Episode 64

Number One Diet 2025: Mediterranean

Published on: 15th January, 2025

The Mediterranean Diet: Why It’s Still #1 in 2025

When it comes to choosing the best diet for overall health, the Mediterranean diet has topped the list again in 2025. It’s easy to see why: it’s simple, it’s sustainable, and it delivers proven health benefits. Are you looking to manage your weight, reduce your risk of heart disease, or improve your gut health?  The Mediterranean diet offers a balanced, flexible approach to eating.

What Makes the Mediterranean Diet So Special?

The Mediterranean diet was originally based on the eating habits of countries like Greece, Italy, and Spain. But here’s the key: it’s not just about eating food from these regions. The Mediterranean diet is more of an eating pattern—one that focuses on fresh, whole foods, a variety of plant-based ingredients, lean proteins, and healthy fats. This diet encourages you to eat fruits, vegetables, whole grains, legumes, nuts, and seeds while making olive oil your primary fat source. Fish is a star in this diet, while dairy and red meat are enjoyed in moderation.

The Mediterranean Diet Algorithm

The Mediterranean diet isn’t about following a strict menu or buying expensive specialty ingredients. It’s about focusing on whole, nutrient-dense foods and following an algorithm: more plants, more healthy fats, and fewer processed foods. It’s not a fad—it’s a way of life that’s been proven to improve long-term health.


Why Is the Mediterranean Diet Still Ranked #1?

So, why is the Mediterranean diet still ranked #1 for 2025 by experts like U.S. News & World Report? Here’s why:

  1. Supports Heart Health
  2. The Mediterranean diet is packed with healthy fats, like olive oil and fatty fish (think salmon and sardines), which are known to reduce inflammation and lower cholesterol levels. Studies have shown that this diet can lower the risk of heart disease and stroke by improving blood pressure and supporting healthy arteries.
  3. Controls Blood Sugar
  4. If you have diabetes or prediabetes, the Mediterranean diet is a fantastic choice. It helps regulate blood sugar levels, improving insulin sensitivity, and preventing blood sugar spikes that can cause problems over time.
  5. Improves Gut Health
  6. The Mediterranean diet is rich in fiber from fruits, vegetables, and whole grains, which are essential for a healthy gut. A healthy gut microbiome can help with digestion, boost immunity, and even improve your mood.
  7. Fights Inflammation
  8. Chronic inflammation is at the root of many diseases, including arthritis and certain cancers. The Mediterranean diet’s focus on antioxidant-rich foods (like leafy greens, tomatoes, nuts, and fatty fish) helps reduce inflammation in the body.

The Science Behind the Mediterranean Diet

The Mediterranean diet isn’t just popular because it sounds good—it’s backed by science. Multiple studies have shown its effectiveness in:

  • Lowering Cholesterol
  • The diet’s high intake of heart-healthy fats like olive oil and fatty fish helps reduce LDL (bad) cholesterol while increasing HDL (good) cholesterol. This supports better heart health and lowers the risk of heart disease.
  • Preventing Cognitive Decline
  • Research has shown that the Mediterranean diet may help protect against Alzheimer’s disease and other forms of cognitive decline by promoting brain health with its antioxidants and healthy fats.
  • Maintaining a Healthy Weight
  • While the Mediterranean diet isn’t necessarily a “weight loss diet,” it encourages eating nutrient-dense foods that keep you feeling fuller for longer. This can help prevent overeating and support long-term weight maintenance.

How to Follow the Mediterranean Diet

It’s easy to get started with the Mediterranean diet. Here’s how you can structure your meals:

  • Fruits and Vegetables: Aim for at least 9 ounces (250 grams) of vegetables and 2 servings of fruit per day. Vegetables should be the focus of your meals, while fruits can be enjoyed as snacks or desserts.
  • Whole Grains: Consume 9 ounces (250 grams) of whole grains daily. Choose options like brown rice, quinoa, and whole wheat bread for fiber and energy.
  • Legumes: Incorporate at least 2 ounces (56 grams) of beans, lentils, or chickpeas into your meals every day. These are a great source of plant-based protein and fiber.
  • Healthy Fats: Use olive oil as your primary fat source—about 2 to 4 tablespoons per day. Also, aim for two servings of fatty fish per week, like salmon or sardines.
  • Dairy: Dairy is allowed but should be moderate. Stick to low-fat options like Greek yogurt and cheese, and limit portion sizes.
  • Alcohol: If you drink alcohol, limit it to one 5-ounce pour of red wine per day, preferably with meals. Excessive alcohol consumption is discouraged in the Mediterranean diet.

