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


A Corn Continuum: From Real Food to Manufactured Calories

Today I am talking about the difference between real food and manufactured calories. 

When you make a choice about what to eat, the question is this: Is this real food that nourishes, or is it manufactured calories, an invention of the 20th century? Some things in life are black and white, like a coin toss at the start of a football game. But it’s not always so simple. Between black and white may be found a spectrum of grays. That’s what I want to talk about today. Continue reading


A New Patient Gets a New Perspective

A few months ago I saw a new patient and she had a good deal in common with many other new patients I see. Even though she knew that her excess weight was doing her no good, and that it raised her risk of many chronic diseases, like breast cancer, for example, and diabetes and high blood pressure and colon cancer, she was unable to do anything about it. She was also really tired of doctors telling her that she should lose weight. Really, really tired. “Tell me something I don’t know,” she said to me. So I did. Continue reading


The Illusion of Variety

Like many people who have been holed up in their homes for the past 15 months or so, this past week I entered a supermarket for the first time in more than a year. Omg. I left with one package of granola bites (treat), one cabbage (food), two kinds of beer (treat), and tonic water (treat–Fever Tree, the best!). Hopefully, I’ll do better next time. The whole experience got me thinking once again about what a supermarket really is, and I decided to share something I first posted a very long time ago. Continue reading


The Meaning of “Granola”

Have you ever thought about the word “granola,” what it means, and where it came from? Some time back I decided it was time for me to find out exactly what “granola” really meant, and here’s what I learned. The word “granola” was appropriated in approximately 1870 by Dr. John Kellogg, of Battle Creek, Michigan. Dr. Kellogg ran a famous sanitarium to which patrons came to learn and practice healthy living. Among his recommendations was that people eat food that was prepared the old-fashioned way, with whole grains. Whole-grain bread was baked in large ovens located right on the grounds of the sanitarium. Dr. Kellogg recognized that large amounts of waste were being generated in the form of the crumbs that fell to the bottom of the ovens. He realized that he could collect these crumbs and place them in bowls to be served for breakfast. At first, he called his invention “gra-NU-la.” Continue reading


Faux Fruit Foods

If I had just ten seconds to share advice on improving your nutrition, this is what I would say: Eat more fruits and vegetables. And I don’t think that would surprise anyone. We all know these are nutritional powerhouses, and we all know that it’s a good idea to eat more of them, especially since most of us probably don’t eat enough produce to begin with. Continue reading


What to Tell Your Doctor About The Way You Eat

You can probably guess that the obesity epidemic has changed the way medicine is practiced, but you may not know that this change has come about more quickly than doctors have been trained to address it. Ever wonder why doctors are clueless about how to address this problem? Because most of us are as stymied by the problem as the next person. If there was a quick fix, we’d all be better off. But there isn’t, and we’re all in the same boat. Continue reading