’s a natural disaster.

    Michel Accad, MD
  • Is shared decision-making applicable to only a minuscule fraction of encounters?

    Michel Accad, MD
  • Is there a case against shared decision making?

    Michel Accad, MD

Related Posts

  • How Hurricane Harvey changed this medical student

    Ryan Jacobs
  • The medical education question that needs to be changed

    Bo Cheng, DO, PharmD
  • The sigh of relief on Match Day quickly changed into a sobering reality

    Steven Zhang, MD
  • How a blanket changed the way I thought about medicine

    Anika Morgado
  • How the Parkland shooting changed the way I feel about medicine

    Ashira Klein, MD
  • How a disability changed this medical student

    Emily Hayward

More in Physician

  • Rural emergency medicine in New Mexico: a physician’s firsthand account

    Sarah Bridge, MD
  • What the folinic acid retraction means for autism treatment

    Timothy Lesaca, MD
  • The pause medicine never taught us to take

    Mary Wilde, MD
  • How naming grief can restore meaning in medical practice

    Patrick Hudson, MD
  • The honest broker in pediatrics: Building the medical home

    Ronald L. Lindsay, MD
  • MOC patient outcomes: Why recertification doesn’t guarantee quality

    Brian Hudes, MD
  • Most Popular

  • Past Week

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
  • Recent Posts

    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Trauma reactivation: Why news headlines trigger past abuse

      Barbara Sparacino, MD | Conditions
    • Ambiguous billing rules threaten every doctor in practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Deprescribing in health care: Why less medication can be more

      American Medical Association & John Whyte, MD, MPH | Meds
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • AI-enabled clinical data abstraction: a nurse’s perspective

      Pamela Ashenfelter, RN | Tech
  • Recent Posts

    • Rural emergency medicine in New Mexico: a physician’s firsthand account

      Sarah Bridge, MD | Physician
    • Trauma reactivation: Why news headlines trigger past abuse

      Barbara Sparacino, MD | Conditions
    • Ambiguous billing rules threaten every doctor in practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • Deprescribing in health care: Why less medication can be more

      American Medical Association & John Whyte, MD, MPH | Meds
    • What the folinic acid retraction means for autism treatment

      Timothy Lesaca, MD | Physician
    • Value-based care data gap: Why metrics fail to reach the bedside

      Ido Zamberg, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...