Sugar — the elephant in the kitchen: Robert Lustig at TEDxBermuda 2013

Sugar — the elephant in the kitchen: Robert Lustig at TEDxBermuda 2013


Translator: Ehsan Vatandoost
Reviewer: Rhonda Jacobs I would like to talk to you right now
about perhaps the most over-used and misunderstood word
in the English language: “freedom.” Freedom has two parts: freedom from –
freedom from oppression, freedom from search and seizure;
and freedom to – freedom to choose. But freedom to choose has some
caveats, has some provisos. The one we ascribe
is called “personal responsibility”, and that’s an ideology. And there are some basic principles that we ascribe
to personal responsibility, that is, we have to have knowledge. The five-year old who accidentally
shoots his brother is not guilty, because he didn’t have the knowledge. Access. We have 57,000 people being thrown off
voting rolls right now in America because of redistricting;
they don’t have access. They can’t have personal
responsibility to vote. And finally, affordability. You have to be able to afford your choice, and society has to be able
to afford your choice. An example: In California we’ve just
released 100,000 inmates who are drug addicts. We said, “Drug addicts
have to be locked up.” You know what? We can’t afford it. So, these are all caveats
to personal responsibility. And then the last one,
really important, is that your actions
can’t hurt anyone else, because if they do,
then that’s breaking the law. Well, the fact is,
we’ve got a healthcare crisis, and it’s a big one. In fact, Medicare will be broke
by the year 2026. We do not have the money
to keep doing what we’ve been doing. And this healthcare crisis
is not due to physician reimbursements, it is not due to hospital charges, it is not due to infrastructure,
or administration. This healthcare crisis is due
to chronic metabolic disease. That’s where the money’s going. $245 billion dollars last year
in America for diabetes. $200 billion for dementia,
another chronic disease. And Obamacare promises us
that we’re going to be able to put 32 million sick
people on the rolls, and we’re going to to do it
by providing preventative services. Well, guess what? There are no preventative services
for these chronic metabolic diseases. They don’t exist. The only thing that works is prevention,
and we don’t have a prevention. So, what does this mean? This means that we’re screwed. (Laughter) The fact is, that we cannot afford this. Where is this coming from? It’s coming from this thing
called the obesity epidemic, right? Everyone says, “If only these people
could just eat less and exercise more, we would solve this problem;
it’s their fault.” That’s where this comes from. You know, we have these things
called the seven deadly sins. We have absolved all five
of the other sins. We’ve absolved jealousy,
greed, wrath, pride, and lust. In fact, we have TV shows
that exhort them. The only two that we have not
been able to get rid of, the only two that still stand
are gluttony and sloth. It’s your fault. Well, you know what? I’m a pediatrician,
and I take care of kids. I have a hard time ascribing
personal responsibility to their obesity. In fact, we have an epidemic
of obese newborns. Obese newborns. Now, you want to assign them
personal responsibility? I take care of kids with brain tumors. You can see right here this arrow
pointing to a goombah sitting right in the middle
of this patient’s energy balance pathway. A brain tumor that is causing
massive obesity. Let me tell you about
two of those patients. Here’s a patient that I took care
of many years ago. She had a brain tumor,
and she gained 150 pounds. You can see her here
right now at 220 pounds. And we put her on an experimental
medication to lower her insulin level. Remember, insulin is the diabetes hormone,
it’s also energy storage hormone. It’s the hormone that tells your fat cells
to take up extra energy. There is no weight gain without insulin. And we knew that these patients
had very high insulin levels. So we gave her a drug to drop her insulin
in an experimental fashion. A week later, the mother called me up,
the kid hadn’t lost any weight yet, and she says, “Doctor Lustig,
something’s going on here.” I go, “How do you mean?” “Well, we would go to Taco Bell, and she would eat five tacos
and an Enchirito, and she’d still be hungry. We just went to Taco Bell and she only ate two tacos,
and she was full. And she just vacuumed the house!” (Laughter) I go, “Really? Isn’t that interesting.” In fact, we did this many times,
and the exact same thing happened. And here she is, one year later
