Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

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

Post navigation

< 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

  • Why every physician needs a sabbatical (and how to take one)

    Christie Mulholland, MD
  • The moral injury of “not medically necessary” denials

    Arthur Lazarus, MD, MBA
  • Is physician unionization the answer to a broken health care system?

    Allan Dobzyniak, MD
  • The decline of professionalism in medicine: a structural diagnosis

    Patrick Hudson, MD
  • The patchwork era of medical board certification

    Brian Hudes, MD
  • How neurodiversity in relationships shapes communication

    Farid Sabet-Sharghi, MD
  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • How honoring patient autonomy prevents medical trauma

      Sheryl J. Nicholson | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | Conditions
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician

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

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • How honoring patient autonomy prevents medical trauma

      Sheryl J. Nicholson | Conditions
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | Conditions
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • 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...