Melissa Mondala, MD Archives - Forks Over Knives https://cms.forksoverknives.com/contributors/melissa-mondala-md/ Plant Based Living Wed, 16 Jun 2021 17:27:49 +0000 en-US hourly 1 https://wordpress.org/?v=6.2.2 https://www.forksoverknives.com/uploads/2023/10/cropped-cropped-Forks_Favicon-1.jpg?auto=webp&width=32&height=32 Melissa Mondala, MD Archives - Forks Over Knives https://cms.forksoverknives.com/contributors/melissa-mondala-md/ 32 32 How Changing My Diet Healed My Gut and Made Me a Better Doctor https://www.forksoverknives.com/success-stories/ibs-disrupted-my-daily-life-until-i-went-plant-based/ Wed, 16 Jun 2021 17:27:49 +0000 https://www.forksoverknives.com/?p=155731 I grew up on a standard American diet. I was raised to eat lots of meat and dairy (which I thought I...

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I grew up on a standard American diet. I was raised to eat lots of meat and dairy (which I thought I needed for calcium and protein) and a single serving of vegetables and fruits every day. I believed that one apple a day would keep the doctor away. In 2010, I was diagnosed with gastroesophageal reflux disease (GERD), but I didn’t make the connection to nutrition. In 2011 I began medical school, where, like many of my fellow students, I subsisted on greasy pizzas, hot dogs, and other highly processed junk foods. 

Worsening GERD and IBS

I’d experienced digestive troubles since I was a teenager, but they worsened over the course of my medical training. I began to have uncontrollable episodes of diarrhea, nausea, and abdominal cramps, and I became less focused and more depressed. It was not uncommon for me to skip social meet-ups because of stomach cramps and loose stools. Eventually, I was diagnosed with irritable bowel syndrome. On top of this, I had horrible acne. There was a long list of medical therapies for my ailments; I tried them all and none helped. 

In early 2016, I began to search for the connection between nutrition and health, going through stacks of books and articles, especially about Loma Linda, California, where an unusually high percentage of the local population led healthy, active lives well into their 90s. These were seniors who worked full-time and cycled or even taught fitness classes on the side. Notably, the people of Loma Linda ate mostly plant-based diets. Then I attended the annual American College of Lifestyle Medicine conference and heard lifestyle medicine legends speak about how beneficial plant-based diets can be for a variety of issues, not just longevity.

Taking Charge with Lifestyle Changes

I reflected and realized that my diet was the likely culprit behind my IBS and acne. I decided to make the switch to a plant-based lifestyle. I spent a week cleaning out my kitchen and learning how to shop and cook differently. I explored plant-based substitutions to make healthier versions of some favorite foods. I made dishes such as tofu adobo, peanut butter vegetable stew, and cashew cheese lasagna. It was an enjoyable and meaningful time, because for the first time I wasn’t fearful of my IBS symptoms. I knew if I changed the way I ate, I would minimize the injury to my microbiome.

Over the course of a few months, my bloating, loose stools, and GERD resolved. My acne cleared up, and my mood greatly improved. I began walking daily, which further helped my gut issues as well as my mental health. As I became more mindful, I no longer craved ultra-processed foods, and my performance at work improved, too. 

It’s been nearly five years, and I’m thriving on a plant-based diet. Since making the switch, my mission in medicine has evolved. I now tell my story to patients and educate them about the power of plants, and many have improved their blood sugar and cholesterol levels by eating this way.  Through my personal journey as well as my clinical experience, I deeply understand the impact that daily habits have on health.

Ready to get started? Check out Forks Meal Planner, FOK’s easy weekly meal-planning tool to keep you on a healthy plant-based path. To learn more about a whole-food, plant-based diet, visit our Plant-Based Primer.

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Going Plant-Based for Your Mental Health? Here Are Some Things to Keep in Mind https://www.forksoverknives.com/wellness/mental-health-plant-based-doctors-tips/ Fri, 09 Oct 2020 23:24:22 +0000 https://www.forksoverknives.com/?p=133586 Major depressive disorder is the leading cause of disability in the U.S. for 15- to 44-year-olds and is the largest contributor to...