Why the Carnivore Diet Isn’t Recommended

While the Mediterranean diet is all about variety and balance,unlike the Carnivore Diet.  The Carnivore diet focuses on eliminating most food groups entirely—specifically plant-based foods. The Carnivore Diet is an extreme approach that promotes only animal products, which means no fruits, vegetables, grains, or legumes.

Despite its growing popularity, the Carnivore Diet is not recommended for long-term health. Here's why:

  • Lacks Nutrients
  • The Carnivore Diet lacks many essential nutrients found in fruits, vegetables, and grains, including fiber, vitamins, and minerals. Over time, this can lead to deficiencies and negatively impact your health.
  • Increases Risk of Chronic Diseases
  • Diets high in red and processed meats are linked to an increased risk of heart disease, cancer, and diabetes. The Carnivore Diet’s heavy reliance on meat and fat can lead to elevated cholesterol and higher inflammation levels in the body.
  • Not Sustainable
  • The Carnivore Diet is extremely restrictive and difficult to follow long-term. Most people don’t want to give up entire food groups, especially ones that offer important health benefits.

The Carnivore Diet is a fad diet at best. It’s not based on science and doesn’t provide a balanced approach to long-term health. For a diet that’s sustainable, nutritious, and scientifically backed, stick to the Mediterranean diet.


Myths About the Mediterranean Diet

 

Myth: The Mediterranean Diet is Just About Olive Oil and Fish

  • Olive oil and fish are key components, but the Mediterranean diet is much more. It’s about eating more fruits, vegetables, legumes, and whole grains. These foods provide the bulk of your daily nutrition.
  • Myth: It’s Too Expensive
  • Do you think Mediterranean-style means spending a fortune? Some ingredients like olive oil and fatty fish can be expensive, you don’t need to break the bank. Buy seasonal, local produce and canned legumes to keep costs low.
  • Myth: Mediterranean Cuisine is Only for Mediterranean Countries
  • You don’t need to live in the Mediterranean to follow this diet! Adapt Mediterranean principles to any cuisine. Make a fish taco made with whole grain tortillas, grilled fish, and fruit salsa and you have a  Mediterranean-inspired meal. Even Indian cuisine can be adapted to the Mediterranean diet with dishes like Chana Masala made with chickpeas, spices, and whole wheat roti.

Conclusion: Why Choose the Mediterranean Diet?

The Mediterranean diet continues to be the best choice for 2025 and beyond. Its benefits for heart health, weight management, and disease prevention are backed by science, and its flexibility makes it easy to follow long-term. Plus, it’s not about eliminating food groups—it’s about making healthy, sustainable food choices that nourish your body.

So, if you’re looking to improve your health and eat a balanced, flavorful diet, the Mediterranean diet is the way to go. It’s not just a trend—it’s a lifestyle that’s proven to work.

Transcript
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>> Dr. Terry Simpson: In 2025, the Mediterranean diet

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has again climbed to the top spot as the

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best overall diet. And it's not just

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because of its delicious flavors or health benefits. It's

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rooted in science, sustainability and

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practicality. Whether you're trying to lose weight, manage a

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chronic condition, or simply live a longer, healthier

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life, the Mediterranean Diet continues to

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provide a framework that works. But why

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does it keep topping the charts year after

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year? In today's episode of 4Q, I'm going

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to break down why the Mediterranean Diet is still the best

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choice in 2025 and what it can do for your

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health and how you can make it a part of your

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life.

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I am your Chief Medical Explanationist, Dr.

