[HN Gopher] Biohacking Lite
       ___________________________________________________________________
        
       Biohacking Lite
        
       Author : askytb
       Score  : 410 points
       Date   : 2020-06-12 16:44 UTC (6 hours ago)
        
 (HTM) web link (karpathy.github.io)
 (TXT) w3m dump (karpathy.github.io)
        
       | gtrubetskoy wrote:
       | I wouldn't rank glucose above fats. As I understand it, it's not
       | exactly a "shorter battery" than fat - it is simply a form of
       | energy that is abundant in plant life, but fat is still a (much)
       | "better battery".
       | 
       | The reason our body always favors burning glucose first is NOT
       | because glucose is "better" but actually because it is an
       | inferior type of fuel (it creates "pollution" and is difficult to
       | burn - you can develop diabetes from too much of it) - so our
       | evolved system tries to get rid of it first, while hanging on to
       | the "good stuff" for as long as it can.
        
         | JamesBarney wrote:
         | > The reason our body always favors burning glucose first is
         | NOT because glucose is "better" but actually because it is an
         | inferior type of fuel (it creates "pollution" and is difficult
         | to burn - you can develop diabetes from too much of it) - so
         | our evolved system tries to get rid of it first, while hanging
         | on to the "good stuff" for as long as it can.
         | 
         | This is not the standard textbook biological view of the bodies
         | use of glucose and fats.
         | 
         | I'm all for having heterodox opinions but I think you should
         | let people know what is a heterodox position, and provide more
         | supporting evidence than when giving a textbook explanation.
        
         | TheAdamAndChe wrote:
         | You don't develop type 2 diabetes from being fat, you develop
         | diabetes from high average blood glucose levels triggering
         | insulin resistance.
         | 
         | Also, what is the pollution you are talking about? From what I
         | understand, lipolysis generates ketones, which at normal
         | lipolytic amounts aren't toxic.
         | 
         | https://en.wikipedia.org/wiki/Type_2_diabetes?wprov=sfla1
        
           | gtrubetskoy wrote:
           | > Also, what is the pollution you are talking about?
           | 
           | For example reactive oxygen species.
           | 
           | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1865572/
        
       | centimeter wrote:
       | No mention of ketosis, which uses vastly different metabolic
       | pathways. It transmits energy without using glucose - instead
       | using ketone bodies like acetone. It's very likely that this was
       | a frequent (perhaps the _most_ frequent) state occupied by our
       | megafauna-hunting ancestors.
        
       | fudged71 wrote:
       | As a personal trainer I'm really impressed by the technical depth
       | of this post, although it really only centers on the idea of
       | caloric deficit, which is relatively basic compared to the other
       | topics he mentioned.
       | 
       | It's so hard to visualize small long-term biological changes
       | without moving averages. "Trust the process" is so important.
       | 
       | "Trust the algorithm" is even more apt:
       | 
       | * what/when to eat,
       | 
       | * what/when to train, and
       | 
       | * what/when to rest.
       | 
       | If you haven't seen exercise/nutrition through an algorithmic
       | lens, you might be surprised how straightforward it is to make
       | progress day-to-day and how much progress you can really make in
       | a short period of time. I wish strength training had more
       | academics/coders and fewer 'meatheads' because the documentation
       | around it is so anti-intellectual.
       | 
       | Even as a trainer it's taken time to find reliable resources to
       | optimize this algorithm, but I've been using a solid combination
       | of tools and methodologies that make this complete and
       | quantitative. I have clients that have lost a lot of weight and
       | are lifting serious weight in a short span of time.
       | 
       | It's great to see software engineers speak about health topics in
       | general.
        
         | tomp wrote:
         | So... where can a non-PT find this kind of advice? Maybe you,
         | or any other trainer you can recommend? Or some online
         | resource?
         | 
         | (Personally, I'm probably above-average knowledgeable about
         | fitness, but I _still_ find the information unmanageably
         | overwhelming - train every day, every 3 days, every muscle once
         | a week, every muscle 3 times a week, big muscles less often
         | than small muscles, focus on strength, focus on growth, focus
         | on flexibility, cardio, no cardio, ...)
        
           | fudged71 wrote:
           | I think that's essentially what online training is these
           | days: a cheaper way to get access to a fitness 'sherpa' to
           | guide you. Someone who lives and breathes this stuff to save
           | you a lot of time and effort. Most of the real, practical,
           | and current knowledge right now is spread across a variety of
           | $1000 courses for personal trainers.
           | 
           | I'm in the process of building the largest online fitness
           | database of its kind to democratize a lot of this
           | information. I'm not sure what sort of business model I will
           | pursue yet. But I want to collaborate with likeminded people
           | and make the foundational information open to the public.
        
           | joshvm wrote:
           | You probably need to be more specific about your end goal. Is
           | it to lift a particular amount, run a marathon, climb a
           | certain route etc? There are usually specific trainers for
           | certain skills, just like in video games :) If I wanted to
           | get better at bouldering, I'd find someone at the climbing
           | wall, not a generic trainer at the local gym.
           | 
           | For generic "get fit" goals, stretch every day and some
           | amount of cardio/resistance training three times a week is
           | hard to get wrong. The important thing is to read your body
           | and don't push your luck. Also, to stop when you lose good
           | form.
           | 
           | There is a lot of overwhelming information, but a lot of it
           | is conflicting and anecdotal. You can find information online
           | to support pretty much any theory you like (particularly
           | about training frequency).
        
       | downshun wrote:
       | Surprisingly well written and researched.
       | 
       | One thing missing is the effect of testosterone on lean mass
       | creation.
       | 
       | Wonder if the fat to co2 process can be ventilator assisted
       | without hurting the lungs .
        
       | scythe wrote:
       | I've studied nutrition out of my own curiosity for more than ten
       | years now. When I opened this article, one of the first things I
       | did was ctrl+F "potassium" -- the most underrated nutrient.
       | Average potassium intake is below recommended levels and
       | resolving this may lead to significant reductions in
       | mortality[1]. Potassium may also reduce the severity of
       | osteoporosis[2], although I (male) don't need to worry about
       | that. Improving potassium status is also associated with simply
       | feeling better[3].
       | 
       | 1 -
       | https://www.sciencedirect.com/science/article/abs/pii/S00256...
       | 
       | 2 - https://link.springer.com/article/10.1007/s00198-008-0666-3
       | 
       | 3 - https://www.cambridge.org/core/journals/british-journal-
       | of-n...
       | 
       | Good sources of potassium include fruits, vegetables, legumes,
       | nuts, milk, yogurt and eggs -- or, in other words, anything
       | except meat, cheese, grains, and overly-processed crap. (When
       | cheese precipitates from milk, most potassium remains in the
       | liquid phase. I am not sure if the same happens with tofu.)
       | 
       | I haven't ever really tried to lose weight, but I've always had
       | very strong motivations to maintain low body fat:
       | 
       | - my mother's family has a history of cardiovascular disease
       | (grandfather d. stroke at 67, aunt d.m. type 2)
       | 
       | - my father's family has a high prevalence of obesity
       | 
       | - I have scoliosis with associated back pain
       | 
       | With these factors in mind, I've spent a lot of time combing the
       | USDA nutrient database: http://fdc.nal.usda.gov/ . I don't use an
       | "energy out" calculator -- rather, I keep track of my intake and
       | habits and correlate these to changes in my weight.
       | 
       | The strategies I use are mostly quotidian: every meal must have
       | some dietary fiber; avoid snacking -- drink water first and
       | choose foods with fiber if you must; stay active etc. Possibly
       | the most valuable thing I've learned, though, is how many things
       | -- particularly vegetables -- you can prepare using nothing but
       | an oven and aluminum foil, without making more dirty dishes. This
       | is invaluable for continuing to make healthy choices when it's
       | late and you're tired, or improving a meal that already requires
       | substantial effort. Fatigue is your most formidable enemy, and
       | "lazy cooking" techniques ward it off.
        
         | JamesBarney wrote:
         | Any websites for healthy lazy cooking options?
        
           | cschneid wrote:
           | Sheet pan roasted stuff is a great lazy meal that the
           | grandparent comment was discussing.
           | 
           | Our personal favorite sheet pan meal is: chopped red onion,
           | chopped bell peppers, cherry tomatoes, box of dry gnocchi.
           | Toss it all with a bit of oil and salt and pepper, and
           | whatever seasoning you may want, spread on baking sheet and
           | bake for a while until veggies look tasty.
           | 
           | Serve with a few shreds of parm or other hard cheese.
           | 
           | 5 minutes to prep, 20-30 min to cook. A bowl to wash, and
           | it's mostly veggies and the components sub out really easily
           | for anything you have in your fridge.
        
         | fudged71 wrote:
         | I switched from table salt to "No Salt" or "Lite Salt" which
         | cuts the sodium with potassium. It isn't noticeable in most
         | dishes, and it's a great simple substitution for getting an
         | important mineral.
        
       | gdebel wrote:
       | I'm French (and incidentally a doctor,and my post is not
       | judgemental in any way, this is not the point). Everytime I
       | travel to the USA, I'm puzzled by how difficult it is to "eat
       | normally" (= by my own standards). You can find really good junk
       | food everywhere, or pay a really high price to eat in high-level
       | Italian restaurants for example, but it is very difficult to eat
       | standard meat-with-vegetable-without-sugar-added, except in Asian
       | restaurants (and even there, food is often sweetened). Of course
       | it is biased because I have no access usually to a kitchen when I
       | travel.
       | 
       | I think sugar is the main problem (not fat) and I'm not convinced
       | calory count is key. We did not evolved to eat processed sugar,
       | which is not easily found naturally in the environment.
       | 
       | My 2 cents: - eat as much vegetables as you want (learn to cook
       | them, with a little bit of olive oil) - eat as much fish as you
       | want (no need to cook! Low temperature baking, 1h at 70-80deg,
       | the best cooking you'll ever have) - eat meat in reasonable, "as-
       | if-you-had-to-hunt-it-with-a-bow" quantities - ban every
       | processed food, sauce, appetizer.... If you would not eat a spoon
       | of every single ingredient of some food, don't eat it. - ban all
       | added sugar, except (real) honey in reasonable proportions.
       | 
       | This implies to know/learn how to cook (not so hard but this is
       | easier when the local/family culture allowed you to learn
       | passively).
       | 
       | It looks like this is hard to do in the USA: you don't easily
       | find, for example, yogurt without sugar added. (Or I didn't look
       | at the right place, once again this is not judgemental).
       | 
       | Generally speaking, it is easy to find online high-level cooking
       | courses, but hard to learn the basics of how to cook your onions
       | or tomatoes in different ways in everyday life, or make an
       | healthy meal with what's left in the fridge; this could be
       | interesting to have.
       | 
       | --edited for typing errors
        
         | LegitShady wrote:
         | My recommendation, if you're staying at a hotel, is to ask if
         | they have a BBQ for guest use. Most do, and then you can stop
         | at the grocery store and buy some chicken/fish, some vegetables
         | (also a roll of aluminum foil), and cook it on the bbq.
         | 
         | I travel quite a bit for work (at least, when there's no
         | pandemic) and even though my per diem would cover restaurants,
         | I have almost completely switched over to hotel BBQs and eat
         | better for way less money.
        
         | slothtrop wrote:
         | I held much the same view but it occurs to me that in many East
         | Asian countries, added sugar to dishes is common and overall
         | sugar consumption not necessarily that low. Not to say it's
         | healthy, but it seems an insufficient explanation.
         | 
         | The proliferation of junk foods, boxed refined products, seems
         | higher in North America. As you say dining out tends to
         | comprise the Standard American Diet of high fat and carbs, low
         | fiber.
        
         | nugget wrote:
         | Remember that (almost) everything in America is a business.
         | Sugar is cheap and addictive. I had an "aha" moment when
         | digging into Starbucks' nutritional labels. I realized that,
         | with certain types of drinks, Starbucks had essentially
         | legitimized drinking a milkshake for breakfast. I'm not sure
         | how much that contributed to their success but it must surely
         | have been a component.
        
