The Graduated Diet

The Graduated Diet

The ‘graduated diet’, or sansarjana krama in Sanskrit, is a measure utilized in Ayurveda to rekindle the digestive fire (agni). It is used for the purpose of amapachana: to enhance digestion and the processing of wastes, and remove the metabolic and immunological detritus (ama) that is generated with poor digestion. The graduated diet can be utilized in a variety of situations, including whenever digestion is weak and in the treatment of diseases such as fever (jwara). The process of ‘rekindling’ the digestive fire (agni) is analogous to starting a fire in a wood stove, enkindling the agni with easily digestible foods as one would a fire with paper or kindling. Once the fire is established, in the form of a strong appetite, progressively denser and more energy-rich foods are introduced in a graduated fashion to feed the digestive fire, but never so much as to cause it to smolder or be extinguished. How much to eat? The graduated diet isn’t designed to provide a maximal source of … [Read more...]

What is Paleo-Ayurveda?

What is Paleo-Ayurveda?

Several weeks ago I was asked to do an interview on the subject of the “Paleo-Ayurveda” diet. I guess as one of the few in the Āyurveda community that utilizes the Paleolithic diet as a therapeutic tool, and also as someone who is outspoken on the issue of vegetarianism, it made sense in the interviewer’s mind to combine these modalities. Unfortunately, due to my busy schedule, I was never able to follow through on the interview, and so I will address my thoughts on this now. For decades now I have been inspired by the teachings of Āyurveda. As a therapeutic tool there is no modality that speaks to me as clearly, but it is not the only modality that I employ in my practice. My background also includes training in Western and Chinese herbal medicine, as well as clinical nutrition. This diversity is reflected in my practice, in which I make use of a large range of medicines, from hand-made herbal pills (guṭikā and vaṭī) that I import from Nepal, to ethanol-based tinctures and percolati … [Read more...]

Vegetarianism and Ayurveda

Vegetarianism and Ayurveda

In my blog last week, I addressed the mistaken belief held by some in the Āyurveda community that sufficient vitamin B12 can be obtained from plant-based foods. Unfortunately, this mis-perception is just the tip of the iceberg when it comes to the all-pervading belief both within and without the community of Āyurveda, that it is (primarily) a vegetarian-based system. Considering the decades of knowledge that we have accumulated on the very real issue of vitamin B12 deficiency, the notion that vitamin B12 can be obtained in plant foods is really nothing more than wishful-thinking, typically expressed by those who believe that eating meat is morally wrong. Normally, what someone personally believes isn’t my concern, but when this belief obscures the practice of Āyurveda, denies the basic science, and puts the public health at risk, it is important to speak out. As painful as it may be for some to hear, the very real truth is that Āyurveda is not, and never was, a vegetarian system. The … [Read more...]

Let them eat salt!

Let them eat salt!

If you have been keeping abreast of the news lately, you might have come across a news story that highlighted a recent study published in the New England Journal of Medicine (NEJM), which found that salt consumption wasn’t associated with an increase in systolic blood pressure in either men or women, after controlling for factors like age (1). Given that health authorities have been saying for years that salt increases the risk of hypertension, these recent findings are another wrench in works for low-salt proponents. This is not to say that very high salt consumption is safe. There is good evidence that reducing salt intake from 9-12 g per day, in large part from eating junk food and prepackaged foods, to less than 7 g per day, does promote a significant fall in systolic blood pressure (2). The problem is getting a handle on what exactly this means, particularly when these same changes seem to have no effect on lipid levels, and the risk of dying from cardiovascular disease is at b … [Read more...]

My take on E3 Live during pregnancy

My take on E3 Live during pregnancy

Several months ago a patient in her first trimester of pregnancy asked me about a new product called E3Live® BrainON®, and was wondering if this product was safe her to take. Many of her friends were taking it, and she was wondering about a convincing testimonial from an Evita Ramparte on the E3Live® website. I went through my entire pregnancy drinking E3Live® Enhanced with BrainON, which kept my mind alert, awake and positive. I gave birth to [a] very healthy baby boy. I am breastfeeding, and I believe it is thanks to E3Live® that I have plenty of milk and no post-partum depression. We're in good spirits and good health. Besides, I have already lost all the weight I gained in pregnancy! As a wellness journalist, I am often asked whether E3 is safe for pregnant and nursing moms. On the bottle, it's written: 'Consult your physician.' Unfortunately, few physicians know about this beautiful gift of Nature. Naturally, they are afraid to recommend something they have not stud … [Read more...]