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Terri Simpson, and this is Forku Fork

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University, where we make sense of the madness, bust a

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few myths and teach you a little bit about food. Food

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as Medicine

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the Mediterranean Diet isn't just

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about eating food from the Mediterranean

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region. It's a broad set of

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principles based on a way of life that

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prioritizes fresh, minimally processed foods,

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a high intake of plant based foods, healthy

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fats, lean proteins and an overall

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balanced approach to eating. While it's true

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the Mediterranean Diet has inspired this diet,

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it's not about following some rigid list of

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foods. It's all about the way food

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is consumed and the lifestyle surrounding

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it. In essence, the

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Mediterranean Diet is an algorithm, not a

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fixed menu. It's about eating fresh,

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nutrient dense foods that align with healthy

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balance of micronutrients and macronutrients.

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Its flexibility makes it adaptable

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worldwide, offering guidance on how to structure

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meal while embracing local cultures and

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tastes. So why did U.S. news

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and World Report rank the Mediterranean

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diet one in 2025

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again for the multinth year in a row?

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And let's see, not only was it picked

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as a top diet for overall health, but

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they listed it as the number one diet for people who have

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diabetes. For people who have

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prediabetes, the Mediterranean Diet, in multiple

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research papers has been shown to help control blood

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sugar levels, preventing insulin resistance and making

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it a top choice for managing diabetes.

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It was also listed as the number one diet for gut

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health. Its high fiber content, rich

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in fruits and vegetables and whole grains, supports

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a healthy microbiome which plays a

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pivotal role in digestive health, immune

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function and even mental health.

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Not surprisingly, the Mediterranean Diet was listed as number

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one for heart health because it's packed with heart

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healthy fats like olive oil, fatty fish,

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reducing the risk of heart disease, strokes, high

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cholesterol and studies have long shown

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its ability to lower inflammation and improve Blood

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pressure. Never forget the Leon heart study which

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showed that people who had their heart attack the therefore

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had cardiac disease when they were placed on a

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Mediterranean diet, had

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75% fewer second heart

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attacks than those who were not. The

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Mediterranean diet was listed as the number one diet for people who have fatty

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liver disease. For those struggling with fatty liver disease,

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the Mediterranean's emphasis on healthy

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fats, lean proteins and antioxidants

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offers a solid approach,

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and a solid approach in multiple

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studies, peer reviewed to improving liver health

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and decreasing fat in the liver.

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It's not surprising to many of us that it was the number one diet

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for people who have arthritis or inflammatory conditions.

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The diet has long been listed in multiple published

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studies to have anti inflammatory

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properties. Part of this is thanks to the olive oil, the nuts, the

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fatty fish, but also the

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phytonutrients found in the fresh fruits and the

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vegetables. One of the reasons the

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Mediterranean diet continues to top health rankings

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is its ability to improve multiple areas of

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health simultaneously. It's not just about weight loss

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or managing specific conditions. It's about

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overall well being. Let's take heart disease

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even from the beginning. In the studies in the 1950s,

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they have shown that this type of diet, the Mediterranean

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diet, significantly reduces the risk of heart disease

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by promoting healthy fats like olive oil and fish and

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lowering the bad cholesterol. The diet also

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is very good at regulating blood pressure and reducing

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arterial inflammation and stiffness. Yep,

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you don't want those arteries inflamed. What about brain

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health? It turns out that the Mediterranean

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diets can help protect against

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cognitive decline, including Alzheimer's

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disease. It enhances cognitive function by

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promoting healthy brain fats and antioxidants that

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fight fight oxidative stress. And

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while weight loss may be the number one

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New Year's resolution, we certainly have better

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medications for it. But in terms of weight loss, the

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Mediterranean diet approach encourages foods that

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support healthy weight management.

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With its focus on vegetables, lean proteins, healthy fats,

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the Mediterranean diet can help you feel full longer while

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preventing blood sugar spikes. And

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for those who've had weight loss surgery, or those

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patients who were on GLP1 medications like

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Ozempic or Tirzepizide,

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Wegovy, zepbound, this is

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the diet we prefer patients concentrate

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on.

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Let's talk about why the Mediterranean diet is the best option

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for 2025 and beyond. It's easy to follow, it's

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flexible, and most importantly, it's sustainable for the long

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term. Health sustainability,

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that's a key word because Mediterranean

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diet not only has long term benefits without requiring

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Drastic changes in the lifestyle. It emphasizes

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fresh, seasonal produce, whole grains, healthy fats,

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making it easy to incorporate that into your

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routine without feeling restricted.

