The Proof is in the Pudding – More Turds in the PunchBowl

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Have you ever heard the phrase “The proof is in the pudding”? It is also sometimes “The proof of the pudding is in the eating.” What does this mean? No matter what you think, you need to look at the results to really judge something.

Suppose you think that adding chalk to a pudding recipe will make it better. You might come up with all kinds of great reasons why – it will make the colour lighter, it will improve the texture, it will improve the flavour. But none of this really matters in the end. The only question you need to ask is this – “How does it taste?”  If the taste is horrible, then it doesn’t matter about what you think, or why you might believe the chalk is good. The proof lies in the results – the taste of the finished pudding. The proof is in the pudding.

So let’s apply this to obesity. The dominant nutritional theory of the last half century has been Calories In, Calories Out. We had erroneously believed that excessive calories is what leads to obesity. (You can review the Calories series to learn more about why this is wrong). Within this paradigm, reducing ‘calories in’ would lead to reduced weight. Furthermore, increasing exercise would increase ‘calories out’ and therefore, also cause weight loss. Fat, being very calorically dense (9 calories/gram as opposed to about 4 for carbs and protein), should be the main thing to reduce in your diet for weight loss.prevalence-of-obesity

So here we have the low fat, low calorie diet combined with increased exercise. This is very neatly summarized by the Eat Less, Move More approach. And this has been the standard dietary prescription for the last half century. We can invent all kinds of mechanisms (Calories In, Calories Out) as to why it should work, but does it? What are the results? Everything depends on the results. The proof is in the pudding.

Well, here’s the results. A huge, rampant global obesity epidemic. The Center for Disease Control (CDC) in Atlanta recently updated its obesity map for the United States and the results are, well, horrifying. No state had an obesity rate below 20%. As late as 1995, no state had an obesity rate higher than 20%.ObesityEpidemic2014

So let’s juxtapose these two incontrovertible facts together:

Fact #1 – Conventional weight loss advice is to Eat Less, Move More, or Caloric Reduction as Primary (CRaP).

 

Fact #2 – Obesity is just friggin’ exploding all over the damn place.

Considering these two facts together, there are only 2 possible conclusions. One possibility is that the advice is good, but people are simply not able to follow it. This would be a real stretch of the imagination. Nobody really wants to be fat. When doctors advised people to stop smoking, they stopped smoking. When doctors advised to watch their blood pressure and cholesterol, they watched their BP and cholesterol. When doctors advised to increase exercise, they increased exercise. Yet somehow, they didn’t follow a low-fat, calorie reduced diet? Doubtful.

This belief is the recourse of cowards everywhere and also known as ‘Blame the Victim’. It is far easier to suppose the advice that we give is good and the victim has somehow brought this on him or herself. This shifts the psychological blame from the advice giver to the advice taker. Just as ignorant people may have once believed “Those blacks brought the violence upon themselves by sitting in the white-only section”, ignorant people now believe that “Those fat people brought this on themselves”.
Americans Have followed advice

Further, the data does not support the supposition that people did not follow this advice. People did in fact, reduce their intake of fat significantly, just as the doctors advised.  This was replaced by carbohydrates, just as the 1977 Dietary Guidelines suggested. What scares me most of all, by the way, is the +91% on vegetable oils (shudder).

So, it was not simply that people did not follow the advice. They did. So we cannot really suggest that the reason that dietary advice failed is that people were not listening. They were.

Are Americans eating more calories? Not really. The correlation between obesity and the increase in calorie consumption has recently broken down. Data from the National Health and Nutrition Examination Survey (NHANES) in the United States from 1990 to 2010, finds no association between increased calorie consumption and weight gain. While obesity increased at a rate of 0.37 percent per year, caloric intake remained virtually stable. Women slightly increased their average daily caloric intake from 1,761 calories to 1,781, but men slightly decreased theirs from 2,616 calories to 2,511.