         | outworlder wrote:
         | > I'm puzzled by how difficult it is to "eat normally"
         | 
         | That very much depends on your location. High tourism locations
         | will often have lots of junk food places. If you can move
         | larger distances (i.e. rent a car and the like) you'll find
         | wonderful and cheap restaurants pretty much anywhere. Even in
         | otherwise expensive places like SF or NY.
         | 
         | Here's the problem though: portion sizes are _enormous_ . It
         | took quite a bit of time to adapt, and adapt I did, if my
         | measurements are any indication. If you want healthy portions,
         | you'll either waste food, or you'll have to ask for a take out
         | box. Essentially, a lot of places will serve you portions that
         | are enough for two meals.
         | 
         | Ingredient availability varies a lot. In larger centers you can
         | find almost anything you could possibility want. Even farmer's
         | markets if you are lucky, which will often have locally sourced
         | produce at lower prices compared to big supermarket chains (and
         | sometimes even lower if you get there near closing hour ;) )
        
         | dialamac wrote:
         | > We did not evolved to eat processed sugar, which is not
         | easily found naturally in the environment
         | 
         | The flour you make French bread with is not found any more or
         | less naturally in the environment than the sugar you get from
         | cane or beet.
         | 
         | This whole thing about evolution and nutrition is entirely
         | pseudoscientific woo.
         | 
         | If humans had to eat the same way as our ancestors (ie actual
         | paleo, not some hipster fad diet) humanity would have died out
         | long time ago.
         | 
         | The French thing makes this all the more ironic... I can't
         | imagine much more triumph in modern processing than the five
         | mother sauces.
         | 
         | Clearly the American diet has a crazy oversupply of sugar...
         | fructose, glucose, sucrose... at the amounts we're talking
         | about in the average American diet it doesn't fucking matter
         | (making the whole HFCS controversy always a joke).
        
         | agumonkey wrote:
         | Few years ago I had some eating disorder, I could only eat raw
         | vegetables.
         | 
         | My diet habit shifted 180deg in 48h, it's a weird realization:
         | 
         | 1) eating raw vegetables tickles your brain differently (raw
         | veggies make you feel full faster)
         | 
         | 2) most probably because there's no fat nor sugar added (which
         | makes you want to eat more I guess)
         | 
         | 3) even dressing is bad, so raw is best to have a natural
         | negative feedback system
         | 
         | 4) even the most mundane raw veggies have a lot of flavour.. I
         | eat carrots like M&M's nowadays, it's sweet. Same for lettuce
         | or tomato. I really think modern western culture is hurtful
         | there.
        
           | borski wrote:
           | Fat actually satiates you more than almost anything else, so
           | I suspect your culprit is sugar, not fat. If you cooked those
           | veggies in some butter or olive oil, I would bet you'd get
           | full faster.
        
         | novok wrote:
         | Yup I agree. I call it the food gravity problem of america.
         | Trying to eat healthy here is like trying to beat gravity:
         | 
         | This youtube video goes into more detail about the US problem
         | compared to japan: "Why is it so Easy to be Thin in Japan?"
         | https://www.youtube.com/watch?v=lr4MmmWQtZM
        
         | tvanantwerp wrote:
         | Last year I went to Europe for a two week vacation. I stuffed
         | myself like a greedy pig for two weeks, but I barely gained any
         | weight on my return to the US. The next week, I went on a staff
         | retreat for only 3 days and stuffed myself again. That time, I
         | gained more than twice what I'd gained in Europe.
         | 
         | I'm convinced that the quality of European food is, on average,
         | vastly superior to what's available in America.
        
           | [deleted]
        
           | NikolaeVarius wrote:
           | I don't understand how you could possibly think this is a
           | meaningful data point at all.
        
           | PoachedSausage wrote:
           | Not to worry, you guys will be sending us boat loads of
           | Chlorine Washed Chicken and pink liquid cow shortly:
           | 
           | https://www.bbc.co.uk/news/uk-47426138
        
           | starpilot wrote:
           | I remember a question of MetaFilter about this. A bunch of
           | Europeans said that whenever they went on vacation in the US,
           | they lost weight. You're on vacation, walking around all day.
        
           | [deleted]
        
         | dnhz wrote:
         | Neither pure white sugar nor vegetable oil occur naturally in
         | the environment. Can't just blame sugar when fat has twice the
         | energy density of sugar and is used abundantly in the processed
         | foods that we like to overeat.
        
           | gdebel wrote:
           | Right but don't you think that olive oil for example was
           | eaten since centuries? I often refer myself to the so-called
           | "Mediterranean diet" as a good reference when I'm asking
           | myself if I should eat something. This is based on data to
           | some degree also.
        
         | lumberingjack wrote:
         | As an American that avoids sugar like the toxin it is I agree.
         | The food manufacturers put it in everything. I got an off brand
         | of milk the other day because of the shortage, a local brand it
         | had added sugar, I took two gulps and said "WTF". Bread it's
         | like a staple now in baking white bread fuck it pack it with
         | sugar from corn. Pizza make %50 of the sauce sugar. Drinks,
         | would you like 100MG of liquid sugars in every $5 bottle?
         | Coffee: Have some bean filtered water with that Mocha sugar
         | sludge.
        
           | jacobush wrote:
           | Bean filtered water, that's what we had during the war. What
           | is your war? :-)
        
         | voisin wrote:
         | When the production of sugar and related sweeteners is among
         | the most subsidized industries in the country, is it any wonder
         | that these find their way into everything?
         | 
         | And a handy side effect for producers is that satiety is short
         | lived, leading to repeated demand in the short term when
         | included in a product.
        
         | fudged71 wrote:
         | The problem with restaurants (globally!) is they have zero
         | responsibility or incentive to serve food that fits the
         | nutritional needs of their customers.
         | 
         | * Restaurants don't sell food, they sell satiation, taste,
         | brand, ambiance, customer experience.
         | 
         | * You rarely can ask for an ingredient list, you often can't
         | see who made your food, it is a black box in a black box.
         | 
         | * All we really care about are omissions: the list of
         | chemicals, macronutrients, hormones, and ingredients that are
         | excluded from our menu items.
         | 
         | Not only does this disconnect us from the ingredients in our
         | food... I think this is a huge problem that compounds toward
         | multiple health crises such as obesity and diabetes. Chefs are
         | seen as food experts, yet the nutrition aspect of restaurant
         | food is entirely ignored. We expect individuals themselves to
         | be their own nutrition experts (curating meals and ingredients
         | for their own health).
         | 
         | I don't know what the solution is. But at the very least I
         | think every restaurant owes its customers the macros and
         | ingredients for every product they serve, in accessible
         | formats. It should be easier to get that information onto your
         | phone than a tweet. Food receipts should list macro and calorie
         | breakdowns. Tools for nutrition analysis should be free,
         | standard, integrated, and widespread. etc
        
         | choeger wrote:
         | Quick remark: Sugar, as other carbohydrates, is _cheap_. It
         | also tastes well, objectively (as much as taste can be
         | objectively measured).
         | 
         | So if you go for industrial-level food production, you end up
         | with a higher proportion of sugar than what would be considered
         | healthy. Sugar per se ist not bad at all (try to have an apple
         | without it ;)). But our economy demands cheap, somewhat tasty,
         | calories. Hence we end up with a lot of sugar or carbohydrates
         | in general.
         | 
         | Any diet that rules out carbs works well because of that, not
         | because of some intrinsic property of carbs.
         | 
         | As a French person you would probably never consider giving up
         | on a good croissant or baguette, but in France these things are
         | _expensive_. I doubt anyone gives their kids fresh croissant
         | before school every day.
        
           | pbhjpbhj wrote:
           | Are croissant expensive, look to be about 50 euro-cents each
           | in France (about the same as UK; _hypermarche_ /supermarket)?
           | That's cheap, right?
           | 
           | Bake at home ones are half that.
           | 
           | Cheapest "fresh" at Carrefour are 20 euro-cents.
           | 
           | https://www.carrefour.fr/s?q=croissant
           | 
           | Are village bakeries still a thing in France?
        
             | elcomet wrote:
             | > Are village bakeries still a thing in France?
             | 
             | Very much so. You find bakeries in every village / town,
             | usually less than 15 min walking in any city. I don't know
             | many people in France who buy supermarket croissant (except
             | when you buy very large quantities for groups for example).
             | And it's very common for people to go to their local bakery
             | (small, 2 or 3 employee) to buy bread every two days.
        
               | pbhjpbhj wrote:
               | Merci, je n'y suis pas alle depuis une vingtaine
               | d'annees; J'adore un pain-au-choc chaud le matin.
        
           | abellerose wrote:
           | I've never known that people add sugar to their apples. I
           | have lived in US & Canada and I find that odd people need to
           | add sugar to enjoy an apple.
           | 
           | Croissants or baguettes are not a daily thing if my
           | assumption is correct. My experience is buying them when
           | walking home from work and if I'm in the mood because bread
           | isn't generally healthy for people compared to something else
           | that happens to be better.
           | 
           | edit: okay, I now understand the comment is about apples
           | having natural sugar.
        
             | citruspi wrote:
             | Yeah, I think you misread the original comment. The
             | "average" apple contains nearly 10g of sugar[0].
             | 
             | [0]: https://fdc.nal.usda.gov/fdc-app.html#/food-
             | details/171688/n...
        
             | modoc wrote:
             | I think he means that apples have a lot of sugar in them,
             | which is why they taste so good.
        
             | abnry wrote:
             | I think the OP meant natural sugar, not added! And sadly,
             | many jams and pies have extra sugar added, I much prefer
             | the no/low sugar versions.
        
               | karpathy wrote:
               | Yes natural sugar is just barely better than added sugar
               | (due to the fiber it's typically mixed in with). The
               | apples we eat today are candy bars, they just happen to
               | grow on trees. Trees shaped extensively via artificial
               | selection for thousands of years to pack in more glucose,
               | trees that are nowhere near to what our ancestors have
               | encountered for millions of years.
        
               | blacksmith_tb wrote:
               | A Snickers bar has 27g of sugar in it[1], almost 3 times
               | the 10g in the 'average apple' (without the fiber or
               | water to slow down metabolizing it). I haven't
               | encountered anyone claiming that obesity and diabetes are
               | rampant in the US due to over-consumption of fruit
               | (though fruit juice is not doing us any favors).
               | 
               | 1: https://www.myfooddiary.com/foods/22930/snickers-
               | regular-siz...
        
               | labelbias wrote:
               | Fortunately, apples are not candy bar. The metabolic
               | effects of eating 1kg of apples is completely different
               | from eating glucose and fructose extracted from those 1kg
               | of apples.
               | 
               | Natural sugar is magnitudes times better than
               | processed/added sugar.
               | 
               | Fructose consumed through fruits has never had a similar
               | metabolic effect as high-fructose corn syrup.
        
           | gdebel wrote:
           | Haha, you're right kids don't usually eat croissant before
           | school. This is more a Sunday morning dish (when daddy had
           | the courage to wake up earlier to buy them). Good bread is
           | not expensive in France by the way ! (There would be another
           | revolution if that was the case ;-)
        
         | eatbitseveryday wrote:
         | > you don't easily find, for example, yogurt without sugar
         | added
         | 
         | I have a difficult time finding these, as well. The culture
         | here (spoken as an American) is to avoid fats, which is why
         | most products advertise "no fat" (yoghurt with no fat seems
         | like a strange contradiction to me).
         | 
         | > in Asian restaurants (and even there, food is often
         | sweetened)
         | 
         | This is also true from my experiences. Chinese restaurants add
         | sugar due to believing that's part of the American palette.
         | (For Chinese foods, there's also a distinction between
         | "typical" and "authentic" styles, and most Americans are
         | unaware of the latter.)
        
           | gdebel wrote:
           | Exactly! No-fat is a strange concept. Fat is not inherently
           | bad, too much added fat is. But I'm pretty sure you can eat
           | 500mg of natural good yogurt a day without being sick. Well,
           | I never tried.
        
         | dpoochieni wrote:
         | As a Mexican I agree (even if I think hating on sugar is
         | misguided, in an otherwise healthy diet you would be
         | sufficiently healthy to deal with it in reasonable amounts.)
         | The US simply has such a mind boggling reliance on empty
         | calories and overall low-quality food, with brothless soups,
         | iceberg lettuce salads, and frying everything in cheapo oils
         | like sunflower, canola or similar. If I do not cook at home, or
         | choose very carefully, or as you say spend the big bucks at a
         | fine restaurant, I simply cannot find nutritious good quality
         | food. I now realized I was spoiled growing up by having two
         | parents who love to cook good stuff and find good eats.
        