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And remember, frozen fruits and frozen

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vegetables are picked at the peak time

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of ripeness and are just as healthy and good for

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you as as the fresh ones. This isn't

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a diet that tells you to cut out whole food groups. Instead,

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it encourages variety and balance, which is

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essential to maintaining long term health.

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You can easily adapt it to different cuisines or food

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preferences, making it a versatile choice for anyone,

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no matter where they live. And I'm going to give you two examples of this in

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just a bit. It's not just a food plan, it's a

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lifestyle. It encourages mindful eating, proper

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portion sizes, enjoying meals with family and friends. Not

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about dieting, but developing a healthy

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relationship with food.

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Let's break down how you can incorporate this into your daily meals.

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It's easier than you might think, so start with these simple

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guidelines. The Mediterranean diet emphasizes

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an abundant intake of fruits and vegetables. We

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want you to aim for about 9 ounces or 250

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grams of vegetables and fruits daily.

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This can mean eating three to five servings

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of vegetables or two to four servings of fruit each day.

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We want you to focus on variety,

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seasonability, ensuring that you're getting a wide variety

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of nutrients and antioxidants so the vegetables

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and the fruits can serve as a foundation of your

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plate as well as snacks and desserts. Whole

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grains that we talked about before is a cornerstone of the Mediterranean

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diet. We want at least 250 grams of whole grains a day.

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They can include food like whole wheat

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bread, whole wheat pasta,

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quinoa, barley, oats or

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brown rice. Whole grains are a

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powerhouse of fiber and they help support

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digestion and manage blood sugar levels. What about

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legumes? We love legumes. Legumes

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are things like beans, lentils, chickpeas. They're an important

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source of plant based protein and fiber.

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We want people to incorporate a couple of ounces of legumes

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each day. You can add them to soups, salads, make them

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into dips like hummus. But they provide an essential

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source of vitamins and minerals, making them

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a great complement to a diet's overall

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nutrient profile. And people

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think that this is low fat. It's not a low fat diet.

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Probably 30% of the calories come from fats, but they

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are healthy fats. Olive oil is a cornerstone of the

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Mediterranean diet, providing heart healthy monounsaturated

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fat. And we think that you should use olive oil in

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cooking. Drizzling it over vegetables, using it as a salad

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dressing. Other sources of great fats are fatty fish

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like salmon, sardines, mackerel, and we want you to get

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two servings of fish a week. Now, if you don't like fish

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or can't tolerate fish, we still want you to

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use olive oil and try and incorporate those

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healthy fats in your diet. Dairy is certainly

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allowed, but we want you to focus more on low fat or fat free

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options like Greek yogurt or cheese. And while it's part

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of the Mediterranean diet, it's typically limited to smaller

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amounts. But but the emphasis is on fermented

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dairy like yogurt, which really supports gut health.

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Now, many assume that alcohol is unlimited in the Mediterranean

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diet. It's actually quite restricted. In fact, you get a

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Mediterranean diet 0.1 out of the 9 if you have

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no alcohol in a given day, or if you limit your

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alcohol to no more than a five ounce pour of red

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wine or its equivalent. Excessive alcohol

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intake means you don't get that valued

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points. There's some misconceptions about the Mediterranean

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diet we need to clear up. One, it's too

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expensive. While it's true some of the Mediterranean

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diet staples like olive oil and fatty fish can be costly,

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there are plenty of budget friendly options. You

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don't have to buy the fancy ingredients to eat like

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Mediterraneans. You can put on affordable seasonal

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vegetables, canned beans and less expensive fish

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like sardines, mackerel or canned tuna. Some

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people think it's only for the Mediterranean. And while the

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Mediterranean diet was inspired by the eating habits of some

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of the countries along the Mediterranean coast, its

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principles can be applied anywhere. The idea

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is to focus on fresh whole foods,

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healthy fats, regardless of

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location. Some people think it's all about olive oil and fish.

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While those are staples, it also includes a wide

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variety of vegetables, whole grains, legumes, nuts and

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fruits. It's about balance.

