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Category: Nutrition

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  • A New Organic Meal Delivery Service in the USA! 

    By Liana Werner-Gray

    One of the questions I’m asked most often is:

    “What do you eat when life is busy, but you still want to nourish your body with real, healing food?” Of course the most ideal situation is to be able to make fresh meals from scratch at every meal, but it’s just not possible for me and a lot of other busy people.

    This one is for everyone who’s busy, traveling, juggling life, and still wants to eat well! Because I’m constantly on the go, having real, nourishing food already prepared isn’t a luxury for me, it’s essential. Finally I found an organic meal delivery service that can fill in the meals when we are busy and aren’t able to cook a fresh meal from scratch. 

    I’m excited to introduce Cōpow Foods, a brand that truly aligns with living naturally and eating clean.

    • Organic ingredients
    • No seed oils
    • No artificial flavors or additives
    • Pasture animal proteins 
    • Seasonal ingredients  

    So your body stays supported — even during the busiest seasons.

    Meals arrive fresh, not frozen, and thanks to their advanced technology packaging called MAP (Modified Atmosphere Packaging), fresh, seasonal ingredients last 10–14 days when properly refrigerated. You can also freeze them if needed, making it so much easier to have real food ready when life gets busy.

    Their meals tend to be:

    • High in protein
    • Low in carbs 
    • Low in natural sugars 

    The emphasis is on real foods; clean animal proteins including beef, chicken and wild fish with vegetables. 

    High quality, gourmet, organic prepackaged meals that are yummy and filling, for only a few dollars more than the cost of a local fast food hamburger. This is nourishment that makes eating well feel easy, grounded, and sustainable. When your food and everyday essentials are made with intention, you genuinely feel the difference.

    Cowpow means “colorful” and “powerful” combined, and they offer breakfast, lunch, dinner plus grocery items. 

    They offer:

    • Organic, ready-to-eat prepared meals for breakfast, lunch, and dinner

    • Snacks and beverages

    • Pantry staples and dry goods

    • Grocery items and cooking essentials

    • Alcohol alternatives

    • Wellness products

    • Personal hygiene items

    • Household goods that align with clean living principles

    All of these products meet the same high standards — no seed oils, no artificial flavors or colors, and always high quality.  


    What I appreciate most about Cōpow Foods is that they make eating the Earth Diet way feel accessible and realistic. Their meals and other offerings support energy, digestion, and overall vitality without adding stress or extra preparation.

    What I love about Cōpow Foods:

    • Uses organic produce and high-quality ingredients

    • Avoids seed oils, artificial flavors, colors, and additives

    • Offers convenient ready-to-enjoy meals for busy days

    • Provides pantry essentials and drink options

    • Stocks wellness and personal care items that fit a clean lifestyle

    • Makes eating and living the Earth Diet way easier whether you’re at home or traveling

    This is the kind of food and lifestyle support that feels grounding and nourishing — not just convenient. When we choose products made with intention, our bodies respond.

    I first met Evie the founder of Cōpow at the MAHA Summit in DC in November. I’ve been trying their foods and learning about the authenticity of ingredients ever since and after vetting finally excited to share with you today. 


    Disclaimer: I take the meals, open them, and warm them in my frypan (surgical stainless steel) with a little olive oil — ready in just 5–10 minutes — which I recommend over using a microwave, as I don’t encourage microwave use.

    Explore their meals and products through this link and use my code: LIANA for 10% off! 

     
    This is a sponsored blog*

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  • Vagus Nerve Activation: Separating Fact from Fiction

    Vagus Nerve Activation: Summary

    In this episode, Vagus Nerve Activation, host Evan Transue (aka Detective Ev) welcomes Dr. Navaz Habib, a bestselling author and host of The Health Upgrade Podcast, to discuss the importance and functions of the vagus nerve. Dr. Habib shares his journey from dealing with significant health challenges, including obesity and high blood pressure, to discovering functional medicine and vagus nerve activation. 
     
    He explains the vagus nerve’s role in the parasympathetic branch of the autonomic nervous system, which controls the body’s ‘rest, digest, and recover’ responses. Dr. Habib highlights the simplicity of breathing as a primary method to activate the vagus nerve, emphasizing nasal, diaphragmatic breathing with longer exhales. 
     
    He delves into his VAGUS protocol, which includes validation, activation, gut-brain-immune optimization, unburdening psychological stress, and sustaining new healthy habits. Dr. Habib also shares compelling anecdotes, including a case of a Parkinson’s patient who regained his sense of smell after 13 years. 
    He stresses that effective breath control can have profound health benefits, linking it to reduced inflammation and improved overall well-being. Listeners are encouraged to adopt daily breath control practices, particularly in alignment with their circadian rhythm, to enhance their health. Dr. Habib’s resources, including his free 10-day VAGUS Nerve Jumpstart program, are available at healthupgraded.com.

    Vagus Nerve Activation: Topics

    00:00 Introduction to the Health Detective Podcast

    00:49 Meet Dr. Navaz Habib: The Vagus Nerve Doc

    02:03 Dr. Habib’s Personal Health Journey

    07:31 The Role of the Vagus Nerve in Health

    14:12 Understanding the Autonomic Nervous System

    19:44 Activating the Vagus Nerve: The Breath Protocol

    28:22 Introduction to the VAGUS Protocol

    28:25 Validating Your Breathing Patterns

    28:54 BOLT Score: Measuring Breathing Efficiency

    30:33 The Science Behind Nasal vs. Mouth Breathing

    33:59 The Importance of Breath Control in Meditation

    35:24 Pranayama: The Power of Breath Control

    43:01 The VAGUS Protocol: A Comprehensive Breakdown

    44:57 Case Studies: Real-Life Success Stories

    48:08 Free and Effective Health Tips

    49:06 Final Thoughts and Recommendations

    Where to Find Dr. Navaz Habib

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

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  • Is Fasting an Effective Treatment for Diabetes? | NutritionFacts.org

    By losing 15% of their body weight, nearly 90% of those who have had type 2 diabetes for less than four years may achieve remission.

    Currently, more than half a billion adults have diabetes, and about a 50% increase is expected in another generation. I’ve got tons of videos on the best diets for diabetes, but what about no diet at all?

    More than a century ago, fasting was said to cure diabetes, quickly halting its progression and eliminating all signs of the disease within days or weeks. Even so, starvation is guaranteed to lead to the complete disappearance of you if kept up long enough. What’s the point of fasting away the pounds if they’re just going to return as soon as you restart the diet that created them in the first place? Might it be useful to kickstart a healthier diet? Let’s see what the science says.

    Type 2 diabetes has long been recognized as a disease of excess, once thought to afflict only “the idle rich…anyone whose environment and self-support does not require of him some sustained vigorous bodily exertion every day, and whose earnings or income permit him, and whose inclination tempts him, to eat regularly more than he needs.” Diabetes is preventable, so might it also be treatable? If we’re dying from overeating, maybe we can be saved by undereating. Remarkably, this idea was proposed about 2,000 years ago in an Ayurvedic text:

    “Poor diabetic people’s medicine
    He should live like a saint (Munni);
    He should walk for 800–900 miles.
    Or he shall dig a pond;
    Or he shall live only on cow dung and cow urine.”

    That reminds me of the Rollo diet for diabetes proposed in 1797, which was composed of rancid meat. That was on top of the ipecac-like drugs he used to induce severe sickness and vomiting. Anything that makes people sick has only “a temporary effect in relieving diabetes” because it reduces the amount of food eaten. His diet plan—which included congealed blood for lunch and spoiled meat for dinner—certainly had that effect.

    Similar benefits were seen in people with diabetes during the siege of Paris in the Franco‐Prussian War, leading to the advice to mangez le moins possible, which translates to “eat as little as possible.” This was formalized into the Allen starvation treatment, considered to be “the greatest advance in the treatment of diabetes prior to the discovery of insulin.” Before insulin, there was “The Allen Era.”

    Dr. Allen noted that there are clinical reports of even severe diabetes cases clearing up after the onset of a “wasting condition” like tuberculosis or cancer, so he decided to put it to the test. He found that even in the most severe type of diabetes, he could clear sugar from people’s urine within ten days. Of course, that’s the easy part; it’s harder to maintain once they start eating again. To manage patients’ diabetes, he stuck to two principles: Keep them underweight and restrict the fat in their diet. A person with severe diabetes can be symptom-free for days or weeks, but eating butter or olive oil can make the disease come raging back.

    As I’ve said before, diabetes is a disease of fat toxicity. Infuse fat into people’s veins through an IV, and, by using a high-tech type of MRI scanner, you can show in real time the buildup of fat in muscle cells within hours, accompanied by an increase in insulin resistance. The same thing happens when you put people on a high-fat diet for three days. It can even happen in just one day. Even a single meal can increase insulin resistance within six hours. Acute dietary fat intake rapidly increases insulin resistance. Why do we care? Insulin resistance in our muscles, in the context of too many calories, can lead to a buildup of liver fat, followed by fat accumulation in the pancreas, and eventually full-blown diabetes. “Type 2 diabetes can now be understood as a state of excess fat in the liver and pancreas, and remains reversible for at least 10 years in most individuals.”

    When people are put on a very low-calorie diet—700 calories a day—fat can get pulled out of their muscle cells, accompanied by a corresponding boost in insulin sensitivity, as shown below and at 4:43 in my video Fasting to Reverse Diabetes.

    The fat buildup in the liver has then been shown to decrease substantially, and if the diet is continued, the excess fat in the pancreas also reduces. If caught early enough, reversing type 2 diabetes is possible, which would mean sustained healthy blood sugar levels on a healthy diet.