         | JamesBarney wrote:
         | > I think sugar is the main problem (not fat)
         | 
         | Most of the research is that it's both. (Tt's the worst when
         | fat and sugar are together) Specifically food is more
         | rewarding, denser, cheaper, and easier to find than it used to
         | be, so we overeat it. Same thing happens with almost any animal
         | that's given ad libitum access to the american diet.
         | 
         | It seems there are two societal solutions, extremely heavy
         | handed government interventions to ban tasty food or we invent
         | a weight loss pill.
        
           | theshrike79 wrote:
           | I can't find the study, so take this with a grain of salt:
           | 
           | There was a study that determined that the reason for the
           | sugar+fat combo was that sugar "scratched" arteries and made
           | them easier for fat to stick to.
           | 
           | Just plain fat is OK, because it doesn't stick to healthy
           | arteries. But combine (highly processed) sugar and fat, then
           | you get an insulin spike AND the fat clogs your arteries more
           | easily.
        
           | nxc18 wrote:
           | It doesn't need to be extreme, taxes are proven to be
           | effective and are quite simple. They solve the problem of
           | unhealthy food being too easily available by raising the
           | price to reflect the true cost to society (the externalities,
           | like obesity). Junk food is only cheaper than healthy food
           | because our society has made that choice, and it can just as
           | easily choose to change that.
        
             | JamesBarney wrote:
             | That's great news though I'm a little suspicious, where
             | have taxes caused a significant change in body weight?
             | 
             | > Junk food is only cheaper than healthy food because our
             | society has made that choice, and it can just as easily
             | choose to change that.
             | 
             | Junk food is cheaper because it's easier to make junk food.
             | If you want to make food more palatable cheaply, make it
             | denser, fattier, and sweeter. i.e. turn it into junk food.
        
               | take_a_breath wrote:
               | Look into the government's subsidies of corn. We have
               | decided, as a country, to incentivize growing corn. From
               | here, it's not hard to understand why high fructose corn
               | syrup is in almost everything packaged in the US.
        
         | thebean11 wrote:
         | What part of the US were you in? I think your experience will
         | vary widely; in NYC there are healthy meat n veggies fast food
         | places every couple blocks. That being said I think you are
         | accurately describing the majority of the country.
        
           | systemvoltage wrote:
           | The general jab at the Americans. If I look at Europe food
           | culture with a certain lens, I just see shitty doner kebab
           | places in every corner and turkish grocery/meat stores that
           | smell horrible. Obviously, that lens is cracked, tinted with
           | biases.
           | 
           | Some points are valid though. Honestly, as an American, we've
           | got some awful vegetables and tasteless food just about
           | everywhere unless fat/sugar is added to them. Probably due to
           | the way mass production and transportation of food goes in to
           | the US. It wasn't like that. There is nothing wrong with our
           | soil. I spent some time in India, Thailand, Vietnam, Japan
           | and Korea and the veggies are almost like they grow in your
           | home garden. Go to a store and pick out a tomato and it is
           | impossibly good. America has farmers markets in every city,
           | even in some of the most impoverished cities. But that's not
           | where the majority of the middle class goes to shop for their
           | vegetables.
           | 
           | Try growing veggies in your own garden on American soil and
           | its gonna taste amazing.
           | 
           | Don't worry, Asian population wants malls, walmarts, and
           | giant grocery stores with similar tasteless food. It is
           | happening at a massive unprecedented scale.
        
             | gdebel wrote:
             | I made clear I have no anti-american views (and I don't
             | feel like US citizens, generally speaking, are so much more
             | open to external opinions than Europeans by the way). The
             | problem is not related to the quality of soil or to the
             | borders but to the fact that we humans have a recent
             | tendency to over-engineer a very natural process : eating
             | simple, normal, things.
        
         | dorian-graph wrote:
         | This may sound dumb, but any suggestions on how to eat (i.e. a
         | recipe book) in what you describe as "normal"?
        
         | txcwpalpha wrote:
         | The US has its issues with food (in particular, lower class
         | individuals have trouble finding cheap food that isn't junk
         | food), but I'm surprised to read the rest of your comments.
         | 
         | I travel all around the US a lot for work (or did, pre-covid)
         | and all the way down to your fast food restaurants all the way
         | up to fancy $500/plate places, I've never once found it
         | difficult to eat a "standard meat-with-vegetable-without-sugar-
         | added". I would say that 80% of my meals are exactly that. I've
         | never once been to a single non-fast-food restaurant where they
         | didn't have multiple different kinds of vegetables on the menu.
         | 
         | There's certainly an issue with portion size at most US
         | restaurants, but I've never found it difficult to get a plate
         | of plain roasted vegetables with lightly seasoned fish, for
         | example.
         | 
         | >It looks like this is hard to do in the USA: you don't easily
         | find, for example, yogurt without sugar added.
         | 
         | Yogurt in particular is not really popular in the US, so you
         | will not find it in many restaurants. You can, however, find
         | packaged sugarfree yogurt in most convenience stores and
         | certainly every grocery store if that's your thing. Other than
         | yogurt, there are plenty of sugarfree snacks widely available.
         | Starbucks is on every corner and sells plain vegetables, plain
         | fruit, plain eggs, etc, for example.
         | 
         | I suspect your complaints are mostly rooted in simply not being
         | aware of certain brand names or which stores are known for what
         | type of food, because all of the things you mentioned
         | definitely are available as long as you aren't going to
         | McDonald's or Five Guys for every meal.
        
           | groby_b wrote:
           | I would really like to know which fast food restaurant allows
           | "normal" eating. They all use sugar, they are all way too
           | fatty and salty. And vegetables are _hard_. (No, fried
           | potatoes do not count)
           | 
           | > "You can, however, find packaged sugarfree yogurt" That
           | stuff is a miracle of modern chemistry. It has, however, only
           | a passing resemblance to actual yoghurt. Nobody who grew up
           | in Europe really wants sugar-free. It's "no sugar added" that
           | matters. Nobody wants fat-free, either. And there are quite a
           | few studies making the point that these "healthy" food
           | actually contribute to weight gain.
           | 
           | "Starbucks is on every corner and sells plain vegetables,
           | plain fruit, plain eggs"... if you're lucky. Usually, it's
           | sold out fairly quickly.
           | 
           | In general, yes, getting healthy food in the US is much
           | harder than it is in Europe. The vast majority of food here
           | is processed to within an inch of its life, and the remainder
           | is _incredibly_ expensive, because it 's treated as a luxury
           | good.
           | 
           | I've spent a few decades in Europe, as well as a few in the
           | US. I'm fairly confident I know which food I can get where in
           | either place - and the US is severely broken. Trust me, I
           | wish it weren't. But healthy food is difficult, and becomes
           | extra-hard as you leave bigger cities with specialty stores
           | behind.
        
             | txcwpalpha wrote:
             | Name literally _any_ fast food place and you can get a
             | plain salad with tomatoes, lettuce, sometimes spinach,
             | carrots, broccoli, etc, as well as various types of plain
             | grilled meat if you want protein. It won 't be delicious,
             | but vegetables certainly are _not_ hard to get, even at
             | fast food places. And that 's _before_ considering places
             | that actually make a concerted effort to provide healthier
             | options like Panera Bread, which has an even higher variety
             | of different vegetables you can order.
             | 
             | >"Starbucks is on every corner and sells plain vegetables,
             | plain fruit, plain eggs"... if you're lucky. Usually, it's
             | sold out fairly quickly.
             | 
             | I've been throughout the US, both urban and rural, and
             | never noticed a particular issue with it being sold out.
             | And Starbucks was just one example; there are plenty of
             | convenience stores that sell the same. I can't remember the
             | last time I was in a gas station or 7-Eleven that didn't
             | have plain fruit or plain nuts available.
             | 
             | I've been abroad as well (mostly in Asia, though some
             | months in Europe) and I really do not at all have the same
             | experience as you. Eating healthily is trivial in the US. I
             | will acknowledge that it is not actively shoved in your
             | face (sometimes you have to specifically ask that a dish be
             | made without sauce, for example) but I have never, _ever_
             | had a problem with the availability of healthy food.
             | 
             | If anything, I found that eating healthily in Asia was
             | actually more difficult because in many situations it
             | actually is not possible to get a dish that isn't based on
             | some type of high-sodium/sugar sauce, white rice, or
             | noodles. (The nice thing about Asia though is that even if
             | their dishes are full of sugar and sodium, the portion
             | sizes are relatively small, so it isn't as big of a deal.)
        
               | groby_b wrote:
               | This is really interesting - I'd love to sit down and
               | compare notes how we arrived at two completely different
               | views of the food world. (It even holds for the "plain
               | nuts" comment - I find it incredibly hard to get nuts
               | that aren't roasted and/or salted)
        
               | david_shaw wrote:
               | _> I find it incredibly hard to get nuts that aren 't
               | roasted and/or salted_
               | 
               | I don't see plain nuts as often as I'd like in stores,
               | but they are super easy to find online:
               | https://www.amazon.com/s?k=raw+almonds
        
               | gdebel wrote:
               | You are right you can find vegetables. But they will have
               | a weird taste and/or have a sweetened sauce (or, you just
               | have to sweeten it in order to eat it). This is the same
               | in fast-food restaurants in France thought, Not a critic
               | toward the US
        
         | atopia wrote:
         | I absolutely agree - sugar is definitely the issue. Most
         | individuals don't get enough healthy fats due to marketing
         | tactics. Stuff like Omega 3s and general unsaturated fats are
         | incredibly important for brain function, reparation of tissue,
         | etc.
        
         | RealityVoid wrote:
         | I am totally not convinced by this argument against sugar. Yes,
         | sugar is calorie dense. Yes, it's easy to eat a lot of calories
         | from sugar. But in the end, even eating NO sugar, if you eat a
         | ton of things, you'll get fat. An then you go on to recommend
         | honey as though there is something magic about it and not
         | pretty much the same thing with sugar.
        
         | chubot wrote:
         | As a Chinese person born in America, you're absolutely right.
         | If you don't cook, it's difficult to eat reasonably /
         | "normally" in this country, even if you have money. You kind of
         | have to pick your poison: salt, sugar, unnatural fats, etc.
         | 
         | At least I grew up on the east coast and my parents cooked.
         | Anecdotally, I'm shocked by what my acquaintances from the
         | midwest eat, and the consequences _really_ start to show up
         | when people reach their 30 's (although there are signs
         | earlier)
         | 
         | I read Michael Pollan's books (Omnivore's Dilemma, etc.) 10-15
         | years ago and they opened my eyes to how broken this country is
         | in terms of food.
         | 
         | https://michaelpollan.com/books/
         | 
         | It's funny he is considered "liberal" here but it's just common
         | sense in the rest of the world. The thesis is actually
         | "conservative": eat things that your grandmother would consider
         | food. If your grandmother wouldn't recognize it, don't eat it.
         | Did your grandmother (or great grandmother) cook with high-
         | fructose corn syrup? Or processed oils / margarine?
        
         | JoeAltmaier wrote:
         | I live near a college town, with food from dozens of nations. I
         | can have crepes for breakfast, Vietnamese for lunch, good
         | Italian for dinner. Tomorrow: steak and eggs at a diner for
         | breakfast, sushi for lunch then dinner at a nice Czech place
         | with cabbage and sausage. All cooked by immigrants or
         | descendants of those heritages.
         | 
         | But no, not typical. Most Americans buy all their food at the
         | Dollar Store, and its everything you say.
        
           | metrokoi wrote:
           | Most Americans buy their food at the grocery store, and
           | there's nothing in them that wouldn't be found in any other
           | country. Most Americans make their own meals with their
           | families, which usually consist of meat, pasta, potatoes,
           | and/or vegetables.
        
         | heavyset_go wrote:
         | I imagine eating a spoonful of pure steviol would be
         | unpleasant, the acceptable daily intake is at most 12mg per kg
         | of body weight. It's fine for you otherwise, and at a
         | reasonable dose makes a great sugar substitute.
        
