- All vegetables — no restrictions; aim for variety and color
- Leafy greens: spinach, arugula, kale, Swiss chard
- Tomatoes, eggplant, zucchini, bell peppers, artichokes
- Lentils, chickpeas, white beans, fava beans, black-eyed peas
- Garlic and onions at every opportunity
- Whole wheat bread, pita, and pasta (not white/refined)
- Farro, bulgur, barley, freekeh
- Brown or wild rice, quinoa
- Oats (steel-cut or rolled)
- Salmon, sardines, mackerel, anchovies — highest omega-3 content
- Cod, halibut, tilapia, shrimp — good rotation options
- Canned fish counts: sardines in olive oil, wild-caught tuna
- Aim for at least 2–3 servings per week
- Extra virgin olive oil — primary cooking and finishing fat
- Walnuts, almonds, pistachios, pine nuts
- Avocado
- Fresh and dried fruit for sweetness (figs, dates, grapes, citrus, berries)
- Greek yogurt and plain yogurt — daily is fine
- Feta, Parmesan, pecorino in moderate amounts as flavor
- Eggs — up to 1 per day or several per week
- Chicken and turkey — a few times a week is fine
- Red meat: beef, pork, lamb — a few times a month, not daily
- Processed meat (deli, sausage, hot dogs) — rarely or not at all
- White bread, white pasta, white rice — swap for whole grain versions
- Pastries, cookies, and sweetened cereals
- Added sugar and sweetened drinks: soda, juice, flavored coffee drinks
- Sweetened yogurt — use plain yogurt with fresh fruit instead
- Butter and cream — occasional use, not a daily staple
- Industrial seed oils: corn, soy, canola, sunflower — replace with olive oil
- Fried foods, fast food, packaged snack foods
- If you drink, red wine in moderation — up to 3 glasses per week, with food
- Non-drinkers have no reason to start — the research doesn't support it
The pattern matters more than any single food. A meal of grilled fish, roasted vegetables, lentils, and olive oil is Mediterranean. A plate of "gluten-free" processed snacks is not.