I find it interesting in the Flexner documentary that they explain how and why nutrition became unimportant in our current world of medicine.
Coincidentally, tonight I ran across this video where they are talking about the trouble they are having with institutional change in the face of new evidence, as well as using nutrition as an approach to health: https://youtu.be/C9oW_JtJUXU?si=k6l0Cy5_aAbzmuuP&t=2054 . From the video: “Their way of changing guidelines is based on set principles to make sure the rigor of those set guidelines are at a certain threshold. So, it’s very systematic and it requires certain types of study criteria to meet threshold. The problem is that “What do you do if you don’t have a thousand person randomized control trial and yet patients are doing a diet and all you have is certain levels of evidence?” Do you ignore it or do you make informed decisions based on the weight of the evidence that we have today? And obviously you make informed decisions based on the weight of the evidence you have today. Unfortunately a lot of guidelines don’t follow those principles. This is not to point fingers or to attack anyone. It’s just because they’re trying to do their best to give the best evidence-based guidance they can. But the reality is that you can’t wait for things to work or to resolve when patients are doing this already at record levels. You have to guide clinicians on how to do this. And so we went about doing that through the Institute of Personalized Therapeutic Nutrition (https://www.therapeuticnutrition.org/) who help guide this approach…”
If you visit the Institute of Personalized Therapeutic Nutrition you read: https://www.therapeuticnutrition.org/annualreport “Healthcare professionals learn about ‘minimizing consequences’ of chronic conditions like Type 2 diabetes, but hearing that she was about to stop taking medication because of the ways she was eating was not something, as a pharmacist, I had ever been taught. And so began my exploration of ‘food first’ ways to treat and reverse chronic conditions.
What started as a big idea has evolved into a registered Canadian charity that is changing the conversation about chronic disease. I hope that one day, our conversations change and using terms like ‘chronic’ and ‘progressive’ will be a thing of the past. I believe that every person diagnosed with a chronic condition has the right to know about all evidence-based treatment options, including food-based approaches, and the IPTN is working hard to turn this belief into reality.”