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Drawing on qualitative research with sixty\u2010eight participants from seven Indigenous groups, this study explores how and why patients\u2019 diets shift in pursuit of healing from leishmaniasis. Participants understand therapeutic diets holistically, including food recommendations, preparation methods, and social behaviors believed to influence disease progression. Across groups, dietary logics of therapeutic efficacy often reflect analogical reasoning, a form of relational ontology in which the qualities of foods are believed to act upon the body through correspondence rather than causality in the disease's symptoms. Therapeutic dieting operates not only as a health\u2010seeking practice but also politically, as a mechanism of moral and social regulation within the space of (self\u2010)care. 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