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Major depressive disorder is the leading cause of disability in the U.S. for 15- to 44-year-olds and is the largest contributor to disability worldwide. 

Personally, I’ve struggled seeing my loved ones with severe depression and tragically lost one young family member to suicide. As a physician, I also see the effects of depression in my professional community. Thirty percent of resident physicians experience depression or depressive symptoms, according to the New York American College of Emergency Physicians. 

Diet can play a role in mood changes. Sugary processed foods are neurotoxic to the brain and research shows how they can worsen mood, anxiety, and ability to concentrate. Animal-based products contain a pro-inflammatory compound, arachidonic acid, that can “adversely impact mental health via a cascade of neuroinflammation,” leading to worse depression and increased risk of suicide. 

For these reasons and more, I recommend my patients minimize animal-based foods and sugar-rich, highly processed foods, and instead opt for whole plant foods. Eating a healthy plant-based diet not only decreases your risk for depression, anxiety, and brain fog but it can decrease your risk for diabetes, high blood pressure, high cholesterol, heart disease, stroke, gastrointestinal disease, autoimmune disease, and other chronic diseases. Whole, intact plant foods are attached to fiber, vitamins, and minerals, while animal-based products are deficient in these mood-regulating nutrients. 

5 P’s to Improve Mental Health on a Plant-Based Diet

If you’re looking to improve your mental health with a plant-based diet, here are some things to keep in mind. 

Process

When you’re ready to go plant-based, embrace the process of learning a new way of eating (both at home and when choosing prepared meals from restaurants). You can challenge yourself to start with Meatless Mondays or making more homemade meals centered on whole plant foods. The journey can be healing rather than overwhelming. Accept the ups and downs as part of a forward-moving path. Remember, there will be pleasant, positive surprises and your future self will thank you. 

Planning

If you know that you will be in an environment that lacks plant-based foods, either at work, a social gathering, or on the road, prepare snacks and meals ahead of time. Do your research and check out the local grocery stores and vegan-friendly eateries. If you’ll be attending an important meeting with limited options, fill your stomach with fiber-rich foods at home; these will help you feel full longer. Try to set specific and realistic goals. Track your goals. Be proud of your progress. 

If you know your weaknesses are dairy-packed desserts, prepare a sweet, healthy treat such as nice cream to have ready to go in your freezer. 

Patience

Be patient with yourself when transitioning to a plant-based diet. It is not easy to rewire your brain after decades of negative habits. It’s natural to crave unhealthy foods, especially cheese. Cravings are part of the withdrawal process since your brain has become dependent on these unhealthy substances. You can learn to substitute with hydration (aim to drink 2 to 3 liters of water per day) or with a nature walk that can also elevate your mood hormones. And if you do slip up, don’t beat yourself up. 

Purpose

It is important to identify your motivation for living, whether it’s for the sake of building meaningful memories with loved ones, helping others, traveling and completing your bucket list, or something else. Your purpose is your guiding light. It will drive you forward, aligning you with your long-term goals, encouraging you to grow, learn, and stay hopeful. It will make it easier for you to nourish healthy habits.

Passing it On

Once you build new healthy habits, you have the potential to pass them on to your family members. Parents, grandparents, children, people of all ages—anyone you know could benefit from your journey. Don’t be afraid to share your health transformation story to your social sphere. Share your plant-based dishes for a tasting opportunity. You may find more individuals than expected who are interested in eating more plant-based. Don’t be surprised if your friends and family start to ask you for recipe suggestions (which is a big confidence boost). From my experience, the person who seems like your biggest critic—someone who keeps asking you why you’re doing this, what you can eat, etc.—may actually be the one contemplating the diet the most. By sharing your plant-based lifestyle with others, you’re helping pave the way for healthier generations and a more sustainable environment.  

Get Help

If you’re currently struggling with depression, anxiety, or suicidal ideation, please know that you are not alone and that asking for help is not a sign of weakness; it’s a sign of strength. ⁣⁣You can call the National Suicide Prevention Lifeline at 1-800-213-8255 anytime and visit the Substance Abuse and Mental Health Services Administration for more resources. 

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