    With the loss of 15% of body weight, nearly 90% of individuals who have had type 2 diabetes for less than four years can achieve non-diabetic blood sugar levels, whereas it may only be reversible in 50% of those who’ve lived with the disease for longer than eight years. That’s better than bariatric surgery, where those losing even more weight had lower remission rates of 62% and 26%, respectively. Your forks are better than surgeons’ knives. Indeed, most people who have had their type 2 diabetes diagnosis for an average of three years can reverse their disease after losing about 30 pounds, as you can see below and at 5:37 in my video.

    Of course, an extended bout of physician-supervised, water-only fasting could also get you there, but you would have to maintain that weight loss. One of the things that has been said with “certainty” is that if you regain the weight, you regain your diabetes.

    To bring it full circle, “the initial euphoria about ‘medicine’s greatest miracle’”—the discovery of insulin in 1921—“soon gave way to the realisation” that, while it was literally life-saving for people with type 1 diabetes, insulin alone wasn’t enough to prevent such complications as blindness, kidney failure, stroke, and amputations in people with type 2 diabetes. That’s why one of the most renowned pioneers in diabetes care, Elliott Joslin, “argued that self-discipline on diet and exercise, as it was in the days prior to the availability of the drug [insulin], should be central to the management of diabetes….”

    Doctor’s Note

    Check out Diabetes as a Disease of Fat Toxicity for more on the underlying cause of the disease.

    For more on fasting for disease reversal, see:

    Fasting is not the best way to lose weight. To learn more, see related posts below.

    What is the best way to lose weight? See Friday Favorites: The Best Diet for Weight Loss and Disease Prevention.

    Michael Greger M.D. FACLM

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  • All About Allulose | NutritionFacts.org

    Sugar and high fructose corn syrup are the original industrial sweeteners—inexpensive, filled with empty calories, and contributing to diseases such as obesity, type 2 diabetes, cavities, and metabolic syndrome. Artificial sweeteners, like NutraSweet, Splenda, and Sweet’N Low, are the second-generation sweeteners. They are practically calorie-free, but cautions have been raised about their adverse effects. Sugar alcohols, such as sorbitol, xylitol, and erythritol, are the third-generation sweeteners. They’re low in calories but carry laxative effects or even worse. What about rare sugars like allulose?

     

    What Is Allulose?

    Allulose is a natural, so-called rare sugar, present in limited quantities in nature. “Recent technological advances, such as enzymatic engineering using genetically modified microorganisms, now allow [manufacturers] to produce otherwise rare sugars” like allulose in substantial quantities.

     

    Allulose and Weight Loss

    What happened when researchers evaluated the effect of allulose on fat mass reduction in people? As I discuss in my video Is Allulose a Healthy Sweetener?, more than a hundred individuals were randomized to a placebo control (0.012 grams of sucralose twice a day), a teaspoon (4 g) of allulose twice a day, or 1¾ teaspoons (7 g) of allulose twice a day for 12 weeks. Despite no changes in physical activity or calorie consumption in the groups, body fat significantly decreased following allulose supplementation. There weren’t any significant changes in LDL cholesterol levels in either of the allulose groups, though.

    What about the purported anti-diabetes effects?

     

    Does Allulose Help with Diabetes?

    In a randomized, double-blind, placebo-controlled crossover experiment, people with borderline diabetes consumed a cup of tea containing either 1¼ teaspoons (5 g) of allulose or no allulose (control) with a meal. There was a significant reduction in blood sugar levels 30 and 60 minutes after consumption, but it was only about 15% lower compared to the control group and didn’t last beyond the first hour. To test long-term safety, the same researchers then randomized healthy people to a little over a teaspoon (5 g) of allulose three times a day with meals for 12 weeks. There didn’t appear to be any adverse side effects, but there weren’t any effects on weight or blood sugar levels either. So, it turns out the body fat data are mixed, as are the sugar data.

    Another study found no effects of allulose on blood sugar levels in healthy participants tested up to two hours after consumption, though a similar study on individuals with diabetes did. And a systematic review and meta-analysis of all such controlled feeding trials suggested that the acute benefit on blood sugars was of “borderline significance.” It’s unclear whether this small and apparently inconsistent effect could translate into meaningful improvements in long-term blood sugar control. It may not be enough just to add allulose—you might also have to cut out junk food.

     

    Is Allulose Good or Bad for You?

    As I discuss in my video Does the Sweetener Allulose Have Side Effects?, unlike table sugar, allulose is safe for our teeth; it apparently isn’t metabolized by cavity-causing bacteria to produce acid and promote plaque buildup. It doesn’t raise blood sugar levels either, even in people with diabetes. Allulose is considered a “relatively nontoxic” sugar, but what does that mean?

     

    How Much Allulose Is Too Much?

    In one study, researchers gave healthy adults beverages containing gradually higher doses of allulose “to identify the maximum single dose for occasional ingestion.” No cases of severe gastrointestinal symptoms were noted until a dose of 0.4 g per kg of bodyweight was reached, which is about eight teaspoons for the average American. Severe symptoms of diarrhea were noted at a dose of 0.5 g per kg of bodyweight, or about ten teaspoons.

    In terms of a daily upper limit given in smaller doses throughout the day, once participants reached around 17 teaspoons (1.0 g/kg bodyweight) a day, depending on weight, some experienced severe nausea, abdominal pain, headache, or diarrhea. So, most adults in the United States should probably stay under single doses of about 8 teaspoons (0.4 g per kg of bodyweight) and not exceed about 18 teaspoons (0.9 g per kg of bodyweight) for the whole day.

     

    So, What’s the Verdict on Allulose?

    Are rare sugars like allulose a healthy alternative for traditional sweeteners? Well, considering the variety of potentially beneficial effects of allulose “without known disadvantages from metabolic and toxicological studies, allulose may currently be the most promising rare sugar.” But how much is that saying? We just don’t have a lot of good human data. “As a result of the absence of these studies, it may be too early to recommend rare sugars for human consumption.” This is especially true given the erythritol debacle.

    Michael Greger M.D. FACLM

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  • What is Biogeometry? w/ Angie Chek

    What is Biogeometry: Summary

    In this episode of the Health Detective Podcast, What is Biogeometry?, hosted by Detective Ev, guest Angie Chek, a faculty instructor at the Chek Institute, details her journey from childhood health struggles to becoming an expert in holistic health and biogeometry. Angie shares her early health challenges with asthma and other respiratory issues, beginning at six months old, which led her to study medical encyclopedias and inspired her lifelong passion for nutrition and wellness.

    She discusses how her exploration into biogeometry, an ancient Egyptian-based science brought into modern practice by Dr. Ibrahim Karim, plays a crucial role in balancing subtle energies around us to promote health. Biogeometry identifies three specific energies (higher harmonics of gold, higher harmonics of ultraviolet, and horizontal negative green) that create healing environments. Angie explains how tools like pendants, colored stakes, and stickers can harmonize energy in both personal and environmental spaces.

    She highlights her mother’s recovery from pulmonary fibrosis as a testament to the effectiveness of biogeometry when combined with proper nutrition and supplements. Angie encourages listeners to adopt a mindful, present approach to their health, emphasizing the significance of intuition and self-awareness. The podcast underscores the potential of biogeometry in neutralizing detrimental effects of modern stressors like 5G and offers a hopeful outlook on integrating ancient wisdom with contemporary science to improve well-being.

    What is Biogeometry: Topics

    00:00 Welcome to the Health Detective Podcast

    00:33 Introducing Our Special Guest: Angie Chek

    01:52 Angie’s Early Health Struggles

    04:24 Discovering Nutrition and Holistic Healing

    05:03 Journey to Becoming a Certified Nutritionist

    17:13 Introduction to BioGeometry

    29:28 Harmonizing the Land and Energizing Water

    30:20 Healing Properties of BioGeometry

    30:46 Engaging with the Audience

    31:14 Personal Experiences and Anecdotes

    33:04 Using Colors and Symbols for Balance

    35:06 Practical Applications of BioGeometry

    43:03 Case Studies and Success Stories

    48:01 Final Thoughts and Reflections

    Where to Find Angie Chek

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

    LEARN MORE ABOUT US

    Try FDN for FREE! 

    COURSE OVERVIEW

    DRESS WORKSHOP

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  • The case against saturated fat – Diet and Health Today

    Introduction

    A paper was published in the Annals of Internal Medicine on 16th December 2025. It was called “Effects of interventions aimed at reducing or modifying saturated fat intake on cholesterol, mortality and major cardiovascular events” (Ref 1). The sub-heading was “A risk stratified systematic review of randomised trials.” It was by Steen et al. The paper grabbed my attention for three reasons:

    1) This is my home turf. For my PhD I did a systematic review (and meta-analysis) of randomised trials that had interventions aimed at reducing or modifying fat intake (not just saturated fat). The endpoints I reviewed were cholesterol, all-cause mortality and heart mortality (not just events). For my final paper I put the findings of my research team in the context of other research teams. There was remarkable consistency in finding nothing against saturated fat (I’ll present this fully below).

    2) I could not see the point of this paper. Several teams have looked at this topic already (Ref 2). The randomised trials being reviewed were all published between 1965 and 2006. No new (large enough and long enough) trials have been conducted since then. No new (large enough and long enough) trials will be conducted. The abstract reported the background to the paper as “debates about optimal saturated fat advice continue.” Debates do continue, but they shouldn’t. Many research teams have examined the evidence and found nothing.

