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What are the do's and don'ts of the alkaline diet?

4 min read

Despite popular belief, scientific evidence shows that diet cannot change the body's tightly regulated blood pH levels. However, the guidelines behind what are the do's and don'ts of the alkaline diet can still offer significant health benefits by promoting a nutrient-rich, plant-based eating pattern. This guide breaks down the science and practical steps for a balanced approach to the alkaline diet.

Quick Summary

The alkaline diet emphasizes eating fresh, whole foods like fruits and vegetables while limiting processed items, sugar, and certain animal products. The central theory about changing blood pH is a myth, but the diet's focus on healthy choices can reduce inflammation and improve overall well-being. Potential drawbacks include nutrient deficiencies due to restrictions, so balance is key.

Key Points

  • Embrace fruits and vegetables: Focus on consuming a large quantity of fresh, plant-based foods, including leafy greens, nuts, seeds, and legumes.

  • Avoid processed foods: Eliminate or severely limit processed meals, refined sugars, artificial sweeteners, and excess animal protein.

  • Stay well-hydrated: Drink plenty of water throughout the day, optionally flavored with lemon or cucumber, and opt for herbal teas.

  • Recognize the flawed science: Understand that diet does not change blood pH, and the body has powerful mechanisms to regulate its own acid-base balance.

  • Mind the nutrient gaps: Be aware that restricting dairy and meat can lead to deficiencies in protein, calcium, and Vitamin B12; ensure these are obtained through fortified alternatives or supplements.

  • Consult a professional: Speak with a doctor or registered dietitian before starting to ensure the diet is safe and meets all your nutritional needs.

In This Article

Understanding the Alkaline Diet: Fact vs. Fiction

At its core, the alkaline diet operates on the premise that consuming certain foods can alter the body's pH balance, making it more alkaline to improve health. Proponents claim that a diet heavy in acid-forming foods, such as meat, dairy, and grains, can lead to chronic diseases, while alkaline foods, like fruits and vegetables, can counteract this effect.

The reality, however, is that the human body has a remarkably efficient system for maintaining blood pH within a very narrow and slightly alkaline range of 7.35 to 7.45. The kidneys and lungs work constantly to keep this balance in check, and food does not have a significant impact on blood alkalinity. While your urine pH may fluctuate based on what you eat, this is simply a waste process and does not reflect a change in your body's overall pH. Claims that an alkaline diet can prevent or cure cancer are not supported by scientific evidence and should be disregarded.

Despite the flawed scientific premise, the diet's guidelines can be beneficial because they promote healthy, whole-food consumption. By focusing on the quality of the food rather than its supposed pH effect, you can reap many nutritional rewards.

The Do's of the Alkaline Diet

Following the alkaline diet is less about changing your body's pH and more about adopting a healthy, plant-rich lifestyle. Here's what to do:

  • Embrace Fruits and Vegetables: Load up on fresh, whole produce. Alkaline-forming options include most fruits (avocado, bananas, lemons, limes), and non-starchy vegetables (spinach, kale, cucumber, broccoli, peppers).
  • Choose Plant-Based Proteins: Incorporate tofu, tempeh, beans, and legumes into your meals as sources of protein.
  • Consume Healthy Fats: Opt for healthy fats found in nuts (almonds), seeds (chia, flax), and high-quality oils (olive oil, avocado oil).
  • Stay Hydrated: Drink plenty of water throughout the day. Enhance it with lemon or cucumber for flavor, and incorporate herbal teas.
  • Choose Whole Grains in Moderation: Some versions of the diet allow whole grains like quinoa, millet, and buckwheat in moderation. While they are technically acid-forming, they offer valuable nutrients and can be included in a balanced approach.
  • Practice a Balanced Ratio: Many followers adhere to an 80/20 rule—80% alkaline-forming foods and 20% acid-forming foods. This allows for some flexibility while maintaining a focus on healthy eating.

The Don'ts of the Alkaline Diet

This diet places restrictions on many foods that are common in a typical Western diet. While avoiding certain processed items is generally healthy, severely restricting entire food groups can lead to nutritional deficiencies. Here’s what to limit or avoid:

  • Meat and Poultry: Animal proteins like red meat, chicken, and fish are considered acid-forming and are typically excluded.
  • Dairy Products: Milk, cheese, and yogurt are all classified as acid-forming and are not allowed.
  • Refined Grains and Processed Foods: Avoid processed grains like white flour and white rice, as well as sugary snacks, fast food, and ready-made meals.
  • Sugar and Artificial Sweeteners: Added sugars and high-fructose corn syrup are highly restricted.
  • Certain Beverages: Limit or avoid coffee, soda, and alcohol, which are all considered acidic.
  • Unnecessary Supplements: Don't waste money on pH-testing kits or alkaline water systems, as they are not scientifically proven to offer unique health benefits.

