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. 


Stripped Carbohydrates: A Primer

Generally speaking, and with the exception of milk and honey, the carbohydrate in nature virtually always comes with fiber attached. Whether from orchards, meadows, gardens, or forests, and whether as roots, leaves, stems, or fruits, intact—or whole—carbohydrates belong to four major categories (fruits, vegetables, beans, and grains), all of which are rich in fiber as well as phytonutrients, the source of their often vibrant colors. 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


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


The Effects of Lifestyle on Function

Recently I wrote about a patient I met many years ago. Like most people, he spent a fair amount of time thinking about medical expenses. That was understandable, as his elevated blood pressure required treatment with four medications.

I explained to him that if he could make a couple of lifestyle changes, there was a good chance that he would be able to reduce the number of blood pressure medications he took. Could he take a short walk when possible? Could he cut back on ultraprocessed food items, like Ritz crackers and cheese whiz, and substitute homemade popcorn and a slice of Jarlsberg or cheddar on wasa crackers? What about more fresh fruit and vegetables? Maybe, but he was worried about the cost. Continue reading


More Disturbing News About Ultraprocessed Products

Almost three-quarters of packaged consumables sold in the United States are ultraprocessed. The vast majority of ultraprocessed packaged products for sale in the supermarket are placed in the center aisles. They comprise most of the menus at chain restaurants including, but not limited to, drive-through and “fast-food” establishments. At this point, they may safely be said to have edged out consumption of nourishing food in the United States.  Continue reading


Disturbing News About Ultraprocessed Products

My friend Nancy recently asked about a jar of “light mayo” whose first and third ingredients were water and “modified food starch,” respectively. She bought it because, in contrast to the 100 kcal found in conventional mayonnaise, it listed calories per serving at 35 kcal. I would say that it is an expensive way to buy water and flour. Currently, approximately two-thirds of the calories in the standard American diet derive from ultraprocessed items. I would like to discuss the many recent articles connecting illness and ultraprocessed products. Note that I don’t call them “food.”  Continue reading