Patient Care

• Off label anti-inflammatory medications which will be discussed in detail at your first visit

Mediterranean diet/Anti-inflammatory diet

The Mediterranean diet is a style of eating rather than a diet plan. It features foods eaten in Greece, Spain, southern Italy and France, and other countries along the Mediterranean Sea. It emphasizes eating foods like fish, fruits, vegetables, beans, high-fiber breads and whole grains, nuts, and olive oil. This style of eating includes limited red meat, cheese, and sweets.

Why choose the Mediterranean diet?

A Mediterranean-style diet may improve heart health. It contains more fat than other heart-healthy diets. But the fats are mainly from nuts, unsaturated oils (such as fish oils and olive oil), and certain nut or seed oils (such as canola, soybean, or flaxseed oil). These fats may help protect the heart and blood vessels.

How can you get started on the Mediterranean diet?

• Eat a variety of fruits and vegetables each day, such as grapes, blueberries, tomatoes, broccoli, peppers, figs, olives, spinach, eggplant, beans, lentils, and chickpeas.
• Eat a variety of whole-grain foods each day, such as oats, brown rice, and whole wheat bread, pasta, and couscous.
• Eat fish at least 2 times a week. Try tuna, salmon, mackerel, lake trout, herring, or sardines.
• Eat moderate amounts of low-fat dairy products, such as milk, cheese, or yogurt.
• Eat moderate amounts of poultry and eggs.
• Choose healthy (unsaturated) fats, such as nuts, olive oil, and certain nut or seed oils like canola, soybean, and flaxseed.
• Limit unhealthy (saturated) fats, such as butter, palm oil, and coconut oil. And limit fats found in animal products, such as meat and dairy products made with whole milk. Try to eat red meat only a few times a month in very small amounts.
• Limit sweets and desserts to only a few times a week. This includes sugar-sweetened drinks like soda.
  
  

Tips for eating at home

• Use herbs, spices, garlic, lemon zest, and citrus juice instead of salt to add flavor to foods.
• Add avocado slices to your sandwich instead of bacon.
• Have fish for lunch or dinner instead of red meat. Brush the fish with olive oil, and broil or grill it.
• Sprinkle your salad with seeds or nuts instead of cheese.
• Cook with olive or canola oil instead of butter or oils that are high in saturated fat.
• Switch from 2% milk or whole milk to 1% or fat-free milk.
• Dip raw vegetables in a vinaigrette dressing or hummus instead of dips made from mayonnaise or sour cream.
• Have a piece of fruit for dessert instead of a piece of cake. Try baked apples, or have some dried fruit.
  
  

Tips for eating out

• Try broiled, grilled, baked, or poached fish instead of having it fried or breaded.
• Ask your server to have your meals prepared with olive oil instead of butter.
• Order dishes made with marinara sauce or sauces made from olive oil. Avoid sauces made from cream or mayonnaise.
• Choose whole-grain breads, whole wheat pasta and pizza crust, brown rice, beans, and lentils.
• Cut back on butter or margarine on bread. Instead, you can dip your bread in a small amount of olive oil.
• Ask for a side salad or grilled vegetables instead of french fries or chips.
  
  

Fermented foods

• Try incorporating fermented foods (Kimchi, Kombucha, Kefir, Sauerkraut, Probiotic yogurt, Tempeh, Miso, etc.) into your diet which has shown to decrease inflammatory proteins in your body as well as boost your microbiome diversity.
• https://med.stanford.edu/news/all-news/2021/07/fermented-food-diet-increases-microbiome-diversity-lowers-inflammation
  
  

Resources on diet

• https://ammes.org/diet/
• Source: Stanford MyHealth***