         | mettamage wrote:
         | Ah, the Americans... ;-)
         | 
         | As a Dutch person living in Amsterdam, I completely agree. I
         | noticed when I visited SF a few times (and California in
         | general) that:
         | 
         | - Vegetables are more expensive
         | 
         | - Bread is sweetened (there goes my breakdfast)
         | 
         | - Bread sucks (yep, I said it, basic bread should be thrown
         | into the thrash can)
         | 
         | - Basic cheese in the US is a new species, and I am afraid of
         | it
         | 
         | I went around these 2 issues by buying the highest quality
         | French bread and imported cheese (how I missed _actual_ France
         | with their _actual_ French bread... : '( ). While it was
         | expensive, I could at least make a breakfast that I eat in
         | Amsterdam (bread with cheese with butter, unsweetened).
         | 
         | The butter was normal. I have to give the US that.
         | 
         | Though, I do like what you guys can do with oatmeal. It taught
         | me that the normal Dutch breakfast is uninspiring as hell,
         | haha. So all in all, it was reall a positive experience, but
         | it's so much nicer when you meet American people showing how
         | they eat breakfast rather than traveling around in the country
         | and simply guessing how to eat normal (normal being unsweetened
         | / healthy -- I find that normal...).
         | 
         | Also, I found the US amazing with certain dinner options (e.g.
         | sushi burito's).
        
           | ricardobeat wrote:
           | It is also becoming increasingly difficult to find "plain
           | bread" in Dutch supermarkets. The majority of them now have
           | additives like soy lethicin, 15 kinds of leftover
           | flours/powders from some other industrial process, even the
           | 'artisan' labeled ones.
        
             | mettamage wrote:
             | That saddens me. I must confess that I'm used to my brands,
             | so I don't look around that much at the Albert Heijn (the
             | supermarket I go to, for reference: an upscale-ish
             | supermarket that tries to be normal and sort of is?
             | _Looking at fellow Dutchies here to see what they think_ ).
        
               | timvdalen wrote:
               | Seconded!
        
             | metrokoi wrote:
             | The additives are there for a reason. More bread with more
             | additives is sold because people prefer that type of bread,
             | whether for convenience, price, or they simply prefer the
             | flavor and texture.
        
           | GuiA wrote:
           | San Francisco is an anomaly as far as food in the US is
           | concerned. I'm French and have been living in SF for close to
           | a decade (and Louisiana before that, so I've been spoiled
           | when it comes to "american food" that doesn't suck), and
           | there are very few things I cannot find here - people are
           | into food, and if you take the time to look for specialty
           | stores you will find them.
           | 
           | Of course there's the cost difference, but then again that
           | goes both ways - I can find avocados, strawberries, etc. here
           | of a quality and at a price you'd be hard pressed to find in
           | France. Tbh, I'd argue that as far as meat/seafood/etc. is
           | concerned, you can get better quality in SF than you can in
           | 90% of France, where your main option will be an Intermarche
           | or a Carrefour.
           | 
           | I'd also argue that the pastries you find at Tartine/Four
           | Barrel/etc. (they typically source from a variety of bakeries
           | from around the bay) are way beyond, in quality, what you'd
           | find in 90% of French bakeries (the glory days of master
           | bakers are long gone, and a lot of it is frozen crap these
           | days, although it's been getting better in the last few
           | years). I suspect that by this point there are more world
           | class bakers by square kilometer in the Bay Area than there
           | are in France, perhaps with the exception of Paris/Lyon
           | (quite a few that I've met went to France to study baking
           | though, so our national pride isn't completely destroyed). I
           | bake my own bread and can buy freshly milled flour from the
           | The Mill, which would also be hard to find in France unless
           | you had personal connections.
           | 
           | But of course, I haven't gotten to the main part - which is
           | the insane diversity of food stores and restaurants here. No
           | matter what kind of south american, african, middle eastern,
           | asian cuisine you want to make/eat, you'll be able to find
           | it. That is not the case at all in France.
        
             | [deleted]
        
           | GordonS wrote:
           | > Bread is sweetened > Bread sucks
           | 
           | I spent some months working in Houston a while back, and this
           | drove me crazy! I mean, why on earth would you sweeten
           | bread?!
           | 
           | Another thing that struck me was how many ingredients
           | everything seemed to have - you could pick up just about any
           | item in a grocery store, and it was pretty much guaranteed to
           | contain 10-30 ingredients. Even the bread.
           | 
           | > Basic cheese in the US
           | 
           | This too - most cheese was of the horrible processed variety,
           | with little flavour and an odd texture. And of course, dozens
           | of ingredients. And of course, there was sugar in it.
           | 
           | Another thing - corn syrup. Not content with putting sugar in
           | _everything_ , corn syrup was added too.
        
             | metrokoi wrote:
             | It's expensive to make good bread. Not in terms of raw
             | materials, but in terms of labor. A machine cannot make a
             | quality loaf of bread, you must gently knead it and let it
             | ride with human hands. There is also a large cost in the
             | right-on-time delivery of "good" bread. There is still
             | quality bread sold at my grocery store, but that kind of
             | bread isn't a staple because people don't want to go to the
             | grocery store every other day when their non-stabilized
             | bread gets eaten, goes stale, or goes moldy.
             | 
             | I am defending "bad" bread because no one ever does, and
             | it's really not comparable to "real" bread because the uses
             | are different. It's cheaper, last much longer, and is
             | better suited for sandwiches and toast because of the
             | square shape.
        
               | GordonS wrote:
               | I'm not hating on cheap bread. You can find cheap, basic
               | batch loaves anywhere in the western world - but the crap
               | I found in the US was the worst.
               | 
               | It doesn't have to be _that_ bad, it doesn 't have to
               | have lot's of sugar and corn syrup in it, and it doesn't
               | have to have 20+ ingredients.
        
               | mettamage wrote:
               | > It doesn't have to be that bad, it doesn't have to have
               | lot's of sugar and corn syrup in it
               | 
               | This is my experience as well.
        
         | shawxe wrote:
         | In general, I agree with a lot of what you're saying here about
         | eating more vegetables and way less sugar being the way to go
         | health-wise, but I do want to respond to some specific things
         | you've said.
         | 
         | > You can find really good junk food everywhere, or pay a
         | really high price to eat in high-level Italian restaurants for
         | example, but it is very difficult to eat standard meat-with-
         | vegetable-without-sugar-added, except in Asian restaurants
         | 
         | Restaurants are typically not where I go to eat healthy food
         | anywhere in the world, although I do think you have a pointed
         | that American restaurants are often relatively junk food
         | oriented.
         | 
         | > ban every processed food, sauce, appetizer....
         | 
         | There is nothing inherently wrong with "processed" food; it is
         | entirely possible to use industrial processes to make a
         | perfectly healthy and wholesome food product. Take for example,
         | (this is by no means an endorsement) Larabar [1]. They make
         | snack bars that typically contain 2-3 ingredients that are all
         | just dried fruit. Should they be banned as "processed" food
         | because of how they are made?
         | 
         | > If you would not eat a spoon of every single ingredient of
         | some food, don't eat it
         | 
         | This is a ridiculous statement and is one of the main reasons
         | why I'm commenting. I wouldn't eat a spoonful of yeast, should
         | I not eat bread? I wouldn't eat a spoonful of salt, should I
         | not eat... anything?
         | 
         | > It looks like this is hard to do in the USA: you don't easily
         | find, for example, yogurt without sugar added.
         | 
         | I've never lived in an area in the United States where I've
         | ever had any problem finding anything like this.
         | 
         | [1] https://www.larabar.com/
        
           | jfim wrote:
           | > There is nothing inherently wrong with "processed" food
           | 
           | There's a distinction between processed and ultra-processed
           | (or highly processed). For example, canned fish is processed
           | (added salt and oil), while a frozen TV dinner is ultra-
           | processed (many ingredients added, some of which you probably
           | don't have in your kitchen).
           | 
           | Processed food is fine assuming you're aware of what's in it,
           | how it's processed, and make sure you're not overeating any
           | of it.
        
             | shawxe wrote:
             | > There's a distinction between processed and ultra-
             | processed (or highly processed). For example, canned fish
             | is processed (added salt and oil), while a frozen TV dinner
             | is ultra-processed (many ingredients added, some of which
             | you probably don't have in your kitchen).
             | 
             | Sure, but OP said ban all processed food. That's what I'm
             | responding to, not "ban all ultra-processed food." That
             | said, I do find your categorization to be troubling. Just
             | because something is a frozen dinner doesn't necessarily
             | mean that it's bad for you. Whether or not something is
             | good or bad for you is based entirely on its chemical
             | composition; it has absolutely nothing to do with how it
             | has been put together or what form factor its being
             | distributed in.
             | 
             | It may sound like I'm being pedantic, but I think these
             | kinds of short cuts are actually genuinely harmful. I've
             | known many people who have thought "cheeseburgers from
             | McDonald's are unhealthy not because cheeseburgers are
             | unhealthy but because they are processed" and then gone
             | right ahead and made themselves cheeseburgers that have
             | three to four times the calories, fat, and salt of the
             | McDonald's counterpart.
             | 
             | Does that make McDonald's a healthy option? Absolutely not.
             | But why is McDonald's unhealthy? It's because the food they
             | serve is unhealthy. It's not that the food that is served
             | at McDonald's is unhealthy because McDonald's is unhealthy.
             | 
             | > Processed food is fine assuming you're aware of what's in
             | it, how it's processed, and make sure you're not overeating
             | any of it.
             | 
             | s/Processed//
             | 
             | If people want to eat healthier, they need to pay attention
             | to the ingredients in the things they're eating. If we're
             | going to regulate something, we need to regulate the
             | ingredients that go into things people eat. Using buzz
             | words like "processed" and "ultra-processed" with
             | definitions that are, at best, not well understood by the
             | general population just leads to people working around
             | personal/social rules/regulations.
             | 
             | Just because your t-bone steak is local organic grass-fed
             | whatever does not make it good for you. That food is just
             | not healthy, even if it is the only ingredient. We did not
             | evolve eating food like that with any kind of regularity.
             | If you want to be healthy, you need to just not eat it.
        
               | andai wrote:
               | So, this mean that McDonalds is as healthy as the burgers
               | I make at home? I was under the impression that their
               | food is loaded with sugar and strange additives.
        
               | frosted-flakes wrote:
               | > So, this mean that McDonalds is as healthy as the
               | burgers I make at home?
               | 
               | Sure, as long as you use similar ingredients.
               | 
               | > I was under the impression that their food is loaded
               | with sugar and strange additives.
               | 
               | It's not. The beef patty really is just beef. The bun is
               | white bread, just like you can buy at the grocery store.
               | And the condiments are self-evident. It's just that that
               | they've nailed the production process so precisely that
               | what you get tastes almost exactly the same, every time.
               | 
               | A lot of people have this warped, black and white view of
               | "healthy" and "unhealthy", but the reality is that it's a
               | spectrum, and you can get reasonably healthy food at
               | McDonalds but eat like crap at home.
        
               | antepodius wrote:
               | And that's what makes them bad. I've always thought
               | 'processed' was a pretty vague marketing term. A lot like
               | people talking about 'chemicals'.
        
               | antepodius wrote:
               | And that's what makes them bad. I've always thought
               | 'processed' was a pretty vague marketing term. A lot like
               | people talking about 'chemicals'.
               | 
               | Yeah, modern food is terrible.
        
               | systemvoltage wrote:
               | I resonate with the way you think.
               | 
               | A lot of non-technical people get hung up on the
               | marketing terms than actually thinking through the
               | fundamentals.
               | 
               | For e.g. "Handspun ice-cream! OMG!". Uhh..what difference
               | does it make if it is hand-spun or machine-spun? It is
               | not tool of spinning ice-cream, but what the _process_
               | is. To majority of non-techy people, processed or
               | machined or anything to do with automating a _method_ is
               | highly repulsive - thanks to the hipster marketing.
               | 
               | The general take away is - "Automated machines will never
               | replace the touch of the hand"... oh really? then how
               | come we can make insanely precise things called
               | semiconductors in almost a completely automated fashion.
               | Some fabs don't even have operators inside, just
               | technicians or engineers. This is an extreme example just
               | to make a point.
        