    The January 2026 DGAs stated “More high-quality research is needed to determine which types of dietary fats best support long-term health.” I disagree. We need to ditch the bias and accept the overwhelming evidence that we have. Science should never be settled but this is as close to settled as nutritional science will get. Alas, the evidence doesn’t fit the anti-(saturated)-fat belief system and so it gets ignored.

    Zoe

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  • Can Olive Oil Compete with Arthritis Drugs? | NutritionFacts.org

    What happened when topical olive oil was pitted against an ibuprofen-type drug for osteoarthritis and rheumatoid arthritis?

    Fifty million Americans suffer from arthritis, and osteoarthritis of the knee is the most common form, making it a leading cause of disability. There are several inflammatory pathways that underlie the disease’s onset and progression, so various anti-inflammatory foods have been put to the test. Strawberries can decrease circulating blood levels of an inflammatory mediator known as tumor necrosis factor, but that doesn’t necessarily translate into clinical improvement. For example, drinking cherry juice may lower a marker of inflammation known as C-reactive protein, but it failed to help treat pain and other symptoms of knee osteoarthritis. However, researchers claimed it “provided symptom relief.” Yes, it did when comparing symptoms before and after six weeks of drinking cherry juice, but not any better than a placebo, meaning drinking it was essentially no better than doing nothing. Cherries may help with another kind of arthritis called gout, but they failed when it came to osteoarthritis.

    However, strawberries did decrease inflammation. In fact, in a randomized, double-blind, crossover trial, dietary strawberries were indeed found to have a significant analgesic effect, causing a significant decrease in pain. There are tumor necrosis factor inhibitor drugs on the market now available for the low, low cost of only about $40,000 a year. For that kind of money, you’d want some really juicy side effects, and they do not disappoint—like an especially fatal lymphoma. I think I’ll stick with the strawberries.

    One reason we suspected berries might be helpful is that when people consumed the equivalent of a cup of blueberries or two cups of strawberries daily, and their blood was then applied to cells in a petri dish, it significantly reduced inflammation compared to blood from those who consumed placebo berries, as you can see below and at 2:02 in my video Extra Virgin Olive Oil for Arthritis.

    Interestingly, the anti-inflammatory effect increased over time, suggesting that the longer you eat berries, the better. Are there any other foods that have been tested in this way?

    Researchers in France collected cartilage from knee replacement surgeries and then exposed it to blood samples from volunteers who had taken a whopping dose of a grapeseed and olive extract. They saw a significant drop in inflammation, as shown below and at 2:30 in my video.

    There haven’t been any human studies putting grapeseeds to the test for arthritis, but an olive extract was shown to decrease pain and improve daily activities in osteoarthritis sufferers. So, does this mean adding olive oil to one’s diet may help? No, because the researchers used freeze-dried olive vegetation water. That’s basically what’s left over after you extract the oil from olives; it’s all the water-soluble components. In other words, it’s all the stuff that’s in an olive that‘s missing from olive oil.

    If you give people actual olives, a dozen large green olives a day, you may see a drop in an inflammatory mediator. But according to a systematic review and meta-analysis, olive oil—on its own—does not appear to offer any anti-inflammatory benefits. What about papers that ascribe “remarkable anti-inflammatory activity” to extra virgin olive oil? Their evidence is from rodents. In people, extra virgin olive oil may be no better than butter when it comes to inflammation and worse than even coconut oil.

    So, should we just stick to olives? Sadly, a dozen olives could take up nearly half your sodium limit for the entire day, as you can see below and at 3:47 in my video.

    When put to the test, extra virgin olive oil did not appear to help with fibromyalgia symptoms either, but it did work better than canola oil in alleviating symptoms of inflammatory bowel disease. Unfortunately, I couldn’t find any studies putting olive oil intake to the test for arthritis. But why then is this blog entitled “Can Olive Oil Compete with Arthritis Drugs?” Because—are you ready for this?—it appears to work topically.

    Topical virgin olive oil went up against a gel containing an ibuprofen-type drug for osteoarthritis of the knee in a double-blind, randomized, clinical trial. Just a gram of oil, which is less than a quarter teaspoon, three times a day, costing less than three cents a day, worked! Topical olive oil was significantly better than the drug in reducing pain, as you can see below and at 4:37 in my video.

    The study only lasted a month, so is it possible that the olive oil would have continued to work better and better over time?

    Is olive oil effective in controlling morning inflammatory pain in the fingers and knees among women with rheumatoid arthritis? The researchers went all out, comparing the use of extra virgin olive oil to rubbing on nothing and also to rubbing on that ibuprofen-type gel, and, evidently, the decrease in the disease activity score in the olive oil group beat out the others.

    Doctor’s Note

    For more on joint health, see related posts below.

    What about eating olive oil? See Olive Oil and Artery Function.

    Michael Greger M.D. FACLM

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  • Wellness, by Design

    Wellness, by Design: Summary

    In this episode, Wellness, by Design, host Evan Transue (Detective Ev) interviews Paula Reed, a frequent guest and clinical advisor within the FDN community. Paula is a functional wellness practitioner and certified midlife specialist who helps women address fatigue, digestive issues, and hormonal imbalances. She unveils her new book titled ‘Wellness by Design,’ aimed at midlife women dealing with various health challenges and seeking effective, sustainable solutions. 

    Paula discusses the emotional and physical hurdles she faced while writing the book during an extremely stressful time in her life, including her husband’s critical injury and her son’s knee reconstruction surgery. Despite these challenges, she found solace and purpose in writing, which also served as a healthy coping mechanism. The book combines her personal story, relatable analogies, and foundational science to guide women through their health journeys, challenging the common narrative that aging necessarily means a decline in quality of life. 

    Paula stresses the importance of taking control of one’s health through practical steps and foundational principles, rather than resigning to feeling unwell as an inevitable part of aging. The episode highlights her belief that while aging is inevitable, it does not have to come at the cost of one’s vitality and quality of life, offering hope and practical advice for those on their wellness journey.

    Wellness, by Design: Topics

    00:00 Introduction to the Health Detective Podcast

    00:33 Meet Today’s Guest: Paula Reed

    02:11 Paula Reed’s New Book: Wellness by Design

    02:47 Challenges Women Face in Midlife

    04:07 The Importance of Functional Health

    16:25 Writing the Book During Personal Challenges

    20:31 Q&A and Final Thoughts

    Where to Find Paula Reed

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

    LEARN MORE ABOUT US

    Try FDN for FREE! 

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  • The Hidden Costs of Bariatric Surgery | NutritionFacts.org

    Weight regain after bariatric surgery can have devastating psychological effects.

    How Sustainable Is the Weight Loss After Bariatric Surgery? I explore that issue in my video of the same name. Most gastric bypass patients end up regaining some of the fat they lose by the third year after surgery, but after seven years, 75% of patients followed at 10 U.S. hospitals maintained at least a 20% weight loss.

    The typical trajectory for someone who starts out obese at 285 pounds, for example, would be to drop to an overweight 178 pounds two years after bariatric surgery, but then regain weight up to an obese 207 pounds. This has been chalked up to “grazing” behavior, where compulsive eaters may shift from bingeing (which becomes more difficult post-surgery) to eating smaller amounts constantly throughout the day. In a group of women followed for eight years after gastric bypass surgery, about half continued to describe episodes of disordered eating. As one pediatric obesity specialist described, “I have seen many patients who put chocolate bars into a blender with some cream, just to pass technically installed obstacles [e.g., a gastric band].”

    Bariatric surgery advertising is filled with “happily-ever-after” fairytale narratives of cherry-picked outcomes offering, as one ad analysis put it, “the full Cinderella-romance happy ending.” This may contribute to the finding that patients often overestimate the amount of weight they’ll lose with the procedure and underestimate the difficulty of the recovery process. Surgery forces profound changes in eating habits, requiring slow, small bites that have been thoroughly chewed. Your stomach goes from the volume of two softballs down to the size of half a tennis ball in stomach stapling and half a ping-pong ball in the case of gastric bypass or banding.

    As you can imagine, “weight regain after bariatric surgery can have a devastating effect psychologically as patients feel that they have failed their last option”—their last resort. This may explain why bariatric surgery patients face a high risk of depression. They also have an increased risk of suicide.

    Severe obesity alone may increase the risk of suicidal depression, but even at the same weight, those going through surgery appear to be at a higher risk. At the same BMI (body mass index), age, and gender, bariatric surgery patients have nearly four times the odds of self-harm or attempted suicide compared with those who did not undergo the procedure. Most convincingly, so-called “mirror-image analysis” comparing patients’ pre- and post-surgery events showed the odds of serious self-harm increased after surgery.

    About 1 in 50 bariatric surgery patients end up killing themselves or being hospitalized for self-harm or attempted suicide. And this only includes confirmed suicides, excluding masked attempts such as overdoses classified as having “undetermined intention.” Bariatric surgery patients may also have an elevated risk of accidental death, though some of this could be due to changes in alcohol metabolism. When individuals who have had a gastric bypass were given two shots of vodka, their blood alcohol level surpassed the legal driving limit within minutes due to their altered anatomy. It’s unclear whether this plays a role in the 25% increase in prevalence of alcohol problems noted during the second postoperative year.

    Even those who successfully lose their excess weight and keep it off appear to have a hard time coping. Ten years out, though physical health-related quality of life may improve, general mental health can significantly deteriorate compared to pre-surgical levels, even among those who lost the most weight. Ironically, there’s a common notion that bariatric surgery is for “cheaters” who take the easy way out by choosing the “low-effort” method of weight loss.

    Shedding the weight may not shed the stigma of prior obesity. Studies suggest that “in the eyes of others, knowing that an individual was at one time fat will lead him/her to always be treated like a fat person.” And there can be a strong anti-surgery bias on top of that—those who chose the scalpel to lose weight over diet or exercise were rated more negatively (for example, being considered less physically attractive). One can imagine how remaining a target of prejudice even after joining the “in-group” could potentially undercut psychological well-being.

