Ultraprocessing Hits the Popular Press

I am thrilled to report that the discussion about ultraprocessed items has finally reached the popular press in a big way. This past week Jancee Dunn, a wellness columnist for the New York Times, wrote a week-long series about different aspects of ultra processing, beginning with her love of sprinkle-covered sheet cake. Then Reuters covered California governor Gavin Newsom’s recent executive order focusing on reducing consumption of packaged snacks and sugar-containing beverages, and investigating the effects of synthetic food dyes. This order cited a 2025 Dietary Guidelines Advisory Committee report showing that 73% of American adults aged 20 or older are overweight and/or obese, and 38% of children and youth aged 12-19 are pre-diabetic. 

These numbers have been breaking my heart for a long time, and so I am glad that they are finally being shared more broadly. 

Jancee Dunn defines ultraprocessed items as those which cannot be made in a home kitchen, whether due to a requirement for ingredients or machinery that are not normally found in the home kitchen. I have written about various definitions for ultra processed items, including this one, on many previous occasions.   

If your ancestors would not recognize a particular item as food (e.g., artificial sweetener), it probably isn’t. If your ancestors didn’t eat it, it is unlikely to be food (e.g., maltodextrin). If the edibles industry has to tell you what time to eat it or how to use it (e.g., breakfast syrup), it probably isn’t food.

Ms. Dunn reports that “these kinds of foods” have become ubiquitous in the United States, and states that “experts say they appear to be taking a toll on our health.” I would take issue with both of these statements. Firstly, as my regular readers know well, I have recommended for some time now that reporters, writers, journalists, editors, cooks, and other food professionals stop calling them food. Food nourishes. And secondly, at this point the research has shown unequivocally that they are taking a serious toll on our health. 

She reports that the journal Nature Communications estimates that close to three-quarters of the food supply in the U.S. is ultraprocessed. One study showed that individuals whose diets consisted primarily of ultraprocessed items (i.e., most Americans) consumed 500 more calories daily than those who ate a more nourishing diet. And an extensive study that I reviewed in these pages in the past year showed that a diet high in ultraprocessed items showed a strong connection to heart disease, type 2 diabetes, and mental illness. 

In response to these efforts, I decided to send a letter to the editor:

“Dear Jancee Dunn — I am so glad to see this conversation entering the popular press. Ultraprocessed items are not “kinds of food,” and they do not “appear to be taking a toll.” The research shows that they are in fact taking an enormous toll. I would urge you to consider not calling them food at all. Food nourishes; manufactured calories entertain. 

I agree that it is not necessary to remove them all from our diets all at once, especially if they currently take up a large percentage of the calories you eat on a daily basis. Small changes are best, probably because they are likely to be more sustainable. And failure is stressful, which may end up erasing any progress you’ve made. 

So entertainment is fine. It’s just not food.”


Self Care is Being Kind to Yourself, plus Lentil-Vegetable Soup

I spent my days as a practicing physician teaching people to be kinder to themselves, and that kindness manifested itself in three spheres: 1) eating patterns, 2) activity patterns, and 3) rest & relaxation patterns. The goal is to make small, incremental changes that result in nourishing your heart and soul with better food, more movement, and quality rest and relaxation.  Continue reading


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.” Ha. Indeed it is. Continue reading


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