So, what’s the only remaining possibility? That the advice to Eat Less and Move More is simply wrong. This is logically the most correct response. In fact, given the severity of the obesity epidemic, it is likely that most or all of our conventional Eat Less, Move More advice is wrong.

Let’s see what the success rate of the CRaP methodology. Here’s an interesting paper detailing the damage we’ve done. Researchers in the UK looked at close to 175,000 obese men and women excluding those that received bariatric surgery. Most, we can assume got the CRaP advice to cut calories. During 9 years of follow up, how many were able to achieve a normal weight?

Success rates averaged 1 in 210 for men and 1 in 124 for women. For both, say 1 in 167 or 0.006. That, is a 0.6% chance of success and a 99.4% chance of failure. But for those who were most obese (BMI>40), the odds drop down to 1 in 1290 for men and 1 in 677 in women. For both, say 1 in 983.5 or 0.001. That is a 0.1% chance of success or a 99.898% chance of failure.

But I don’t really need a study to convince you of the truth. This reeks of truth. You knew it already. Eat Less, Move More never, ever works. After all, who hasn’t tried the CRaP method? Face it, we have all tried it. And we have all failed. 99.898% failure rate? Yeah, sounds about right to me.

The dietary advice was simply wrong. Yet nutritional authorities like the National Institutes of Health’s Kevin Hall continue to preach, and preach. Let’s get out of the ivory tower and into the real world, because that is where we all live, not your metabolic lab.

But here’s the most important thing to understand.

Whether it is the first (good advice that people do not follow) or second possibility (bad advice that people follow), IT DOESN”T MATTER. The advice is still bad. If you give advice that nobody is able to follow, it is still bad advice.

So, again, following logically, the Caloric Reduction as Primary (CRaP) advice is bad because we have a raging obesity and diabetes epidemic. The proof is in the pudding. What is to be done? Again the only logical conclusion is to CHANGE THAT ADVICE.Opposites

We should follow George Costanza’s (from Seinfeld) advice. When he realized that all his decisions were bad, he deliberately did the opposite of his instincts, and the results were great. This was only a sitcom, but maybe there is something here.

If we did everything opposite to what we were told (the Costanza diet), we could hardly be worse off than we are today.

What is absolutely crucial to understand is this. We need to stop lying to ourselves. We lie to ourselves that we are providing good advice. We lie to ourselves that people would be just fine if they followed the Eat Less, Move More model. It is simply not true. It is a lie that we tell ourselves so that we do not have to face the hard truth that we are failing.

It is very difficult to face the cold steel of logic that says that all of our medical training, resources and money have been completely for waste. We have not helped anybody. Instead, if anything, we have made it worse. After 50 years, we are making the problem worse. So instead, we lie to ourselves that this is a difficult problem, and we are doing the best we can. We need to stop pretending that we are doing a good job. We are not. We are bad doctors. We are bad dieticians. We are doing an absolutely, horrible job of managing obesity. The proof, as they say, is in the pudding.

But it is so hard to speak the truth. You become as popular as a turd in a punchbowl. For example, Nina Teicholz recently wrote a brilliant and courageous article trying to bring some real change in the USDA dietary guidelines. For this she is relentlessly attacked by certain individuals like Dr. David Katz. Let’s follow the logic here. We’ve given a low-fat, calorie reduced diet advice (fact). We’ve developed a critical obesity and diabetes epidemic (fact). So, logically, changing course may be a good thing.

Of course, that’s not the way people like Dr. David Katz sees it. He argues over and over again to continue with our current advice. Why is he so stupid? The proof is in the pudding. Our current advice got us into this mess. We won’t get out of it by following the same failed advice. It matters not even a little bit, WHY you think the current advice is good. It failed. Face it. But I don’t really think he is that stupid. Rather it is a case of cognitive dissonance.