    There can also be unexpected physical consequences of massive weight loss, like large hanging flaps of excess skin. Beyond being heavy and uncomfortable and interfering with movement, the skin flaps can result in itching, irritation, dermatitis, and skin infections. Getting a panniculectomy (removing the abdominal “apron” of hanging skin) can be expensive, and its complication rate can exceed 50%, with dehiscence (rupturing of the surgical wound) one of the most common complications.

    “Even if surgery proves sustainably effective,” wrote the founding director of Yale University’s Prevention Research Center, “the need to rely on the rearrangement of natural gastrointestinal anatomy as an alternative to better use of feet and forks [exercise and diet] seems a societal travesty.”

    In the Middle Ages, starving peasants dreamed of gastronomic utopias where food just rained down from the sky. The English called it the Kingdom of Cockaigne. Little could medieval fabulists predict that many of their descendants would not only take permanent residence there but also cut out parts of their stomachs and intestines to combat the abundance. Critics have pointed out the irony of surgically altering healthy organs to make them dysfunctional—malabsorptive—on purpose, especially when it comes to operating on children. Bariatric surgery for kids and teens has become widespread and is being performed on children as young as five years old. Surgeons defend the practice by arguing that growing up fat can leave “‘emotional scars’ and lifelong social retardation.”

    Promoters of preventive medicine may argue that bariatric surgery is the proverbial “ambulance at the bottom of the cliff.” In response, proponents of pediatric bariatric surgery have written: “It is often pointed out that we should focus on prevention. Of course, I agree. However, if someone is drowning, I don’t tell them, ‘You should learn how to swim’; no, I rescue them.”

    A strong case can be made that the benefits of bariatric surgery far outweigh the risks if the alternative is remaining morbidly obese, which is estimated to shave up to a dozen or more years off one’s life. Although there haven’t been any data from randomized trials yet to back it up, compared to non-operated obese individuals, those getting bariatric surgery would be expected to live significantly longer on average. No wonder surgeons have consistently framed the elective surgery as a life-or-death necessity. This is a false dichotomy, though. The benefits only outweigh the risks if there are no other alternatives. Might there be a way to lose weight healthfully without resorting to the operating table? That’s what my book How Not to Diet is all about.

    Doctor’s Note

    My book How Not to Diet is focused exclusively on sustainable weight loss. Check it out from your library or pick it up from wherever you get your books. (All proceeds from my books are donated to charity.)

    This is the final segment in a four-part series on bariatric surgery, which includes:

    This blog contains information regarding suicide. If you or anyone you know is exhibiting suicide warning signs, please get help. Go to https://988lifeline.org for more information.

    Michael Greger M.D. FACLM

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  • Scientists Have Figured Out How Much Coffee a Day You Need To Live Longer

    (Photo: Ayana Underwood/Canva)

    Published January 12, 2026 11:29AM

    If your day doesn’t truly start until you’ve had a cup of coffee, you’re in luck. A new science review in the journal Nutrients concludes that the brew is healthy to drink in moderate amounts. It may even help extend lifespan in some cases, though there are caveats.

    Here’s the scoop on coffee’s links to longevity, and a few tips on how to use it to fuel your personal health and performance.

    How Does Coffee Promote Long-Term Health?

    After analyzing three decades’ worth of research, this new review found that moderate coffee consumption is associated with reduced overall mortality and a lower risk of cardiovascular diseases, diabetes, stroke, respiratory conditions, and cognitive decline, and potentially certain cancers.

    The Nutrients review acknowledges that most studies on coffee and longevity so far have been correlative, meaning they don’t necessarily prove that coffee extends lifespan. (It could be that people with certain diseases drink less coffee as a result of their symptoms, for example.) So while the review’s authors acknowledge that more research is needed, they write that “the consensus is that moderate coffee intake is more beneficial than harmful across a wide range of health outcomes.” 

    Integrative physician Dr. Bindiya Gandhi, who was not involved in the review, says that coffee’s health impacts seem to be partially fueled by plant compounds called polyphenols. Certain polyphenols in coffee have antioxidant properties that protect against oxidative stress (an imbalance that can cause cellular damage) and inflammation—both of which accelerate aging.

    As we get older, our telomeres (the structures that protect our DNA) naturally shorten, reducing cellular health and increasing our susceptibility to disease. Emerging research is finding correlations between coffee consumption and telomere length. In one new study, regular coffee drinkers had telomeres that appeared five years younger than their biological age, potentially due to the drink’s antioxidants.

    In addition to polyphenols, longevity expert Dr. Florence Comite, who was also not involved in the review, notes that coffee contains vitamin B2 (riboflavin) and magnesium, both of which help fuel cellular health and energy.

    Coffee Offers an Added Perk for Athletes

    Any runner, biker, or lifter who regularly trains with caffeine knows that the compound can boost athletic performance, which could provide another longevity link.

    Exercise helps us live longer, and research shows that caffeine (whether consumed through coffee or supplements) can help us do more of it, improving athletic endurance by roughly two to four percent. It may also help power everyday movements, with one randomized trial on 100 adults finding that those who drank caffeinated coffee walked nearly 1,000 steps more per day than those who didn’t.

    How Much Coffee Should You Drink for Longevity Benefits?

    According to the Nutrients review, capping your consumption at three to five cups per day seems to be beneficial for most people; any more than that can actually damage heart health in the long term. The review also notes it’s best to avoid adding excess sugar, syrups, and creamers to your coffee, as they’re likely to negate any lifespan benefits.

    Personal tolerance plays a role here, too. “Each one of us is unique, so caffeine may impact you far differently than your best friend,” Comite says.

    Those with acid reflux, or chronic acid reflux known as gastroesophageal reflux disease (GERD), anxiety, or sleep issues should steer clear, says Gandhi. If coffee gives you the jitters, that’s also a sign to reduce your consumption or switch to decaf, she says.

    Is There a Best Time to Drink Coffee?

    Some people are fast caffeine metabolizers with genetics that allow them to enjoy coffee all day long. But, for most of us, drinking it too close to bedtime will harm sleep (and health, by extension, if sleep deprivation continues).

    Both Comite and Gandhi suggest taking your last sip by around noon to give your body plenty of time to process it before bed. This aligns with research showing that drinking coffee in the morning is more strongly linked to lower mortality risk than drinking it throughout the day.

    According to the International Society of Sports Nutrition, most athletes consume caffeine roughly one hour before working out—but if you tend to exercise at night, you’ll want to play around to find a balance between fueling and sleep.

    Finally, if you’re not already a coffee drinker, don’t feel like you need to pick up the habit to live a long, healthy life. Longevity doesn’t hinge on any one beverage; it’s your overall diet and lifestyle that really make the difference.

    Want more Outside health stories? Sign up for the Bodywork newsletter. And to get your new year off to a great start, sign up for the Winter Warrior Challenge; all you need to do is log 20 hours of workouts, and you’ll earn an exclusive challenge badge.

    aunderwood

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  • Teen Health Revolution

    Teen Health Revolution: Summary

    In this episode, Teen Health Revolution, host Evan Transue welcomes four young guests: Abdullah, Zain, Emaad, and Qasim Ansari. These remarkable teenagers, aged 10 to 17, are hosts of The Holistic Kids Show Podcast and co-authors of the ‘Teen Health Revolution’ book. The Ansari brothers share their journey into holistic health, spurred by personal health issues like eczema and mood disorders, and influenced by their family’s background in both conventional and holistic medicine. They emphasize how lifestyle and nutritional changes, championed by their mother, dramatically improved their health and inspired them to educate others. They’ve collaborated with over 200 experts to compile practical, expert-backed tips into their book, focusing on addressing teen health issues holistically—covering physical, mental, and spiritual health.

    The podcast delves into how teens can integrate better lifestyle habits, the importance of education, and parental influence in these health changes. The Ansari brothers argue for incremental improvement, starting with manageable steps toward healthier eating and living. They discuss common challenges teens face, such as addiction to ultra-processed foods and social media, and they offer mindfulness, gratitude, and nature exposure as starting points for better health.

    The Ansaris passionately advocate for a ‘Teen Health Revolution,’ a movement encouraging teens to take control of their own health by understanding what they consume and how it impacts them. They call on adults to listen more to teens and support their health journeys. The episode is a testament to the power of young voices in driving meaningful change in public health.

    Teen Health Revolution: Topics

    00:00 Introduction to the Health Detective Podcast

    00:36 Meet the Young Holistic Health Enthusiasts

    01:03 The Inspiring Journey of The Holistic Kids

    02:18 Formal Introduction of The Holistic Kids

    04:26 The Holistic Kids’ Health Challenges and Discoveries

    09:11 Spreading Awareness and Educating Peers

    14:14 Navigating School Life with Healthy Habits

    24:07 The Impact of High Fructose Corn Syrup

    25:06 The Role of Parents in Health Education

    26:50 Living a Balanced Lifestyle

    30:42 The Vision for a Healthier Future

    36:07 Supporting the Teen Health Revolution

    41:43 Final Thoughts and Signature Question

    Where to Find The Holistic Kids

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

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  • Stop Chasing Superfoods. Here’s What Keeps You Alive Longer.

    Published January 11, 2026 03:00AM

    The longevity industry is a loud, billion-dollar machine. Turn on any podcast, and you’re bombarded with 18-step morning routines, expensive “anti-aging” powders, and hacks that promise to rewind your biological clock. It’s enough to make you think that living a long, healthy life requires a PhD and a second mortgage.

