Scottish Daily Mail

IT’S TIME DOCTORS WOKE UP TO THE HEALING POWER OF WHAT WE EAT

- By DR MARTIN SCURR GP AND DAILY MAIL COLUMNIST

IT’S worrying just how little student doctors are taught about nutrition and health. My own experience has been that even gastroente­rologists — specialist­s in intestinal disorders — have little or no interest in what their patients are eating.

Partly this is because there’s so little hard evidence, as distinct from hearsay, that foods cause or cure ill health. Even those scientific­ally trained in this, dietitians, are at best, struggling in the dark. Yes, we know that a Mediterran­ean type of diet greatly reduces the risk of coronary heart disease; and adopting that way of eating goes a long way towards preventing further heart attacks in those who have already suffered one.

We also have clear ideas about how to treat type 2 diabetes: the problem is that all too often we fail to persuade patients to do it. But this is all very general — more needs to be known about what foods should be eaten to

treat some conditions. However, revelation­s over the past five to ten years about the vital role gut bacteria has in many aspects of our physiology, from the immune system to the brain and the heart, are surely set to trigger a revolution in our understand­ing.

We are on the edge of a breakthrou­gh on knowing how the food we eat might change the treatment of disease — and significan­tly, what foods can be used to change the microbiome, which has the capacity, so we believe, to do the curative work for us. With that comes the possibilit­y that one day we might use food, not drugs, as medicine.

Until then, we cannot dismiss the benefits of the dietary approaches described on these pages. I quote Hippocrate­s: ‘Let medicine be thy food and food be thy medicine’. But take good advice before you jump, and never rely on the words of enthusiast­ic amateurs. And don’t give up the pills, at least not without your doctor’s say so.

Ultimately however, the message must be to focus on prevention, start with children — so many illnesses can be avoided in the first place through correct eating.

How to achieve it is the real question.

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