A Menace to Satiety

A member of my family texted me a few weeks ago: “Thinking of you as I’m watching CNN report on the effects of ultra processed foods… Followed by an ad on controlling diabetes numbers. (Did they consult you?)”. She knows how long I’ve been thinking about this.

So I decided to write about ultra processed “items” this week. The media has got to stop calling them food.

An old friend once came to visit, and she told me that she’d been discussing my dietary recommendations with her clever boyfriend. He spent some time mulling them over, and then said: “Processed food is a menace to satiety.” Indeed it is.

Have you ever given any thought to the fact that you might be able to eat your way through several pounds of potatoes in the form of potato chips, but never as baked potatoes? How many baked potatoes do you actually think you could eat? Remember to include the butter because, after all, most potato chips are fried. 

My husband and a bear-sized buddy of his from Athens, Ohio, used to joke that the best way to eat Girl Scouts Thin Mint Cookies was to open the cellophane and slide the entire sleeve right into your mouth all at once. Ouch. A sure sign of ultra processing.

What’s the record number of bowls of breakfast cereal — just name your brand — that you’ve ever eaten at one sitting? Three? Four? What about a whole box? Do you think you could eat that many bowls of oatmeal? I suspect not. That’s because real food nourishes, and whole oats are real food. Generally speaking, however, most breakfast cereals are manufactured calories; and manufactured calories do not nourish. They will never nourish you. They do something different. They entertain. Entertainment is fine, entertainment is fun, but entertainment is not food. Any time a manufacturer has to tell you when to use a particular product or product category (breakfast cereal, lunchables, TV dinners…), there’s a very good chance that it’s not really food.

Real food fills your belly. Real food tells you, “You’re full now. You can stop eating.” Highly processed manufactured edible products don’t do that. They bypass the exquisitely sensitive signaling systems that are designed to keep your body working right. They hijack your appetite. You can’t tell when you’re full. So you keep eating. You cruise the cabinets after dinner even though you JUST ate. 

When you’re hungry, it’s not a good idea to eat something that’s been processed or manufactured into a form that is no longer recognized by your body as real food. Instead, it’s a much better idea to eat something that your body recognizes as nourishing food. Maybe a slice of cheddar or Swiss cheese. Some leftover grilled asparagus. A cup of brown rice. Broccoli soup. A ripe avocado, or a slice or two of turkey breast. A cup of raspberries. An orange. A bunch of grapes. Celery sticks dipped in hummus. A homemade oatmeal-raisin cookie.

Real food is truly satisfying. 


Ultraprocessed Breakfast Cereal

From time to time I take an opportunity to post an entry about my disdain for breakfast cereal or, perhaps more aptly, breakfast candy. It was in the 1970’s that concerns began to arise about the sugar content in breakfast cereals. From my point of view, once this was brought to our attention as consumers, a reasonable response would have been to lower the sugar content in breakfast cereal products. But that is not what happened. Continue reading


Nourishing Fats for Healthy People

Today I’m talking about the word “fat,” and the term “healthy fats.” Fats are one of the three macronutrients: protein, fat, and carbohydrate.

A brief aside about carbs: The term carbohydrates included in the list of macronutrients refers to carbohydrate that comes from a plant that grows in the soil. Whether leaf or fruit or root or stem, this kind of carbohydrate is always, always rich in fiber and phytonutrients. Except for milk and honey, carbohydrate doesn’t really exist in nature without the fiber. Continue reading


Nourishing Yourself With Joy

Joy has been in the news lately, and that’s what I want to talk about today. 

Eating is meant to be a source of joy, as satisfying as the sunrise. Like listening to music. Talking with friends, or sitting together on a bench at the park. The wind at your back. Trading backrubs. Dancing. Stretching. A hot shower. A book that transports you to the other side of the universe. Walking along the shore. 

Eating is deeply satisfying. It speaks to your soul. Eating is sour, sweet, bitter, spicy, umami. Crunchy, soft, toothy, smooth, sticky. Beautiful, colorful, warm, cool, icy, bubbly. Expressive, imaginative. Fun, chaotic, quiet, or peaceful. Continue reading


Fake Fruit Names for Your Breakfast Cereal

A while back I wrote a post about the high profit-margin-to-cost of the breakfast cereal business. Today I have more to say on breakfast cereal, not about the manufacturing process or profit margins, but about the pervasive use of fruit-related words in the naming of these products.

If I had just ten seconds to share advice on improving your nutrition, I suspect you already know exactly what I would say: Eat more fruits and vegetables. And I don’t think that would surprise anyone. We all know that fruits and vegetables are nutritional powerhouses, and we also know that everyone should be eating more of them, especially since most of us don’t eat enough produce to begin with.  Continue reading


Food for Thought

I once saw a post that said “Eat organic food, or, as your grandparents called it, food.” Only a century ago, nourishing food did not require prefixes like real, whole-grain, pastured, free-range, wild, or grass-fed. That’s what food was. What is happening to the food supply? As you have probably surmised by now, I spend lots of time thinking about the differences between real food and manufactured calories.

One strategy I use is to avoid products invented in the 20th century, like cottonseed oil, or high-fructose corn syrup. Also, I stay away from products that tell me when to use them, like breakfast cereals, lunch meats, and TV dinners. No one needs to tell you when to eat a banana, or scrambled eggs, or oatmeal, or guacamole, or chicken noodle soup. Continue reading


Is it Really Food?

While talking with patients about how to improve the nutritional value of their meals, we used to talk about real food that had not been processed, refined, stripped, polished, fortified, enriched or otherwise modified. Fruits, vegetables, legumes, nuts, seeds, grains, fish, eggs, dairy products, and meats. And that’s about it.

Here are some guidelines: The first is not to eat anything you have to be told is food. If you have to be told it’s food, it isn’t. Like “processed American cheese food.” Talk about truth in advertising. Some products at the supermarket have names that have nothing whatsoever to do with food. Like Miracle Whip®. Or Cool Whip®. These are not foods either, and that’s why I’m not buying. Continue reading


Some Exciting New Developments

A lot has been happening lately in the field of research into the the health effects of ultra-processed items, and that’s what I want to talk about today. Last month, the results of a huge study, involving almost 10,000,000 (ten million!) individuals, were published in the BMJ [British Medical Journal], “one of the world’s most influential and respected general medical journals,” and they were…shall we say…most informative.  Continue reading


Returning to the Beginning: Two Core Messages

Today I want to focus on two of the core messages to which I continue to return time and time again: First, there is an enormous difference between real food and manufactured calories. And, second, as we have been discussing at length in recent weeks, manufactured calories have been associated with an epidemic of chronic diseases, including not only diabetes, coronary artery disease, and obesity, but also depression, dementia, and other brain diseases. Continue reading


Can I Eat Fruit?

On many occasions, patients have asked me whether it’s okay to eat fruit. They’re worried about whether they should eat a food that they know is rich in sugar. Let’s think about this for a minute. Does anyone really believe that fruit is what’s causing the epidemics of diabetes and obesity? You can rest assured that the obesity and diabetes epidemics are not being caused by fruit. I think of fruit as “nature’s candy” and while it’s true that some fruits contain a lot of sugar, it is always accompanied by a large amount of fiber. Continue reading