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Your Body in Balance

Your Body in Balance

The New Science of Food, Hormones, and Health
by Neal D Barnard 2020 306 pages
4.05
1k+ ratings
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Key Takeaways

1. Plant-based diets optimize hormone balance and fertility

"Elsa had given up on raising a family, until she found that her fertility had been affected by what she had been eating."

Hormone regulation: A plant-based diet helps regulate hormones by reducing excess estrogen and increasing sex hormone-binding globulin (SHBG). This balance is crucial for fertility and overall reproductive health.

Fiber and fertility: Plant-based diets are rich in fiber, which helps eliminate excess hormones from the body. Research shows that every 10 grams of fiber in the diet cuts breast cancer risk by 7%, and this same mechanism can improve fertility.

Key components of a fertility-boosting diet:

  • Avoid animal products, especially dairy
  • Increase fiber intake from fruits, vegetables, and whole grains
  • Maintain a healthy body weight
  • Include soy products in moderation
  • Limit exposure to environmental toxins

2. Dietary changes can alleviate menstrual pain and PMS symptoms

"Robin had menstrual cramps that were off the scale for a day or two every month, until she learned of a straightforward dietary shift that eased her pain and allowed her to function again."

Prostaglandin reduction: A low-fat, plant-based diet can reduce the production of prostaglandins, which are responsible for menstrual cramps and other PMS symptoms. This dietary approach also helps balance estrogen levels throughout the menstrual cycle.

Practical steps: To alleviate menstrual pain and PMS:

  • Eliminate animal products
  • Minimize added oils
  • Increase intake of whole grains, legumes, fruits, and vegetables
  • Avoid caffeine and alcohol
  • Consider supplements like vitamin B12 and plant-based omega-3s

Many women report significant improvement in symptoms within 1-2 menstrual cycles of adopting these dietary changes.

3. Foods influence cancer risk and survival in hormone-related cancers

"By 2017, having followed 65,981 participants, the research team reported that those who avoided animal products entirely (i.e., those following a vegan diet) were 22 percent less likely to become hypothyroid, compared with omnivores."

Cancer prevention: A plant-based diet rich in fiber and antioxidants can significantly reduce the risk of hormone-related cancers such as breast, prostate, and ovarian cancer. This dietary approach helps by:

  • Reducing excess estrogen levels
  • Increasing fiber intake to eliminate toxins
  • Providing cancer-fighting antioxidants

Cancer survival: For those already diagnosed with cancer, adopting a plant-based diet can improve survival rates. Studies have shown that breast cancer survivors who consume more soy products have a 30% reduction in cancer recurrence.

Key dietary recommendations for cancer prevention and survival:

  • Avoid dairy products and red meat
  • Increase intake of cruciferous vegetables
  • Consume soy products regularly
  • Limit alcohol consumption
  • Maintain a healthy body weight through diet and exercise

4. A low-fat vegan diet effectively manages polycystic ovary syndrome (PCOS)

"PCOS is different from the other hormone-related conditions we have discussed so far in that the issues go beyond sex hormones."

Insulin sensitivity: A low-fat, plant-based diet improves insulin sensitivity, which is crucial in managing PCOS. This dietary approach helps reduce excess androgens and regulates menstrual cycles.

Weight management: Many women with PCOS struggle with weight management. A plant-based diet naturally promotes weight loss without calorie restriction, further improving hormonal balance.

Key strategies for managing PCOS through diet:

  • Eliminate animal products
  • Minimize added oils
  • Focus on low-glycemic index foods
  • Increase fiber intake
  • Include soy products for their beneficial effects on hormone balance

5. Nutritional approaches can ease menopausal symptoms

"Traditional Japanese diets are associated with a remarkably low risk of developing cancer."

Phytoestrogens: Plant-based diets, especially those rich in soy products, contain phytoestrogens that can help alleviate menopausal symptoms such as hot flashes. These compounds mimic estrogen in the body but have a much weaker effect.

Bone health: A well-planned plant-based diet can provide adequate calcium and other nutrients necessary for maintaining bone health during and after menopause.

Dietary recommendations for managing menopausal symptoms:

  • Incorporate soy products like tofu, tempeh, and soymilk
  • Increase intake of fruits and vegetables
  • Maintain a healthy body weight
  • Limit caffeine and alcohol consumption
  • Consider supplements like vitamin D and B12

6. Diet impacts erectile dysfunction and cardiovascular health

"Researchers have found that after the beginning of ED, symptoms of cardiovascular disease can be expected within two to three years."

Vascular health: Erectile dysfunction is often an early sign of cardiovascular disease. A plant-based diet can improve vascular health by:

  • Reducing cholesterol levels
  • Improving blood flow
  • Decreasing inflammation

Reversing ED: Studies have shown that adopting a low-fat, plant-based diet along with regular exercise can significantly improve or even reverse erectile dysfunction in many men.

Key dietary changes for improving erectile function and heart health:

  • Eliminate animal products, especially red meat
  • Increase intake of fruits, vegetables, and whole grains
  • Minimize added oils and processed foods
  • Maintain a healthy body weight
  • Regular physical activity

7. Plant-based eating effectively manages diabetes and improves insulin sensitivity

"In 2003, the National Institutes of Health funded our research team to test a new approach to type 2 diabetes."

