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The leading causes of death in Western cultures — heart disease, cancer, diabetes, and auto-immune diseases — are caused by diet, and yet dietary recommendations for patients do not take advantage of the advances in our understanding of how diet can reverse these diseases. The reason for this mistake in treatment is that doctors know much less about nutrition than they think they do — which is not surprising since most medical schools in the United States fail to provide even a bare minimum of nutrition training, with mainstream medical associations actively lobbying against nutrition classes.