Fact check: the “Nezam El-Tayebat” nutrition system
The nutrition system “نظام الطيبات” (Nezam El-Tayebat, “the system of good things”) of the Egyptian physician Dr. Diaa Elawady circulates through videos and websites, including in Germany and Europe. This site examines its statements scientifically: fairly, with verifiable sources and with clearly marked uncertainties.
Important safety note: in his videos, Dr. Elawady advises, among other things, stopping insulin, and he denies that type 1 diabetes exists. He proposes treating diabetic ketoacidosis with cortisone and fasting instead of insulin. These statements contradict established evidence and can be life-threatening. Never stop insulin, other medication or cancer treatment without consulting your doctor. In an emergency call your local emergency number (e.g. 112 in the EU, 123 in Egypt, 911 in North America).
What is نظام الطيبات?
The system divides foods into “good” (طيبات) and “bad” (خبائث). According to the archive eltayebat.com, it rests on two pillars: avoiding harmful “inputs” and fasting. The body was created healthy and can heal itself if it is not burdened.
- Forbidden are, among other things, white flour and baked goods, fresh milk, yogurt and white cheese, eggs, chicken and other poultry, farmed fish, legumes, almost all leafy greens and salads, cucumbers, melons and watermelons, soft drinks and all acid-blocking medicines.
- Allowed are, among other things, rice, potatoes, freekeh and corn, red meat in limited amounts, offal, wild sea fish, butter, ghee, aged cheese, olive oil, many fruits, honey, chocolate and sweets.
- There are also rules on eating behaviour: long daily fasting periods, often only one meal, “one dish per meal”, eating only when hungry and drinking only when thirsty.
Dr. Elawady (د. ضياء العوضي) was a consultant in anaesthesia and intensive care. He died in April 2026. His work continues to be spread by the archive eltayebat.com and by unofficial fan sites, among others. More context under About the project.
Why a scientific fact check?
The system's archive cites 339 scientific studies. That looks convincing. But a study is not automatically proof of the conclusion it is cited for. We therefore checked each of these studies: does it really exist? What did it examine? What did it find? And does that support the statement it is cited for?
We also examined what Dr. Elawady himself said in his videos. This sometimes differs markedly from the archive's texts. And because many warnings concern “industrial” foods, we checked which rules and monitoring data apply in different countries – in depth for the EU/Germany and Egypt, in less depth for further countries.
Key findings
- Some things are right – and we say so clearly. Sugar-sweetened soft drinks increase the risk of type 2 diabetes and weight gain. Ultra-processed foods led to overeating in a randomised trial. Raw kidney beans are toxic. Fava beans can trigger dangerous anaemia in G6PD deficiency – a common problem in Egypt. Beta-carotene supplements increase the risk of lung cancer in smokers. Many dietary supplements do not benefit well-nourished adults. Chemotherapy and radiotherapy have serious, well-documented late effects. Acid blockers are often prescribed without a clear reason.
- The archive's studies really exist. All 339 can be found in PubMed or Crossref, and none has been retracted. The figures are mostly quoted correctly. For 8 studies, however, the PMID given was wrong.
- The problem usually lies in the conclusion. Associations from observational studies are often presented as proven causes. Measurements from contamination incidents, mining areas or other countries are generalised. Studies that contradict the system – some from its own bibliography – are not mentioned. In some cases, the cited study says something different from the archive.
- The blanket bans are mostly not supported. We found no sound evidence for avoiding all legumes, almost all vegetables, all eggs, or yogurt while allowing cream and ghee. For fibre, legumes and vegetables, the overall evidence rather points to a benefit.
- The most dangerous statements come from the videos. They include stopping insulin, denying type 1 diabetes, treating ketoacidosis without insulin, avoiding antibiotics and cancer treatment, and banning all acid blockers. We rate these statements as false and add safety notes.
- No restriction to Egypt. Dr. Elawady did not limit his warnings to Egyptian production conditions. He said explicitly that village chicken and broiler chicken are “no different”. Production arguments such as antibiotics, feed and hormones are additional arguments, not the reason for the bans.
All assessments are provisional and have not yet been reviewed by external experts.
Distribution of provisional verdicts
- True 21
- Mostly true 65
- Potentially true 39
- Unclear / insufficient evidence 30
- Potentially false 23
- Mostly false 92
- False 41
Particularly relevant claims
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People with diabetes can stop insulin and diabetes medication by following the Tayebat system ('zero medicine'), as shown by followers who stopped insulin and are 'perfectly fine'.
Diabetes, insulin resistance and obesityMedicines and medical proceduresThe whole system and healing claimsVideo transcript (own words)C-INS-10Stopping insulin on one's own is dangerous; any reduction belongs under medical supervision.
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Diabetic ketoacidosis (DKA) does not kill anyone; it should be treated with corticosteroids and complete fasting from food and drink for days, without insulin and without intravenous fluids; giving insulin in this situation is 'the black disaster'.
Diabetes, insulin resistance and obesityMedicines and medical proceduresVideo transcript (own words)C-INS-08DKA is deadly without treatment; insulin and fluids save lives, cortisone and dry fasting do not.
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There is no such thing as type 1 diabetes; 'type 1' is a state of high sugar seen mainly in athletes with high needs; type 1 patients do not develop complications; insulin before puberty is a catastrophe (short stature, thyroid problems, cysts).
Diabetes, insulin resistance and obesityVideo transcript (own words)C-INS-07Type 1 diabetes exists, is fatal without insulin, and insulin is essential at every age.
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Cancer patients should not take chemotherapy, radiotherapy or biological therapy (or should stop them) and follow the Tayebat system instead; 'we are against the word medicine'.
