01/09/2026
I want to highlight this paper so that it doesn't get lost in the hoopla of the "new" dietary guidelines 🙄. https://www.nejm.org/doi/full/10.1056/NEJMcp2501860
"Conditioned reflexive behavior may be responsible for food aversion in some cases, but the term “avoidant restrictive food intake disorder” is technically inaccurate in patients with functional dyspepsia and may cause confusion or stigmatization owing to the suggestion that an eating disorder is present." 👏👏👏
"It is also important to consider psychological therapies as an adjunct for helping patients cope with their symptoms" đź«¶đź«¶đź«¶
And last but not least "The term “functional dyspepsia” has persisted as an umbrella label and conveys a sense of diagnostic certainty about a heterogenous group of illnesses, potentially masking as yet incompletely characterized causes, such as a microinflammatory neurogastrointestinal illness. We believe that functional dyspepsia should no longer be considered “functional” (indicating a lack of organic pathologic features). The trend toward the use of other broad labels such as “disorder of gut–brain interaction” is also potentially problematic because it is nonspecific, may distract scientific attention away from the root cause, and may be considered dismissive or stigmatizing by patients."
Pankaj J. Pasricha, M.B., B.S., M.D. and Nicholas J. Talley, M.D., Ph.D -Thank you, from the bottom of my heart, for this very important paper.
Functional dyspepsia is a common but serious medical syndrome that can induce weight loss and food aversion and may be associated with increased risks of hospitalization and death. It probably comp...