Detox Food Plan Comprehensive Guide
Detox Food Plan Comprehensive Guide
Detox
Food Plan
Comprehensive Guide
Table of Contents
What is Detox? 3
Food and Detox 5
Features of the Detox Food Plan 6
Touring Through the Detox Food Plan 10
Frequently Asked Questions 16
Resources and Tools for Success 19
What is Detox?
The word “detox” has two common meanings: (1) to withdraw from the use of
drugs or alcohol, and (2) to describe the body’s process of making chemicals,
compounds, hormones, and toxins less harmful. The second definition is the one
we use in functional medicine. This process is often referred to as “metabolic
detoxification.” The liver, kidneys, large intestine, lymphatic system, and sweat
glands work together to process and remove toxins from the body.
Other sources of toxins which can increase the body burden include materials used
in construction, carpet chemicals, paint, household cleaners, metals used in dental
restorations and personal hygiene products applied to the face, skin, teeth, and
hair. Exposure to air pollution can come from primary or second-hand smoke, auto
exhaust, and industrial manufacturing. In other words, we are all living amidst many
chemicals, resulting in an increased toxic load for everyone.
The amount of toxins in a person’s body is a result of three main factors. First,
everyone has a different toxin exposure. Second, there are genetic differences in
how a person’s body is able to produce enzymes that regulate detoxification. Lastly,
an individual’s eating pattern can either support, or hinder the body’s ability to
process and eliminate toxins.
Symptoms may occur when a person reaches their personal limit of accumulated
toxins. There are processes in the body responsible for converting toxins into
chemical compounds which can be eliminated (primarily through the urine or stool).
Researchers are recognizing more symptoms related to the buildup of toxins,
including obesity, type 2 diabetes, metabolic syndrome, cancer, infertility, allergies,
behavior and mood disorders, neurological conditions, and cognitive difficulties,
along with several other diseases like Parkinson’s and dementia.
Detoxification may also be helpful for individuals who have imbalanced levels of
sex hormones such as estrogen, testosterone, and progesterone. Sex hormones,
such as estrogen, must go through the same liver pathways as toxins before being
removed from the body.
Scientists estimate the average adult has at least 300 toxins in their body and
that a newborn may have over 200 toxins.
Detox Food Plan Comprehensive Guide © 2022 The Institute for Functional Medicine 3
What is Detox?
The process of detoxification involves many steps. There may be reasons why
the body isn’t efficient in clearing toxins. These reasons can be situational, such
as having an increased exposure to toxins, being constipated and less able to
excrete toxins through healthy bowel movements, eating a nutrient-poor diet,
being under stress, having a chronic disease, experiencing excessive inflammation,
and not getting enough physical activity or restorative sleep. There may also be
genetic reasons, such as having slow enzymes that aren’t efficient in supporting
detoxification.
The goal of a detoxification food plan is to provide nutritional support for helping
the body process and eliminate toxins. The Detox Food Plan results in improved
symptoms and an increased sense of wellbeing for most individuals. The Detox
Food Plan - Comprehensive Guide provides specific suggestions to optimize the
metabolic detoxification experience and lower the body burden. The guide offers
direction on how to structure a healthy detox and wellness plan by providing tips
on how to get started, what to eat, what to watch for, and how to provide the body
with the right nutrients for improved detoxification.
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Food and Detox
Food plays a role in all phases of detoxification (see image below). The first step
is to identify the toxins which may entering your body from food, beverages, and
the environment. By becoming aware of these toxins and avoiding them whenever
possible, the amount of toxins in the body can be reduced significantly.
Toxins
In
Toxins Phase
Out I
Support
FOOD
Phase Phase
II I
Support Protection
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Features of the Detox
Food Plan
While the Detox Food Plan reduces common food triggers like gluten and dairy, it
focuses on long-term nutritional support of the major body systems involved with
detoxification, such as the digestive system and liver. It places a stronger emphasis
on eating healthy, colorful foods for life, reducing plastic use, and eating organic
foods when possible.
One of the most important aspects of the Detox Food Plan is the emphasis on
consistently eating foods that help your body eliminate toxins and supporting a
healthy immune system. The digestive system needs to work efficiently so that
it can provide one to two healthy, well-formed bowel movements daily. Without
consistent, daily bowel movements, toxin elimination is hindered (as many of them
exit in stool). Some toxins can be eliminated through urine, too, which is why
proper hydration goes hand-in-hand with optimal detoxification. Eating enough
dietary fiber—which means consuming at least 35 grams of fiber daily—will support
toxin elimination.
The Detox Food Plan, more than any other food plan within the IFM Food Plan
Suites, is designed to support the liver. The liver is a very important organ for
detoxification. When the liver is overburdened through increased toxic load or
lacking nutrients, greater toxicity and increased symptoms can occur. The goal of
the Detox Food Plan is to support the liver and other organs of detoxification in
lowering the toxic burden and improve your overall wellbeing.