CancerMedicines and medical proceduresVideo transcript (own words)C-CHM-12Advice to avoid or stop chemotherapy and radiotherapy for a diet contradicts strong evidence and can be life-threatening.
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Antibiotics should not be used as a treatment at all; nobody should take an antibiotic for any reason (not even after a tooth extraction); the body can cope on its own.
Medicines and medical proceduresVideo transcript (own words)C-ABX-12False and potentially dangerous: antibiotics save lives in serious bacterial infections.
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Fava bean ingestion triggers acute haemolytic anaemia (favism) in people with G6PD deficiency, which is the most common human enzyme defect and is frequent around the Mediterranean, the Middle East and Egypt.
LegumesArchive editorsC-LEG-03Favism is real and relevant in Egypt, but it affects only people with G6PD deficiency.
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Beta-carotene supplements (with or without vitamin A) increased lung cancer and mortality in smokers and asbestos-exposed workers (CARET, ATBC), and the USPSTF recommends against them.
CancerMedicines and medical proceduresArchive editorsC-SUP-02True: beta-carotene pills increased lung cancer in smokers.
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Regular consumption of sugar-sweetened soft drinks increases the risk of type 2 diabetes (and metabolic syndrome); one to two cans per day raise type 2 diabetes risk by about 26%, and each daily serving by about 18%.
Sugar, honey and soft drinksDiabetes, insulin resistance and obesityArchive editorsC-SOD-01Daily sugary soft drinks are consistently linked to a higher risk of type 2 diabetes; the archive's figures are accurate, its causal wording slightly overstated.
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Ultra-processed foods drive overeating and weight gain: in an NIH randomized trial, people ate about 500 kcal more per day and gained 0.9 kg in two weeks on an ultra-processed diet.
Processing and additivesDiabetes, insulin resistance and obesityArchive editorsC-UPF-02Trials support that UPF diets lead to higher calorie intake and less weight loss; the evidence is short-term.
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Thyroid cancer diagnoses tripled (US 1975-2009) while mortality stayed flat — an epidemic of diagnosis (overdiagnosis), driving avoidable thyroid surgery.
Medicines and medical proceduresCancerArchive editorsC-ORG-14Correct: thyroid cancer overdiagnosis is well documented.
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Chicken is forbidden because it is harmful in itself, not because of how it is raised (it is 'the pig of birds'); its fibres and waste products are hard to digest.
Poultry and feedVideo transcript (own words)C-CHK-01Evidence does not support the claim that chicken is intrinsically harmful.
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Eating eggs causes snoring, sinusitis and nightmares in (practically) everyone who eats them, and stopping eggs and chicken relieves headaches.
Eggs and cholesterolSleep, exercise and lifestyleAutoimmunity and inflammationVideo transcript (own words)C-EGG-01Eggs can cause symptoms in people with egg allergy, but there is no evidence that eggs cause snoring, sinusitis or nightmares in general.
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Refined white flour turns into a sticky glue-like paste in the stomach, sticks to the stomach wall, impairs stomach contractions and thereby causes reflux and indigestion, whereas whole-grain flour does not stick and is digested easily.
White flour, whole grain and glutenRice, potatoes and grainsArchive quote (no location given)C-WHT-01The 'glue in the stomach' mechanism is not supported by evidence and contradicts basic digestive physiology.
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Humans, having a single stomach, cannot digest the cellulose in vegetables (unlike ruminants), so greens and legumes cause gas and bloating and are food made for animals, not for humans.
Leafy greens and cucurbitsGut and microbiomeArchive quote (no location given)C-VEG-01Correct premise, wrong conclusion: indigestible fibre is beneficial, not a sign that vegetables are animal food.
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Because of favism (and the other narrow risks), legumes should be excluded from everyone's diet.
LegumesThe whole system and healing claimsArchive editorsC-LEG-04Risks of specific groups do not justify banning legumes for everyone.
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Blood contains no fat (everything in plasma is water-soluble), so it is impossible for arteries to be blocked by fat.
Oils, butter and gheeVideo transcript (own words)C-FAT-02Blood carries fat in lipoproteins, and LDL cholesterol is a proven cause of artery disease; the claim is false.
Food safety worldwide
Do the warnings about “industrial” food apply equally everywhere? No: rules on pesticides, veterinary drugs, hormones or drinking water differ from country to country, and how much of this is checked and published differs even more. You can choose the country where you buy your food, independently of the language. Every claim page then shows which rules and checked data apply there. All countries can be selected, but evaluated profiles exist for only some of them so far. Where we found no robust sources, we say so explicitly instead of inventing an assessment.
The case study EU/Germany – Egypt has been evaluated in depth. It shows that methodologically comparable data exist almost only for fruit and vegetables exported from Egypt to the EU; for the animal foods Dr. Elawady warned about, they are missing. The EU also has problems, for example with dioxins and PFAS.
Go to countries & regions Compare countries Go to “Food safety worldwide”
Transparent method
- Sources saved: the archive's rule pages and food list, 307 video transcripts, unofficial third-party sites.
- Every study verified via PubMed or Crossref, complemented by independent reviews, guidelines and official reports.
- Source status disclosed: own words (transcript), archive quote, archive editors or third-party site.
- Two separate ratings: a verdict on a seven-point scale and the certainty of evidence following GRADE logic. Studies are assessed in several dimensions, explained at three levels and assigned to each statement: for, against or mixed.
- Transparent limits: mostly only abstracts checked, assessment tools applied for orientation only, research supported by AI, no external review yet.