    But if you strip away the marketing and look at the actual data, the secret to longevity isn’t found in a bottle. It’s found in the produce aisle. 

    “The idea of ‘superfoods’ is largely a misconception used for marketing purposes,” says Dr. Matt Kaeberlein, a biologist and the CEO of Optispan, a health technology company focused on health span extension. “There is no single food with magical properties. Longevity comes from overall dietary patterns, not nutritional silver bullets.”

    True longevity isn’t achieved with a list of hacks. When paired with other healthy living habits, it comes from mastering the boring, unsexy fundamentals that have kept humans alive for millennia.

    Let’s explore them.

    The Boring Truth About What to Eat

    We love the idea of a superfood because it feels like a cheat code—eat this berry, live forever. But some of the most substantial evidence for longevity consistently points to a short list of humble staples, including legumes, whole grains, nuts, fruits, and vegetables.

    A 2025 study published in Nature Medicine analyzed over 100,000 adults and found that adhering to a plant-forward diet, specifically one rich in whole grains, fruits, vegetables, and nuts, was associated with significantly better aging outcomes. The researchers noted that there wasn’t one “perfect” diet, but rather several patterns (like the Mediterranean or plant-based diets) that all shared the same DNA of minimally processed plants and healthy fats.

    “If you want a single litmus test, look at how much of someone’s diet is minimally processed plant food versus ultra-processed calories,” says Dr. Anant Vinjamoori, Chief Medical Officer at Superpower, a health platform that offers proactive, personalized healthcare. “That split predicts a lot.”

    Why do these simple foods work better than high-tech supplements? It’s called the food matrix. “Whole foods deliver a package: fiber, micronutrients, protein, fats, and thousands of bioactive compounds that travel together,” Vinjamoori explains. Supplements can’t replicate that synergy.

    Health Fats

    If you’re looking for a place to start, look at foods like almonds and walnuts. “Large cohort studies repeatedly associate regular nut intake with lower cardiovascular risk and reduced all-cause mortality,” says Melanie Murphy Richter, a registered dietitian and longevity expert. Beyond nuts, Richter points to extra-virgin olive oil for its anti-inflammatory properties and plant proteins like beans and lentils, which help keep cellular aging pathways balanced.

    Fiber

    Even humble fiber, often ignored in favor of flashy nutrients, plays a massive role. Kaeberlein explains that higher fiber intake is consistently linked to better metabolic health and longevity, recommending a target of 30 to 40 grams per day. Vinjamoori agrees, suggesting a simple, actionable goal of adding beans or lentils once a day as a simple move that improves satiety, cardiometabolic risk, and gut health.

    Ultimately, the boring staples win because they work together. As Richter notes, “One ingredient can support health, but it cannot replace the whole system.”

    Protein

    In your twenties you might have eaten protein to build biceps, but in your fifties and beyond, getting enough can help you stay out of a nursing home. As we age, our bodies develop anabolic resistance, meaning we become less efficient at turning protein into muscle. “The same protein dose produces a weaker muscle-building signal,” says Vinjamoori. This is critical because muscle is a longevity organ; losing it puts you on a fast track to frailty and metabolic disease.

    Current research, including a 2024 review in Nutrients and data published in PubMed Central, suggests that the standard recommended allowance (0.36 grams for every pound of body weight) is likely too low for optimal aging. Experts now recommend aiming higher to counteract muscle loss. A reasonable rule of thumb, according to Kaeberlein, is 0.6 to 0.9 grams of protein for every pound, combined with regular resistance training. Vinjamoori explains that while general recommendations for older adults often start lower, needs increase significantly if a person is active, recovering from illness, or trying to rebuild strength.

    The source and timing of that protein matter just as much as the total amount. Richter notes that from age 18 to 65, protein from plant sources like legumes and beans appears particularly supportive of long-term health and metabolic balance. Furthermore, you shouldn’t hoard your daily intake for a massive steak dinner. “Protein quality, distribution across meals, and pairing with resistance training matter as much as total intake,” says Richter.

    The ‘Blue Zone’ Reality Check

    We’ve all heard the gospel of the Blue Zones—those mythical regions like Sardinia, Italy, or Okinawa, Japan, where people supposedly forget to die. Families living in these regions have in common lifestyle factors like whole-food/plant-based diets, natural movement, and strong social ties. But before you book a one-way ticket to the Mediterranean, you should know that the data might be a little… dusty.

    In 2024, demographer Saul Newman was awarded an Ig Nobel Prize for highlighting a correlation between “supercentenarian” hotspots and regions with poor birth record-keeping or high rates of pension fraud. In other words, some of those 110-year-olds might just be clerical errors.

    But just because the numbers are messy doesn’t mean the habits are wrong.

    “Leaving aside ongoing debates about which Blue Zones are real, the consistent themes are clear,” says Kaeberlein. Whether or not everyone is hitting triple digits, the populations in these regions consistently display lower rates of chronic disease, and the mechanism isn’t genetic magic, it’s lifestyle.

    Research published in the Journal of Gerontology and Geriatrics on Sardinian longevity highlights that the secret is actually a combination of factors, including a plant-forward diet, constant low-level physical activity (like walking and gardening), and strong family bonds. Basically, living in an environment that discourages sitting still and eating processed junk.

    The Transferrable Lessons

    You don’t need to live in an Italian village to replicate the biological benefits. The research points to a few specific transferables.

    Eat a Plain Diet. Across these regions, the menu is remarkably consistent. It is high in whole foods, legumes, and whole grains, and low in ultra-processed foods. A review of longevity diets found that these patterns work by reducing inflammation and improving metabolic health, often mimicking the effects of caloric restriction without the hunger.

    Don’t Eat Alone. In North America, we often view food as fuel to be consumed at a desk. In longevity hotspots, meals are social anchors. “Isolation is not a longevity strategy,” warns Vinjamoori. “Social eating matters.” The data supporting this shows that strong social capital is a primary driver of successful aging in these zones, helping to buffer stress and improve mental well-being.

    Prioritize Deliciousness. Sustainability is key. As Registered Dietitian Ashley Koff, nutrition course director at the University of California, Irvine says, if your longevity diet tastes like cardboard, you won’t stick to it long enough to see your great-grandkids. “One of the core pillars of longevity eating is ‘better be delicious to me,’” says Koff. The Mediterranean diet works largely because it is enjoyable—rich in fats like olive oil and diverse flavors—making it a pattern people want to maintain for decades.

    “The lesson isn’t to copy a specific cuisine,” Kaeberlein says “but to apply those principles within your own cultural context.”

    What About Fasting and Supplements?

    If you’re hoping a pill or a fasting window will help you retain a heavier lifestyle, the experts say otherwise.

    “Fasting and time-restricted eating are not inherently longevity-promoting,” states Kaeberlein. While they can be useful tools to stop you from snacking on junk at midnight, they don’t replace food quality.

    As for supplements, “They’re best for correcting a deficiency or treating a defined risk factor,” Vinjamoori says. Unless you have a specific medical need, your money is likely better spent on high-quality groceries. The exceptions worth discussing with your doctor are Omega-3s, Vitamin D, and creatine, which Kaeberlein calls “one of the most evidence-supported supplements” for maintaining muscle and cognitive function.

    The Long Game

    Longevity isn’t a six-week challenge or a guru-promoted biohacking stack. It’s a practice.

    “I genuinely prefer a salmon salad to a cheeseburger and fries,” Kaeberlein admits, noting that taste buds adapt over time.

    The best diet for longevity is simply the one you can stick to for the next 50 years. So, start small. Swap a processed snack for an apple. Add a scoop of lentils to your soup. “Do it consistently, then build from there,” Vinjamoori advises.

    The goal isn’t just to live longer. It’s to live better—and that starts with what’s on your plate today.

    Emilee Coblentz

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  • Why Indoor Air is MORE Dangerous Than Outdoor Air

    Why Indoor Air is MORE Dangerous: Summary

    In this episode, Why Indoor Air is MORE Dangerous Than Outdoor Air, host Evan Transue interviews Justin Liberman, Director of Operations at Jaspr. Justin shares insights from his nine years of experience in environmental science, focusing on testing indoor air quality and the development of Jaspr air scrubbers. 

    The discussion highlights the efficacy of Jaspr in reducing indoor pollutants, including mold and VOCs. Justin explains the real-world benefits users experience, noting significant improvements in sleep quality, including increased deep sleep when using Jaspr. 

    The episode touches on the comparison of Jaspr with standard air purifiers and answers audience questions about testing indoor environments and the associated health benefits. Throughout, the emphasis is on the importance of being ‘air aware’ and taking proactive steps to improve indoor air quality for better health outcomes.

    Why Indoor Air is MORE Dangerous: Topics

    00:00 Welcome to the Health Detective Podcast

    00:33 Introduction to Today’s Episode and Guest

    01:04 Meet Justin Liberman: Environmental and Air Quality Expert

    04:07 Justin’s Journey: From Air Quality Canada to Jaspr

    07:18 The Importance of Indoor Air Quality

    13:42 Understanding Jaspr’s Air Scrubber Technology

    22:59 Real-World Impact of Jaspr on Mold and Air Quality

    30:15 The Value of Air Quality in Health

    31:54 Challenges in Mold Remediation

    34:50 The Jaspr Air Purifier’s Impact on Sleep

    35:17 Details of the Sleep Study

    38:10 Future Studies and Snoring

    43:36 Comprehensive Air Quality Testing

    50:36 Jaspr’s Customer Experience

    54:44 Final Thoughts and Recommendations

    Where to Find Justin Liberman

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

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  • The 2025-2030 Dietary Guidelines for Americans – Diet and Health Today

    In summary

    * Dietary goals for Americans were first published in 1977. The Dietary Guidelines for Americans were first published in 1980 and are revised every five years. The two key guidelines that have most impacted American food policy (and public health) for nearly 50 years were to limit total fat to no more than 30%, and saturated fat to no more than 10% of calorie intake. These restrictions were set because it was thought that fat caused heart disease (in middle aged men). My PhD examined the evidence for those guidelines and the beliefs upon which they were based and found that they should not have been introduced – then or now. Other research teams have found the same.

