The Hay Diet is a nutrition method developed by the New York physician William Howard Hay in the 1920s. It claims to work by separating food into three groups: alkaline, acidic, and neutral. (Hay's use of these terms does not completely conform to the scientific use, i.e., the pH of the foods.) Acid foods are not combined with the alkaline ones. Acidic foods are protein rich, such as meat, fish, dairy, etc. Alkaline foods are carbohydrate rich, such as rice, grains and potatoes. It is also known as the food combining diet.
In 1905, Hay seems to have had an episode of acute heart failure following running for a train. As a result he discovered that he had Bright's disease (hypertension with nephritis) with a dilated heart, a condition with a poor prognosis at the time. Hay started looking for ways to improve his condition. He first turned to a vegetarian diet and restricted his eating to once a day in the evening. Then he gave up coffee and a few months later he quit smoking tobacco. After three months of the new regimen his weight had dropped from 225 lbs. to 175 lbs. and he noticed improvements in his health. Motivated by this experience, Hay spent the following decade studying naturopathy, orthopathy and food combining in efforts to reduce as he termed it "the vast quantities of acid waste that result from wrong selection and combination of the daily foods". He claimed that fruits and vegetables produced alkaline 'end-products' when they were metabolized, while processed and refined foods resulted in acidic 'end-products' after digestion. His theories went on to encompass food-combining; stating that incorrect combinations of foods would cause even alkaline foods to leave a less desirable acidic digestion end-product.
"Any carbohydrate foods require alkaline conditions for their complete digestion, so must not be combined with acids of any kind, as sour fruits, because the acid will neutralise. Neither should these be combined with a protein of concentrated sort as these protein foods will excite too much hydrochloric acid during their stomach digestion." - William Hay, How to Always Be Well
The Hay System promoted eating three meals per day with meal one being what the diet considers to be alkaline foods only, meal two composed of what the diet considers to be protein foods with salads, vegetables and fruit, and meal three composed of what the diet considers to be starchy foods with salads, vegetables and sweet fruit; with an interval of 4.0 to 4.5 hours between each meal. The Hay diet was popular in the 1930s and many restaurants offered 'Hay-friendly' menus; followers of his dietary advice, included Henry Ford and Man Ray. In this period Hay was criticized in the Journal of the American Medical Society (JAMA) as a food-faddist and separately for advocating that a patient with type 1 diabetes on the Hay diet should stop taking insulin. In 1935, Stewart Baxter showed that the pancreas secretes digestion enzymes simultaneously regardless of whether the food eaten is carbohydrates or protein, contrary to one of the central propositions of the diet.
Currently, the theory that carbohydrate and protein rich foods should be eaten separately is considered "unfounded" because it ignores the fact that carbohydrate rich foods contain significant amounts of protein. Eating protein separately from carbohydrates also tends to cause the body to burn the protein as an energy source rather than to build muscle. Nevertheless, despite continual criticism over lack of a scientific basis, the Hay diet and its variants, such as the Kensington diet  and the Beverly Hills Diet, remain popular, with actors such as Elizabeth Hurley, Helen Mirren and Catherine Zeta-Jones following food-combining diets.
- Rasso, Jack, Mystical Medical Alternativism, Committee for Skeptical Inquiry, Skeptical Inquirer, September/October 1995. available online
- Hay, William Howard (1932-01-01). Health Via Food.
- William Howard Hay (1932) . Health via Food.
- Needes, Robin, Naturopathy for Self-healing: Nutrition, Life-style, Herbs, Homoeopathy, "Acid Alkaline Balance". available online
- Gilman, Goldwin Smith Professor of Human Studies Sander L.; Gilman, Sander L. (2008-01-23). Diets and Dieting: A Cultural Encyclopedia. Routledge. ISBN 9781135870683.
- Baldwin, Neil, Man Ray: American Artist, p. 170. available online. "Man Ray now wholehaartedly adopted Dr. Hay's taboos, as he had on earlier occasions..."
- "Bureau of Investigation. William Howard Hay. Capitalizing Food Fads and Fantasies.". Journal of the American Medical Association. 100 (8). 1933. doi:10.1001/jama.1933.02740080059028.
- "WIlliam Howard Hay". Journal of the American Medical Association. 106 (1): 63–63. 1936-01-04. doi:10.1001/jama.1936.02770010021053. ISSN 0002-9955.
- Cardwell, Glenn, The Skeptic, Nutrition: Food Combining, Vol 16, No 2. available online
- Bender, David A. (2009). A dictionary of food and nutrition (3rd ed.). Oxford: Oxford University Press. ISBN 9780199234875.
- "Logic behind call to avoid certain food combinations is faulty | The San Diego Union-Tribune". www.sandiegouniontribune.com. Retrieved 2016-07-23.
- Foxcroft, Louise (2012-01-05). Calories and Corsets: A history of dieting over two thousand years. Profile Books. ISBN 1847654584.
- "Debunking the Myth of Food Combining". Retrieved 2016-07-23.
- "Have these dieters got their combinations in a twist?". 1998-01-11. Retrieved 2016-07-23.
- Habgood, Jackie (2011-01-02). The Hay Diet Made Easy: A Practical Guide to Food Combining. Souvenir Press. ISBN 9780285639126.
- Golay A, Allaz A, Ybarra J, Bianchi P, Saraiva S, Mensi N, Gomis R, de Tonnac N (2000). "Similar weight loss with low-energy food combining or balanced diets". Int. J. Obes. Relat. Metab. Disord. 24 (4): 492–6. doi:10.1038/sj.ijo.0801185. PMID 10805507.
- Boyer, Josephine, and Katherine Cowdin (1934). Hay Dieting: Menus and Receipts for All Occasions. With a foreword by William Howard Hay. New York, New York: C. Scribner's sons.
- Hay, William Howard (1933). Health Via Food. Ed. and rev. by Rasmus Alsaker, with a special introduction by Oliver Cabana, Jr. First printing, June, 1929; Tenth printing, February, 1933. East Aurora, New York, Sun-Diet Health Foundation.
- Hay, William Howard (1935). Weight Control. New York: Hay System.