Skip to main content

Want to renew healthy eating habits? Greek monks have a spring playbook

TRIKORFO, Greece (AP) — Can a centuries-old ritual of spiritual renewal rekindle a New Year’s resolution to build healthy eating habits before it fades in the spring?

For six weeks every year, millions of Orthodox Christians around the world adopt a largely vegan diet, abstaining from meat, dairy products, eggs, and fish with backbones. Oil and wine also are prohibited on weekdays during the 40-day Lenten period before Orthodox Easter, which often falls later than its Catholic and Anglican counterpart.

The annual adherence to a plant-based, Mediterranean-style meal plan drives a communal rediscovery of vegetables and oil-free cooking methods in majority-Orthodox countries.

In Greece, even McDonald’s franchises get into the lean Lent spirit by adding seasonal menu items that meet most of the proscriptions of the Greek Orthodox Church. The menu includes shrimp wraps, shrimp salad, vegetable spring rolls and plant-based McVeggie burgers but is not oil-free.

Although following Eastern Orthodox dietary guidelines before Easter is often referred to as fasting, the focus is on going without certain foods, not refraining from eating altogether. The rules are not rigid but can be adapted to account for personal needs.

Here’s a look at the annual alimentary tradition, along with reasons to consider sticking with a similar diet and cautionary advice from nutritionists.

Different dates, different traditions

Christian traditions diverge between East and West ahead of Easter, and not just in their methods for determining the most important date on their calendars. Catholics are encouraged to give up one or more personal indulgences during Lent but get to decide whether to deny themselves dessert, alcohol, video games, swearing or something else. Members of the Orthodox Church forgo animal products except for shellfish.

Gone are Greeks’ beloved dishes like mousaka and souvlakia — grilled meat wrapped with toppings. So are dairy products like milk and cheese. Vertebrate fish like anchovies, mullet and hake are no-nos too, although shrimp, oysters and calamari are permitted.

On a lush coastal hillside in central Greece, 40 monks closely follow these rules at the Monastery of St. Augustine and Seraphim. The monks, who wear black robes and full beards, grow and harvest most of their own produce in the monastery’s gardens, including an abudance of zucchini and tomatoes.

Their meals during Lent are basic but not bland. The monks have mastered methods to replicate familiar tastes and textures. Oven-roasted potatoes are coated with tahini instead of oil to preserve the crunch factor. Vegetable stock prepared from scratch gives lentil dishes a hearty flavor.

The monks listen to prayers read aloud as they eat.

Mind over meals

Father Nektarios Moulatsiotis, the monastery’s affable abbot, says the practice of fasting and following a restricted diet is essential for deep reflection and focus required for the spiritual preparation for Easter. He compares it to endurance training.

“In the same way someone goes to the gym to shape their body,” Nektarios said, “the church is a gym for the soul.”

Occasional hunger pangs aren’t something to resist; they are part of the plan. The idea is simple: less indulgence, more clarity.

“You cannot really pray, study, chant or do any spiritual exercise with a full stomach,” he said with a chuckle.

Nektarios argues that a nutritious yet disciplined diet can produce benefits that apply outside of a religious setting as much as inside of one, such as a sense of greater self-control and enhanced awareness.

The science of a 6-week reset

Orthodox monks observe several fasting periods that limit what, when and how much they eat for most of the year. Researchers have studied their health and food intake for decades to determine if their customs hold any clues to preventing heart disease, type 2 diabetes and strokes.

However, the advantages of eating a balanced diet that includes whole grains, vegetables, fruits and legumes are well-established. Reduce consumption of meat, saturated fats and processed foods long enough, and the body typically responds.

“Fasting certainly has benefits, provided it’s done correctly,” Eirini Babaroutsi, a sports nutritionist at the Hellenic Athletics Federation, said. For example, Orthodox Christians tend to eat more fiber during Lent, which helps the digestive system function better, she said.

“It also matters what we do eat, not simply what we avoid,” Babaroutsi said. “With the right combinations, we can get all the nutrients we need.”

Meals that meet the guidelines aren’t confined to the ingredients found in Orthodox-majority countries in Southern and Eastern Europe. Babaroutsi suggests porridge with oat milk, vegetable wraps with olive paste, and high-quality peanut butter as helpful international additions.

Luckily, one size doesn’t fit all

There are a few considerations.

A six-week fasting cycle is not advisable for older adults and young children, Babaroutsi said. The Eastern Orthodox church also exempts people with serious health conditions, special dietary requirements, and pregnant or nursing women from strict obedience.

Engaging in a post-Lent binge as a reward also is best avoided because loading up after a period of abstinence can strain the body, Babaroutsi said.