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Now, the beauty of the Mediterranean diet is it's adaptable to

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any cuisine. For example, a fish

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taco from Mexican cuisine can be adapted to fit the

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Mediterranean diet. You can use a whole grain

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tortilla, which provides fiber. Top it with grilled

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fish like salmon or tilapia or shrimp, which are rich in heart,

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healthy omega 3s. Add a salsa made from seasonal

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fruits. Think mango, pineapple, tomatoes. Top it

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with a crunchy layer of shredded cabbage for fiber boost.

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And don't forget the beans, even if they're

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refried beans, because you've got a Mediterranean inspired

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taco that's packed with healthy fats. Fiber,

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protein, fruits and vegetables.

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Similarly, consider Indian cuisine which you

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can create from a chana masala and a whole wheat

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roti. Chickpeas rich in fiber and protein pair

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perfectly with a tomato based curry spiced

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with turmeric, cumin and coriander. Serve it

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with whole wheat roti for added fiber. This dish

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embodies the Mediterranean principle of ah,

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plant based eating and balanced nutrition.

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Yes, you can be a vegetarian or vegan and

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eat on the Mediterranean diet. The Mediterranean

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diet is here to stay. And as the world continues to embrace

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healthy, sustainable food, the Mediterranean

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approach, that algorithm will only grow in

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popularity. Whether you're looking to prevent disease, manage

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your weight, boost your overall health, this diet

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provides that timeless blueprint for

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healthy eating. It's flexible, it's science

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based, and it's a matter of eating that can

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be delicious. So

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in 2025, the Mediterranean diet remains the

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best choice for anyone seeking long term

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health. And this was in a group of

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registered dietitians, people who have

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PhDs in nutrition, and physicians who are interested

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in nutrition from managing chronic

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diseases like diabetes, heart disease, promoting

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brain health, decreasing cognitive decline. The

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Mediterranean Diet is the holistic approach that empowers you

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to do the best thing you can do for your diet. Doesn't mean you won't get

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these diseases, but this is the best diet to manage

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them. Please check out our blog

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associated with this

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podcast@yourdoctorsorders.com

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this podcast was written and researched by me, Dr.

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Terri Simpson. And while I am a doctor, I am

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not your doctor. Before making any

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dietary changes, please consult with your board certified

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doctor or a registered dietitian. Not a

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chiropractor, not an Eastern medicine doctor. The

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podcast was produced by our friends at Producer Girl Productions,

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distributed by our good friends at Simpler Media,

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and a special thanks to my good friend, the pod God,

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Mr. Evo, Tara

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the Evo Mediterranean Diet for the Wind.

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Buddy, we can't get away from it. It's

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everywhere. Hope you're doing well.

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I'm trying to including eating healthy. Hey,

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you stay, uh, safe out there with those SoCal fires,

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okay? Cheers.

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About the Podcast

Fork U with Dr. Terry Simpson
Learn more about what you put in your mouth.
Fork U(niversity)
Not everything you put in your mouth is good for you.

There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner.

On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon who has spent years doing molecular virology research and as a skeptic with academic credentials. He’ll help you develop the critical thinking skills so you can recognize evidence-based medicine, busting myths along the way.

The most common medical myths are often disguised as seemingly harmless “food as medicine”. By offering their own brand of medicine via foods, These hucksters are trying to practice medicine without a license. And though they’ll claim “nutrition is not taught in medical schools”, it turns out that’s a myth too. In fact, there’s an entire medical subspecialty called Culinary Medicine, and Dr. Simpson is certified as a Culinary Medicine Specialist.

Where today's nutritional advice is the realm of hucksters, Dr. Simpson is taking it back to the realm of science.

About your host

Profile picture for Terry Simpson

Terry Simpson

Dr. Terry Simpson received his undergraduate, graduate, and medical degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. Until he found he liked people more than petri dishes. Dr. Simpson, a weight loss surgeon is an advocate of culinary medicine, he believes teaching people to improve their health through their food and in their kitchen. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcolm Baldrige award for healthcare in 2018 and 2011 for the NUKA system of care in Alaska and in 2013 Dr Simpson won the National Indian Health Board Area Impact Award. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.”