    * The Dietary Guidelines for Americans (DGAs) 2025-2030 – the tenth edition – were published on January 7th, 2026. The first sentence was “These Guidelines mark the most significant reset of federal nutrition policy in our nation’s history.” That was not an overstatement.

    * The next sentence was “The message is simple: eat real food.” Those few words captured what an entire movement has been saying for years. To a great extent, this was the day that many of us thought we would never see. Reading the short document (10 pages instead of the 164 pages of the 2020 report) was joyful.

    * The original food pyramid became “MyPlate” in June 2011. The pyramid has returned and it’s been flipped upside down, as it was in a South Park sketch. Secretary Kennedy tweeted the clip in case you missed the 2014 classic.

    * The new guidelines are concise, readable and quite revolutionary, but there’s a big BUT…

    * First, the good news and there is a lot of good news in the eight guidelines, three boxes and the “Special populations & considerations”:

    – The eight guidelines prioritize high-quality, nutrient-dense protein foods (and protein intake recommendations have been increased.) Animal sources of protein (eggs, poultry, seafood, and red meat) are cited ahead of plant sources (beans, peas, lentils, legumes, nuts, seeds, and soy.) Consume dairy, is another message – and not just dairy but full-fat dairy. The healthy fats section mentions olive oil, butter and beef tallow. The entire 2025 report has no mention of seed oils. Grains are way down the list (and at the bottom of the new upside down pyramid). Serving goals are 2-4 per day – far from the 6-11 servings of beige starches which formed the original pyramid base. “Limit highly processed foods, added sugars, refined carbohydrates and alcohol” rounded up the common sense.

    – Breastfeeding is emphasised. The toddler diets (one of which was vegetarian) in the 2020 report are gone.

    – Even in the few pages, there was room to introduce an option for low carb diets. Hats off to Dr Nina Teicholz and others who have been presenting the evidence for this for years.

    – The document closes with warnings for the nutritional deficiencies that are likely to arise from vegetarian and vegan diets. So much legacy nutritional non-sense has gone.

    – By its absence the 30% cap on total fat has gone. However, the saturated fat cap remains: “saturated fat consumption should not exceed 10% of total daily calories.” This is the huge BUT, because all the good news in the guidelines is incompatible with that one preserved guideline.

    * IF the 10% saturated fat cap is followed, all the good advice to eat real food (red meat, oily fish, eggs, dairy, olive oil etc) cannot be followed. IF the good advice to eat real food is followed, the 10% saturated fat cap cannot be followed. This note explains why.

    * I am as astonished by the committee having missed this glaring inconsistency as I am by all the good things in the report.

    Introduction

    I have often been asked on podcasts “what should we eat to make people healthy again?” The answer is simple. I summarised it in a post in 2021 (Ref 1). The first two principles should be 1) Eat real food and 2) Choose that food for the nutrients it provides. I am then often asked “what needs to happen to make this our advice?” My reply to this has been more complicated – along the lines of “Ideally, dietary guidelines would change and then a top down cascade would happen. That would be the optimal way. However, that’s not going to happen so we need a bottom up approach whereby individuals ignore the guidelines and eat real nutrient dense food. A third way is happening with health practitioners who have realised the guidelines are harmful. They can then influence their patients and it speeds up the bottom up approach.”

    I was wrong. Specifically, I was wrong about the top down approach not happening. It has just happened. The day I, and many others in the real food arena, thought would never happen just happened on January 7th, 2026. The new Dietary Guidelines for Americans for 2025-2030 were published (Ref 2). They are concise, readable and quite revolutionary. There is one exception – a huge exception – and we don’t yet know how the contradiction that the exception brings will play out. But for now, let’s celebrate all that is good about the new Dietary Guidelines for Americans (DGAs) 2025-2030.

    First – a bit of background…

    Zoe

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  • Is Surgery Necessary to Reverse Diabetes? | NutritionFacts.org

    Losing weight without rearranging your gastrointestinal anatomy carries advantages beyond just the lack of surgical risk.

    The surgical community objects to the characterization of bariatric surgery as internal jaw wiring and cutting into healthy organs just to discipline people’s behavior. They’ve even renamed it “metabolic surgery,” suggesting the anatomical rearrangements cause changes in digestive hormones that offer unique physiological benefits. As evidence, they point to the remarkable remission rates for type 2 diabetes.

    After bariatric surgery, about 50% of obese people with diabetes and 75% of “super-obese” diabetics go into remission, meaning they have normal blood sugar levels on a regular diet without any diabetes medication. The normalization of blood sugar can happen within days after the surgery. And 15 years after the surgery, 30% remained free from their diabetes, compared to a 7% remission rate in a nonsurgical control group. Are we sure it was the surgery, though?

    One of the most challenging parts of bariatric surgery is lifting the liver. Since obese individuals tend to have such large, fatty livers, there is a risk of liver injury and bleeding. An enlarged liver is one of the most common reasons a less invasive laparoscopic surgery can turn into a fully invasive open surgery, leaving the patient with a large belly scar, along with an increased risk of wound infections, complications, and recovery time. But lose even just 5% of your body weight, and your fatty liver may shrink by 10%. That’s why those awaiting bariatric surgery are put on a diet. After surgery, patients are typically placed on an extremely low-calorie liquid diet for weeks. Could their improvement in blood sugar levels just be from the caloric restriction, rather than some sort of surgical metabolic magic? Researchers decided to put it to the test.

    At a bariatric surgery clinic at the University of Texas, patients with type 2 diabetes scheduled for a gastric bypass volunteered to stay in the hospital for 10 days to follow the same extremely low-calorie diet—less than 500 calories a day—that they would be placed on before and after surgery, but without undergoing the procedure itself. After a few months, once they had regained the weight, the same patients then had the actual surgery and repeated their diet, matched day to day. This allowed researchers to compare the effects of caloric restriction with and without the surgical procedure—the same patients, the same diet, just with or without the surgery. If there were some sort of metabolic benefit to the anatomical rearrangement, the patients would have done better after the surgery, but, in some ways, they actually did worse.

    The caloric restriction alone resulted in similar improvements in blood sugar levels, pancreatic function, and insulin sensitivity, but several measures of diabetic control improved significantly more without the surgery. The surgery seemed to put them at a metabolic disadvantage.

    Caloric restriction works by first mobilizing fat out of the liver. Type 2 diabetes is thought to be caused by fat building up in the liver and spilling over into the pancreas. Everyone may have a “personal fat threshold” for the safe storage of excess fat. When that limit is exceeded, fat gets deposited in the liver, where it can cause insulin resistance. The liver may then offload some of the fat (in the form of a fat transport molecule called VLDL), which can then accumulate in the pancreas and kill off the cells that produce insulin. By the time diabetes is diagnosed, half of our insulin-producing cells may have been destroyed, as seen below and at 3:36 in my video Bariatric Surgery vs. Diet to Reverse Diabetes. Put people on a low-calorie diet, though, and this entire process can be reversed.

    A large enough calorie deficit can cause a profound drop in liver fat sufficient to resurrect liver insulin sensitivity within seven days. Keep it up, and the calorie deficit can decrease liver fat enough to help normalize pancreatic fat levels and function within just eight weeks. Once you drop below your personal fat threshold, you should then be able to resume normal caloric intake and still keep your diabetes at bay, as seen below and at 4:05 in my video

    The bottom line: Type 2 diabetes is reversible with weight loss, if you catch it early enough.

    Lose more than 30 pounds (13.6 kilograms), and nearly 90% of those who have had type 2 diabetes for less than four years can achieve non-diabetic blood sugar levels (suggesting diabetes remission), whereas it may only be reversible in 50% of those who’ve lived with the disease for eight or more years. That’s by losing weight with diet alone, though. For people with diabetes, losing more than twice as much weight with bariatric surgery, diabetes remission may only be around 75% of those who’ve had the disease for up to six years and only about 40% for those who’ve had diabetes longer, as seen below and at 4:41 in my video.

    Losing weight without surgery may offer other benefits as well. Individuals with diabetes who lose weight with diet alone can significantly improve markers of systemic inflammation, such as tumor necrosis factor, whereas levels significantly worsened when about the same amount of weight was lost from a gastric bypass.

    What about diabetic complications? One reason to avoid diabetes is to avoid its associated conditions, like blindness or kidney failure requiring dialysis. Reversing diabetes with bariatric surgery can improve kidney function, but, surprisingly, it may not prevent the occurrence or progression of diabetic vision loss—perhaps because bariatric surgery affects quantity but not necessarily quality when it comes to diet. This reminds me of a famous study published in The New England Journal of Medicine that randomized thousands of people with diabetes to an intensive lifestyle program focused on weight loss. Ten years in, the study was stopped prematurely because the participants weren’t living any longer or having any fewer heart attacks. This may be because they remained on the same heart-clogging diet but just in smaller portions.

    Doctor’s Note

    This is the third blog in a four-part series on bariatric surgery. If you missed the first two, check out The Mortality Rate of Bariatric Weight-Loss Surgery and The Complications of Bariatric Weight-Loss Surgery.