               | dpoochieni wrote:
               | But then there are things that do make a difference. Take
               | for instance homogenized vs non-homogenized milk. This
               | processing destroys lactoferrin which is a molecule that
               | strongly binds iron and reduces its absorption. Before
               | someone argues this is actually bad, understand first why
               | milk has lactoferrin and how this apparently only
               | cosmetic process of homogenization has nutritional and
               | health consequences.
        
               | systemvoltage wrote:
               | Definitely, if you want imperfections, artisan value and
               | appreciate craftsmanship, there is nothing wrong with
               | handmade goods.
               | 
               | Just don't tell me that your Japanese knife when hand
               | sharpened cannot be as good as something done by a
               | robotic arm. Otherwise, I have some news - your Japanese
               | knife's edge sharpness(not durability) is no match for a
               | surgical scalpel which is made by millions in quantities
               | in fully automated fashion for less than $20. Or even a
               | razor blade that costs $0.10.
        
               | nordsieck wrote:
               | > Does that make McDonald's a healthy option? Absolutely
               | not. But why is McDonald's unhealthy? It's because the
               | food they serve is unhealthy. It's not that the food that
               | is served at McDonald's is unhealthy because McDonald's
               | is unhealthy.
               | 
               | It sounds to me like this is the crux of your argument.
               | 
               | I think I'd agree and hopefully add some clarifying
               | points.
               | 
               | 1. Processing
               | 
               | Processing doesn't necessarily make things less healthy.
               | It depends on the type of processing and what is being
               | processed.
               | 
               | If you blend a steak, it isn't less good for you
               | (although it is more susceptible to food poisoning).
               | Adding heat to things like meat can actually make them
               | more bio-available since they're easier to digest. Adding
               | heat to vegetables can break down certain vitamins and
               | make the result less healthy.
               | 
               | Additionally, heating food in certain ways can make it
               | less healthy because of the cooking process. Anything
               | that chars the food or introduces partially combusted
               | hydrocarbons (burned cooking oil, grilling/smoking, etc.)
               | adds carcinogens to the food.
               | 
               | 2. Macro-nutrient profile
               | 
               | Food satiety is relatively well understood: protein,
               | water and fiber are all appetite suppressants. People
               | need a certain amount of fat and probably desire at least
               | a small amount of carbs (although the last part can be
               | overcome in some people).
               | 
               | For a sedentary person, a diet high in carbs and fat is
               | probably not good, as it will result in weight gain.
               | 
               | For someone with higher energy needs - say someone
               | building a trail through the woods with a mattock - they
               | may need to eat 6000 Calories per day just to maintain
               | their body weight.
               | 
               | For a sedentary person, a diet high in protein will be
               | distasteful and probably wasteful.
               | 
               | For professional athletes competing in strength sports,
               | they may eat over 2g / kg of body mass of protein as part
               | of a diet tailored to their goals.
               | 
               | Broadly speaking, in order to promote the health of a
               | person, the macro-nutrient profile of their food should
               | match their body and their activity levels.
               | 
               | 3. Micro-nutrients
               | 
               | Eating vegetables are good for you. The more raw the
               | vegetables are, the better they are for you (probably).
               | There is often a trade-off that needs to be struck
               | between palatability and optimum health benefit.
               | 
               | There is also a wide array of micro-nutrients that can
               | come from eating meat of various sorts.
               | 
               | There are many conflicting opinions here, without a broad
               | consensus, so I'll leave it at that.
               | 
               | 4. Weird stuff
               | 
               | Often times people will bring up ingredients in processed
               | food that they don't know what it is, or even how to
               | pronounce it.
               | 
               | I don't think people are bad to want to avoid stuff like
               | that.
               | 
               | But for the most part, I have real doubts that this is
               | the cause an health problems in even a small fraction of
               | consumers.
        
           | gdebel wrote:
           | I can eat a spoon of salt, or yeast. It is not particularly
           | good but I know what it is, and I know the toxic dose. I
           | won't eat a spoon of sodium benzoate or E324 or I don't know
           | which food additive, I can't buy it in a food store, it is
           | not "food" by itself. So I don't eat it :-)
        
             | shawxe wrote:
             | I'm not sure a big spoon of salt will make you any less
             | sick than a big spoon of sodium benzoate, but that's fair.
             | I definitely agree that people should avoid eating things
             | they do not understand; I think most of my disagreement
             | with your original post is semantic, but I do still
             | appreciate it. :-)
        
             | saagarjha wrote:
             | Sodium benzoate is limited in concentration by the FDA to
             | about 0.1% (by weight), so there is certainly not a spoon
             | of sodium benzoate in your food.
        
         | dahfizz wrote:
         | You can get a burger, or salad (usually with an option to add
         | chicken) at any "American" restaurant. Does that fulfill your
         | standard meal?
        
       | ve55 wrote:
       | >all of which I won't go into full details of because it lets a
       | bit too much of the mad scientist crazy out.
       | 
       | This is a bit disappointing, but I know how the author feels. I
       | can definitely feel like I am going to be judged for being crazy
       | telling people about the strange ways in which I try to
       | empirically optimize my health.
       | 
       | But, nothing is more important than our health, and I think it
       | would have great effects on readers for the author to continue to
       | expand on all of these other great health topics they're
       | interested in. Speaking for myself, I became much more interested
       | in this stuff just after reading some great detailed blog posts
       | from others that are very into biohacking and related areas, and
       | it had a wonderful effect on my life.
       | 
       | I'd love for others to be able to receive the same, much of us
       | often focus too much on technical endeavors and lack giving the
       | proper attention to diet, exercise, and much more. It becomes a
       | lot more interesting and fun to some people when they realize the
       | level of detail, optimization, quantification, and so on, they
       | can put into this.
       | 
       | The best part is that instead of having your code run faster or
       | your customer retention go up, you literally increase your life
       | span and decrease your risk if diseases.
        
         | JamesBarney wrote:
         | What were the changes you made that had biggest impacts?
        
       | dmix wrote:
       | Unrelated but I just noticed `hydroxy-` (for ex: beta-
       | hydroxybutyrate) means hydrogen + oxygen, whereas something like
       | `hydro-` (for ex: hydrochloride) is just hydrogen. One of those
       | obvious things you read all the time and not notice but obvious
       | in retrospect.
        
       | k__ wrote:
       | Isn't the problem of many weight lifters that "lean body mass"
       | isn't consumed before the fat, but at the same time?
        
         | meisterbrendan wrote:
         | I'd love someone qualified to answer this... feel like this
         | happens to me all the time
        
         | RoidzForeva5p wrote:
         | Lean body mass is a misnomer (and DEXA scans aren't reliable).
         | 
         | Lean body mass = Total Body Mass - Fat Mass
         | 
         | That's "lean body mass," but it's not 1:1 "muscle mass,"
         | because bones, organs, and etc. do not constitute as skeletal
         | muscle, but still take up weight.
         | 
         | And muscle mass itself is a misnomer, because the actual weight
         | of your muscle protein is not 1:1 to the actual weight of your
         | entire muscles.
         | 
         | Most people think muscle is made out of protein, but while
         | that's true, it's not the main way you muscles get "bulk." The
         | main compound that gives muscles "bulk" is water. Usually
         | that's because your muscles have hydrophillic compounds like
         | glycogen (stored sugar), electrolytes like potassium and
         | sodium, and creatine. These latter compounds draw the water
         | into the muscle, and make up for most of its weight and size.
         | 
         | All these compounds get used up during exercise, so your muscle
         | hold less water, and it's technically "consumed" during
         | exercise, and needs to be replenished after. A coincidental
         | fact is that once these stores are depleted, they become
         | "super-sensitizied" that means they're much more likely to take
         | up compounds out of the bloodstream than before. So, exercise
         | depletes them, but if you eat enough after, you can fill them
         | up to be bigger than where they were before.
        
       | tvanantwerp wrote:
       | I've had a similar DEXA experience. My last scan put me at 30%
       | fat, whereas my scale estimate 16% and a 3D external scan
       | estimated 18%. My appearance does not match typical pictures of
       | someone at 30% body fat. In fact, at 30% I would be in the 99th
       | percentile of % fat mass for my height and weight--something I
       | think unlikely. Like the author, I was in a fasted state of
       | ketosis at the time.
        
       | nexuist wrote:
       | I must say I find it funny that the head of AI at Tesla used 1)
       | computer memory 2) internal combustion engines as examples to
       | relate to human biology :P
        
       | julianeon wrote:
       | I was a little bit disappointed that the title promised an
       | introduction to biohacking, but in practice, by the end, it
       | amounted to how to lose weight. The "hacking" part is in
       | understanding how the body processes energy and how eating
       | affects that, I guess. Still, from that title, I think it was
       | fair to expect a different article.
        
         | fudged71 wrote:
         | Yes, I would have liked to hear more about his experiences with
         | the other types of biohacking he mentioned!
        
       | tonystubblebine wrote:
       | If people are looking for alternative approaches to weight loss,
       | I would consider simply buying a blood glucose monitor. They cost
       | about $100 on Amazon or less and test strips less than $0.50.
       | 
       | The thing that makes it alternative is that it sets you up to be
       | reactive rather than prescriptive. A lot of people end up
       | rebelling against prescriptive rules for eating and then fall off
       | the wagon in frustration.
       | 
       | The Blood Glucose monitoring approach is to see what spikes your
       | blood sugar on the idea that higher levels are more likely to
       | lead to reduced insulin sensitivity which often leads to more of
       | the calories you eat being stored as fat. I just take the
       | measurement first thing in the morning.
       | 
       | I find that how I eat shows up in my morning BGL and so I can be
       | a little bit more reactive. If the level is high, then I need to
       | pull harder on some of the levers that day.
       | 
       | This way of thinking also sets you up to have a better personal
       | sense of what levers matter. For me, pasta is much worse than
       | chocolate chips. What really flips my levels though is two high
       | carb meals in the same day.
        
         | tvanantwerp wrote:
         | I recently found this fairly thorough article on measuring
         | blood glucose for self-experimentation:
         | https://quantifiedself.com/blog/qs-guide-testing-food-with-b...
        
       | gandreani wrote:
       | > As a result I've improved a number of biomarkers (e.g. resting
       | heart rate, resting blood glucose, strength, endurance,
       | nutritional deficiencies, etc). I wish I could say I feel
       | significantly better or sharper, but honestly I feel about the
       | same. But the numbers tell me I'm supposed to be on a better path
       | and I think I am content with that .
       | 
       | I appreciate this honesty
        
         | fudged71 wrote:
         | What I notice personally is that whenever my health improves, I
         | only feel it a small amount incrementally.
         | 
         | When I stop training, I quickly feel sluggish, with brain fog,
         | muscle knots, difficulty sleeping, etc.
         | 
         | This is mostly a reminder to myself that my body wants movement
         | and good nutrition, and that lapses are not worth it.
        
         | byproxy wrote:
         | I think a lot of that last point can be attributed to gradual
         | improvement and acclimation to that improvement. If you were
         | able to snapshot mood and mental health like you could a
         | picture of your body, you might see a marked improvement over
         | pre-healthy-lifestyle vs., say, post-1-year-healthy-lifestyle.
         | 
         | For example, I've been losing weight and doing body-weight
         | training the last month-and-a-half and a picture of my body now
         | vs. then shows a fairly drastic change. But I can' say that I
         | feel like I weigh less or feel that I'm stronger. Though, the
         | scale and reps of exercise that I can do say otherwise. Every
         | day starts a "new normal."
        
           | gandreani wrote:
           | I don't doubt the author gained benefits from the lifestyle
           | change. I just appreciate the lack of hyperbole when
           | describing how they feel. It's hard to get nutrition and
           | health advice without a product/service incentive attached to
           | it nowadays. The excerpt I highlighted matched the
           | qualitative and candid style of the rest of the post.
           | 
           | It's refreshing
        
             | byproxy wrote:
             | Oh, yea. I agree. I suffer from panic attacks and general
             | anxiety and when I picked up lifting/running a while back
             | one of my friends asked if it helped and I gave him the
             | same, honest "uh..not really.", which he was kinda bummed
             | for me about. But I learned to enjoy those things on their
             | own. Or, at least, I enjoyed being able to pat myself on
             | the back after running for 4 miles straight.
        
               | theontheone wrote:
               | Your comment seems to imply that it didn't help. Would
               | you recommend picking lifting/running up? I went on meds
               | recently for the same issues but had a bad (lasting)
               | experience, so I'm looking towards therapy and healthy
               | eating / exercising for the future now.
        