having lost 48 pounds, and feeling much better
about herself, as you can imagine. The next patient I’m going to show you
isn’t even my patient. This is a beautiful 13 year old girl
who lives in Hawaii. Notice the lily in her hair. And one month after this picture
was taken, she was in a car accident, and she stroked her hypothalamus, that area of the brain where
that tumor was for the other patient. And this is her, one year later. Now, does anyone really want to tell me
that this is personal responsibility? That this was this young girl’s fault? Well, I was giving grand rounds
at Kaiser, Honolulu, and they said maybe we should
put this girl on this same drug. And there I am with her. And her mother said,
“Yes, go ahead and try.” And here she is one and a half years later
at her high school graduation. Now, does anybody really
want to make the argument that this is this kid’s fault? I have a hard time with that. In fact, what we learned
from these experiments is that the behavior
is secondary to the biochemistry. When you fix the biochemistry,
the behavior improves, and we’ve seen it now in adults as well. So, everyone says
the behavior’s the problem. No, it isn’t. The biochemistry
underlying is the problem. Well, so now you say to me, “What about the rest of us? We don’t have brain tumors.” Well, in fact,
it’s the exact same problem. Nothing’s different. All of us now have insulin levels
three times higher than we used to. and the question, of course,
is where did that come from? Who in the audience has diabetes? Anybody? Must be a few of you, because
diabetes is pretty big problem here. Here’s the problem:
seven out of eight of you, seven out of eight people with diabetes don’t even know they have it. You are blind to diabetes,
until you become blind from diabetes. So you don’t even know
you have a problem yet. So here’s the way to look at this. Here is the American population;
30% obese, 70% normal weight. The standard mantra is, “It’s the obese person’s fault because
80% of those obese people are sick. They have type 2 diabetes;
they have hyperlipidemia; they have cardiovascular disease;
they have hypertension; they have cancer; they have dementia; and they are breaking the bank. Those 80%, those 57 million people, if we could just get them
to diet and exercise, we could solve this problem.” That’s the standard mantra; this is incorrect. Because 20% of those obese people
are actually metabolically healthy. They will live a completely normal life,
die at completely normal age, not cost the tax payer a dime. They’re just fat. Conversely, up to 40%
of the normal weight population have the exact same diseases. They get type 2 diabetes, hypertension,
dyslipidemia, cardiovascular disease. And you know what? They don’t know they have a problem. When you add them up,
it’s more than half the US population. In other words,
this is a public health crisis. Here is an example of how that works. Here are two people of equal weight;
one’s healthy, one is sick. Want to take a guess
which one the sick one is? Can you tell? I can tell. The one in the bottom is sick; why? The guy on the top,
he’s just got big love handles. The guy in the bottom has got fat
all around his organs, and that is what’s making him sick. And this is called TOFI; T,O, F, I. Thin on the outside, fat on the inside. I venture to guess there’s a few
TOFIs in the room right now, and you think you are just fine,
and you are not. So lets talk about the last public
health crisis that we experienced. HIV; remember HIV? 1979; Patient Zero. 1981; the term “AIDS” got coined. 1986, Everett Koop said,
“You know, we’ve got a problem.” When did HIV become
a public health crisis? 1991. Why? Because Magic Johnson got HIV. And everybody said, “Holy ____,
this could happen to me.” This really is something
where everyone is at risk. Because it’s not a behavior,
it’s an exposure. So the question is,
how do we resolve this? Well, here’s the problem;
it’s on this slide, right here. This is Coca Cola’s “beating obesity”
campaign, “Coming Together.” “Beating obesity will take
action by all of us, based on one simple common sense fact: All calories count, no matter
where they come from, including Coca-Cola,
and everything else with calories.” A calorie is a calorie, and you can get
your calories from carrots, or you can get your calories
from cheesecake, or from Coca Cola, or anything else
with a “C” for that matter. It doesn’t matter where
the calories come from, it’s, “a calorie is a calorie”,
that’s what they say. Well, you know what? I don’t believe in common sense. I believe in data. And the data say something else entirely. What the data say is some calories