Comparing Food Choices: Alkaline vs. Acidic

Food Category Alkaline-Forming Foods (Do) Acid-Forming Foods (Don't/Limit)
Protein Tofu, tempeh, most legumes, almonds Red meat, poultry, fish, eggs, most dairy
Vegetables Broccoli, kale, spinach, cucumber, carrots, beets Corn, lentils (some categorize as moderately acidic)
Fruits Apples, bananas, berries, watermelon, lemons, limes Sweetened fruit juices, processed fruits
Grains Quinoa, millet, buckwheat (in moderation) White bread, pasta, white rice, breakfast cereals
Beverages Water, herbal teas, lemon water Coffee, soda, alcohol
Fats Olive oil, avocado oil, almonds, seeds Processed vegetable oils, trans fats

The Alkaline Diet: Benefits and Risks

Because the alkaline diet encourages a heavy intake of fresh fruits and vegetables and restricts processed foods, it is naturally high in antioxidants, fiber, and important minerals like potassium and magnesium. These factors can lead to genuine health improvements.

  • Potential Benefits (based on healthy eating, not pH):

    • Weight management: The focus on low-calorie, nutrient-dense fruits and vegetables can lead to a calorie deficit and support weight loss.
    • Reduced Inflammation: High intake of anti-inflammatory foods like vegetables and fruits can help lower chronic inflammation.
    • Improved Kidney Health: A diet lower in animal protein and higher in plant-based foods can reduce acid load on the kidneys, which may benefit those with chronic kidney disease.
    • Better Heart Health: Emphasizing whole foods while limiting processed items and red meat aligns with heart-healthy eating patterns.
  • Potential Risks of a Strictly Restrictive Alkaline Diet:

    • Nutrient Deficiencies: Severely restricting food groups like dairy and animal protein can lead to deficiencies in essential nutrients such as calcium, protein, and B12.
    • Unhealthy Relationship with Food: Overly rigid diets can cause stress around food and may not be sustainable long-term.
    • Unproven Claims: Some proponents spread misinformation about curing serious diseases like cancer, which can distract from evidence-based treatments.

Conclusion

The real value of the alkaline diet lies not in its ability to alter your body's pH, but in its emphasis on eating whole, unprocessed, plant-based foods. By following the do's of increasing your fruit and vegetable intake and the don'ts of limiting processed foods, sugar, and excessive animal protein, you can achieve genuine health benefits like weight management and reduced inflammation. However, a balanced approach is best to avoid nutrient deficiencies. Always consult a healthcare professional or registered dietitian before making drastic dietary changes, especially if you have an existing health condition. The core takeaway is to focus on a nutrient-dense, varied diet, rather than relying on a scientifically unproven theory.

Visit the NIH for more science-based dietary information

Frequently Asked Questions

No, the alkaline diet cannot change your blood's pH levels. Your body has a sophisticated system involving the kidneys and lungs that keeps your blood pH tightly regulated within a healthy range.

The health benefits associated with the alkaline diet come from its emphasis on healthy eating, not pH alteration. These benefits, such as weight management, reduced inflammation, and better heart and kidney health, are a result of consuming more fruits, vegetables, and less processed food.

A strictly restrictive alkaline diet can be dangerous. By eliminating major food groups like dairy, meat, and many grains, it can lead to nutrient deficiencies, specifically in protein, calcium, and Vitamin B12.

While lemons and other citrus fruits are acidic in their raw form, the body metabolizes them in a way that produces an alkaline effect. This is why they are often included in alkaline diet plans.

There is no scientific evidence to support the claim that an alkaline diet can prevent or cure cancer. This is a dangerous myth that could lead individuals away from proven medical treatments.

Many people following the principles of this diet aim for a balanced ratio, such as 80% alkaline-forming foods (fruits and vegetables) and 20% acid-forming foods (some grains, proteins).

For beginners, easy alkaline-forming foods include leafy greens (spinach, kale), common fruits (bananas, apples), nuts (almonds), seeds (chia, flax), and simple plant-based proteins like tofu.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.