The truth is that influential people like the pompous Katz have staked their reputation on this advice, and it is better for them that millions of people be condemned to obesity, diabetes, blindness, amputation, dialysis etc rather than their reputation be smirched. He would rather lie to himself, than acknowledge the truth which is plainly before his very eyes. No, it is far easier for him to blame the millions of victims here. For example, he write “The DGAC (Dietary Guidelines Advisory Committee) is excellent”. Excellent except for the raging diabesity epidemic. He writes in another article “I have neither eggs, nor eggplants to sell you” praising the guidelines. No, only your books full of idiotic advice.

Only by acknowledging the truth, can we start the catharsis. We can start the healing, but only by facing the cold, hard, difficult truth. We are FAILING. For obesity, as for type 2 diabetes, we get an ‘F’ for ‘Fat’. Time to change our advice. The sooner, the better.

2017-09-02T11:54:12+00:00 66 Comments

About the Author:

Dr. Fung is a Toronto based kidney specialist, having graduated from the University of Toronto and finishing his medical specialty at the University of California, Los Angeles in 2001. He is the author of the bestsellers ‘The Obesity Code’ and ‘The Complete Guide to Fasting’. He has pioneered the use of therapeutic fasting for weight loss and type 2 diabetes reversal in his IDM clinic.

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66 Comments on "The Proof is in the Pudding – More Turds in the PunchBowl"

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BobM
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I think you are absolutely correct. I now eat exactly opposite of what the recommendations are: I try to eat 75%+ of my daily calories in fat, and particularly animal fat; I avoid all “whole grains” or processed grains; I try not to eat any oil and instead use pork fat, beef fat, bacon fat, etc.; I eat plenty of “red meat”; I no longer eat 5-6 times per day; etc. About the only thing I follow is I eat some fish product from a few times per week to daily. I believe when there are huge studies like the… Read more »
Nancy J
Guest

Dr. Katz might truly believe what he preaches because he is probably one of the minority who can tolerate carbohydrates. People like him say things like “you just need a little moderation and self control…” In our family we have a category for these people. We say they were born on third base and think they hit a triple. They are completely self-delusionl. Nothing can be done with them. We will have to move the revolution forward in spite of these people. Keep up the good work Dr. F!

KKH
Guest

I’ve never heard this before and LOVE it: ” We say they were born on third base and think they hit a triple. ” I will be using this phrase…

Another thing is that some people look like they are on third base (slim, no blood sugar problems) but have an invisible metabolic disease such as heart disease.

Valerie
Guest

Ha ha 🙂
The one I had heard before was “He was born on the finish line and he thinks he won the race.”

Sarah
Guest

haha.. i know many people like this… who eat stick thin even though they eat only carbs and think they are like that because of their superior eating habits!

Sarah
Guest

who are* stick thin

Johan
Guest

Well spoken. Often indeed you hear that the issue is not the dietary advice but the lack of adherence to it that causes obesity etc. Clearly proven wrong hereby.

Dr.Garry Lee
Guest

Totally right Jason. I’m 40lb down without hunger on lchf for 17m. It’s changed my shape and I think my health. I could only lose weight before by terrible hunger. Bad genes. All my father’s family were fat. Grandmother and uncle died of DM2. I’m sure I was heading that way. Katz is an pernicious pompous poorly-read puerile prolix self-exalted nobody, and they are just his good points. Nina wounds him because he has no answer for her other than to abuse her. He is a bully as well.

Jill
Guest

Thank you Dr Fung.

Don Ewart
Guest

Try to find full fat yogurt in the supermarket. Those markets are not trying to improve our health, they are just stocking what sells. That’s all the proof I need that their customers are simply blindly following the failed government guidelines. And it’s causing health care costs to go through the ceiling.

Holly
Guest

Grocery stores will change their products if customers ask. Go to the service desk and request full-fat no sugar added yogurt.