Insulin sensitivity: A low-fat, plant-based diet improves insulin sensitivity by reducing intramyocellular lipid (fat inside muscle cells). This approach is effective for both preventing and managing type 2 diabetes.

Blood sugar control: Plant-based diets, rich in fiber and low in saturated fat, help stabilize blood sugar levels and reduce the need for diabetes medications.

Key strategies for managing diabetes through diet:

  • Eliminate animal products
  • Minimize added oils
  • Focus on low-glycemic index foods
  • Increase fiber intake
  • Regular physical activity

Many people with diabetes see significant improvements in blood sugar control within days or weeks of adopting these dietary changes.

8. Food choices affect thyroid function and overall health

"Nancy's so-called infertility was over. She was indeed pregnant and soon gave birth to a beautiful, healthy baby."

Autoimmune thyroid disorders: A plant-based diet may help reduce the risk of autoimmune thyroid disorders like Hashimoto's thyroiditis. This dietary approach can also improve symptoms in those already diagnosed.

Iodine balance: While iodine is crucial for thyroid function, excessive intake can be harmful. A balanced plant-based diet, along with iodized salt or sea vegetables, can provide adequate iodine without the risks associated with high-iodine foods like dairy products.

Dietary recommendations for thyroid health:

  • Avoid dairy products and processed meats
  • Include sea vegetables for natural iodine
  • Ensure adequate selenium intake from plant sources
  • Consider vitamin D supplementation
  • Minimize soy intake if you have existing thyroid issues

9. Nutrition influences skin health, acne, and hair retention

"Nina and Randa are identical twins. During adolescence, they had occasional pimples, though nothing serious. But at age twenty, for some reason acne arrived with a vengeance, and it became increasingly severe."

Acne management: A low-fat, plant-based diet can significantly improve acne by:

  • Reducing inflammation
  • Balancing hormones
  • Eliminating dairy, a common acne trigger

Hair health: Plant-based diets may help prevent hair loss by:

  • Improving circulation to the scalp
  • Providing necessary nutrients for hair growth
  • Reducing inflammation and oxidative stress

Dietary recommendations for skin and hair health:

  • Eliminate dairy products
  • Minimize added oils and high-fat foods
  • Increase intake of antioxidant-rich fruits and vegetables
  • Stay hydrated
  • Consider supplements like zinc and omega-3 fatty acids

10. Dietary changes can significantly improve mood and mental health

"Within three months, her PMS was gone. There was no midday slump at work, she slept deeply through the night, and she had better mental clarity."

Serotonin production: Plant-based diets rich in complex carbohydrates can boost serotonin production, improving mood and reducing symptoms of depression and anxiety.

Inflammation reduction: By reducing inflammation throughout the body, including the brain, a plant-based diet may help alleviate symptoms of various mental health conditions.

Key dietary strategies for improving mental health:

  • Increase intake of fruits, vegetables, and whole grains
  • Include omega-3 rich foods like flaxseeds and walnuts
  • Minimize processed foods and added sugars
  • Consider probiotic-rich foods for gut health
  • Ensure adequate vitamin B12 intake through supplementation

11. Simple steps to transition to a healthier, hormone-balancing diet

"As you will see, I have recommended chucking out meat, dairy products, and some other foods that may have been familiar staples for you up to now. But not to worry."

Gradual transition: Start by exploring plant-based options and gradually replacing animal products with plant-based alternatives. This approach makes the transition more sustainable and enjoyable.

Meal planning: Focus on building meals around vegetables, fruits, whole grains, and legumes. Experiment with new recipes and international cuisines that naturally emphasize plant-based ingredients.

Practical steps for transitioning to a plant-based diet:

  1. Start with one plant-based meal per day
  2. Explore new plant-based protein sources (e.g., legumes, tofu, tempeh)
  3. Stock your pantry with whole grains, nuts, and seeds
  4. Learn to prepare simple, tasty plant-based meals
  5. Gradually eliminate dairy, eggs, and meat from your diet
  6. Consider supplements like vitamin B12 and vitamin D
  7. Join a support group or find a plant-based buddy for motivation and recipe sharing

Last updated:

Review Summary

4.05 out of 5
Average of 1k+ ratings from Goodreads and Amazon.

Your Body in Balance receives mostly positive reviews for its evidence-based approach to hormonal health through diet. Readers appreciate the clear explanations and practical advice, including recipes. Many find the book's promotion of a plant-based diet helpful, though some criticize its repetitiveness and strong vegan stance. The book is praised for addressing various hormone-related issues and offering accessible scientific information. Some readers report personal success with the dietary recommendations, while others remain skeptical of the one-size-fits-all approach.

Your rating:

About the Author

Neal D. Barnard, MD, FACC is an Adjunct Professor at George Washington University School of Medicine and President of the Physicians Committee for Responsible Medicine. He has conducted numerous research studies on diet's effects on health, particularly diabetes and chronic pain. Barnard has authored over 100 scientific publications and 20 books, and is editor-in-chief of the Nutrition Guide for Clinicians. He advocates for preventive medicine and plant-based diets, contributing to their inclusion in the Dietary Guidelines for Americans. Barnard founded the Barnard Medical Center in Washington, DC, to integrate nutrition into medical care. He has received awards for his work and hosted PBS television programs on nutrition and health.

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