    My book How Not to Diet is focused exclusively on sustainable weight loss. Check it out from your local library, or pick it up from wherever you get your books. (All proceeds from my books are donated to charity.)

    Michael Greger M.D. FACLM

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  • Top 10 NutritionFacts.org Videos of 2025 | NutritionFacts.org

    We create more than a hundred new videos every year. They are the culmination of countless hours of research. We comb through tens of thousands of scientific papers from the peer-reviewed medical literature so busy people like you don’t have to.

    In 2025, I covered a wide variety of hot topics. I released an extensive series on Ozempic, updates on vitamin B12, and, of course, a lot on aging and anti-aging based on my research for How Not to Age. Which videos floated to the top last year? 

     

    #10 How Much Vitamin B12 Do We Need Each Day?

    How are the recommended daily and weekly doses of vitamin B12 derived?

     

     

     

     

     

     

     

    #9 The Best Way to Boost NAD+: Supplements vs. Diet (webinar recording)

    This webinar wrapped up the pros and cons of all the NAD+ supplements and the ways to naturally boost NAD+ with diet and lifestyle. (Did you know we now offer a growing library of on-demand webinars for CME credits? To learn more and to register, visit us on the LearnWorlds platform.)

    The Best Way to Boost NAD+: Supplements vs. Diet (webinar recording)

     

    #8 How to Improve Your Heart Rate Variability

    A healthy heart doesn’t beat like a metronome.

    How to Improve Your Heart Rate Variability

     

     

     

     

     

     

    #7 The Best Foods for Your Skin

    Greens, apples, tomato paste, and grapes are put to the test as edible skin care candidates.

    The Best Foods for Your Skin

     

     

     

     

     

     

    #6 Friday Favorites: Foods That Cause Inflammation and Those That Reduce It

    This is a popular combination of two earlier videos, exploring which foods are the worst when it comes to triggering inflammation within hours of consumption and what an anti-inflammatory diet looks like?

    Friday Favorites: Foods That Cause Inflammation and Those That Reduce It

     

     

     

     

     

     

    #5 The Healthiest Way to Drink Coffee

    Why do those who drink filtered coffee tend to live longer than those who drink unfiltered coffee?

    The Healthiest Way to Drink Coffee 

     

     

     

     

     

     

    #4 Is One Egg a Day Too Much?

    *Spoiler alert*: Meta-analyses of studies involving more than 10 million participants confirm that greater egg consumption confers a higher risk of premature death from all causes.

    Is One Egg a Day Too Much?

     

     

     

     

     

     

    #3 Do Not Eat Pawpaws

    Pawpaw fruits, like soursop, guanabana, sweetsop, sugar apple, cherimoya, and custard apple, contain neurotoxins that may cause a neurodegenerative disease. 

    Do Not Eat Pawpaws

     

     

     

     

     

     

    #2 The Highest Antioxidant: Apple, Bean, Berry, Lentil, or Nut?

    Remember these kinds of videos from way back when? I brought them back! Of course, the best apple, bean, berry, lentil, and nut are the ones you’ll eat the most of, but if you don’t have a strong preference, which ones have the highest antioxidant power? 

    The Highest Antioxidant: Apple, Bean, Berry, Lentil, or Nut?

     

     

     

     

     

     

    #1 How to Slow Cancer Growth

    The fact that this video was so popular is validation for my plan to take on cancer after How Not to Hurt, my upcoming book on lifestyle approaches to pain management, which should be out in (fingers crossed) December 2026. This video explains how, at this very moment, many of us have tumors growing inside our bodies, so we cannot wait to start eating and living more healthfully.

    How to Slow Cancer Growth

     

     

     

     

     

     

    Thank you for being a part of this community. We gained more than 170,000 new subscribers on YouTube in 2025, and the number of people we can reach with this life-saving, life-changing information continues to grow.

    Michael Greger M.D. FACLM

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  • Brain Energy Reset

    Brain Energy Reset: Summary

    In this episode of Brain Energy Reset, host Evan Transue sits down with Moira Newiss, a BANT-registered nutritional therapist and expert in ketogenic metabolic therapy, to explore the powerful connection between brain energy, metabolic health, and mental wellbeing. Moira shares her personal journey from years of mental health challenges and chronic fatigue while working in the NHS to experiencing complete symptom remission after adopting a ketogenic approach.

    Drawing from both lived experience and clinical practice, Moira explains how ketones support brain function through anti-inflammatory effects and enhanced neuroplasticity. She discusses how optimizing brain energy can lead to profound improvements in mental health and overall resilience, and how this framework now guides her work with clients.

    The episode highlights compelling client success stories, including cases of complete remission of schizophrenia and significant improvements in anxiety, binge eating behaviors, and severe gastrointestinal reflux. Moira also offers practical insights into implementing a ketogenic diet safely and sustainably, emphasizing the importance of a gradual transition, adequate electrolyte support, and understanding the metabolic benefits of ketosis.

    Rounding out the discussion, Evan and Moira explore an evolutionary lens on nutrition, examining how environment and geography influence dietary needs. This conversation provides a hopeful, science-informed perspective on how addressing metabolic health can transform mental and physical wellbeing.

    Brain Energy Reset: Topics

    00:00 Welcome to the Health Detective Podcast

    00:38 Meet Your Host: Evan Transue

    01:15 Introducing Our Guest: Moira Newiss

    01:46 Evan’s Journey with Mental Health and Ketogenic Diet

    03:19 Moira’s Health Struggles and Discovery of Ketogenic Diet

    18:04 The Science Behind Ketogenic Diet and Mental Health

    22:54 Personal Experiences and Benefits of Ketosis

    25:43 Training Fasted: Personal Experience and Benefits

    26:39 Evolutionary Perspective on Fasting and Food Availability

    27:43 Transitioning to a Ketogenic Diet

    34:13 Personal Routine and Long-Term Ketosis

    44:04 Client Success Stories and Case Studies

    48:22 Final Thoughts and Advice

    Where to Find Moira Newiss

    Go to our Health Detective Podcasts for more informational and functional health-oriented podcasts like this one.

    LEARN MORE ABOUT US

    Try FDN for FREE! 

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  • The Orange Julius Protein Smoothie Is the New Post-Workout Obsession

    (Photo: Orange Julius Smoothie: Ashia Aubourg; Design: Ayana Underwood/Canva)

    Published January 3, 2026 03:27AM

    Lately on TikTok, people have been dumping frozen orange juice concentrate into blenders alongside Greek yogurt, bananas, and other fridge and pantry staples to recreate the viral Orange Julius smoothie. The trend pulls inspiration from the creamy, citrus-forward milkshake many people love to order at Dairy Queen drive-thrus. Fitness devotees, however, have since reworked the classic into a post-workout recovery drink designed to refuel and satisfy a sweet tooth.

    Anyone leaning into an active lifestyle quickly learns one essential lesson: recovery deserves as much attention as training. Stretching, hydration, and the occasional ice bath all play a role, but nutrient intake matters just as much.

    Below, you’ll find why this smoothie makes for a great recovery drink, how to make it, my honest take on the taste and recovery benefits, and a few dietitian-approved tweaks that further boost its nutritional payoff.

    What Makes the Orange Julius Smoothie the Perfect Recovery Drink?

    A strong recovery drink relies on a balance of protein, fiber, healthy fats, and carbohydrates, says Maddie Pasquariello, a registered dietitian based in New York City. The Orange Julius smoothie delivers on all fronts.

    Frozen orange juice concentrate supplies a solid dose of vitamin C, about 380 milligrams in one cup, which supports muscle repair and recovery, Pasquariello says. (For context, you only need between 75 mg and 90 mg per day, according to the National Institutes of Health. The juice is literally worth the squeeze in this case.)

    Depending on the protein powder and yogurt you choose, each serving of this smoothie can provide approximately 47 grams of protein or more—well over the typical recommended amount for each meal (between 15 grams and 30 grams), making it a great way to support muscle repair after demanding workouts.

    Banana adds fiber, which is great for better bowel health, plus potassium to help replenish electrolytes. Together, these ingredients support recovery and refueling after hard efforts, she explains.

    How to Make the Orange Julius Protein Smoothie 

    This recipe yields about 25 fluid ounces. If you drink the whole thing, it’s about the volume of two bottles of water.

    Ingredients

    • 3 ounces frozen orange juice concentrate
    • 1/2 frozen banana
    • 1/2 cup low-fat (one-percent) milk
    • 1.5 ounces vanilla protein powder
    • 1 cup Greek yogurt
    • 1 tablespoon honey
    • 1/2 cup of ice

    Recipe

    1. Place all ingredients in a blender.
    2. Blend the ingredients on medium-high speed until the beverage is smooth and creamy.

    The Verdict: A Nostalgic Creamsicle Throwback That Delivers Satiating, Energizing Sips

    Growing up, I always reached for creamsicles whenever I stopped at the corner store after a long day of kickball. One sip of this smoothie transported me straight back to those afternoons, where I demolished a frozen bar after hours spent running around the park

    I drank this as a post-hike dessert during that part of the day when dinner still felt far off, but my energy had already dipped. I needed something sweet (but not sickeningly sweet) and functional enough to carry me through the evening cooking. I finished the entire glass in seconds. The texture stayed creamy, which made it easy to enjoy without slowing me down.

    The smoothie delivered enough energy to get dinner on the table instead of defaulting to takeout, even with sore legs—the benefits carried into the next morning. I woke up without lingering aches and with enough fuel to tackle my next adventure: an 8:30 A.M. barre class.

