Navigating the 'Upside Down Food Pyramid' With My Patients

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Source: MedPage Today

Original: https://www.medpagetoday.com/opinion/second-opinions/119611...

Published: Tue, 27 Jan 2026 16:26:07 -0500

The author of the article remembers the release of MyPlate in June 2011, which replaced MyPyramid as America's nutrition guide. At the time, he was preparing to take the registered dietitian exam in October. The article deals with navigating the "upside down food pyramid" with patients. The new guidelines emphasize whole foods and proteins, promoting red meat, fresh vegetables and dairy products. At the same time, they weaken processed foods, cereals and foods with added sugar. Federal health officials have unveiled a new "upside down" food pyramid, where red meat, vegetables, whole milk and cheese feature prominently at the top. Reactions from nutritionists, doctors and medical organizations are mixed. Some experts who advised on the development of the guidelines said their work was not taken into account and the final guidelines contain significant errors.