A Spoonful of Change: Reflections on a Planet-First Diet
For me, who has been navigating Stage 4 kidney disease and living with the reality of life’s fragility, this isn’t just another headline. It’s an invitation to live more fully—and more mindfully—in the face of uncertainty.
What does “planet-first” really mean?
The term here refers to a dietary pattern sometimes called the Planetary Health Diet: heavy on vegetables, fruits, legumes, nuts, whole grains; small/moderate amounts of meat, dairy, fish; minimal ultra-processed foods. Harvard Chan School+1
Key takeaways:
It's not about perfect veganism or rigid exclusion—but about emphasizing plant-rich food and making more sustainable choices. Harvard Chan School
It aligns human health and planetary health: better diets and reduced environmental footprint. EatingWell
The mortality reduction is meaningful: roughly ~30% lower risk of early death in some analyses. EatingWell+1
Why this touches me personally
Living with a serious chronic condition makes every decision more salient. I’ve turned over many times in my mind: What kind of life do I want? How can I align what I do now with the person I’ve become, the work I’ve done, the world I care about?
Here are two threads I find especially relevant:
1. A life of purpose and integrity.
As someone who spent years in regulatory science at the U.S. Food and Drug Administration and who later began blogging in 2009, I’ve always believed that what we do matters—and that the small, everyday choices accumulate. Choosing a diet that supports longevity and reduces environmental harm feels like a tangible way to live out that belief.
2. A reminder of our inter-connectedness.
It’s easy, especially in the Western world, to think of diet purely as a personal health issue. But the study underscores that our food choices ripple outward—into soil, water, ecosystems, future generations. And in my quieter moments, I’m often aware that this life is not just about me; it’s about the people I’ve worked with (in the aftermath of 9/11, in FDA, in blogging communities) and those I’ve yet to meet.
What I’m choosing to do (and you might too)
Here’s how I’m trying to translate the insight into action—and how maybe you could, if you feel called to. These are small, imperfect steps, because that’s what real life looks like.
More plants, fewer regrets. I’m increasing servings of legumes and whole grains, adding nuts as snacks, embracing vegetables I once overlooked. It’s not about perfection—it’s about moving the dial.
Mindful red-meat/even dairy decisions. Rather than cutting them out entirely, I’m choosing fewer occasions for red meat, and when I do, choosing sustainably raised versions.
Less processed, more presence. The convenience foods call to me—especially when fatigue sets in—but I’m trying to pause and ask: does this nourish me and the planet?
Enjoyment counts. I remind myself that food is joy, tradition, culture. The planetary diet doesn’t mean tasteless austerity. It means intentional joy: good coffee, fresh bread, seasonal produce, meals shared.
Connection to legacy. I reflect on my career at FDA, on 9/11 and the ways systems and health intersect. In my final-post-to-be (we’ll talk eventually about that), I hope to say: I did what I could, I cared about people and policy, I cared about future generations. This diet feels like part of that story.
A note of nuance and faith
Of course, no diet is a guarantee. Observational studies show associations, not iron-clad causation. Many factors (genes, environment, medical care) matter. Kidney disease complicates nutritional needs—and whatever the “ideal” diet, my path must honor what my body needs now.
Still, the finding—that aligning health and planetary sustainability can reduce early-death risk by ~30%—is both hope and challenge. It asks: what kind of legacy do I want to leave? What respects my body, honors the earth, and reflects the life I’ve lived?
Invitation to you
If you’re reading this: take it not as a prescription but as a possibility. What one small shift could you make this week that honors your own health and the world around you? Maybe it’s choosing one more plant-based meal, maybe it’s cutting down on processed snacks, maybe it’s sharing a simple home-cooked dish with someone.
Let’s see these choices not as burdens, but as expressions of care—for ourselves, for our communities, for our planet. Because the science is saying: what’s good for one can be good for the whole.
Thank you All for reading this reflection.

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