    How to Get the Most Out of This Smoothie, According to a Nutritionist

    One of the simplest ways to tweak this smoothie involves cutting back on added sugar, according to Pasquariello. First, you can leave out the honey entirely without noticing a difference in flavor, she says. From there, swap the frozen orange juice concentrate for half a cup of fresh orange juice or a whole peeled orange.

    Another easy upgrade to this Orange Julius protein smoothie involves using a full frozen banana instead of half, Pasquariello says. That small change boosts fiber, potassium, and antioxidants, turning the recipe into an even more loaded post-workout recovery drink to sip on.

    Want more Outside health stories? Sign up for the Bodywork newsletter

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  • Bariatric Surgery: Risks in the OR and Beyond | NutritionFacts.org

    The extent of risk from bariatric weight-loss surgery may depend on the skill of the surgeon.

    After sleeve gastrectomy and Roux-en-Y gastric bypass, the third most common bariatric procedure is a revision to fix a previous bariatric procedure, as you can see below and at 0:16 in my video The Complications of Bariatric Weight-Loss Surgery.

    Up to 25% of bariatric patients have to go back into the operating room for problems caused by their first bariatric surgery. Reoperations are even riskier, with up to 10 times the mortality rate, and there is “no guarantee of success.” Complications include leaks, fistulas, ulcers, strictures, erosions, obstructions, and severe acid reflux.

    The extent of risk may depend on the skill of the surgeon. In a study published in The New England Journal of Medicine, bariatric surgeons voluntarily submitted videos of themselves performing surgery to a panel of their peers for evaluation. Technical proficiency varied widely and was related to the rates of complications, hospital readmissions, reoperations, and death. Patients operated on by less competent surgeons suffered nearly three times the complications and five times the rate of death.

    “As with musicians or athletes, some surgeons may simply be more talented than others”—but practice may help make them perfect. Gastric bypass is such a complicated procedure that the learning curve may require 500 cases for a surgeon to master the procedure. Risk for complications appears to plateau after about 500 cases, with the lowest risk found among surgeons who had performed more than 600 bypasses. The odds of not making it out alive may be double under the knife of those who had performed less than 75 compared to more than 450, as seen below and at 1:47 in my video.

    So, if you do choose to undergo the operation, I’d recommend asking your surgeon how many procedures they’ve done, as well as choosing an accredited bariatric “Center of Excellence,” where surgical mortality appears to be two to three times lower than non-accredited institutions.

    It’s not always the surgeon’s fault, though. In a report entitled “The Dangers of Broccoli,” a surgeon described a case in which a woman went to an all-you-can-eat buffet three months after a gastric bypass operation. She chose really healthy foods—good for her!—but evidently forgot to chew. Her staples ruptured, and she ended up in the emergency room, then the operating room. They opened her up and found “full chunks of broccoli, whole lima beans, and other green leafy vegetables” inside her abdominal cavity. A cautionary tale to be sure, but perhaps one that’s less about chewing food better after surgery than about chewing better foods before surgery—to keep all your internal organs intact in the first place.

    Even if the surgical procedure goes perfectly, lifelong nutritional replacement and monitoring are required to avoid vitamin and mineral deficits. We’re talking about more than anemia, osteoporosis, or hair loss. Such deficits can cause full-blown cases of life-threatening deficiencies, such as beriberi, pellagra, kwashiorkor, and nerve damage that can manifest as vision loss years or even decades after surgery in the case of copper deficiency. Tragically, in reported cases of severe deficiency of a B vitamin called thiamine, nearly one in three patients progressed to permanent brain damage before the condition was caught.

    The malabsorption of nutrients is intentional for procedures like gastric bypass. By cutting out segments of the intestines, you can successfully impair the absorption of calories—at the expense of impairing the absorption of necessary nutrition. Even people who just undergo restrictive procedures like stomach stapling can be at risk for life-threatening nutrient deficiencies because of persistent vomiting. Vomiting is reported by up to 60% of patients after bariatric surgery due to “inappropriate eating behaviors.” (In other words, trying to eat normally.) The vomiting helps with weight loss, similar to the way a drug for alcoholics called Antabuse can be used to make them so violently ill after a drink that they eventually learn their lesson.

    “Dumping syndrome” can work the same way. A large percentage of gastric bypass patients can suffer from abdominal pain, diarrhea, nausea, bloating, fatigue, or palpitations after eating calorie-rich foods, as they bypass your stomach and dump straight into your intestines. As surgeons describe it, this is a feature, not a bug: “Dumping syndrome is an expected and desired part of the behavior modification caused by gastric bypass surgery; it can deter patients from consuming energy-dense food.

    Doctor’s Note

    This is the second in a four-part series on bariatric surgery. If you missed the first one, see The Mortality Rate of Bariatric Weight-Loss Surgery.

    Up next: Bariatric Surgery vs. Diet to Reverse Diabetes and How Sustainable Is the Weight Loss After Bariatric Surgery?.

    My book How Not to Diet is focused exclusively on sustainable weight loss. Check it out from your local library, or pick it up from wherever you get your books. (All proceeds from my books are donated to charity.)

    Michael Greger M.D. FACLM

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  • Bariatric Weight-Loss Surgery and Mortality | NutritionFacts.org

    Today, death rates after weight-loss surgery are considered to be “very low,” occurring in perhaps 1 in 300 to 1 in 500 patients on average.

    The treatment of obesity has long been stained by the snake-oil swindling of profiteers, hustlers, and quacks. Even the modern field of bariatric medicine (derived from the Greek word baros, meaning “weight”) is pervaded by an “insidious image of sleaze.” Beguiled by advertising for fairy tale magic bullets of rapid, effortless weight loss, people blame themselves for failing to manifest the miracle or imagine themselves metabolically broken. On the other end of the spectrum are overly pessimistic practitioners of the opinion that “people who are fat are born fat, and nothing much can be done about it.” The truth lies somewhere in between.

    The difficulty of curing obesity has been compared to learning a foreign language. It’s an achievement virtually anyone can attain with a sufficient investment of energies, “but it always takes a considerable amount of time and trouble.” And, of those who do stick with it, most will regain much of the weight lost. To me, this speaks to the difficulty, rather than the futility. It may take smokers an average of 30 attempts to finally kick the habit. Like quitting smoking, curing obesity is just something that has to be done. As the chair of the Association for the Study of Obesity put it, it doesn’t take “will power” to do essential tasks like getting up at night to feed a baby; it’s just something that has to be done.

    Our collective response doesn’t seem to match the rhetoric or reality. If obesity is such a “national crisis” reaching alarming proportions, dubbed by the post-9/11 Surgeon General as “every bit as devastating as terrorism,” why has our reaction been so tepid? For example, governments meekly suggest the food industry take “voluntary initiatives to restrict the marketing of less healthy food options to children….” Have we just given up and ceded control?

    Our timid response to the obesity epidemic is encapsulated by a national initiative promulgated by a Joint Task Force of the American Society for Nutrition, Institute of Food Technologists, and International Food Information Council: the “small-changes approach.” Since “small changes are more feasible to achieve,” suggestions include “using mustard instead of mayonnaise” and “eating 1 rather than 2 doughnuts in the morning.” Seems a bit like bringing a butter knife to a gunfight. Proponents of the small-changes approach lament that, unlike other addictions—for example, alcohol, cocaine, gambling, or tobacco—we can’t counsel our obese patients to give up the addictive element completely, as “[n]o one can give up eating.” But just because we have to breathe, doesn’t mean it has to be through the end of a cigarette. And just because we have to eat doesn’t mean we have to eat junk.

    What about bringing a scalpel to the gunfight instead? The use of bariatric surgery has exploded from about 40,000 procedures noted in the first international survey in 1998 to hundreds of thousands performed now every year in the United States alone. The first technique that was developed, the intestinal bypass, involved carving out about 19 feet of intestines. More than 30,000 intestinal bypass operations were performed before we recognized “catastrophic” and “disastrous outcomes” resulted from these procedures. This included protein deficiency-induced liver disease, “which often progressed to liver failure and death.” This inauspicious start is remembered as “one of the dark blots in the history of surgery,” as I discuss in my video The Mortality Rate of Bariatric Weight-Loss Surgery.

    Today, death rates after bariatric surgery are considered “very low,” occurring on average in perhaps 1 in 300 to impacting 1 in 500 patients. The most common procedure is stomach stapling, also known as sleeve gastrectomy, in which most of the stomach is permanently removed. Only a narrow tube of the stomach is left so as to restrict how much food people can eat at any one time. It’s ironic that many patients choose bariatric surgery convinced that, “for them, ‘diets do not work,’” when, in reality, that’s all the surgery may be—an enforced diet. Bariatric surgery can be thought of as a form of internal jaw wiring.

    Gastric bypass, known as Roux-en-Y gastric bypass, is the second most common bariatric surgery. It combines restriction—stapling the stomach into a pouch smaller than a golf ball—with malabsorption by rearranging one’s anatomy to bypass the first part of the small intestine. It appears to be more effective than just cutting out most of the stomach, resulting in a loss of about 63% of excess weight compared to 53% with a gastric sleeve. But gastric bypass carries a greater risk of serious complications. Many are surprised to learn that new “surgical procedures…do not require premarket testing and approval by the Food and Drug Administration (FDA)” and are largely exempt from rigorous regulatory scrutiny.

    Doctor’s Note

    I didn’t know there wasn’t some kind of approval process for new surgical procedures!

    This is the first video in a four-part series on bariatric surgery. Coming up are:

    My book How Not to Diet is focused exclusively on sustainable weight loss. Check it out from your local public library or pick it up from wherever you get your books. (All proceeds from my books are donated to charity.)

     

    Michael Greger M.D. FACLM

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