Steve
Guest

Greetings Dr. Fung: many thanks for another factual and helpful post. On the negative side it truly seems that many have too much (including big money) riding on failed guidelines. That said, one good thing about the Internet is that the truth can get out there if we seek it. If the student is ready the teacher will appear! Again, thanks for your honest dedication to the real values of your profession. Hippocrates would be proud!

Valerie
Guest
NHANES data is notoriously unreliable. Self-reports, based on memory. Bad bad bad. Plus, knowing that obese people underreport their intake more than lean people, and that obesity rates have been increasing over time, we can even assume that NHANES data has gotten worse during the past few decades. The food availability data form the Economic Research Service is probably not perfect, but it is a whole lot more credible (as they don’t rely on self-reports). Here is what they say: “In 1970, Americans consumed an estimated 2,039 calories per person per day; whereas in 2010, they consumed an estimated 2,544… Read more »
Nate
Guest
Your comment shows how complex metabolism research is. I also think that you wish the same thing that Dr. Fung wishes: to be a true scientist and ask more questions. Dr. Fung concentrated his post on the Eat Less, Move More advice and did not fully explain the other currently popular advice that eating a low fat diet is better than a low carb diet. As every physiology book explains, carbs drive the production of insulin and insulin increases fat storage. Part of the reason insulin increases fat storage is because it greatly reduces the ability of a body to… Read more »
Claire Lee
Guest

The insulin-fat-loss link still isn’t that clear just yet, as more studies will be needed.

A recent study by Dr. Kevin Hall found that while his low-carb subjects had a 22% reduction in overall insulin secretion compared to his low-fat subjects didn’t, his low-fat subjects actually lost more fat.

Calorie for Calorie, Dietary Fat Restriction Results in More Body Fat Loss than Carbohydrate Restriction in People with Obesity. Cell Metabolism, 2015; DOI: 10.1016/j.cmet.2015.07.021

Martin
Guest

Claire: That study started with an adaptation to a base diet high in carbs. Then made the subjects to perform exercise at will on either diet. I think the results where favorable to a high carb diet because as high carb adapted you will not feel like exercising when subjected, without adaptation, to a lower carb intake. And even because they where measuring “balance” (of fat ) not where low insulin promoted more fat burning or not.

JG
Guest
Great points Valerie. I first want to say that I respect Dr. Fung’s work tremendously..truly a brilliant man. There are a few points that I think would have made this argument stronger. First, I was thinking the same think about NHANES Valerie. This is certainly not the data that I would use to support nutritional reporting. In fact, I wouldn’t use self reporting for any reliable data, especially when we know both dietitians under-report their calories by a few hundred and the average consumer under-reports on average 400 calories when measured via doubly labeled water (http://www.ncbi.nlm.nih.gov/pubmed/12396160). Second, I think support… Read more »
Claire Lee
Guest

One other factor I wonder is if our current generation of gut microbes affects how we process calories.

For example, a study by Jan-Hendrik Hehemann and Mirjam Czjzek found that native Japanese people had a gut microbe that allows them to process and digest seaweed, while non-native-Japanese could not.

Who knows what modern farming and food practices have done to us?

Transfer of carbohydrate-active enzymes from marine bacteria to Japanese gut microbiota. Nature 464, 908-912 (8 April 2010) | doi:10.1038/nature08937; Received 9 November 2009; Accepted 19 February 2010

Ogan
Guest

You should check the whole study.
It lasted for just SIX DAYS, which is not even remotely enough to start fueling exclusively on fat.
Furthermore, the subjects were not following a LCHF diet strictly speaking, I believe around 30% (!!!) came from carbohydrates.
This study is a boon for the old way of thinking about dietary advice, and it totally ignores that one of the biggest merits of LCHF is the ability to comply without feeling hunger.

Claire Lee
Guest

The psychological aspect of different diets is definitely one area of importance in fat loss.

However, the scientific and biological aspects need to be examined as well.

You might have issues with the study, and say that more are needed. But this is a very rigorous study. Until there are more studies, this is the information we have.

