What is it?
The Budwig diet principally consists of a lacto-vegetarian regimen involving fruits and vegetables, whole grains, nuts, and the special Budwig core mixture of freshly ground flaxseed (Linum usitatissimum) and low-fat cottage cheese or quark. According to the Budwig diet, foods should be fresh, preferably organic, and eaten raw whenever possible or only lightly cooked. Refined sugars, meat, fish, hydrogenated and animal fats, distilled alcohol, caffeine, refined flours and grains, preservatives, processed foods, and smoking are prohibited.
In the 1950s, German chemist Johanna Budwig developed a diet featuring a special mixture of polyunsaturated fatty acids derived from flaxseed combined with the sulfhydryl-containing proteins found in cottage cheese or quark 5,6.
Budwig's theory postulates that cancers are caused, among other things, by "inadequate cell maturation and incomplete cell growth" as well as "impaired cellular respiration."
Budwig also hypothesized that industrially processed fats and oils play a critical part in carcinogenesis. The key element of her diet regimen is a special blend of the polyunsaturated fatty acids found in flaxseed and the sulfhydryl-containing proteins found in cottage cheese or quark. This mixture is said to re-establish normal cell growth and restore the normal function of damaged cells by "re-oxygenating" damaged tissues.3,6
Budwig’s theory has its roots in basic research about fatty acids which has since become obsolete 7.
Claims of efficacy
Budwig claimed that her approach yielded a high success rate in treating cancer, although she did not provide any scientific proof to validate her claims.
Today there are numerous websites and blogs promoting this diet. They state that the Budwig diet should be able to successfully reverse most types of cancers. However, the testimonials nearly always include untraceable sources, are inconsistent in quality and contain pitfalls such as short follow-up periods, subjective endpoints, concurrent conventional treatment, etc. and are hence unreliable.
Mechanisms of action
The Budwig diet is a lactovegetarian regimen which includes many nutrients in the form of complex carbohydrates, fibre, vitamins and secondary plant substances.
In part, this diet corresponds to the international guidelines which recommend a long-term regimen of balanced and varied (ovo)-lacto-vegetarian foods. The high content of nutrients, fibre (and thus low amounts of starch) in this sort of diet are very satiating and lower the risk of many diet-related diseases 8.
When compared to these diet guidelines, Budwig’s approach involves a much higher protein density due to the high flaxseed-oil content. Flaxseed oil is an important source of essential long-chain omega-3 fatty acids, the most important of which are alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). To meet their daily needs, adults are advised to ensure that approximately 0.5 % of their daily total protein intake consists of omega-3 fatty acids .
The results of epidemiological studies suggest that a diet with higher amounts of EPA and DHA in comparison to other polyunsaturated fatty acids can lower the risk of cancers of the breast, colon and prostate. This is particularly true of omega-3 fatty acids derived from cold-water fish. One potential mechanism of action under discussion is the reduction of pro-inflammatory lipid metabolites (prostaglandin E2) and NF-κB induced cytokines as well as a reduced activity of growth receptors due to altered membrane lipids. The anabolic and insulin-enhancing effects of EPA and DHA are regarded as mechanisms of action in terms of weight loss and reducing muscle mass 10,11.
One hypothesis for the mechanism of action of flaxseed’s postulated effects is based on the animal model which describes the effects flaxseed has on the expression of epithelial adhesion proteins (such as e-cadherin) 12.
Prevalence of use
No exact data is available about the prevalence of use, although the Budwig diet is especially popular in Europe and the United States.
Costs and expenditures
The costs of pursuing the Budwig diet at home are average or below average, since staples such as meat, fish, sugar, refined flours, processed foods, margarine, butter and alcohol are not permitted. These foods are substituted by organic vegetables, whole-grain products, flaxseed and cottage cheese or quark. The cost of following a Budwig cure at a specialized clinic, however, can run up to several thousand euros.
Video instructions are available online for preparing meals which comply with the Budwig diet 13.
CitationLuc Geeraert, CAM-Cancer Consortium. Budwig diet [online document]. http://www.cam-cancer.org/The-Summaries/Dietary-approaches/Budwig-diet. February 8, 2017.
Assessed as up to date in February 2017 by Barbara Wider.
Fully revised and updated in January 2016 by Markus Horneber.
Assessed as up to date in January 2015 by Barbara Wider.
Assessed as up to date in August 2013 by Barbara Wider.
Summary first published in May 2012 by Luc Geeraert.
- Budwig J. Das Fettsyndrom. Auflage 4A. Freiburg i. B.: Hyperion Verlag; 1996.
- Budwig J. Krebs, ein Fettproblem. Richtige Wahl und Verwendung der Fette. Freiburg i. B.: Hyperion Verlag; 2000.
- Budwig J. Cancer: The Problem and the Solution. Nexus GmbH; 2008.
- Budwig J. Flax oil as a true aid against arthritis, heart, infarction, cancer and other diseases. 3rd Edition. Vancouver: Apple Publishing; 1994.
- Budwig J. The oil protein diet cookbook. Vancouver: Apple Publishing; 1994.
- Budwig J. Cytostatic or cytodynamic treatment of cancer. Hippokrates. 1956;19:605-12.
- Basch E, Bent S, Collins J, Dacey C, Hammerness P, Harrison M, et al. Flax and flaxseed oil (Linum usitatissimum): a review by the Natural Standard Research Collaboration. J Soc Integr Oncol 2007;5(3):92-105.
- World Cancer Research Fund / American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective. Washington DC: AICR, 2007
- The National Center for Complementary and Integrative Health. Omega-3 Fatty Acids: What the Science Says [online document], accessed 8 February 2017.
- Fabian CJ, Kimler BF: Marine-derived omega-3 fatty acids: fishing for clues for cancer prevention. Am Soc Clin Oncol Educ Book 2013;97-101.
- Fabian CJ, Kimler BF, Hursting SD: Omega-3 fatty acids for breast cancer prevention and survivorship. Breast Cancer Res 2015; 17:62.
- Hales KH, Speckman SC, Kurrey NK, Hales DB: Uncovering molecular events associated with the chemosuppressive effects of flaxseed: a microarray analysis of the laying hen model of ovarian cancer. BMC Genomics 2014; 15:709.
- Budwig-videos.com [Website], accessed 8 February 2017.
- Craig WJ. Nutrition concerns and health effects of vegetarian diets. Nutr Clin Pract 2010;25(6):613-20.
- Vegan Society. What Every Vegan Should Know About Vitamin B12 [online document], accessed 8 February 2017.
- Barthet VJ, Bacala R. Development of optimized extraction methodology for cyanogenic glycosides from flaxseed (Linum usitatissimum). J AOAC Int 2010;93(2):478-84.
- Yang QY, Song L, Zhang JF, Shen ZF, Liu Q, Liu SN, Zheng WS, Yao CS. Cyanogenetic glycosides and simple glycosides from the linseed meal.Fitoterapia. 2015 Oct;106:78-83.
- Fremont S, Moneret-Vautrin DA, Franck P, Morisset M, Croizier A, Codreanu F, Kanny G. Prospective study of sensitization and food allergy to flaxseed in 1317 subjects. Eur Ann Allergy Clin Immunol. 2010;42(3):103-11.
- Bechthold A. Food energy density and body weight. A scientific statement from the DGE. Ernahrungs Umschau 2014: 61(1): 2–11. (Online available: DOI 10.4455/eu.2014.002)
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