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Features of the Detox
Food Plan
Removing specific foods that cause adverse reactions will allow the gut to heal,
while simultaneously supporting detoxification pathways. Common food triggers
are minimized or eliminated on the Detox Food Plan, while nutrient-dense foods
are included to support detoxification and gut health.
After following the Detox Food Plan for a period of time, your practitioner may
suggest a personalized food reintroduction. The goal is to expand the variety of
healthy foods you eat, not to maintain a long-term restrictive diet. Reintroduction
involves adding back one food at a time and observing whether that food is
associated with symptoms. Foods that continue to provoke symptoms (physical,
mental, and emotional) are avoided until they no longer cause symptoms. Once the
gut is healed, many foods that initially caused sensitivities may be reintroduced into
a meal plan without symptoms.
Supports liver function: Protein is a key nutrient that enables the liver to effectively
process toxins within the body. Specific amino acids (building blocks of protein) are
required to process certain types of toxins. Therefore, this food plan suggests high-
quality protein as an essential cornerstone to ensure that detoxification is efficient
and effective.
Encourages Organic: The Detox Food Plan emphasizes measures to reduce the
intake of toxins of all kinds by encouraging organically grown, non-genetically
modified foods; lean, grass-fed animal meats or wild-caught fish; minimally refined,
cold-pressed oils; and by reducing exposure to plastic-contained foods and liquids.
Reduces toxic burden: Toxins are everywhere: in food, air, water, and even in
personal care products. It is best to start a detoxification program by first removing
toxins from one’s diet (and home environment) as much as possible. Buying
organically grown food helps to ensure a minimal intake of pesticides, herbicides,
and insecticides. Limiting ingestion of genetically modified organisms (GMOs) and
heavy metals is also recommended.
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Features of the Detox
Food Plan
⋅ Choose lean meats over fatty animal foods, as pesticides concentrate in fat
⋅ Buy organically-grown animal products (e.g., meats and dairy)
⋅ Peel the skin or remove the outer layer of leaves of some produce
(e.g., lettuce, cabbage)
⋅
⋅ Cut away any damaged or bruised areas before preparing or eating food
⋅ Wash produce before peeling it so dirt and contaminants aren’t transferred
from the knife onto the fruit or vegetable
⋅ Consult the current versions of the Environmental Working Group’s “Dirty
Dozen” (foods that are high in pesticide residues) and “Clean 15” (foods that
are typically low in pesticide residues) lists
⋅ Avoid foods that contain preservatives such as BHT, BHA, benzoate,
and sulfites; food colorings such as FD&C yellow #5, #6, etc.; or artificial
sweeteners such as sucralose and aspartame
⋅ Limit exposure to canned foods (e.g., meat, fish) and plastic bottles/
containers, which may contain Bisphenol-A (BPA)
⋅ Cook with non-toxic cookware like stainless steel and cast iron
⋅ Use filtered water for drinking and cooking
Encourages healthy elimination of toxins: Toxins are removed from the body
through the urine and stool. High-fiber foods and adequate water are featured in
this food plan to ensure the healthy removal of toxins from the body.
Balances hormone metabolism: Whole foods support the liver and gut to help
achieve proper hormone balance. Environmental toxins can disrupt hormonal
balance in the body; whole foods that improve detoxification may, in turn, improve
hormonal balance.
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Features of the Detox
Food Plan
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Touring Through the Detox
Food Plan
The Detox food list is designed to give you a snapshot of foods to select from each
day. Your functional medicine provider may give alternate suggestions that are
personalized to specific medical needs and may include a calorie target or other
guidance on food selection and timing of meals.
This food plan focuses on natural and whole foods to support optimal detoxification
and elimination of toxins. When making dietary choices to support detoxification,
try to select the Therapeutic Foods within each food group to get the most out of
the Detox Food Plan.
Protein
Protein is an essential nutrient for detoxification. The building blocks of protein,
amino acids, bind to toxins in the liver and support their removal from the body.
When possible, it is ideal to include some protein in every meal for ongoing support
of the liver’s detoxification processes.
There are different sources of animal and vegetable protein to choose from on this
food plan. Plant-based proteins include miso, natto, tofu, tempeh, rice/hemp/pea
protein powders, and plant-based meat alternatives. Animal proteins include
options such as eggs, fish, meat, poultry, and a vast array of protein powders. As
with the other food categories, quality is important. High-quality proteins of any
kind are the best choice, including lean, grass-fed, organic, non-GMO sources.
Omega-3 rich fish are highlighted as a therapeutic food because of their anti-
inflammatory fats. In research studies, omega-3 fatty acids have been shown to
have a protective effect on the cells and heart of people exposed to air pollution.
