A healthy, nutrient-rich diet supports long-term brain and eye health and may help lower the risk of serious conditions like Alzheimer’s disease and other dementias, as well as vision disorders such as macular degeneration and glaucoma.
One eating pattern often highlighted for these benefits is the Mediterranean-style diet. Research links consistent adherence to this approach with lower overall mortality, reduced deaths from cardiovascular disease and cancer, and a decreased likelihood of developing chronic, degenerative illnesses.1
Studies suggest this approach to eating may reduce the risk of advanced age-related macular degeneration (AMD) by as much as 39%. Researchers believe the benefit comes from the diet’s anti-inflammatory and antioxidant nutrients, which help protect the retina from damage.2
In addition, a large study of roughly 60,000 adults ages 40-69, published in BMC Medicine, reported a meaningful link between Mediterranean-diet adherence and dementia risk. Participants who followed the diet most closely had a 23% lower risk of developing dementia than those with the lowest adherence, regardless of genetic predisposition.3
What the Traditional Mediterranean Diet Includes
The traditional Mediterranean diet is characterized by:
- High consumption of extra virgin olive oil, vegetables, whole grains (cereals), fruits, legumes, and nuts
- Low intake of dairy products, poultry, meat, and meat products, and sweets
- Red wine in moderation, typically consumed with meals
- Moderate intake of fish and seafood
Cardiac Risk
A 2021 clinical trial found that people who followed a traditional Mediterranean diet most closely were less likely to experience sudden cardiac death compared with those whose eating habits least resembled this pattern.4
This landmark trial found that a Mediterranean-style diet supplemented with extra-virgin olive oil lowered the risk of major cardiovascular events, including heart attack, stroke, and cardiovascular death, by 31%.5
The Mediterranean eating pattern is generally characterized by minimal red meat, frequent fish and seafood, modest amounts of dairy, and extra-virgin olive oil as the primary daily source of fat.6
People who closely follow a Mediterranean-style diet typically consume more omega-3 polyunsaturated fats (PUFAs) and monounsaturated fats (MUFAs), while keeping omega-6 fats relatively lower (often linked with diets high in refined carbohydrates). This pattern also tends to produce a higher ratio of monounsaturated to saturated fats (SFAs).7
Of all the diets reviewed, the Mediterranean diet is clearly the winner for achieving longevity and heart health.
Extra Virgin Olive Oil
Rather than butter or margarine (avoid margarine), extra virgin olive oil is a staple of the Mediterranean diet. Studies suggest it can:
- Improve lipid profiles, including decreasing LDL (“bad”) and increasing HDL (“good”) cholesterol8
- Lower post-meal glucose levels9
- Help reduce chronic inflammation and oxidative stress, key drivers behind many chronic conditions, including Alzheimer’s disease, heart disease, type 2 diabetes, arthritis, metabolic syndrome, and certain cancers.10
- Oleic acid, the main fatty acid in olive oil, may help lower inflammation markers such as C-reactive protein (CRP).11
- Reduce blood clot formation12
- Reduce high blood pressure13
- Aid in preventing breast cancer14
- Help prevent arrhythmias15
- Fight damaging oxidative stress16
- Lower heart attack and stroke risk, in part by lowering inflammation and raising HDL cholesterol levels.17
- Help lower the risk of Alzheimer’s disease and cognitive decline, potentially by decreasing beta-amyloid plaque buildup, neuroinflammation, and oxidative stress.18
- Lower risk of liver disease19
- Reduce risk of depression20
- Help support rheumatoid arthritis management. A 2023 study linked olive oil intake with lower inflammatory markers and reduced disease severity in people with rheumatoid arthritis, especially among those with more severe disease activity.21
- Reduce the risk of ulcerative colitis and inflammatory bowel disease.22
- Be a better choice for cooking than many common vegetable oils. It is rich in monounsaturated fat, which is generally more heat-stable and less likely to break down into harmful compounds at higher temperatures than oils with lower heat tolerance.23
Vision Health
The Mediterranean diet supports eye health by reducing the risk of age-related macular degeneration (AMD), cataracts, and dry eye syndrome. This diet is rich in antioxidants, healthy fats, and nutrients that help protect against oxidative stress that can damage the retina.24
In one study (Merle et al., using data from the Rotterdam and ALIENOR studies), greater adherence to the Mediterranean diet pattern was associated with a 41% lower risk of developing advanced AMD compared to low adherence, including a reduced risk of geographic atrophy.25
In the study by Hogg et al., researchers found that higher adherence to the Mediterranean diet decreased the odds of developing the neovascular form of AMD by 48%. Patients with higher Mediterranean Diet Scores were also 20% less likely to have large drusen in the retina than those with low scores.26
Components for Eye Health
- Leafy greens and colorful vegetables contain lutein and zeaxanthin, which help protect the retina by acting as antioxidants and filtering UV and blue light.