               | byproxy wrote:
               | Here's what I have to say, with the disclaimer that
               | everyone's experience is different and your results may
               | vary:
               | 
               | > Your comment seems to imply that it didn't help.
               | 
               | Not that, so much. More that it'd be disingenuous for me
               | to say that I noticed that exercise had a direct impact
               | on my mental health. Cutting down on my consumption of
               | alcohol (a lot) has probably had the most direct link to
               | increased mental health, for what it's worth.
               | 
               | > Would you recommend picking lifting/running up?
               | 
               | Yes, indeed. It's undeniably good for your body. Just...
               | don't go in with the expectation that it's gonna be an
               | immediate mood-booster, though. If that does happen,
               | great! But expect the actual (and measurable) rewards to
               | be increased strength and endurance. Be happy with that.
               | :)
               | 
               | I've been prescribed medication, but never got it filled
               | (didn't like that prescribing meds was the default
               | "fix"). Been close to going to therapy, but haven't (I'm
               | skeptical of certain therapist's qualifications and I
               | don't think I can really afford it long-term). So far,
               | I've been able to live with my malady's. Just...REALLY
               | uncomfortably on occasion. But if you can afford it and
               | have the time, then you should definitely make use of
               | those resources!
        
           | akiselev wrote:
           | A lot of people also aren't "in tune" with their bodies,
           | especially those with weaker autobiographical memories. Many
           | just don't internalize or remember how they feel over
           | different time periods except for extreme events (emotional,
           | strong smells, etc.). Unless they have a hangover, they don't
           | much consider how they feel on a relative scale, let alone
           | try to tie it back to their past diet or lifestyle. Throw in
           | a lot of drugs like caffeine, antidepressants, pain killers,
           | depressants like alcohol, stimulants like ADHD meds and it
           | results in a perfect storm where subtle signals that many
           | people are naturally mindful of just get drowned out. Even
           | becoming aware that you can differentiate signals takes
           | practice just like any other muscle.
           | 
           | This has been my biggest struggle with health. I've always
           | had troubles with autobiographical memory and without it, I
           | can't stay motivated because I quickly forget how good
           | exercise felt or how junk food made me feel a few hours
           | later. I started going to the gym to dogfood when I joined a
           | fitness company and within a few months I was looking a lot
           | better but not feeling it. It wasn't until I started to
           | really push my limit with rowing workouts that I felt the
           | "runner's high" athletes talk about. From that point on, it
           | was felt like I was discovering a new muscle group every few
           | weeks and correlating how far I rowed in a 60 minute rowing
           | session with my diet and lifestyle. Junk food that I would
           | scarf down because unappetizing. Drinking alcohol went from a
           | no-brainer to "how will I feel tomorrow?" Morning stretches
           | and exercise became mandatory just to feel "normal."
           | 
           | Even now, with the gyms closed for months, I can feel that
           | newly acquired skill slipping and predictably, my self
           | discipline slides too. I've almost forgotten how good it
           | feels after a nice workout.
        
             | derg wrote:
             | >Even now, with the gyms closed for months, I can feel that
             | newly acquired skill slipping and predictably, my self
             | discipline slides too. I've almost forgotten how good it
             | feels after a nice workout.
             | 
             | Right? I've noticed my own mental health is slipping and
             | I'm certain I can track it to things closing, me working
             | from home more often, and my eating worse.
             | 
             | The unknown and anxiety around the start of the lockdowns
             | and pandemic made me gravitate towards the 'comfort' foods
             | and it's been a slow decline in mood and physical health
             | since. Thankfully I've started to recognize this and
             | remember how I felt _before_ the start of all this so now I
             | 'm slowly working towards that point again.
        
       | thechao wrote:
       | If anyone else wants to get into this, there are a few _really
       | strong_ measures that correlate fairly well to the DEXA scans. My
       | favorite (because its easy): measure your waist just above your
       | belly button. This area has virtually no  "bulky" muscle and is
       | one of the principle deposits of "internal" body fat.
       | 
       | The two measures I take everyday are:
       | 
       | 1. Body weight; and,
       | 
       | 2. Waist size.
       | 
       | I use the following routine for weight loss (I've lost about
       | 50kg, and have kept it off for several years):
       | 
       | 1. You must have a diet to _weigh less_ ;
       | 
       | 2. You must have a distinct diet to _lose weight_ ;
       | 
       | 3. You must do low impact cardio -- I walk 3-5 miles a day; and,
       | 
       | 4. You must do resistance training.
       | 
       | Those four things have the following purpose:
       | 
       | 1. Keep you at a stable weight;
       | 
       | 2. Take off weight;
       | 
       | 3. Increase background caloric burn from "super sedentary"; and,
       | 
       | 4. Encourage _fat loss_ over _lean body mass loss_.
       | 
       | All of this is requires _routine_. You must develop a _routine_
       | for the rest of your life, and not vary from it. It also requires
       | _honesty_ : you need to be _honest_ with yourself about what you
       | 're eating, when; what exercise you're really doing; when. And,
       | finally, if you're overweight you're at the mercy of millions of
       | years of evolution, but you're the _victim_ of our modern diet.
       | It 's not your fault, but there is something you can do about it.
        
         | andrewzah wrote:
         | Intermittent fasting also helps. Many people do 16:8 (16 hours
         | of fasting) and only eat from 12-8 or 10-6.
         | 
         | With IF, I lost about ~5 lbs doing nothing besides being more
         | mindful. Once I added in daily runs / walks of ~4-5 miles, I
         | lost another ~10 lbs easily.
         | 
         | I think the biggest challenge for people looking to lose weight
         | is mindless eating / snacking. Initially I kept a diet journal
         | and wrote down _everything_ I ate or drank, and realized I
         | would get more snacks throughout the day than I thought. I also
         | drank a lot less water than I thought.
         | 
         | The other thing is portions. When I was at my largest, the
         | portions I would set for myself were larger, and I would more
         | often get a second round. All without really thinking about it,
         | of course. Now I deliberately think about how big of a portion
         | is appropriate and I never go for seconds except on some cheat
         | days.
        
           | shoes_for_thee wrote:
           | The idea of intermittent fasting from 12-8pm is kind of
           | amusing to me because that's just when I tend to eat anyway.
           | I guess I've been intermittent fasting my whole life!
        
           | nwienert wrote:
           | IF only achieves point 1 of the four points above, I've done
           | it for years but if I _only_ do IF I'll still carry usually a
           | small belly. Also if you don't do minimal exercise it does
           | feel _harder_ - your calorie budget goes down super low when
           | you're really sedentary. No room for snacks or any
           | indulgence.
           | 
           | Whereas if you workout daily even in a minimal form, suddenly
           | you have a much easier budget.
        
           | karpathy wrote:
           | Agree, I didn't mention this in the post but I've become a
           | big fan of intermittent fasting, which is a fancy way of
           | saying "skip breakfast". I only eat from 12-8pm and most days
           | from 12-6pm. I also found that even if I wake up a bit hungry
           | my morning coffee suppresses my appetite and I rarely
           | struggle to get to lunch. A hard threshold on 8pm also avoids
           | most of the unhealthy snacking that tends to happen in late
           | hours. I find that as the body winds down for the day and is
           | a bit more tired my defenses and motivation are down a bit
           | and I feel tempted by snacks. With IF it's easy to blanket
           | reject such ideas from my brain because I'm outside of my
           | window. There is also a slight element to which the body
           | "gets used to" the feeding schedule, and doesn't bother you
           | as much outside of it with snacking ideas.
        
             | joshvm wrote:
             | I'm with you on the appetite suppression. I got into making
             | decent coffee recently, probably from being stuck at home,
             | and it's interesting how strong the effect is. Especially
             | when coupled with a walk round the local park (e.g. 5k) I
             | often don't feel hungry until mid afternoon. There is also
             | the other reliable effect that I won't mention here!
             | 
             | One other thing I realised post-lockdown is just how much I
             | relied on exercise to keep my back/posture in check. I used
             | to climb regularly, though I slacked off on the cardio.
             | Since quarantining, I've done a lot less resistance
             | exercise and it really shows. One day of poor posture -
             | e.g. hunching over a workbench, or working from a non-
             | optimal place like bed or the couch - is enough to cause
             | quite a lot of backache and it only really goes away after
             | doing some exercise (far more effective in my experience
             | than icing/heating/NSAIDs). My plan is to get back into
             | bodyweight/calisthenics ASAP.
             | 
             | (Very interesting article by the way, the subway map would
             | make a great poster)
        
           | smichel17 wrote:
           | > _I also drank a lot less water than I thought._
           | 
           | For me, the key to staying hydrated is _large containers._
           | 
           | When there is a glass of water on my desk in front of me, I
           | sip it as I get thirsty. When it runs dry, I don't interrupt
           | my current task to refill it, so it might sit empty for
           | _hours_ , and I won't drink enough later to make up for it.
           | So, the fewer times I have to refill, the more water I drink.
           | 
           | In college, when I moved between many locations, I used a
           | 1-quart canning jar in a knitted sleeve (classier and a
           | little fall protection -- just remember you still have to
           | wash it). These days, it's a 1-liter jug (err, may
           | technically be a vase) that sits on my desk. I refill it in
           | the morning (or night before) and once in the middle of the
           | day, after it runs out.
        
         | jackschultz wrote:
         | Big shoutout to saying low impact cardio. Running is the big
         | example that can cause pain where people's bodies are so
         | different that it's not clear what the correct form is for them
         | or if there's even a good form.
         | 
         | I play and follow golf and the big injury issue with Tiger that
         | made him multiple surgeries, and also had to reshape his golf
         | swing from the pain running caused. Here's an article[0] about
         | that from Running Magazine. There's more to the story on this,
         | like his background and mentality on Navy Seal training, with
         | his body type and high impact running it caused huge problems
         | he's still dealing with.
         | 
         | As for funning form types, check out the video of Cliff Young
         | and his running style[1] for the Sydney to Melbourne race at 61
         | but shuffling.
         | 
         | What I'm saying, and what I'm glad you included, is the
         | importance of cardio being low impacts, and to also not feel
         | bad if you're not a running. Biking, and especially swimming
         | are great alternatives and so much better on your body long
         | term.
         | 
         | [0] https://runningmagazine.ca/the-scene/tiger-woods-regrets-
         | run... [1] https://vimeo.com/258718906
        
           | jaypeg25 wrote:
           | I have a long history of back pain going back to college (32
           | now). As I've gotten older (and a bit bigger) I've started to
           | get knee pain in addition if I run a lot. So I recently
           | switched to biking which has honestly been way more fun,
           | opened me up to exploring more parts of my city and the
           | surrounding area than running did, and I haven't really had
           | any associated pains since starting roughly a year ago.
           | 
           | I still drink way too much so losing weight is an issue, but
           | I do feel healthier at least.
        
             | thechao wrote:
             | Back pain is _almost always_ an indicator of posterior
             | chain weakness. Do daily squats (just up  & down), and do
             | toe-touch-stretches (legs about 2x shoulder width, right-
             | hand-to-left-toe, stand up with arms in the air, left-hand-
             | to-right-toe).
             | 
             | Personally, I just do weighted squats & heavy deadlift, but
             | if your knees are bad, that's a _bad_ idea. You can chat
             | with a PT for 50-80$ and they can tell you _exactly_ what
             | 's wrong & how to fix it in less than an hour.
        
               | jaypeg25 wrote:
               | It's been an ongoing, years-long effort to find the root
               | cause and alleviate the pain. I was finally diagnosed
               | with degenerative disc disease (aka shitty spinal discs).
               | One particularly pessimistic doctor said I was "an
               | otherwise healthy thirty year old with the back of a 70
               | year old" after looking at my MRI, though others I have
               | seen said it's not THAT bad. I was a fairly accomplished
               | High School Cross Country runner and ran for years after
               | graduating, so I have to imagine that was cause for some
               | of the issues I have today but the doctors have all said
               | it could have been any number of things.
               | 
               | I did recently have two radiofrequency ablations done,
               | which burned the nerves that were giving me considerable
               | pain. So far it's been successful and my
               | biking/walking/lightweight lifting routine has probably
               | helped too.
        