cause disease more than others, because different calories
are metabolized differently, because a calorie is not a calorie. And when you believe that a calorie
is not a calorie, a whole world opens up, and actually, how to fix this problem
becomes very clear. This is because of our new diet. It is 40 years old now.
It is called “the Western diet”, it is called “the industrial global diet”, and it is basically
the processed food diet. And everyone of you
is eating it all the time, whether you like it or not. There are eight things wrong, not one, but eight things wrong
with processed food, and here they are. Three thing too little,
five things too much. Not enough fiber, not enough
omega-3 fatty acids, which you get from wild fish
not farmed fish, not enough micro-nutrients,
all the vitamins and minerals. In addition, too much trans-fats,
but we know that they’re coming down, branched-chain amino acids; they’re amino acids you get
in corn-fed beef, chicken and fish, omega-6 fatty acids in seed oils,
alcohol, and finally, the big kahuna, the one that blows all the other
seven out of the water, sugar. Sugar, okay? We’re going to talk about that
for the rest of the time. Does sugar cause diabetes? Everyone says, “Well, yeah,
but it’s because of the calories.” “Sugars are empty calories,”
that’s the mantra. It is not; this is absolutely not true. Sugars are “toxic calories”. In fact, studies from Europe show
that if you consume one soda per day, your risk for diabetes goes up 29%,
irrespective of the calories, irrespective of your weight,
irrespective of anything else you eat. We’ve shown that for every
150 calories the world consumes, diabetes prevalence goes up
a total of 0.1%, which is nothing. But if those 150 calories happen to be
a can of soda, diabetes goes up 11 fold. 1.1%, and we’re not consuming
one can of soda, we’re consuming two and a half. So 29% of all the diabetes in the world is due to sugar, and sugar alone. This study actually satisfies
both the scientific and legal criteria for proximate cause. You have to be able to show
that something causes something else before you can do something about it. Well, we’ve proven it; we’ve shown it. It’s shown here as well; same thing. Now, the question is,
why does this happen? Number one: sugar causes
liver fat accumulation. All that fat around the organs
that I just showed you? For sure, that’s what that did. And that’s not love-handle fat,
that’s inside you. Number two: sugar’s addictive. Weakly so, but it’s everywhere,
it’s like alcohol. And about 20% of people
are addicted to alcohol, probably about the same for sugar. So you can’t stop. So this slide over here shows
the prevalence of diabetes worldwide as we speak right now. Who’s worst? Saudi Arabia, Kuwait,
UAE, Qatar, and Malaysia. The worst. Why them? No alcohol. But they’ve got soft drinks
like they’re going out of style. Because it’s hot, and the water
supply’s a question mark, and no alcohol. (Laughter) This is their reward. But you know what,
I’d rather have alcohol. Because you can only drink yourself
under the table once a day. (Laughter) But for soft drinks; all day, all night. Sugar in the morning, sugar
in the evening, sugar at supper time. That’s what we’re seeing. So, we’ve been overdosed. The American Heart Association says we should be consuming
six to nine teaspoons of sugar per day; we are up to 22. And 80% of foods that are available
in the American grocery store today are spiked with added sugar. And that’s for the food industry’s
purposes, not for yours. So, no access. You don’t have access
because it doesn’t exist. Real food is hard to find. Number two: How about that there are 56
names for sugar, so you don’t even know
what you’re consuming. And here there are. No knowledge. And how about this? Everybody knows what
a “Nutrition Facts” label is. There’s a number
over there in the purple. It’s called the “Daily Value”. Notice, there’s none for sugar,
and that’s on purpose because they don’t want you to know
how much is too much. So, no knowledge. How about the National
School Lunch Program? Six cents extra. Six cents, Michelle Obama
got out of Congress. That’s not even enough for two grapes. And, if you are eating school breakfast, you’re getting Fruit Loops
and a glass of orange juice. That’s 11 teaspoons of sugar;
you’re already over your limit. You want to know why we have a problem? This is why we have a problem. So everyone says, “Education!” “Educate the public, educate
the populace, tell them what’s going on!” Except for one thing: education hasn’t
