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Coping with food allergies: the rotary diversified diet COPING WITH FOOD ALLERGIES: THE ROTARY DIVERSIFIED DIET
The key to the control of food allergies is the Rotary Diversified Diet. This diet serves three purposes. It is a diagnostic tool, which can unmask hidden food allergies in the course of normal life. It minimizes the development of new allergies, and is thus a preventive measure. And, finally, it helps the patient maintain tolerance to foods he already is able to eat. An individualized program can be worked out for any patient which will help to control the extent and spread of his food allergy. In fact, the Rotary Diversified Diet is more than just a medical maneuver: it is a life plan for anyone who wishes to remain well.
This diet was first developed by Dr. Herbert J. Rinkel in 1934. As the name implies, the diet is made up of a highly varied selection of foods. However, these foods are eaten in a definite rotation, or order, to prevent the formation of new allergies and to control preexisting ones.
At first, the diet may sound strange to people who have grown used to eating whatever they please, whenever they please. It sets some limits on what you can eat and when you can eat it. On the other hand, it should not be confused with any of the other dietary plans which are currently popular. The Rotary Diversified Diet is not a mass prescription based on sweeping generalization such as "eat less meat," "eat more carbohydrates," or "do not eat sugar." It is an individualized plan, tailor-made for the patient, and for him alone: what works for him may not work for his neighbor.
When allergies to common foods were first discovered, it was natural for doctors to attempt to control them with diets. The type of diets employed in the early part of this century were either mainly diagnostic plans, designed to ferret out a hidden allergy, or treatment plans which left patients with sweeping prohibitions against "nuts," "fish," or "candies." Patients were not told whenor how they could reintroduce such foods back into their diets.
Dr. Rinkel devised the Rotary Diversified Diet to fill the void created by these earlier plans. His original purpose in devising the diet was to avoid cumulative reactions. These are food reactions which occur if a person eats the same food over and over again, meal after meal. The constant, monotonous intake of any food promotes the development of a food allergy in a susceptible person. Dr. Rinkel believed that by rotating and diversifying foods, the probability of such problems building up could be minimized.
As he continued to use and evaluate this diet, however, Rinkel soon began to employ it on patients who readily developed new food allergies. In mid-1934 he used the diet on a woman patient who suffered from almost constant migraine headaches. She reported that she had not been free of headache for a single day during the previous ten years. Rinkel confirmed the seriousness of her illness by observing her over a period of several months.
Rinkel achieved some success in treating her by eliminating first one food to which she was allergic and then another. But then, five to ten days after a suspected food had been eliminated, her symptoms would increase to their previous intensity. Each temporary, partial "cure" was followed by a very disappointing recurrence. What appeared to be happening was that the woman would eliminate one food—wheat, for example—only to develop a new allergy during the next week to her substitute food, oats. The new allergic reaction would bring back the original headache.
To prevent this from happening, Rinkel suggested she try something new. Specifically, he told her to diversify her diet, so that she ate many foods. He also instructed her to rotate her foods, that is, to repeat them only at specified intervals. If she ate corn at one meal she would have to, in effect, give her body a rest and not eat corn in any form for several more days. (Originally the interval ranged from one to three days: today it is generally longer.)
Within a few years, Rinkel was joined by a small but dedicated circle of allergists also employing the new technique. I myself began using the diet for my patients in the early 1940s. I have put thousands of people on this diet, and have seen the beneficial results it brings in the great majority of cases.
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