In addition, the fact that there was a major reduction in insulin secretion and yet it did not result in greater fat loss is also an area of interest.

erdoke
Guest

There are more rigorous studies. This is just what you like and therefore stick to.

Apicius
Guest

Bravo! This is a brilliant piece of work!

Bhanu
Guest

Dr. Fung, I read recently a clip from Dr. Mike Gregor that increased fat intake increases insulin levels, especially hepatic insulin. what is your view? How does a person already being “fat” burn his stored fat while at the same time consuming a diet high in fat ?

Ruth
Guest

Bhanu: it has worked for me; 6 years ago I was at 199 lb. Switched to strict LCHF diet; burned 50# of body fat, lowered blood sugar and blood pressure, now I weigh 25% less (or perhaps even less…I don’t weigh anymore but my size 6 jeans get looser and looser). I’m never hungry, practice intermittent fasting (one meal per day), and am healthier than I’ve ever been (i.e. I feel great at 71!). Can’t argue with success. All my blood tests are perfectly normal now.

Bhanu
Guest

Dr. Fung, I recently read a clip from Dr. Mike Gregor who states that a diet high in fats raises insulin levels, especially hepatic insulin. What’s your view? Also, how does an overweight person burn his/her own stored fat, while at the same time consuming a diet high in fat?

Bhanumathy K Scioscia
Guest
Bhanumathy K Scioscia

Dr. Fung, I recently read a clip by Dr. Mike Gregor saying that a diet high in fats leads to increased insulin levels, especially hepatic insulin. What’s your view on this? Also, when a person is overweight, how does he/she use the already stored fat as fuel, while at the same time consuming a diet high in fats?

Devialini De Souza
Guest
They say that repeating the same thing and expecting a different result is the definition of insanity. So, we can safely conclude that our authorities are insane!! I have now been on LCHF for about a month and have lost a total of 14 kg. 5 kg of these were lost on a calorie restricted diet with lots of exercise – about 2 hours a day and it took me 2 months to lose that weight. During that time, I also got really ill with a nasty bacterial infection so 2 kg of the 5 kg was lost that way.… Read more »
Nate
Guest

Yes, you are the proof, but you are no longer the pudding. You show that the proof is in the man.

Wenchypoo
Guest

Fact #2 – Obesity is just friggin’ exploding all over the damn place.

Fact #3–Now we’re exporting it–with each new market Big Food enters worldwide, obesity soon follows.

Wenchypoo
Guest

Katz, the Fuhrman bros., Alice Lichtenstein, most doctors, and every single “health lobby” (ADA, AMA, AHA, etc.) have their money parked in the Old Science, so that’s what they’re going to shout from the rooftops–they’re trying to protect their investments. They want to stay with the investment strategy “what brung ’em” into media fame and fortune

Nate
Guest

THANK YOU, THANK YOU, THANK YOU!!!

Jerome Benthamite
Guest
For Dr. Fung, one important, obvious suggestion: Everyone believes that if one burns more calories than one consumes that weight will be lost. So instead of arguing that this is false, simply point out that there is one more step in the process to losing weight and keeping it off, that of going into the metabolic fat-burning mode and staying one it–a very low carbs diet with fasting. The eat less exercise advice is not wrong, just incomplete. The common advice of “eat less and exercise more”; this should also include “stay in the fat-burning mode with a very low… Read more »
erdoke
Guest
It doesn’t matter if the eat less and burn calories advice is true or not. Why? Because you have no clue about what happens with the calories put into your mouth and stored around your body. Consumed and expended calories are not independent variables and there are many more important factors along the way, such as food interaction with the gut flora, absorption (in)completeness, thermal effect, hormonal influence, etc. By simply estimating calories of food intake and expenditure the inaccuracy is already too high to rely on the method. How do you know the rate your REE drops at a… Read more »
Jerome Benthamite
Guest

for the articles with 4 imbedded links go to http://healthfully.org/radf/id7.html at the bottom of thepage

