Low Fat: Gradual Change
or Snap the Rubber Band?

Stepwise
Nutritionists differ on how quickly people can switch from a typical North American diet to a true low fat diet, recommended for prostate cancer patients. Shirley Brown, M.D. and Martha Schulman compiled the recipe section in Dr. Dean Ornish's book Reversing Heart Disease. Ornish's book features rigorously low fat dishes which are simple and delicious. Ornish has yet to publish an equivalent book for prostate cancer patients - he's working on it with a team of chefs. I would recommend Reversing Heart Disease. A link to Ormish recipes of the month is on our lowfat links page.

Brown and Schulman recommend "small progressive changes" and "one step at a time." Step one, limit red meat to no more than once or twice a week. Reduce the portion size, sneaking up on yourself till you stop eating red meat altogether. Do the same with high-fat dairy and off-the-shelf products. Meanwhile gradually eat more fruits, more vegetables, grains, beans if you can tolerate them, soy milk and tofu. Try a new ingredient every week.

 

Cold turkey Cold Turkey

David Heber, M.D., Ph.D., of UCLA's Center for Human Nutrition helped write the nutrition pages on Michael Milken's CaP CURE site. Dr. Heber is not impressed by the gradual approach. He says:
A gradual change is like stretching a rubber band, it can always jump back to its old position. The recommended changes are like breaking a rubber band. The goal is to change your taste buds permanently...

What if this doesn't work for you (see Sidebar) The trick, obviously, is to do whatever suits you. It takes about three weeks to change any habit. A lifetime's eating style is made up of dozens of habits. Changing several habits all at once can be irritating and stressful. Or it can be a relief, an opportunity, a pleasure. Follow your instincts, above all the instinct to take care of yourself.

It helps to distract yourself from what you're giving up. Add things you already enjoy - a walk every day, a swim, a trip to the library, more time on a hobby. Rewards and new beginnings. The aim is not to "go on a diet" but to eat healthier, tastier, more enjoyable foods. If you feel an urge to buy kitchen equipment (a juicer, a garlic press), do it. Instead of gazing longingly at your frying pan, drop it off at the thrift store and pick up some luxury fruits and vegetables on the way home.

Luxury? Antonio's tomato sauce or Jack Beaven's broccoli with garlic are simple to make and taste great. Or check out this month's recipes on the next page, lowfat links.

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This page modified March 15, 1999