               | throw1234651234 wrote:
               | I know 3 people diagnosed with DDD and recommended
               | surgery who got a second opinion who told them they are
               | fine and just to take it easy for a while. Just something
               | to keep in mind.
        
               | throw1234651234 wrote:
               | "You can chat with a PT for 50-80$ and they can tell you
               | exactly what's wrong & how to fix it in less than an
               | hour."
               | 
               | That's a complete lie. Most PTs don't know anything about
               | anything and will try to milk you for "motivating" you in
               | your workout and keeping a notebook for you on a regular
               | basis. Usually for at least $300-500 a month, even at
               | horrible gyms. By no means will they be able to tell you
               | remotely, let alone, exactly "what's wrong".
               | 
               | "Personally, I just do weighted squats & heavy deadlift,
               | but if your knees are bad, that's a bad idea."
               | 
               | Yea, and guess what? There is no easy solution for this,
               | let alone one provided by a random PT. It's a cascading
               | effect - you have one injury, you can't address the
               | muscle imbalances causing it.
               | 
               | As far as posterior chain weakness, there is also the
               | issue of lordosis, which results in horrible squat form.
               | Deadlifts do help, but again, there is the risk of hyper-
               | extension.
               | 
               | In short, solutions to this are far, far more complicated
               | than your post implies.
        
               | thereticent wrote:
               | I'm guess you're reading PT as personal trainer and it
               | was intended as physical therapist.
        
               | thechao wrote:
               | Someone replied to you, already; I meant "physical
               | therapist", not "personal trainer". I don't have any
               | experience with personal trainers. Sorry for the
               | confusion.
        
           | throw1234651234 wrote:
           | Running is also by far the most efficient form of cardio in
           | terms of calories burned / time.
        
         | fudged71 wrote:
         | The problem with daily measurements is it can lead to
         | frustration. The daily number may change constantly but it's
         | the moving average that matters. Few people can track a number
         | without asking themselves what that number means for them.
         | 
         | I want a scale without a screen and a measuring tape without
         | numbers. Track often but only see the trend when you ask for
         | it.
        
       | underdeserver wrote:
       | This is more evidence that weight loss happens in the kitchen,
       | not the gym.
        
         | fudged71 wrote:
         | This is not the proper conclusion. He also started regular
         | resistance training.
         | 
         | I would say one of the biggest problems is seeing weight loss
         | as either being nutrition or fitness, when it should ALWAYS be
         | seen as a combination.
         | 
         | Why? Because the goal is usually to lose fat. Without muscle
         | stimulus, the body will include muscle in the weight loss.
         | Muscle tissue is important long term for metabolism and other
         | health aspects.
        
         | asdff wrote:
         | Of course it does. Famines tell us as much. Gyms increase your
         | burn rate, though. Running for 5 miles a day will burn up a
         | quarter of a 2000 calorie diet.
         | 
         | That being said, a lot of gym activity that I see is basically
         | useless and probably taken up just to feel good about going to
         | a gym regularly (some examples in my gym: walking on treadmills
         | instead of around the block, paying for membership every month
         | to solely use the 5lb dumbbells for 30 minutes that go for $12
         | online).
        
           | bserge wrote:
           | I'm sorry, but 5 miles a day is just not possible for, I'd
           | say, the vast majority of people. As an average chump, I can
           | barely do 2 miles every other day.
           | 
           | Any exercise does make me feel much better, so that alone is
           | a good reason to do it, but for weight loss, eating less is
           | the fastest way.
        
       | SubiculumCode wrote:
       | I recommend the National Institutes of Health Body Weight
       | Planner, which uses formulas that take into account lower
       | metabolism with weight loss in its predictions and plans, the
       | issue discussed in the excellent article.
       | https://www.niddk.nih.gov/bwp
        
       | rland wrote:
       | I really liked the "subway map" in this article, it reminded me
       | of the Roche Biochemical Pathways chart:
       | 
       | http://biochemical-pathways.com/#/map/1
        
       | drewg123 wrote:
       | I've lost about 60lbs over the last few years in 2 stages.
       | (210lbs->150lbs)
       | 
       | In the first stage, I lost about 30lbs. I did not modify my
       | terrible diet, and mostly did cardio (running ~4-5 miles every
       | other day). My health markers (heart rate, blood sugar, blood
       | pressure, cholesterol) improved, but not a lot. I plateaued at
       | 180 for a few years.
       | 
       | Last year, I made some changes and cleaned up my diet. I avoided
       | deserts and all "accidental" carbs (switched away from sandwiches
       | for lunch, etc) and tried to run a bigger calorie deficit. I
       | bought a rowing machine (waterrower like from House of Cards,
       | highly recommend) and replaced running every other day with an
       | hour of rowing, since its a full body workout. I started lifting
       | weights on the alternate days when I was not rowing. I lost 30lbs
       | over the course of about 5 months. After this, all my health
       | markers improved markedly and my doctor stopped wanting to put me
       | on a statin.
       | 
       | In the 9 months since I reached my target weight, I've increased
       | my carbs to make my diet more long-term sustainable, but
       | maintained my activity. My weight has remained steady. Since
       | COVID and the closure of gyms, I've replaced lifting weights with
       | lots of pushups, situps, planks, etc, but I'm worried that is not
       | quite as effective, and i'm looking forward returning to my gym.
        
       | praveen9920 wrote:
       | As someone who is trying to lose weight and gone through similar
       | phases, I can't stress enough on diet. In the world of cheap and
       | yummy calories available in each and every thing we eat, it is
       | hard maintain the low carb diet.
       | 
       | Interestingly, my observation is that increased water consumption
       | impacts metabolism a lot
       | 
       | Note: I lost 4 kgs in 2 months
        
         | voisin wrote:
         | How much have you increased your water consumption and what was
         | your baseline?
        
         | tw600040 wrote:
         | // increased water consumption impacts metabolism a lot
         | 
         | impacts as in it helps lose weight?
        
       | [deleted]
        
       | adaisadais wrote:
       | Time-restricted eating has worked wonders for me. I typically eat
       | between 11a-7p and I track it all through the Zero App. It can be
       | very difficult to start initially but when you power through the
       | first week you truly start to see some results.
       | 
       | I stopped doing it and started eating later and later in mid-
       | march. I weighed 153.2 (the heaviest) on May 31. I resumed time
       | restricted eating on June 1 and have consistently done it. I
       | currently weight 147.6 and I feel much better. Less cravings and
       | my pants fit quite nicely again.
        
         | karpathy wrote:
         | Agree! (and wrote a bit more in a comment above). I think IF
         | was the high order bit that enabled me to achieve a long-term
         | consistent deficit. I used to track it with Zero but stopped
         | later because there isn't much to track. I strictly stick to
         | 12-8pm window (often 12-6), which does not need an app for
         | tracking.
        
       | yutopia wrote:
       | After years of experimentation, lately I've decided that eating
       | like my grandparents (i.e., eating like a traditional Japanese)
       | is the easiest way to keep myself lean and healthy.
       | 
       | Traditional Japanese meals follow a standard format [1]: a bowl
       | of rice, several small sides (which can change by the day), and
       | an optional cup of miso soup. Sticking to this format every day
       | can be boring, but it keeps my diet _reasonably_ balanced without
       | the need for conscious efforts like counting calories (which I 'm
       | too lazy to continue long-term).
       | 
       | [1] https://elemental.medium.com/ichiju-sansai-how-to-
       | construct-...
       | 
       | I think in modern cities we have too much freedom with regard to
       | what we eat, which is great of course but the downside is that
       | we've lost a great deal of local culinary tradition, and along
       | with it intuitive understandings of what is and what isn't
       | healthy eating.
        
         | dnhz wrote:
         | The funny thing is that eating rice isn't even that old of a
         | tradition, and neither is eating it in polished, white form.
         | White rice only became ubiquitous when milling technology
         | improved, and spoilage of the oils in brown rice became a
         | concern for storage.
         | 
         | > Despite its long history in Japan rice was, for a long time,
         | a food reserved for the warriors and the nobility. It was
         | consumed by the majority of the population only from the
         | seventeenth century onwards, not becoming the basis of Japanese
         | food until the early twentieth century
         | 
         | https://www.japan-experience.com/to-know/chopsticks-at-the-r...
         | 
         | > A disproportionate share of the rice crop was therefore
         | consumed in the cities and by the political and economic elite,
         | while the diet of much of the rural population continued to
         | depend on the availability of a range of other grains - wheat,
         | millet, barley, etc. - together with vegetables, fruit, pulses
         | and occasional fish or game, grown at home or collected in the
         | locality.
         | 
         | https://www.tandfonline.com/doi/abs/10.1080/0955580070133003...
        
           | yutopia wrote:
           | That's a good point, I cook my rice with all kinds of millet,
           | barley, and seeds mixed in. My grandparents would probably
           | think that's backwards, why would I eat barley when I could
           | afford white rice.
           | 
           | But it's supposedly healthier (there's a famous story about
           | how eating too much white rice crippled the Japanese navy
           | [1]), and personally I think it tastes better too.
           | 
           | [1] https://www.atlasobscura.com/articles/rice-disease-
           | mystery-e...
        
           | rrrrrrrrrrrryan wrote:
           | I currently work for a company that makes glucose monitors
           | for people with diabetes, but we (non-diabetic) employees
           | sometimes get to try the products out.
           | 
           | As far as I'm aware, all the current medical literature
           | states to avoid simple carbs (like white rice) to prevent
           | insulin spikes, and to eat things like whole grain breads
           | instead. But, we noticed that this seems to only be true for
           | people of European descent - my Asian co-workers were able to
           | process white rice just fine. Which kind of makes sense -
           | East Asian people eat a ton of rice, and yet they're thin.
           | 
           | This is all purely anecdotal of course, and I'm not a doctor,
           | but we do know that different ethnicities process food
           | differently (e.g. lactose), and it's not so hard to imagine
           | that our current dietary recommendations might be a bit
           | skewed, because the people in the datasets are mostly of
           | European ancestry.
        
             | fudged71 wrote:
             | Genetic nutrition optimization is a really interesting
             | topic related to this. There are many other differences
             | related to our genetics that impact how we process food.
        
         | jodrellblank wrote:
         | As a practical matter, does 4 bowls and 2 plates per person,
         | and preparing 4-5 different dishes, every day have a huge
         | overhead in preparation, cooking and washing up?
        
           | yutopia wrote:
           | Not really, I'm not cooking anything remotely fancy and we
           | have all sorts of technology to help us nowadays.
           | 
           | For example, cooking rice is simply a matter of putting rice
           | and water into the cooker and pressing a button [1]. In the
           | past we needed to first rinse the rice by hand.
           | 
           | [1]
           | https://www.japantimes.co.jp/news/2009/04/16/reference/no-
           | wa...
        
         | derefr wrote:
         | > the downside is that we've lost a great deal of local
         | culinary tradition
         | 
         | I don't think we've lost anything; it's just that, in an era of
         | cheap economies of scale from mass-production, artisanal
         | anything (including artisanal cooking) is going to cost more--
         | possibly enough to put most "authentic" / "traditional" cuisine
         | out of reach of the working class, unless they're willing to
         | make it themselves. (And who has the time for that?)
         | 
         | If you live in a city, look through restaurant reviews for a
         | couple minutes and you'll probably be able to find a dozen
         | local places in your own neighbourhood that have been open for
         | 80 years or more, keeping up the tradition of serving the same
         | food, the same way, that they always have. The only thing that
         | such places _have_ changed between then and now, are their
         | prices.
        
           | voisin wrote:
           | Not sure where you live but I have never lived in a city with
           | a dozen restaurants with an 80+ year history with the same
           | way of traditional food prep/ingredients. Restaurants have
           | exceptionally short lives as it is a brutal industry, and
           | supply chains have absolutely changed over 80 years.
        
         | tvanantwerp wrote:
         | I honestly don't know how my grandparents ate. Between their
         | generation and my parents', a lot of traditional food knowledge
         | was lost. My maternal grandmother made all sorts of things from
         | scratch--but I can't recall my mom making anything that didn't
         | come in a box or a can.
         | 
         | I've had great success losing weight and keeping it off with
         | food logging (shout out to Cronometer, the best food logging
         | app I've used), trying to adhere to a keto diet, and time-
         | restricted feeding (18 hours fasted, 6 eating). If I tried to
         | do an ancestral diet instead, I'd fail primarily from ignorance
         | of just what that might be. (Also, I'm from the southern US, so
         | it's not like that ancestral diet is necessarily good for me
         | anyway.)
        