Margaret Cihocki
Guest

I would argue that the opposite of “count your calories” is “Don’t count your calories” not “calories don’t count.” Because calories do count, we just don’t need to count them, no? Just saying… Otherwise awesome post, as usual.

george
Guest
Hi Margaret. I think you might like to read 2 things: Bill Lagakos’ book Calories Proper & any basic medical biochemistry textbook focusing on metabolism that you can find in your local science library. The body is not a bomb calorimeter. It doesn’t count calories, nor can it. It knows absolutely nothing about calories, just as my dog is ignorant of quasars, or my bicycle of comic books. 😀 The body has no “calorie receptor” nor does it have any mechanism for tracking them. How the body actually tallies energy is far more complicated & much more interesting. I’m sure… Read more »
John C
Guest
The tragedy is that “eat less – move more” CAN work, for a while, for some people. I lost weight that way – several times! It slowed the “inevitable progression” of my diabetes but glucose levels fluctuated wildly after meals. However I could never sustain the reduced calorie intake and the lost weight always went back on. Two years ago I began yet another strictly reduced calorie diet. It was a lot of work, weighing everything I ate and calculating calories, carbohydrate, fat, salt and protein, but I averaged 1,500 calories a day for several months. I lost 45 pounds… Read more »
JW
Guest
Haha “turds in the punchbowl”. Dr Fung I love your style of writing. I know there was a comment from a medic in your previous post about language and professionalism which I disagree with. No-one can argue your youtube presentations are extremely informative and professional, however your humourous writing style here will appeal to all the people who are frustrated, annoyed and fed up with current dietary advice. You only have to see the overwhelming response by the people to the ADA facebook diet post to see that it will only be people power that will thrust the dinosaur establishment… Read more »
Colin
Guest
“Are Americans eating more calories? Not really. The correlation between obesity and the increase in calorie consumption has recently broken down. Data from the National Health and Nutrition Examination Survey (NHANES) in the United States from 1990 to 2010, finds no association between increased calorie consumption and weight gain.” And of course the CICO-path counter-argument to this is that “we’re a lot more sedentary now than we were back in the 1990’s. ‘Calories out’ has been significantly reduced” Well, that’s BS. I was alive in the 90’s. People weren’t exactly athletes back then. In fact, we were very sedentary, for… Read more »
Wenchypoo
Guest

The graph mid-article (dietary guideline adherence 1997-2005) can be interpreted another way: by turning it upside-down. Then the view is a little different: it now shows the foods most heavily subsidized vs. the foods that don’t get much subsidies (and we bare the costs of). It’s NO WONDER the consumption of fruits & veggies get shouted from every rooftop–by doing so, it gets Uncle Sam off the hook for paying the farmers!

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[…] Dr. Jason Fung: The Proof is in the Pudding […]

tt
Guest
Dr Fung wants to claim that somehow people were following a calorie restricted diet while total calories have gone up every year. That’s an amazingly unbiased thought process right there =D Of course he is surprised that people are getting fatter year by year while eating some 1000 calories extra per day. This year’s winner in world championship in Misleading Graphs. You forgot to put cheese in there and the ever growing meat consumption (until like 2-3 years ago), well that’s an honest mistake I guess. Very few people follow the dietary guide lines. But hey, maybe you count sodas,… Read more »
John
Guest

Not following you here… I see both meat (-17%) and cheese would be in “animal fats” (-16%), or in “whole milk” maybe (-73%).