For those wary of making a full commitment, know that you’re not alone. Orthodox Lent started on Feb. 23, but many Greeks participate only during Holy Week, which starts on April 5, Palm Sunday, and goes until April 11, the day before Orthodox Christians celebrate Easter this year.

Supermarkets and bakeries in Greece make it easier to abide by stocking fast, family-friendly meals and an assortment of seasonal goods.

These include jars of pickles and olives, bags of chickpeas and other pulses, squid sliced into rings in freezer cases, the creamy pink fish roe known as taramosalata, and slabs of unleavened bread shaped like small surfboards.

In central Athens, at the slippery-floored central fish market, vendors call out over piles of Lent-compliant clams, octopus and mussels, shoveling seafood into paper cones.

Gerasimos Mantalvanos, the market’s general manager, said many customers tend to overindulge when Easter Sunday’s traditional lamb dishes and sweets arrive. For most, a spirit of moderation eventually returns, he said.

“It is good for eating habits to change from time to time during the year,” Mantalvanos said. “So a period of fasting, a little fish and some abstinence from meat, I think these are good for the body. It is a kind of small detox, a little break.”

–––

AP photographer Thanassis Stavrakis and videojournalist Srdjan Nedeljkovic contributed.

When you have advanced prostate cancer: What living with the disease looks like

(CNN) — “How long do I have to live ?”When I tell a patient he has prostate cancer, this is usually what he asks me first.With early-stage or low-grade prostate cancer, I can offer strong reassurance: Your life expectancy is good — expect a five-year relative survival rate of greater than 99% with treatment. Simply put, most men will not die from low-grade prostate cancer.However, once the cancer has spread outside the prostate to the bones and other organs the answer becomes more difficult. Treatment has changed dramatically over the past decade for advanced prostate cancer. New drugs, better imaging and the earlier use of combined therapies are helping men live longer.In a video released July 15, former President Joe Biden gave an update on his prostate cancer, saying he was receiving treatments that have been going well. In May 2025, Biden officially announced that he had an aggressive form of prostate cancer that had spread to his bones. Since then, based on official updates, he has continued hormone therapy, completed a course of radiation and maintained a public presence.His diagnosis brought renewed attention to prostate cancer screening and treatment. Now, more than a year later, his cancer journey offers an opportunity to examine what has changed in the treatment of advanced prostate cancer — and the hope these offer men living with the disease.I recently saw a patient who was diagnosed three years ago with cancer that had already spread to multiple areas in his bones. Since then, he has taken cruises, traveled with his family and spent weekends babysitting his grandchildren.He gets tired and cannot garden the way he once did. But he is still alive and considers every day a blessing. His experience, and what we see with Biden, shows what living with metastatic prostate cancer can look like today.Understanding survival ratesIf they haven’t asked their doctor already, many patients go online and find five-year survival rates, but every number they may find online comes with a huge asterisk.The American Cancer Society reports five-year relative survival of greater than 99% when prostate cancer is found in or near the prostate. The figure drops to 38% when it has reached distant parts of the body.But that number is based on large groups of men treated years ago. It does not fully reflect the impact of newer treatments — or account for an individual man’s age, overall health and response to therapy.Survival statistics describe groups of patients but do not predict what will happen to one person. That is why the 38% figure cannot tell us how long Biden — or any individual patient — will live. These patients’ outlook depends on details of their cancer and how they are responding to treatments.It’s treated more aggressively nowA man diagnosed with metastatic prostate cancer a decade ago and a man diagnosed today would not receive the same treatment. The thinking now is to use our best treatments early instead of holding back.For years, doctors began with hormone therapy — usually injections that lower testosterone — and saved other treatments until the cancer stopped responding.Today, those injections are often combined from the start with a newer hormone-blocking drug and/or chemotherapy. These combinations have helped men live longer and are one of the biggest shifts of the past decade.What Biden’s diagnosis told usThere are three details about Biden’s cancer that help doctors like me understand how aggressive it is and how to manage it effectively. Official statements highlighted that his cancer had a Gleason score of 9. The cancer had spread to his bones, and it was labeled as hormone-sensitive.The Gleason score is assigned after a pathologist examines biopsy samples. Scores typically range from 6 to 10, with higher numbers indicating more aggressive cancer. A score of 9 falls into the most aggressive category. However, the score alone cannot tell us whether the cancer has spread outside the prostate.When prostate cancer spreads, the most common destination is the bones — particularly the spine, pelvis and ribs. It can also reach organs such as the lungs or liver. Once it has reached distant parts of the body, it is generally not curable, but treatment can put a brake on it for years.Prostate cancer can also be hormone-sensitive or hormone-resistant. Because it typically relies on testosterone to grow, lowering the hormone or blocking its effects can help control the cancer. Hormone-sensitive means it still responds to these treatments.Over time, most