         | ijustwanttovote wrote:
         | This is very informative.
        
       | curiousgal wrote:
       | As someone struggling to _gain_ weight it always bugs me how
       | "being healthy" is only associated with weight loss.
        
         | Swizec wrote:
         | My biggest concern about focus on weight loss as the metric
         | instead of "healthy lifestyle" is that losing weight is easiest
         | when you do it in an unhealthy way. Crash diets are a good
         | example of unhealthy weight loss.
         | 
         | Another funfact is that you can literally go to bed for a few
         | weeks, let muscle atrophy kick in, and lose more weight than
         | any diet+exercise regime. Won't make you healthier, but you'll
         | lose the weight. Yay metrics!
        
           | tupac_speedrap wrote:
           | It doesn't help that BMI is still used even though it is such
           | a crude measure as to be useless. Stuff like body fat%
           | measurements and waist measurements are more direct
           | indicators of losing fat.
        
           | asdff wrote:
           | Contestants on _Alone_ loose like a lb a day. Loosing weight
           | is so easy if you get used to feeling hungry and eat like a
           | bird. Throw in cardio and you will end up looking cut.
           | Gaining a pound a day of muscle, on the other hand, is
           | probably impossible, even gaining a pound of any kind of mass
           | a day is dubious and will lead to very unpleasant bowel
           | movements at the very least.
        
           | JamesBarney wrote:
           | Despite all the lecturing, the research doesn't really agree.
           | Crash(extreme) diets work just as well as slower diets and
           | the people gain back weight at roughly the same rate.
        
         | filoleg wrote:
         | I think it is simply because a large number of adults in the US
         | (as well as a lot of other countries) is struggling with this,
         | at about 39% obesity rate and 71% overweight rate [0]. For
         | comparison, only 1.5% of adults in the US are underweight [1].
         | 
         | While I agree that there is way more to "being healthy" than
         | just not being overweight/underweight, I think it isn't a bad
         | idea to approach this in the priority order. Solving the issue
         | of being overweight is much simpler and much more impactful to
         | the overall public health than trying to go after more rare and
         | difficult problems.
         | 
         | 0. https://www.cdc.gov/nchs/fastats/obesity-overweight.htm
         | 
         | 1.
         | https://www.cdc.gov/nchs/data/hestat/underweight_adult_15_16...
        
           | asdff wrote:
           | 1.5% of the U.S. population is still over 4 million people,
           | that's a huge market.
        
             | NikolaeVarius wrote:
             | Market for...
        
             | filoleg wrote:
             | I mean, you have two markets and one is about 47 times the
             | size of the other.
             | 
             | If your goal is to minimize the total number of health
             | problems in your country, it would make sense to throw more
             | efforts at a problem that affects 47 times more people,
             | given that everything else about the problems is about
             | equal. We are not comparing cancer to heart disease here.
             | We are comparing two problems that are two sides of the
             | same coin.
        
         | paulsutter wrote:
         | It's all in the terminology. You both say "weight", but they
         | want to lose fat and you're looking to gain lean body mass.
         | Many folks would like to do both, there's no contradiction.
        
         | fizixer wrote:
         | Do a Mark Rippetoe program for 1 year. Thank me later.
         | 
         |  __edit __: Caution: don 't start on squats without coaching.
        
           | Enginerrrd wrote:
           | Seconded almost as strongly as I possibly can, but with added
           | caveats! I was a bean pole for my entire life, struggling to
           | gain weight. The answer was simple: I wasn't giving my body
           | the signal to gain muscle by lifting some HEAVY weights. I
           | read Starting Strength and followed the program. I put on
           | ~30lbs over 3-4 months, and got WAY strong. That's after
           | having done crossfit for at least 5-6 years. I took my squat
           | from 185lbs to 300lbs.
           | 
           | It took 2 months of rereading the squat chapter, filming
           | myself, correcting myself, etc, before I finally got that one
           | down. Now that I understand it, I can spot faults in others,
           | but it took a while for it to click. Rereading the dbook
           | helps, though a couple of Rippetoe's coaching cues set me on
           | the wrong path. A starting strength specific coach can
           | straighten you out in just a couple of sessions. DON'T think
           | any other certification, personal trainer, or coach is a
           | substitute, they are NOT.
           | 
           | Don't do starting strength for a year. (If it takes you that
           | long to do the novice linear progression, you are definitely
           | doing something wrong.) Rippetoe's advice for intermediates
           | is pretty marginal IMO and you can't possibly stay a novice
           | for a year doing the program.
           | 
           | Switch to Barbell Medicine's "the bridge" instead of
           | resetting the weights a second time.
        
             | fizixer wrote:
             | Sorry you're right. I remember doing a 1 year program, only
             | the first 7 months were Starting Strength. Remaining 5
             | months were a weight loss program.
        
           | fudged71 wrote:
           | As a trainer, squats can be self-learned fairly easily, it's
           | a pretty natural movement. Some guidance will help of course,
           | but the general movement is usually there.
           | 
           | That said, I recommend against people teaching themselves
           | deadlift, because it's not nearly as intuitive, has more
           | potential for injury, etc.
        
         | cambalache wrote:
         | Gaining weight is easier. Drink your calories and you will
         | balloon in no time.
        
         | hinkley wrote:
         | I was a bean pole into my early twenties, and would have been
         | 20 lbs skinnier still if not for cycling. I never gained any
         | more weight until I dumped the classical advice and did my own
         | thing.
         | 
         | Everyone tries to compress a workout into a single time
         | interval in the day, where you do n sets of each exercise and
         | then go home. To do three sets in three minutes, you're going
         | to have to pick a _very_ conservative goal. Doing 5 sets spread
         | out over the entire day, I could lift more and saw results
         | pretty much right away, and really for the first time. I 'd
         | exercise while waiting for things like the drier to ding or
         | toast to pop up, a file to download, a commercial break or a
         | cut scene to finish. But, I had to have exercises I could do at
         | home, which takes some creativity (or a lot of money).
         | 
         | Your body is conserving resources. The whole point of
         | 'exercise' is to trick your body into thinking that you are an
         | active person who needs to spend the extra resources to build
         | and maintain large muscles, cardiac or lung capacity, or all
         | three. If you are actually active you don't have to 'work out'.
         | Your life is work, and your body adapts.
         | 
         | Once I got past that initial roadblock, I got results even from
         | the gym, but I was able to be more consistent doing it at home.
         | 
         | The trouble with putting on a lot of bulk though, is if you
         | stop. Exercise burns a lot of calories. Persistent exercise
         | therefore changes your notion of what a 'normal' amount of food
         | is. If you stop, it probably due to some major life event, and
         | adjusting your notion of 'normal eating' might get lost in the
         | mix. Which is probably why a lot of pro athletes chunk up when
         | they retire (or get retired). Going from 3-4000 calories a day
         | to under 2500 is quite a lifestyle change.
        
           | mettamage wrote:
           | I just started my exercise journey a few weeks ago, but I'm
           | leaning towards this style of exercise as well.
        
           | kleinsch wrote:
           | What were the exercises you ended up doing at home spread out
           | over the day? Given the current situation, seems like a
           | unique time lots of us could try out that type of workout.
        
         | dpcx wrote:
         | That's because, at least anecdotally, many more people are
         | overweight than underweight, so "being healthy" involves weight
         | loss more than weight gain.
        
           | kekebo wrote:
           | Not only anecdotally, according to the CDC "prevalence of
           | obesity was 42.4% in 2017~2018" in the US[1].
           | 
           | [1] https://www.cdc.gov/obesity/data/adult.html
        
           | tkzed49 wrote:
           | This may be true in a statistical sense, but I think it's
           | important to not "explain it away" and instead realize that
           | it is an important societal issue. This doesn't really apply
           | to the original post, but it's important for us as a society
           | to support _both_ health conditions, and not just the more
           | common one.
        
       | zan2434 wrote:
       | I think the most sustainable way to lose fat (not weight ofc) is
       | to gain lean muscle mass. You can substantially increase your
       | basal metabolic rate and induce a calorie deficit to incur fat
       | loss without actually eating any less. The problem of course is
       | that your body does automatically increase your appetite
       | commensurately as your BMR goes up, but calorie counting +
       | discipline can help you stay lean as you gain muscle mass, and
       | then lose the fat over time.
        
       | SupriseAnxiety wrote:
       | This is such beautiful work I'm speechless.
        
       | barbegal wrote:
       | If you want to lose weight you need to change the energy balance.
       | Less energy in and more out. For most people it is difficult to
       | meaningfully affect energy out. Unless you go from being really
       | sedentary to running for an hour a day (~500 kcal) then energy
       | out will remain roughly the same. Eating less is much simpler but
       | not necessarily easier, most people need help suppressing their
       | appetite. Probably the best way to do this is by doing high
       | intensity exercise (HIIT). Studies consistently show this affects
       | weight loss more than longer periods of moderate exercise [1]. In
       | addition, exercise can improve depression [2] which may also lead
       | to less over-eating.
       | 
       | [1] https://bjsm.bmj.com/content/53/10/655
       | 
       | [2] https://pubmed.ncbi.nlm.nih.gov/29800984/
        
       | bserge wrote:
       | That looks like a really good chart I'd like to view, but can't
       | (I've disabled uBlock and NoScript, no change). It's too small,
       | please link the original! Thank you!
        
       | an_opabinia wrote:
       | > Clearly, my actual weight loss (red) turned out to be slower
       | than expected one based on our simple deficit math (blue). So
       | this is where things get interesting... so we don't get to fully
       | resolve the mystery of the slower-than-expected weight loss.
       | 
       | Weight loss is difficult and I think everyone, no matter how
       | smart, dumb, famous or obscure they are, has trouble with it.
       | It's always a surprise how difficult it is.
        
         | JamesBarney wrote:
         | The body basically has a bunch of tricks for tricking you into
         | not losing weight. It starts making you subtly lazier, reduces
         | random energy expenditures, slows down basal metabolic rate, it
         | makes you hungrier, it makes you crave more calorie dense food,
         | and it even starts to reduce willpower related to food.
        
           | fudged71 wrote:
           | Absolutely this. Our body is constantly trying to maintain
           | homeostasis, so when you make a big lifestyle change your
           | body tries to react in the opposite direction.
           | 
           | Most people don't understand that when you start a new habit
           | it often replaces another. When you start going to the gym
           | you might walk less. When you eat smaller meals you might
           | snack more. etc. I'd love to see a list of all the
           | unconscious decisions your body makes in response to
           | fitness/nutrition interventions.
        
       | jwilliams wrote:
       | I read "Molecular Biology of the Cell" when dabbling in
       | bioinformatics (one of the books mentioned in the article).
       | 
       | It's an excellent textbook. You'll need a base level of chemistry
       | and biology - not two of my best subjects, But despite that I
       | still got a lot of it.
        
       | davesque wrote:
       | > Adipose tissue (fat) is by far your primary super high density
       | super high capacity battery pack. For example, as of June 2019,
       | ~40lb of my 200lb weight was fat. Since fat is significantly more
       | energy dense than carbohydrates (9 kcal/g instead of just 4
       | kcal/g), my fat was storing 40lb = 18kg = 18,000g x 9kcal/g =
       | 162,000 kcal. This is a staggering amount of energy. If energy
       | was the sole constraint, my body could run on this alone for
       | 162,000/2,000 = 81 days. Since 1 stick of dynamite is about 1MJ
       | of energy (239 kcal), we're talking 678 sticks of dynamite. Or
       | since a 100KWh Tesla battery pack stores 360MJ, if it came with a
       | hand-crank I could in principle charge it almost twice! Hah.
       | 
       | I'm not following this math here. 678 * 239kcal ~= 162Mcal. But
       | that's a thousand times 162kcal. Seems like 40lb of fat only
       | contains the energy of .678 sticks of dynamite.
        
         | timy2shoes wrote:
         | Seems pretty straight forward. 162,000 kcal / 239 kcal = 677.8
        
           | davesque wrote:
           | Ahh, yep. I dropped the ",000" :/.
        
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