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jimeuxx | 12 years ago

Lustig could no doubt write some great posts here about growth hacking and selling your product, but if there's one thing he's proven about nutrition, it's that he's no one to be taken seriously when talking about it. One taste of what Joe Public doesn't see in his unintended hyperbole is here: http://sweetenerstudies.com/sites/default/files/resources/fi...

Blaming sugar for everything is no better than what the fat-bashing crowd do. It leads to self-parodying solutions like the "keto-adapted" lifestyle. We don't eat rice or bananas because refined sugar is to blame for all the ills of the world. Those crazy Japanese are probably just lying about their lack of heart disease anyway (when we remember the place exists at all).

As long as people only understand nutrition in terms of reductionist extremes, "alternative" diets are going to continue being a bad joke that achieves little more than inflating the ego and bank balance of people like Lustig.

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ynniv|12 years ago

Wow, thanks for linking a really awful rebuttal. Not only does "Mark Kern, PHD, RD, CSSD, Professor of Exercise and Nutritional Sciences" start off by saying that Lustig is inherently biased by selling a book "Even if all proceeds are being donated to charity", he later goes on to drop such gems as:

The key for preventing obesity and metabolic syndrome is to avoid consuming excessive energy (Calories)

Maybe this is still debated in the (surely non-profit) exercise world, but I see no evidence that eating too many calories of lean meat would cause metabolic syndrome, or that limiting daily intake to 2000 calories of soda would cause one to become healthier.

Much of Kern's lengthy rebuttal are technical points that are beyond me to evaluate, but I suspect that the book is intended for a non academic medical audience. In fact Kern says

It is possible that the author’s intent was to simplify these processes for the reader, but doing so inaccurately calls into question his knowledge of metabolism, upon which he bases much of his book.

Perhaps one could use other material he has authored for a technical audience. And Kern is pedantic with quotes like "real food doesn’t have or need a Nutrition Facts Label". A casual reader would understand that a mango does not have a complicated ingredient list, Kern says:

While it is true that labels do not need to appear on unpackaged foods such as a produce, the Code of Federal Regulations is clear regarding nutrient labeling for these types of foods. The regulation from the Federal government is that nutrition facts must voluntarily be posted for at least 90% of fresh food items in a conspicuous place by at least 60% of companies that sell food.

Perhaps Kern doesn't understand who the audience of a trade book is. Kern also cites many studies that I'm not going to track down and evaluate for their own biases.

Giving talks, writing papers and selling books is how our world works. If that's the only thing Lustig is doing wrong, then he's doing alright by me.

but if there's one thing he's proven about nutrition, it's that he's no one to be taken seriously when talking about it

If you're going to grind your axe here, please make better arguments.

jimeuxx|12 years ago

I have no reason to defend Kern or his views on being healthy. The point in question here is Lustig's physiology credentials. Kern isn't the first to bring them into question, and if Lustig's science isn't reliable, then why should I give him any credibility?

I avoided making any ad hominem arguments against a sugar-shunning overweight man who claims sugar causes obesity, or a doctor writing about sugar who can't distinguish between sugar and starch. My mother told me 20 years ago not to pound soda, so why is Lustig relevant?

Yes, I believe that junk food is bad, and sugar is a big part of it. The landscape of obesity is far more complex, however, as Lustig himself helps to show (he mentions his tight schedule and lack of will power as reasons for eating two meals of junk per day). I really don't feel that making sugar the new fat changes anything at all.

mistermann|12 years ago

> As long as people only understand nutrition in terms of reductionist extremes, "alternative" diets are going to continue being a bad joke that achieves little more than inflating the ego and bank balance of people like Lustig.

That is demonstrably false both in the laboratory but more importantly in massive amounts of anecdotal experience by regular folks. Go read some fitness and diet forums, you think all those people who tried various different diets are imagining they're losing 20, 40, 100+ pounds on low carb diets?

snowwrestler|12 years ago

Plenty of people lost weight on low fat diets too when those were the hot shit a decade or two ago.

The problem with fad diets is that most of those people gain their weight back after the initial enthusiasm fades.

Without long-term (decades) follow up, it's impossible to distinguish the effect of a particular diet from the impact of simply being on a diet of any kind--which typically induces much closer attentiveness to calories and nutrition, at least in the beginning.

Also, Internet forums are hardly a random sampling.

acangiano|12 years ago

Not to mention the virtually universal control of Diabetes Type II without medicines by those who adopt this type of diet. Seriously, people go from insulin dependency to normal blood sugar levels in weeks.

eclipxe|12 years ago

What exactly is self-parodying about a "keto-adapted" lifestyle? Rice and bananas cause some of the same effects of sugar on the body. Some people can tolerate this and others can't.

fizzbar|12 years ago

He's commenting on the fact that large populations of humanity (pretty much all of Asia and Oceania) subsist on high carb diets -- lots of rice and bananas -- yet don't exhibit massive rates of heart disease etc.

jimeuxx|12 years ago

The willing ignorance of East Asia is part of it, but it's more that a lot of the keto diets I've seen draw people in with tirades against refined sugar and starch, yet it ends up with the dieters counting the carbs in their lettuce to maintain their ketosis. How do we get from Coca-Cola being evil to ketosis being necessary? It's a false dichotomy and as crazy to me as 0% fat yoghurt, but people only seem to respond to one extreme or the other.