worked for any other substance of abuse. Did Nancy Reagan’s “Just Say No” work? (Laughter) Really? (Laughter) And you know what? I can prove that it doesn’t work
because here is the stock prices against the S&P 500
for McDonald’s, Coke, and Pepsi, and look at what happened
at the economic downturn in 2008. They did very well, thank you. In fact, if you want make money,
invest in a food company. So, where does that leave us? It leaves us with this question
of freedom and personal responsibility. What does personal
responsibility really mean? Well, if the information is kept secret
and you don’t have knowledge, if your access is limited
because you can’t even find it, and if society can’t afford it, and we can’t even give our kids
something healthy to eat, is it really personal responsibility? And lastly, if your decision
to drink a soda lands you in the emergency room,
and costs me dollars, and if your decision to be fat and sick costs your employer $2750 per employee, whether you’re obese or not,
you know what that is? That’s not called freedom,
that’s called anarchy. That’s what we’ve got. So the libertarians say, “Wait a second;
don’t tell me what to eat!” Well, you know what?
You’ve already been told what to eat. Where were you for the last 40 years as your food supply was being
changed under your nose. Were you protesting then? The libertarians say,
“Get government out of my kitchen!” You know, I don’t want
government in my kitchen either, unless there’s somebody
more dangerous already there. So the real question is, who the hell
do you want in your kitchen? The government, who will take
your freedom and your wallet? Or the food industry, whose already taken your freedom,
your wallet, and your health? That’s your only choice. Now, having said all this, the food industry
is composed of a lot of people, and you know what? They really want
to do the right thing, they do. Individually, they would actually
like to do the right thing. And I have met with these people,
and they are actually very nice people, but, they work for a food company. and contrary to what
the Supreme Court says, corporations are not people. Because corporations have a fiduciary
responsibility to their stockholders, and people don’t. Corporations get three month profit
cycles, and Wall Street earning reports. And they have to make those reports. So I’ve met with the food industry,
and I will tell you about one story, which will remain nameless, They told me very straight out,
ten scientists, ten corporate executives, they said, “You know, we can change. We’ve changed before. we had to change back in the 80s
when we went low fat, with two provisos; we wont go it alone,
and we can’t lose money.” Those are two non-starters today. So what does that mean? That means that they
have to be told what to do, and they have to do it
all at the same time so that there’s no
competitive disadvantage. What does that mean? That means government. But governments are complicit
and complacent. They’re getting paid off. Over half of Congress takes money
from the food industry. And 6% of our exports are food. What do you think what happen
if all of a sudden we told the world, “You know, all that shit we put in food? It really isn’t so good for you.” What happened when that one downer cow
went from Canada to Washington state? That was at the end of meat sales
to Britain and South Korea for two years. So, they’re on the other side. But we’ve got a crisis,
because we will not have healthcare. Here is a report that just came out
from an investment bank, an international investment
bank, Credit Suisse, called Sugar Consumption at a Crossroads,
and this is a direct quote from this tome: “We believe higher taxation on sugary food
and drinks would be the best option to reduce intake and fund
the healthcare costs associated with diabetes and obesity.” An investment bank
is calling for taxation. That’s how big and bad
this problem has gotten. I believe food should
confer wellness, not illness, and it used to. But you know what? This is a public health crisis, and you cannot solve public health
crisis one person at a time. Here is a list of diseases that were all
personal responsibility issues, except for the sheer gravity
of each of them, became a public health crisis. Why don’t we add sugar to the list? Personal responsibility isn’t ideology. It’s the elephant in the kitchen,
and we can’t afford it. What we need is a policy
based in biology. And it’s got a name. It’s called real food. And the only way we can solve this is by kicking that elephant
out of the kitchen. Thank you. (Applause)