- Essential fatty acids (omega-3): found in fatty fish such as salmon, sardines, and mackerel. Omega-3 fatty acids may help reduce dry eye symptoms and inflammation.
- Olive oil: the primary fat source, providing antioxidants and healthy monounsaturated fats.
- Nuts, seeds, and legumes: provide zinc and vitamin E, which support ocular health. Omega-3 PUFAs have demonstrated antithrombotic activity and can inhibit neovascularization in patients with wet AMD and diabetic retinopathy. Saturated fatty acids (SFAs), on the other hand, may increase oxidative stress in retinal pigment epithelium (RPE), which can ultimately contribute to vision loss.27
Other Healthy Lifestyle Choices
- Wear sunglasses when outdoors
- Limit screen time when possible
- Stay physically active
- Include foods such as vitamin E-rich almonds and vitamin A-packed sweet potatoes
- Do not smoke. Smokers have a higher risk of AMD progression.
Supplementation
Supplementation with nutrients such as lutein, zeaxanthin, vitamins C and E, and zinc has been shown to significantly reduce the risk of AMD progression.28
Suggested Supplements to Consider
Dr. Grossman’s Complete Eye Formula 2oz (oral spray)
Dr. Grossman’s Meso Plus Formula with Astaxanthin – 90 vcaps (3-month supply)
Advanced Eye & Vision Support Formula (whole food) 60 vcaps
ReVision Formula (wild-crafted herbal formula) 2 oz – based on classic Chinese medicine Liver tonic formula to help support healthy circulation and blood flow throughout the eyes and body.
Dr. Grossman’s Blood Vessel Control Formula 2oz – helps reduce the risk of unwanted blood vessel growth, supports healthy circulation, reduces inflammation, and more.
Dr. Grossman’s Bilberry/Ginkgo Combination 2oz (60ml) – helps support healthy circulation, and strengthens blood vessels and capillaries.
Dr. Grossman’s Whole Food Organic Superfood Multi-Vitamin 120 Vcaps – whole food, organic, GMO-free multivitamin.
H2 Elite Molecular Hydrogen 60 tabs
NMN Wonderfeel Capsul 60 vegcaps – helps protect ganglion cells in the retina and optic nerves from damage, reduces inflammation, supports the immune system.
Supplement Packages
AMD Package 1 (3-month supply)
Brain and Memory Support Package 1
Recommended Books
Natural Eye Care: Your Guide to Healthy Vision and Healing
Natural Parkinson’s Support: Your Guide to Preventing and Managing Parkinson’s
- Sofi F, Abbate R, Gensini GF, Casini A. Accruing evidence on benefits of adherence to the Mediterranean diet on health: an updated systematic review and meta-analysis. Am J Clin Nutr. 2010;92(5):1189-1196. doi:10.3945/ajcn.2010.29673 ↩
- Merle BM, Silver RE, Rosner B, Seddon JM. Adherence to a Mediterranean diet, genetic susceptibility, and progression to advanced macular degeneration: a prospective cohort study. Am J Clin Nutr. 2015 Nov;102(5):1196-206. doi: 10.3945/ajcn.115.111047. Epub 2015 Oct 21. PMID: 26490493; PMCID: PMC4625588. ↩
- Lourida I, Hannon E, Littlejohns TJ, et al. Mediterranean diet adherence is associated with lower dementia risk, independent of genetic predisposition: findings from the UK Biobank prospective cohort study. BMC Med. 2023;21:xx. ↩
- Shikany JM, Safford MM, Soroka O, et al. Mediterranean Diet Score, Dietary Patterns, and Risk of Sudden Cardiac Death in the REGARDS Study. J Am Heart Assoc. 2021;10(13):e019158. ↩
- Estruch R, Ros E, Salas-Salvado J, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet Supplemented with Extra-Virgin Olive Oil or Nuts. N Engl J Med. 2018;378: e34. PubMed. ↩
- Carneiro A, Andrade JP. Nutritional and lifestyle interventions for age-related macular degeneration: a review. Oxid Med Cell Longev. 2017;2017:6469138. doi:10.1155/2017/6469138 ↩
- Hogg R, Woodside JV, McGrath A, et al. Mediterranean diet score and its association with age-related macular degeneration. Ophthalmology. 2017;124(1):82-89. doi:10.1016/j.ophtha.2016.09.019 ↩
- Samieri C, Sun Q, Townsend MK, et al. The association between dietary patterns at midlife and health in aging: an observational study. Ann Intern Med. 2013;159(9):584-591 ↩