Furthermore as the article mentions calory intake was stable, while obesity increased, what is your basis for claiming the opposite?

tt
Guest
Nah, cheese consumption has gone way up. http://www.pcrm.org/sites/default/files/images/media/blog/cheese_consumption.jpg Meat has been going up until 2007. http://3.bp.blogspot.com/-h0WeNy_hkH4/U52XWGKsoYI/AAAAAAAACqg/ijnZczl4Xxc/s1600/meat.png Calories up between 1971-2006: http://ajcn.nutrition.org/content/93/4/836.long Yes, calories and meat consumption has been trending downwards in the last coupe of years. But with such a huge over consumption (http://www.nationalgeographic.com/what-the-world-eats/) what is it that is surprising that people continue to increase in weight? Sure, each level of over consumption has a level of weight equilibrium somewhere, but what is that says we have reached it already? Animal fats would be lard and things like that. I don’t doubt fasting can play a role in improving health,… Read more »
BobM
Guest
What caused and causes the huge over consumption is carbs. For most people, carbs send blood sugar and insulin through the roof which then cause hunger…and the eating of more carbs. When I was on low fat and eating oats for breakfast, pasta for lunch, and brown rice and beans for dinner, I was immediately hungry after eating and hungry literally all the time. That’s what a high carb diet does to you. You can prove this to yourself. Get some lard (not hydrogenated), butter, coconut oil, and tallow (not hydrogenated). Eat as much of this as you possibly can… Read more »
tt
Guest
I don’t doubt the claim from low carbers that they feel more satiety on fat. That’s not exactly in opposition to the calorie theory tho, right? I feel full and happy whether I eat carbs or fat, so I guess there’s a genetic component in our satiety response. But then again, I don’t eat pretzels and pasta. Refined carbs are less satiating than whole foods. No responsible dietitian is recommending refined carbs. I don’t blame obesity specifically on fat intake or meat intake. However I do blame it on higher total calories and junk food as refined carbs, added sugar,… Read more »
Tony
Guest
I love these guys and their obsession with calories. Most have no idea what a calorie even is or how it’s measured. They just love to spout the prevailing dogma thinking it makes them sound smart. ‘Dr. Fung, I’ll come to your site and spam your comments, and show you, and anyone else that will listen, just how much smarter than you I am’. I made the mistake of listening to these types for far too long and all I got for it in the end was a fatty liver and a 40 inch waist, while constantly starving myself and… Read more »
Claire Lee
Guest
Hi Dr. Fung, I don’t think that’s fair. While I agree there might definitely be trolls, I think most of us are just looking for the truth. The problem is there are conflicting studies out there. Sure, some might be biased due to who is funding them, but there are others that are quite legitimate and it would be great if we could discuss them to find out the real answer. For example, the recent study by Grant M Tinsley et al, “Intermittent fasting combined with resistance training: effects on body composition, muscular performance, and dietary intake” concludes that, “In… Read more »
Tony
Guest
I think the main problem lies in Calorie Trolls looking for ‘truth’ in all the wrong places. It’s inappropriate to preach Christianity in a synagogue, Islam in a Christian church, Satanism in a Hindu temple. However, certain individuals with transparent agendas, post in these comments gleefully, or so it seems, trying to pick apart anything Dr. Fung says, some thinking they make a point by filling their comments with links to ridiculous half-baked articles that contradict clear observable reality. The internet is replete with forums where one can freely engage in intellectual discourse. Why come here? No amount of links… Read more »
Claire Lee
Guest

If this was just about the psychological effectiveness of different diets then I would totally agree that it’s inappropriate to come to a forum for one diet and argue about another diet.

But if we’re discussing the science of diets, the real biological and chemical facts, then those interested in real science would embrace more information.

In fact, contradicting scientific results should be exciting for everyone because while it means there is still a lot to learn, it also means we’re getting closer to finding the truth by eliminating suppositions with facts.