100 thoughts on “Sugar — the elephant in the kitchen: Robert Lustig at TEDxBermuda 2013”

  1. All you carb haters commenting he didn't say good carbs like brown rice ,whole grain bread, etc are bad he said processed carbs are bad sodas but could also mean cakes, cookies , and fast food and white flower products

  2. I'm not sure "freedom" is the best angle to approach this from but thanks very much for the clear and compelling description of the problem. 100% accurate. Quit sugar for three months and you'll know.

  3. We have been evolving for billions of years. 100's of millions as some form of primate.

    How much concentrated sugar is there in the wild?

    Almost none. We are not evolved for this.

  4. Why do we need government to fix this problem? We just need to quit eating flour and sugar, treat it like an addiction. Those who fail to do so will suffer the consequences (ask me how I know). If they survive it they might find the motivation to quit, I did.

  5. I can kick the food industry out of my kitchen, but i can’t kick the government out if they decide to poke their nose in.

  6. a typical lefty fascist seeking more social/gov't authority – he claims that gov't intervention is the ONLY CHOICE to reducing sugar in processed foods – consider how quickly gluten-free foods appeared – or remember how McDonalds and Starbucks reacted to outcries concerning packaging and foods? – then again – consider cigarettes – did gov't & medical warnings starting in the 60s bring smoking to screeching halt? – did taxes? – or did we see a gradual decline that appears likely the result of individuals making the choice – from personal concerns or peer pressure

    he uses a strawman argument against libertarian perspective – saying that (libertarian) freedom to choose sugary foods & drinks results in the large cost to SINGLE-PAYER agencies – FAIL! – libertarians also oppose single-payer medical payments – with libertarianism there wouldn't be the large cost imposed on OTHER people – he is actually proving the libertarian opinion that single-payer methods are UNFAIR to other people – he needs to find another counter – he militates against himself by trying to link too much freedom with gov't expenditure

    and look at this anti-Nancy Reagan claim – he used the stock prices of Colas and MacDonalds to disprove Nancy Reagan's Just Say No program – which was aimed at DRUGS not Colas – and that was back BEFORE the sugar epidemic fears took hold – this misdirection applies whether Nancy's program worked or not combating drugs

    like most social engineers – he doesn't have the right tools to get the engineering done correctly – TAXES? – sure worked with cigarette smoking – alcohol – didn't it? – did banning drugs work? – what am i getting at? – Big Brother is the big blundering elephant in social engineering projects that causes them to fail

    like psychotherapy works only if the patient "discovers" the problem himself – fixing behavioral problems needs to come from within the individual – mounting a TED stage and speaking out is fine – but to impose your recommendations is fascism – even if you think you are doing good – fortunately the other TED talks on sugar issues are based on individual choice – check them out – and notice how nice the fresh air of individual responsibility feels

  7. Additionally, the Fructose naturally found in fruits and unnaturally in High-Fructose Corn Syrup doesn’t trigger the hunger-fighting hormone Leptin to let your body know you’re full. This was great for Great Apes for putting on weight in the summer for the long winter, but now it’s working against us. There’s no Off button with Fructose.

  8. Excellent speech. What we could really use, is people fighting for affordable and unmodified whole food. There is a reason it is the FDA – Food AND Drug Administration. Poisoned addictive foods that make people sick and they are forced to buy, ensures financial profit for both the food and drug industries. (as for adding sugar to the list, I would say at a minimum – all types of sugar or sugar substitutes by any of those names or future hidden names given to them)

  9. For all you libertarians, look what government regulation did to smoking? 42% of Americans smoked in the '60s and now it's down to 18%. Laws that discourage smoking, taxes on cigarettes, media and social stigma brought that down. Smoking was everywhere, everyone was doing it, it was cheap, and easy to get. Same with sugar. Personal choice isn't made in a vacuum. Good for those strong people who aren't seduced into destructive behaviors but when a huge portion of society is doing something destructive then the government should step in to do something. Like the opioid epidemic right now. Modern government does more than historical governments (raise taxes and go to war).

  10. First blame corporations for food ads, especially candy ads!! WE didn't need to see them! We need to force all corporations to stop making all food ads!!! We never should have SEEN any food ads! Kids don't want to skip the ads! They love the food ads and everything about them. It's the first thing that mobile babies run to watch, or just turn their heads to see, the zippy songs, ya know! And now we know how babies' brains develop in the womb, and how much their brains continue developing up to ages 3,4,5! Lets eliminate ads. Screw corporations for causing all obesity and body issues! I wish there had never been any! You get the pictures stuck in your mind, and then you want to eat everything!

  11. "I don't want government in my kitchen unless there is already someone more dangerous in there" – this appeals to me greatly as a concept of redefined societal freedom. Excellent TedX talk..

  12. I’m down 17 pounds in 4.5 weeks on keto. I was a sugar addict. My wife used to called me “Elf” because I used to put maple syrup on a bacon-egg-naan breakfast taco. After just 4 weeks, I’m the same weight I was about 4 years ago. You might not believe this, but I’m not hungry despite the fact that I eat small meals. You can’t eat very much when there’s no carbs in your meal.