advanced or metastatic prostate cancers find ways to grow despite low testosterone levels, which mean they are now hormone-resistant. Lowering testosterone alone is no longer enough to control the cancer, so doctors have to turn to additional therapies.Knowing if the cancer has spreadThe most sensitive imaging test available today is a PSMA PET scan. It uses a radioactive tracer that seeks out a protein found on the surface of prostate cancer cells. Areas containing cancer may appear as bright spots, helping identify where the cancer has spread. The American Urological Association supports using this imaging test to determine whether high-risk prostate cancer has spread and to help establish its stage.A traditional bone scan, used for decades, highlights areas where bone is reacting to injury or disease. It remains an alternative imaging option, but PSMA PET is increasingly replacing its use.What areas light up and where matter when deciding on treatments. A single spot in the spine and cancer that has spread to the liver are both called stage 4, but they are not the same disease and may not be treated the same way.Doctors also consider how much cancer has spread. We label it as “low-volume” disease when the cancer has reached a limited number of areas. High volume is when the spread is more widespread or has reached other organs such as the liver or lungs.Both require treatment that works throughout the body. Treatment for metastatic disease generally includes therapy that works throughout the body. For men with low-volume disease, adding radiation to the prostate may also help them live longer.Biden has completed a course of radiation, but his team has not disclosed what area was treated or enough detail to determine whether his cancer would be considered low- or high-volume.Treatment has become more preciseBeyond starting more treatments earlier, doctors can increasingly tailor therapy to the biology of an individual man’s cancer. We can now test both the tumor and a patient’s own DNA for mutations that help guide treatment.Roughly 1 in 10 men with metastatic prostate cancer carries an inherited mutation affecting the body’s ability to repair DNA. The best known are BRCA1 and BRCA2, the same genes linked to some breast and ovarian cancers.Certain mutations found in the tumor or inherited DNA may make targeted drugs called PARP inhibitors an option. If a mutation is inherited, it also gives family members information they can act on through genetic counseling, testing and earlier screening.Another advance is radioligand therapy. If a scan shows that cancer cells carry a protein called PSMA, doctors can attach radiation to a molecule that seeks out that protein. Delivered through an IV, it targets cancer cells throughout the body. This approach was expanded last year to more men whose cancer had become hormone resistant.Living longer can come with costsEvery treatment can cause side effects. With hormone therapy, one of the first is often hot flashes, similar to what women experience during menopause. These are not dangerous, but they can affect a man’s quality of life.Fatigue is also common. Testosterone helps maintain muscle, so lowering it can reduce strength and energy. Regular walking and resistance training can help preserve muscle and reduce fatigue.The side effect almost no one talks about is loss of sex drive or low libido. At diagnosis, most men are thinking about staying alive, not their libido. But months later, it often matters. It is worth discussing with your care team and your partner rather than assuming it is simply the price of treatment.The side effect I worry about most is weaker bones. Low testosterone reduces bone density, while cancer deposits can weaken the bone’s structure. Follow-up care should include exercise, a bone-density scan, and ensuring adequate levels of calcium and vitamin D. For men with hormone-resistant cancer that has spread to bone, bone-protecting drugs can reduce the risk of fractures and other complications.New or worsening back pain, especially with leg weakness, numbness or trouble controlling the bladder or bowels? These could mean the cancer is pressing on the spinal cord. It is a true medical emergency that requires immediate attention.Cancer care requires a team approachIdeally, several doctors work together to coordinate a patient’s care. The urologist is often the starting point. A medical oncologist manages treatments that work throughout the body, while a radiation oncologist targets specific areas, whether that is the prostate itself or a painful bone lesion. The primary care doctor helps protect the patient’s heart and bones and looks after the person’s overall health.A man’s age, other medical conditions, ability to tolerate side effects and goals for treatment all shape treatment plans. Two men with nearly identical test results may be offered — or choose — different paths based on their health and priorities.Good communication among doctors is essential, but gaps can happen. Being your own advocate means knowing who is on your care team, asking questions and understanding your options.I also recommend bringing someone you trust to important visits for support and to take notes and help you remember what was discussed.More treatments, better testing offer hopeFor men worried about prostate cancer, talk with your health care provider about the benefits and risks of PSA testing. Black men and those with a strong family history should begin that conversation in their 40s. New urinary symptoms are often not cancer, but they still deserve attention, as does blood in the urine or semen, unexplained weight loss and/or persistent back or bone pain.For men living with advanced prostate cancer, there is reason for hope. There are more treatments and better testing than there were a decade ago, and good care pays attention to how a man feels, not just to what his scans show.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.
Read Next Story