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Nutrition prescription is one of the Core Lifestyle Medicine Competencies. Dr. Dennis Burkitt emphasized the significant dietary changes that followed the industrial revolution causing the major increase of chronic disease incidence and prevalence whenever there is a reduction in starch foods and fiber intake and a tremendous rise in animal fats, salt, and sugar.
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Dr. Caldwell Esselstyn also noted that coronary artery disease is virtually absent in cultures that eat plant-based diets, such as the Tarahumara Indians of northern Mexico and Papua highlanders of New Guinea, and the inhabitants of rural China and central Africa. Hundreds of thousands of rural Chinese live for years without a single documented myocardial infarction.
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In the Cleveland Clinic, Dr. Caldwell Essenstyn was also developing a study. He had encountered some resistance from the establishment. Most senior cardiologists at the Cleveland Clinic, he writes, “did not believe there was a connection between diet and coronary disease. Nevertheless, in 1985, the Department of Cardiology agreed to participate in his first proposed study.
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