    No more lower back pain. No headaches like before. I fit in my 36” pants now. I’m in my 40’s and my goal is a 30” waist.

  13. You forgot The FREEDOM of OLIGARCHS to ROB MEDICARE to FUND ENDLESS $50,000,000,000,000 (YES TRILLIONS) WARS OVER THE LAST 40 YEARS!

  14. I was really enjoying this talk until he characterized guns and teen pregnancy as diseases. Once I sense a political agenda credibility starts to drop.

  15. If you are thrown off the voter rolls you simply re register in you CORRECT district. It is done to prevent some people from voting twice or more in multiple districts. It's an old scam. Voting rolls need to be scoured clean of the dead or duplicate addresses. There are those who refuse to answer letters from the registrar of voters to verify their address, when they fail to respond they are removed because it is assumed they have moved out of the district. There is no nefarious plot at work. Voting is a responsibility.

  16. What criminals do with guns is a criminal justice issue not a personal responsibility issue for society. Criminals by their very nature could care less about personal responsibility. Laws are meaningless to them along with registrations or the laws against murder regardless of the method used. He should stick to medical issues.

  17. I don't know, this guy is turning me off. Moving on to a different video at about 6:50. You have lost me dude. Sounds like a Pharma pill pusher. If he's burying the lead, he's losing a lot of people who know what the actual cure for obesity is. It's not a f**** pill. Behavior is not the problem? B******. Don't eat the f***** poison that the corporations are shoving down your throat. Stop listening to the commercials that want you to go get the new enchireeto or whatever the f***. Eat from the crisper in your fridge. If it's empty, THAT is your problem.

  18. His argument would have been much more palatable, pun intended, if he hadn't – and so unnecessarily – framed it in terms of ideology. Better would have been to shape to contours of the definition of common sense.

  19. He is so badly informed! Omega 3 come from algae and fish are contaminated. From that I can see that we can trust nothing this clown says. What a charlatan!

  20. Most of my food is unprocessed… Sugar and white flour is out almost completely. Very little Red Meat. Drink only ice tea w/o sugar and maybe 2 cups coffee a day…. I feel and look GREAT at 72 years old. Don't tell me people "can't" do this…they CAN…. Even though the doctor is correct about sugar, I don't like his political thinking on government control in private places. But sugar…yeh, it's toxic!

  21. Weak correlations and arguments. Watched whole vid, but picked up on false Venn Diagram logic when you made everyone feel sorry for the initial subjects, then tried to include everyone in the same bubble of not having personal responsibility for their dietary decisions. Also, keep your politics to yourself.

  22. In the book The Prophet, he said we become the slaves of comfort. Now we become the slaves of convenience. We used to know how to prepare meals and even had gardens to grow many things. Women having to work has not helped in having healthy children raised at home by parents. All planned. The IRS is happy and so are the food producers.

  23. ..
    if Education does not work, WHY ARE YOU telling us [educating us],,
    and YES, IN PART, NOT 100% "Just Say NO" MADE A DIFFERENCE!!

  24. I thought this Physician was absolutely wrong. However, seeing the Serum Lipid profile, Chemistry panels of people with Heart disease revealed Metabolic syndrome as well. He has a valid point. Ignore at your own risk.

  25. Thank you Dr. Lustig for changing my perspective of obesity— that it’s not their fault. A bigger monster is to blame.

  26. He’s wrong about education. “Just say no” is his example? “Just day no” didn’t educate about drugs just like we don’t educate people about health and diet.

  27. The sugar problem is rooted in people's need for short term satisfaction at the expense of their long term health; sugar gives people that fast energy spike for which they would sacrifice their long term health. The food industry exists to make money, if people crave sugar, sugar will be added. Government won't step in because food industry generates a lot of tax revenues. Nobody, except yourself, can make the correct food decision for yourself. The capitalist world operates on profits, and since any social system has flaws you can't expect a capitalist society to make decisions that care about the long term health of its population; capital is short sighted. For those of you that watch this video, you are already taking important steps to educate yourself, so make sure to educate others around you as well.