Remember to choose wild-caught fish, as farmed varieties may contain hormones
and toxic chemicals called polychlorinated biphenyls (PCBs). Shellfish are omitted
from the Detox Food Plan as they are often contaminated with toxins, particularly
when farmed.
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Touring Through the Detox
Food Plan
Select from sources with the lowest amounts of mercury according to the National
Research Defense Council: anchovies, butterfish, catfish, croaker (Atlantic), flounder,
haddock (Atlantic), hake, herring, mackerel (North Atlantic, chub), mullet, perch
(ocean), pollock, salmon (fresh, wild), sardines, sole (Pacific), squid, tilapia, trout
(freshwater), whitefish, and whiting. Fish associated with the highest mercury
content include bluefish, grouper, Halibut (Atlantic, Pacific), mackerel (Spanish, Gulf,
King), marlin, orange roughy, sea bass (Chilean), shark, swordfish, tilefish, and tuna
(canned albacore, yellowfin, bigeye, ahi).
Legumes
Legumes, including beans and lentils, are an affordable way to get quality dietary
protein and fiber, both of which help with detox in the liver and in the gut. Aim to
eat at least one serving of legumes every day. Options include soups, cooked
beans, dips, and hummus. Try black (soy) beans in soup, add garbanzo beans or
kidney beans to a salad, or make a bean salad of 2-3 different varieties with
chopped onion and pepper. While all legumes are fantastic choices, black soybeans
and edamame are highlighted in this category for their protein, fiber, and isoflavone
content.
Dairy Alternatives
Dairy is not listed on this plan, because most commercially available dairy foods
contain toxins and hormones. Additionally, dairy is a trigger food and a cause of
digestive symptoms for many. There are several dairy alternatives on this food plan,
mostly in the form of nut and grain milks. When buying dairy alternatives like soy,
coconut, almond, hemp, oat, or rice milk, read the label carefully to ensure they are
organic and do not contain added sweeteners. Note that coconut milk listed here
refers to the boxed variety rather than to its canned form.
Therapeutic foods: organic soy milk, soy yogurt, and soy kefir
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Touring Through the Detox
Food Plan
There is compelling data that supports eating a handful of nuts each day to reduce
chronic disease risk. While not required, it is recommended that at least 1 to 2
servings of nuts be eaten daily. Aim for a mixed blend of raw unsalted nuts.
Try adding ground flaxseeds to a salad or a smoothie, or use seed butters like tahini
(sesame seed butter) drizzled over vegetables, almond butter with fresh fruit, or
cashew “cream” in place of traditional cream-based sauces.
All nuts, seeds, and their respective butters or pastes are considered to be
therapeutic for detoxification as they provide anti-inflammatory oils, quality protein,
and phytonutrient compounds like lignans. Lignans, found in flaxseeds and sesame
seeds, support detoxification and can also influence hormone metabolism.
Therapeutic foods: all of the nuts and seeds and their respective butters or
pastes, especially flaxseeds and sesame seeds
Fats and oils from avocados, flaxseed, hempseed, olives, pumpkin seeds, rice
bran, and sesame seeds are therapeutic for detoxification for different reasons.
The healthy monounsaturated fats found in avocados (including its oil) and olives
(as well as extra virgin olive oil) have been shown to be supportive of liver health.
Avocados also contain dietary fiber which supports digestive regularity.
Flaxseed oil and hempseed oil are both plant-based sources of anti-inflammatory
omega 3 fatty acids. Pumpkin seed oil, rice bran oil and sesame oil have also been
shown to be anti-inflammatory and supportive of liver health.
Therapeutic Foods: avocado (fruit and oil), extra virgin olive oil, flaxseed oil,
hempseed oil, pumpkin seed oil, rice bran oil, and sesame oil
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Touring Through the Detox
Food Plan
Non-Starchy Vegetables
The greatest variety of foods for detoxification is found in the non-starchy
vegetables category. The goal is to consume at least 9 servings every day to aid in
liver detoxification and the elimination of toxins from the gut.
The non-starchy vegetables are divided into four categories on the Detox Food
Plan: Cruciferous vegetables, Leafy Greens, Alliums, and Other Non-Starchy
Vegetables. It is advised to eat foods from each of these categories daily to get as
much variety as possible.
Allium vegetables, including onion, shallots, and garlic provide sulfur nutrients
that enhance liver detoxification. In research studies, allium vegetables have been
associated with reduced risk of cancer.
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Touring Through the Detox
Food Plan
Finally, the Other Non-starchy Vegetables section provides fiber and foundational
nutrition, but they are not necessarily highlighted as therapeutic in this food plan.
