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Diet and depression

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February 22, 2018

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Comments

Mike
March 09, 2018

Thank you for this post. I know many of us have struggled with poor diet and depression and it certainly can be a downward spiral without a correction. Good healthy eating and learning to love yourself is a smart start. I will be looking into the Mediterranean diet as it is new to me. Itt does look like a focus on natural things instead of processed “junk” based on my quick read from your link above. I think it will be good to investigate. Thanks again.
Mike

Laura McCall, CNE
March 06, 2018

Doctor Tello – thank you for this article. As more medical doctors such as yourself acknowledge the tie between what we eat and how our bodies and brains function, I believe many patients will be helped and healed. My own history with depression has led me to a career in nutrition. I now help others using food as my Rx. Again, grateful to see this concept disseminated among doctors too.

kari
March 06, 2018

I beg Harvard to change their diet recommendation to exclude “whole grain” and “low-fat”. It seems the research is available to conclude there are healthy fats and certainly other plants to substitute for “whole grains”.

Monique Tello, MD, MPH
March 06, 2018

I agree that there are healthy fats: avocado, nuts, seeds, and olive oil contain healthy fats, which are dense in calories and should be taken in moderate amounts for that reason. In the article I do talk about limiting animal fats, like butter and bacon, because that is what the research covered in this article shows is associated with a higher risk of depression.

Penny
March 05, 2018

“The gist of it is, eat plants, and lots of them, including fruits and veggies, whole grains (in unprocessed form, ideally), seeds and nuts, with some lean proteins like fish and yogurt. Avoid things made with added sugars or flours (like breads, baked goods, cereals, and pastas), and minimize animal fats, processed meats (sorry, bacon), and butter. “

I have found this precise lifestyle to truly be the miracle cure for anxiety and depression. I have exercised at a pretty high intensity all of my life and always avoided junk and fake food but my mood improved significantly and stayed that way for a few years now that I avoid processed grains ie breads, pasta and refined sugar. I was raised in an Italian family on big bowls of pasta and bread and never would have thought I could stop but almost all cravings for those foods disappeared. Can’t recommend it enough.

Monique Tello, MD, MPH
March 06, 2018

I am so glad for you! Thanks for sharing.

Edythe McKee
March 05, 2018

I have been able to stay off psych meds because my depression went away on a ketogenic diet. It is probably due to the lack of added sugars. It would be nice if there could be a study of the ketogenic diet on depression patients. The trouble is virtually all my depressed friends are sugar addicts and can’t get close to a keto diet.

Monique Tello, MD, MPH
March 06, 2018

Avoiding added sugars is consistently shown to help with weight loss, and in this case, mood. Sure, there can be more studies of the ketogenic diet specifically, but the bottom line is, there’s already plenty of research to support a plant-based diet, and the ketogenic diet is a difficult diet to maintain long-term. Great that it’s worked for you, however, and thank you for reading and sharing.

Deirdre Kennedy
March 05, 2018

I gave up gluten because of a thyroid problem and three days later I woke up to a different world. The major depression that I had suffered with my whole life was lifted…. It is amazing to me how a thing like gluten could cause such a change….I had spent a fortune on physiatrists and psychologists and was way overmedicated to the point where I was shaking. Also I dropped 25 lbs so quickly that I thought there was something wrong with me…. They have improved the quality of gluten free food since I quit so I have gained some of that weight back but now I work out so it is not an issue. I am just happy to not be fighting depression every day. I gave up gluten and have not looked back since…

Monique Tello, MD, MPH
March 06, 2018

I’m so glad that you feel better off of medications and using dietary changes alone! Refined grains of all kinds are what seemed to be associated with a higher risk of depression in these studies.

Jl in Jersey
March 05, 2018

Glad to see this topic getting the attention it deserves. Keep up the good work. We discovered the diet mental health connection some years ago. The elimination of gluten made an enormous night and day difference for the better. While celiac was in the immediate family, without the classic symptoms we never made the connection to mental health, anxiety and ability to focus. Hope more research is done in this area.

Thomas Braun RPh
March 05, 2018

Depression is the result of a deficiency in key brain nutrients.
Poor diet and stress are the root causes. Key nutrients that need to be boosted are Vitamin D, Folate (l-methylfolate) B6 and B12.
Also, boosting Omega-3 and rejecting Omega-6 food sources is essential. The medical research has been done, we just have to connect the dots.

Judith Brown
March 05, 2018

I eat the diet you are suggesting and have been a healthy eater for decades. But,I am still in treatment for depression/dysthymia.

Monique Tello, MD, MPH
March 06, 2018

Diet is often only part of the solution. Treatment options for depression include medications, therapy, and self-care. Self-care includes things like sleep, physical activity, and diet, and is just as important as meds and therapy.