- Davis C, Bryan J, Hodgson J, et al. Definition of the Mediterranean Diet: a literature review. Nutrients. 2015;7(11):9139-9153 ↩
- Santa-Maria C, Lopez-Enriquez S, Montserrat-de la Paz S, et al. Update on Anti-Inflammatory Molecular Mechanisms Induced by Oleic Acid. Nutrients. 2023;15(1):224. doi:10.3390/nu15010224 ↩
- Wang Q, Liu R, Chang M, Zhang H, Jin Q, Wang X. Dietary oleic acid supplementation and blood inflammatory markers: a systematic review and meta-analysis of randomized controlled trials. Crit Rev Food Sci Nutr. 2022;62(9):2508-2525. doi: 10.1080/10408398.2020.1854673. Epub 2020 Dec 11. PMID: 33305589. ↩
- Ruano J, Lopez-Miranda J, de la Torre R, et al. Intake of phenol-rich virgin olive oil improves the postprandial prothrombotic profile in hypercholesterolemic patients. Am J Clin Nutr. 2007;86(2):341-346 ↩
- Kontogianni MD, Panagiotakos DB, Chrysohoou C, et al. The impact of olive oil consumption pattern on the risk of acute coronary syndromes: the CARDIO2000 case-control study. Clin Cardiol. 2007;30(3):125-129 ↩
- Sealy N, Hankinson SE, Houghton SC. Olive oil and risk of breast cancer: a systematic review and dose-response meta-analysis of observational studies. Br J Nutr. 2021;125(10):1148-1156 ↩
- Martinez-Gonzalez MA, Toledo E, Aros F, et al. Extravirgin olive oil consumption reduces risk of atrial fibrillation: the PREDIMED trial. Circulation. 2014;130(1):18-26 ↩
- Yazihan N, Akdas S, Olgar Y, et al. Olive oil attenuates oxidative damage by improving mitochondrial functions in human keratinocytes. J Funct Foods. 2020;71:104008 ↩
- Ghobadi S, Hassanzadeh-Rostami Z, Mohammadian F, Nikfetrat A, Ghasemifard N, Raeisi Dehkordi H, Faghih S. Comparison of blood lipid-lowering effects of olive oil and other plant oils: A systematic review and meta-analysis of 27 randomized placebo-controlled clinical trials. Crit Rev Food Sci Nutr. 2019;59(13):2110-2124. doi: 10.1080/10408398.2018.1438349. Epub 2018 Mar 7. PMID: 29420053. ↩
- Alkhalifa AE, Al-Ghraiybah NF, Kaddoumi A. Extra-Virgin Olive Oil in Alzheimer’s Disease: A Comprehensive Review of Cellular, Animal, and Clinical Studies. Int J Mol Sci. 2024 Feb 5;25(3):1914. doi: 10.3390/ijms25031914. PMID: 38339193; PMCID: PMC10856527. ↩
- Pinto X, Fanlo-Maresma M, Corbella E, et al. A Mediterranean Diet Rich in Extra-Virgin Olive Oil Is Associated with a Reduced Prevalence of Nonalcoholic Fatty Liver Disease in Older Individuals at High Cardiovascular Risk. J Nutr. 2019;149(11):1920-1929 ↩
- Li Y, Lv MR, Wei YJ, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. 2017;253:373-382 ↩
- De Vito R, Fiori F, Ferraroni M, Cavalli S, Caporali R, Ingegnoli F, Parpinel M, Edefonti V. Olive Oil and Nuts in Rheumatoid Arthritis Disease Activity. Nutrients. 2023 Feb 15;15(4):963. doi: 10.3390/nu15040963. PMID: 36839323; PMCID: PMC9962234. ↩
- Laino C. Olive Oil May Protect Against Ulcerative Colitis. WebMD. 2010 ↩
- Robertson R, Matysiak S. What Are the Benefits of Monounsaturated Fats? Medically reviewed by Fernando I. Healthline. Updated March 5, 2026. https://www.healthline.com/nutrition/monounsaturated-fats ↩
- Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean diet: a literature review. Nutrients. 2015;7(11):9139-9153. doi:10.3390/nu7115459 ↩
- Hogg R, Woodside JV, McGrath A, et al. Mediterranean diet score and its association with age-related macular degeneration. Ophthalmology. 2017;124(1):82-89. doi:10.1016/j.ophtha.2016.09.019 ↩
- Hogg R, Woodside JV, McGrath A, et al. Mediterranean diet score and its association with age-related macular degeneration. Ophthalmology. 2017;124(1):82-89. doi:10.1016/j.ophtha.2016.09.019 ↩
- Seddon JM, Cote J, Rosner B. Progression of age-related macular degeneration: association with dietary fat, transunsaturated fat, nuts, and fish intake. Arch Ophthalmol. 2003;121(12):1728-1737. doi:10.1001/archopht.121.12.1728 ↩
- Chew EY, Clemons T, Agron E, et al. Long-term effects of vitamins C and E, beta-carotene, and zinc on age-related macular degeneration. Ophthalmology. 2013;120(8):1604-1611.e4. doi:10.1016/j.ophtha.2013.01.021 ↩