It is important to eat a variety of colorful vegetables every day. The best way to eat
lots of vegetables is to include them every meal. For example, have some leftover
broccoli or stir-fried vegetables with a morning meal, then a hearty vegetable
soup or a salad for lunch that contains several servings of both raw and cooked
vegetables. A salad in addition to cooked vegetables with dinner can help you
include enough servings each day.
Starchy Vegetables
Starchy vegetables are also included on the Detox Food Plan, as these vegetables
contain fiber and phytonutrients that are supportive of overall health. Like the
leafy green vegetables, several starchy orange vegetables (e.g., pumpkin, squash,
carrots, and sweet potatoes) contain carotenoids. Eating this phytonutrient family
has been associated with better liver health. It is best to eat these vegetables with
protein and/or fat to prevent blood sugar spikes that can happen when eating a
starchy vegetable alone.
Fruits
Phytonutrient-dense fruits can be helpful for detoxification because of the
antioxidant protection they offer. They are a great choice for a simple snack or to
satisfy a desire for something sweet. It’s typically better to eat fruit with a small
amount of protein (e.g., nuts) to offset any potential blood sugar spikes.
The vitamin C in fresh fruits, as well as raw vegetables, supports detoxification and
protect the cells of the body. There is some research to suggest that citrus fruits
in particular may be beneficial for detoxification. Be mindful that you may need
to avoid grapefruit if you are taking certain medications; there are compounds in
grapefruit that can interfere with the way some medications work in the body.
Grains
As with dairy, gluten is not included on this food plan. Certified gluten-free (GF)
whole grains, or those with an intact bran outer coat, provide an excellent source of
dietary fiber to assist with detoxification. When purchasing oats, look for “certified
gluten-free.”
Amaranth, buckwheat, millet, certified gluten-free oats, quinoa, and teff are healthy
choices that add dietary fiber for better digestive regularity and detoxification.
Gluten-containing grains should be avoided unless your functional medicine
practitioner advises that these can be eaten.
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Touring Through the Detox
Food Plan
Beverages
Hydration helps promote healthy bowel movements, enhances metabolism, and
promotes satiety. Drinking water throughout the day has also been linked to
improved mood, energy, and brain function. It is important to drink plenty of clean,
filtered water throughout the day, as not drinking enough water may negatively
impact your body’s ability to detoxify. Individual recommendations for fluid intake
will depend upon a number of factors, including weight.
In addition to filtered water, low sodium broths (bone, vegetable), meat stocks, and
other decaffeinated beverages like fresh, raw, cold-pressed vegetable juices are
also good choices. All teas (black, green, herbal, etc.) are also recommended on the
Detox Food Plan due to their anti-inflammatory effects. Green tea is highlighted as
a therapeutic food on this plan, because it contains phytonutrients called catechins,
which are beneficial for liver health.
Condiments
Most condiments available on store shelves are not permitted on the Detox Food
Plan, as they contain added sweeteners and preservatives. However, homemade
versions of many condiments—including mayonnaise, ketchup, and barbecue
sauce—can be easily made with only a few approved ingredients.
Store-bought mustards (Dijon, stone-ground, etc.) made without added sugars are
permitted, as are vinegars (raw apple cider vinegar, balsamic vinegar, white, etc.).
Also permitted are coconut aminos, fresh lemon and lime juice, miso, and tamari.
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Frequently Asked Questions
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Frequently Asked Questions
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Frequently Asked Questions
⋅ Do not eat shark, swordfish, king mackerel, or tilefish because they contain high
levels of mercury.
⋅ Eat up to 12 ounces (2 average meals) a week of a variety of fish and shellfish
that are lower in mercury.
⋅ Some of the most commonly eaten fish that are low in mercury are cod,
sardines, salmon, pollock, and catfish.
⋅ Another commonly eaten fish, albacore (“white”) tuna has more mercury than
canned light tuna. Eat up to 6 ounces (one average meal) of albacore tuna per
week.
⋅ Check local advisories about the safety of fish caught by family and friends
in local lakes, rivers, and coastal areas. If no advice is available, eat up to 6
ounces (one average meal) per week of fish caught from local waters, but don’t
consume any other fish during that week.
What is BPA?
Bisphenol A, commonly referred to as “BPA” is a chemical used in plastics. It is
often used in plastic food storage and disposable food containers. Environmental
toxins, like bisphenol A (BPA) can interfere with the body’s hormone receptors.
Reduce your exposure to these hormone-disrupting substances by limiting how
many packaged foods you eat, avoid plastic food containers and water bottles as
much as possible, and never microwave foods in plastic.
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Resources and Tools for Success
The Detox Food Plan is intended as a long-term approach that enables the body to
more efficiently process toxins. It works best when personalized for you. To support
you in following this food plan, there are a number of other tools to help.
The following handouts are available from your functional medicine practitioner to
support you with the Detox Food Plan:
Images on page 5 and 9 are IFM owned; all others courtesy of 123rf.
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