USMacScientist
February 26, 2018

The body is a complex machine. Diet and exercise are important, but genetics is too. In the case of depression, MTHFR mutations play a significant role as they impact the methylation cycle, that produces many neuro-transmitters. By supplementing you can optimize this cycle and compensate for faulty genetics. Genetics also conditions how fast you metabolize fat, carbs, caffeine… So adapting your diet to your genetics is extremely important. We are also discovering the role of microbes and their interactions with our body. Diet definitely impacts those microbes. We need a holistic and personalized approach to health.

Monique Tello, MD, MPH
March 06, 2018

The evidence-based jury is still out on MTHFR gene mutations and links to any diagnosis or treatment. Just now checking out the literature on this in the US National Library of Medicine National Institutes of Health (i.e. Pubmed), and recent reviews call for more and higher-quality research before an association can be suggested. Meantime, most folic acid supplements are relatively harmless, if they come from a reliable source.

sana guher
February 25, 2018

Don’t comprehend what sort of eating regimen you are on. Yet, practice is incredible for my winter dejection. What has at long last worked this previous year for weight reduction has been two things. One is work out. It’s an awesome bootcamp home video that works. Those have kept me off sugar, being fulfilled when I eat just 50% of what’s on my plate, longing for bunches of water and needing to work out. They are incredible and truly take a shot at your intuitive. I simply hear them out when I get into overnight boardinghouse nod off tuning in to them…and regardless they work.

Joyce Luttrell
March 05, 2018

please tell me the name of the video. Sounds woderful

Kaiyum Hossain
February 25, 2018

Definitely following a Mediterranean diet is good choice for future health. But I can’t agree with the fact that eating processed meat, refined grains, sweets, high fat dairy products in short following a bad diet increase the risk of depression. We should more focus on living an active life and spend more time on exercise rather than only focusing on diet. Exercise is more effective than diet when it comes to depression and anxiety. We should focus on both following a healthy diet and exercise.

Monique Tello, MD, MPH
March 06, 2018

Diet is only part of it, I agree. Treatment options for depression include medications, therapy, and self-care. Self-care includes things like sleep, physical activity, and diet, and is just as important as meds and therapy.

azure
February 23, 2018

Been eating a “mediterranean diet” in most respects (I make my own bread & bagels so I eat some “flours”) for years. Buy as much organic produce, or at least “no spray” local produce, as I can. Walk/hike an hour/day about 5-6 days/week.

Diagnosed dysthymic w/some anxiety & tendency to slide into depression at times, years ago. Not much has changed since.

Maybe I’m an outlier but you couldn’t prove by me that diet makes much of a difference.

Brenda M. Weiner, MPH
March 05, 2018

Azure: IMHO, from what you write, I don’t think you’re an extreme outlier. Some thoughts:

– You say you eat a Med. Diet in “most respects”. People are extremely unique and we all need to discover which foods are best for each of us. Sometimes removing a food to which you’ve had even a mild allergic reaction, can make a difference in mood and behavior. Small changes matter! Maybe try some? I discovered removing gluten from my diet lifted my mood substantially and reduced bread/sugar cravings. You admit you eat many flours (even if home-made). Perhaps look into trying gluten free to see if it makes a difference?

-It’s EXCELLENT that you walk/hike an hour a day 5-6 days a week, but how do you spend the OTHER 24 hours in your day? if you’re not very active the rest of the day, just being upright and vertical more often can make a positive impact on mood, mind and body. Also, specifically for anxiety, yoga and meditation are really helpful. You may want to try them out in addition to walking/hiking.

-the author, Dr. Monique Tello,never says to just focus on diet as you suggest. She opens with the fact that “self care” (sleep, physical activity and diet) are at LEAST as important as meds and therapy in her opening paragraph.

Optimal health is a puzzle we each must put together based on our individual genetics, medical history, somatotypes, personalities, environments and health literacy. If we have a deficit in one of those areas, there are many things we can do to bridge the gap. It starts with a desire to know and following through to gain the resources necessary, along with the discipline to continue working on our personal health.
The payoff is golden.



Bea
March 05, 2018

Following an entirely plant-based, at least from time to time, has helped me. I’ll have a lot of berries and other fruits, lettuces and other greens, preferably raw, in addition to some cooked vegetables and whole grains. I don’t do this all the time, but when I do it does help.

Monique Tello, MD, MPH
March 06, 2018

Treatment options for depression include medications, therapy, and self-care. Self-care includes things like sleep, physical activity, and diet, and is just as important as meds and therapy. I.E., diet is only part of this equation.

Bill Bradley, R.D.
February 23, 2018

As a dietitian who had suffered from depression, I can tell you that the Mediterranean Diet changed my life. I feel a significant difference in how I feel mentally eating Mediterranean. The food is delicious, I eat it with abandon (and lost 40 pounds), and I celebrate what I eat. It is truly a life changer.

Monique Tello, MD, MPH
March 06, 2018

Wonderful, and thanks for sharing!

patricia
February 22, 2018

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