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We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Back to Healio Key takeaways: Not all calories are equal, Michael Greger, MD, FACLM, said in a Healio Community webinar. The best dietary changes a clinician can recommend are often the most basic, Greger said. Clinicians should look for supporting evidence when answering questions about the latest nutrition trends or providing dietary recommendations, according to Michael Greger, MD, FACLM. \u201cYou don\u2019t want to change your clinical practice based on one study,\u201d Greger said during a Healio Community webinar. \u201cWe want overwhelming evidence of benefit before we recommend it.\u201d In the webinar, Michelle Tollefson, MD, FACLM, an OB\/GYN and professor in the department of health professions at Metropolitan State University of Denver, spoke with Greger, a founding member and fellow of the American College of Lifestyle Medicine, and physician author, about various nutritional questions that clinicians may hear when counseling patients. When asked what physicians may underemphasize in obesity counseling, Greger said calorie counts are not just about what you eat, but how and when. \u201cOne hundred calories of chickpeas has a different impact than 100 calories of chicken or chiclets based on their … impacts on things like absorption, appetite [and] our microbiomes,\u201d he said. \u201cThe same number of calories … at a different time of day, in a different meal distribution, or even after different amounts of sleep can translate into different amounts of body fat.\u201d When considering ultraprocessed foods vs. plant-based choices and alternatives, clinicians should ask \u201ccompared to what,\u201d Greger said. \u201c[It\u2019s] the most important question in the field of nutrition,\u201d Greger said. \u201cAre plant-based milks and meats healthy? Well, compared to the animal products that they were designed to replace? Absolutely. Though whole plant foods would be even better.\u201d When making dietary decisions, a \u201csingle swap\u201d can make a difference, Greger said. \u201cSwapping even just one serving of plant-based meat a day nationwide could prevent more than 100,000 cases [of] heart disease, stroke and cancer in the U.S. every year,\u201d he said. The best dietary changes to improve health and longevity are the simplest ones, according to Greger. \u201cOne needn\u2019t make drastic changes,\u201d Greger said. \u201cEven these basic, common sense lifestyle factors can mean literally living a decade longer. Not smoking, not being obese, regular exercise, more fruits and vegetables. Just those four \u2014 and it\u2019s never too late.\u201d Tollefson and Greger also discussed studies and randomized controlled trials exploring how nutritional choices may impact cognitive health, mood and depression, and chronic pain. They also discuss how to personalize nutritional choices by focusing on specific markers, such as LDL, to move away from proinflammatory diets. To catch future conversations like this with physician authors on Healio Community, register here or join the Healio Community Food is Medicine group. Published by: Sources\/Disclosures Source: Greger M, et al. Clinician to Clinician with Dr. Greger: A Conversation About Health with Michelle Tollefson, MD, FACLM, and Michael Greger, MD, FACLM. Healio Community webinar. July 21, 2026.
Disclosures:
Greger and Tollefson report no relevant financial disclosures.
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