That’s the beauty of science.

charles grashow
Guest
http://wholehealthsource.blogspot.com/2014/04/calorie-intake-and-us-obesity-epidemic.html After appropriate adjustments*, ERS data show that on average, US adults consumed 363 more calories per day in 2009 than we did in 1960. * Gross values reduced by 28.8% to account for waste between production and consumption (adjustment determined by the ERS). Also adjusted for an artifact in 2000 that results from a change in the liquid oils assessment method and artificially inflates fat intake. http://health.heraldtribune.com/2014/07/15/americans-calorie-intake-increased-years/ Americans on average eat nearly 2,600 calories a day, almost 500 more than they did 30 years ago, according to the U.S. Department of Agriculture. But what’s most troubling isn’t the increase… Read more »
Deb C
Guest

If CICO were the whole story and the average American consumes 500 more calories a day than they used to, the average American would be 200 pounds heavier within about 4 years, unless they’re exercising off 500 more calories than they were 30 years ago. I don’t believe that is happening.

A report that lumps the increase in oil, fats and grains all into one category is useless for learning if changes relating to HFLC or LCHF had any effect.

jw
Guest

Speaking of calorie guys Calorie Counting Charles has landed aboard the Fung lifeboat.

JW
Guest
For anyone who may not know Mr Grashaw is a CICO low fat high carb promoter. He will duly insist he is not but this seems to be at odds with his constant criticism of LCHF on many blogs. His cruel constant mocking and obsession with Jimmy Moore borders on creepy. That “stupid schmuck” that you call him Mr Grashaw has helped me more than your cut and pastes ever will, and yes I will follow the “sycophants” doing Jimmy’s 30 day fast in January with as much interest as you although in a good way, I ask kindly please… Read more »
Tony
Guest

Well said.

Josef Boberg
Guest

I am over 74 years – and have eaten artegen LCHF costly since more than five years – with the result that I do not have pain somewhere and eat no medication.

Pat
Guest

Jason Fung,
I can feel your frustration. You try so hard to prove your stance and it does not always work. But, you do catch many to your way of thinking, and those people do reap the benefits of your understanding.
Me included. I am off insulin and blood pressure pills, have tons of energy and no brain fog. You have changed my life and have given me a full measure of hope.
Do NOT be discouraged. Keep up the good fight without frustration.

Mark
Guest
Dr Fung, you seem to be getting more passionate with each blog post, about the nutritional lies being foisted on us by those who should and (in many case do) know better. I commend you for not pulling your punches. Millions of people are getting more and more unhealthy, many of them in desperation and through tears trying one thing after another after another to lose weight, and meeting nothing but failure. On these people , there descends a group of outright charlatans, masters at preying on their desperation with carefully crafted e-mails and other advertisements, weaving a convincing case… Read more »
Ruth
Guest

Mark, consider peer pressure and the power of AMA disapproval.

Doctors who’ve tried to move in different directions in the past have been thoroughly ravaged in the same way that most powerful opponents of change do these things and I believe it’s still happening.

Ruth
Guest

Thanks for a really great, common sense article, Dr. Fung.

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Heather Twist
Guest
I’d like to comment on just one part of the consumption graph. Eggs! The government scared us off eggs, and we eat far fewer of them these days. But more, there are fewer eggs in foods … cookies for instance, used to contain eggs usually. So did ice cream, mayo, pudding, sauces. Breakfast usually included an egg or two also. So why is that an issue? Because when eggs are added to a person’s diet … the person loses weight! Eggs are an incredible appetite suppressant, and for some reason tend to cause weight loss for other reasons too. The… Read more »
Becca F
Guest

You are going to save my life, Dr Fung! Thank you!

bachcole
Guest

Many years ago the “Calories in, Calories out” theory did not make any sense to me because I figured that people would just keep on growing larger and larger and larger, since they were supposedly eating too many calories all of the time. But they didn’t. They just got really large, and then they sort of stopped getting large.

bachcole
Guest

Arthur C Clarke said “Science progresses one funeral at a time.” Given the amount of blood on the hands of these cowards, I think that this is what is going to happen.

Jyoti
Guest

The spike in vegetable consumption over the years can be explained by Potatoes- mainly in the form of french fries.. and the spike in fruit – Fruit juice?

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