  28. Our body doesn't need processed sugars or processed food for absolutely anything, so why are we poison our bodies with something that we know is no good for us? Easy: society. I always eat healthy when I am in home, but that change when im with other people who eats highly processed food. If I eat healthy they tell me that I am obsessed with being healthy, it is like is wrong to eat healthy foods and eating bad is the normal thing, what should be otherwise.

  29. Sugar, carbohydrates and vegetable oils are POISON. Stop eating them!
    REAL food is hard to find………he is right!

  30. It is the food, but you do not have to wait until the government takes action. Go whole foods plant based today 🍉🍊🍌🍍🍒🍓🥕🥔

  31. I partly disagree with his view on personal responsibility and education. They do work when actually done. But, industry and government spread misinformation which confuses people and causes them to continue bad habits while thinking they're beneficial. I do agree that it's impossible to be responsible with bad or no information.

    Plus, government policy is heavily controlled by industry, because industry controls politicians by funding their campaigns and lobbying them (with all the gifts that come with that), graft, possibly bribery, etc. So, depending on government legislators to help the situation is like asking a dog to bite the hand that feeds it. That's not the best analogy. But, you get the idea.

    He's completely right about sugar and it's effects.

  32. it is possible to avoid sugar if you make a serious effort. But I believe honey and maple syrup are healthy foods.

  33. I would like to add a correction to to his comment about the safety of the water in Kuwait it is completely safe I say this because I am from Kuwait however yes it is hot but we drink soda for the simple fact that it tastes good.

  34. I am Portuguese and here we tax higher sugar processed foods and we have limits for sugar for many foods. The US should do the same but the problem is that the food industry there is bigger than in any other country and we all know how much power do those companies have.

  35. Raising taxes on toxic foods won't deter people. Government raised the taxes on tobacco, they forced the tobacco companies to put clear cancer warnings on the packages, they prohibited TV ads (except for paid ads that clearly state that tobacco causes cancer)… did that stop people? No! Users are willing to pay more and ignore the information.

  36. There are five physiologically addictive foods. Meat, alcohol, chocolate, sugar, cheese. Cheese is the most addictive. It raises brain serotonin levels ten times more than cow milk.

  37. Pointing out a whole group of people like the libertarians as a negative group defeat any credibility of your facts. Because you know that's a lie. I am not a libertarian but I know some and they take Heath and truth hand and hand. I think it's sad when you have to condemn when you are trying to reach people with a vital message like this. Keep your dam opinion to your self. You defeat your purpose .

  38. Mandatory viewing for everybody on the planet … Bravo Dr Lustig! Please share this as much as possible …and don’t stop!

  39. Imagine pretending that libertarians haven't been talking about government's intrusion into agriculture and manipulation of nutritional data for big pharma and big ag for decades.

  40. Well… I agree with him, but the Hawaiian Girl doesn’t look like the same person on the pictures. I mean skin-color-wise…

  41. Salt is another additive that can kill you. Check out the frozen, packaged, and canned foods like soups. I did and large quantities of sodium are in most products.

  42. How propaganda works :
    Step 1 : Get audience on your side with facts and issues they agree on –> How serious excess sugar is for us
    Step 2 : Once credibility is established in one area (diet and sugar), attempt to expand that credibility to more uncertain areas (causes and politics)
    Step 3: Keep sneaking in left-wing ideologies among your alarming facts so audience gets emotional and unconsciously goes along with your opinions
    Step 4 : Hopefully at the end of your talk your audience is so moved by your description of the issue (which is a fact) that they wholeheartedly accept your diagnosis and solution (which is an opinion) without ever thinking critically for themselves.

    If this guy really wanted to help people he would leave his politics out of it, instead he is just using it as a soapbox for his own political opinions, every talk he bashes conservatives and promotes democrats. What a demagogue.

  43. I agree with his view of sugar but why use the medication to help his patients? Shouldn't they have cut all sugar and carbs and change their eating lifestyle habits instead of being medicated??

  44. To fight stage 4 lung cancer I made 39 diet and lifestyle changes. No refined sugar was 1st change. Given 3 months to live in feb 2017. Today happily tumourfreetim

  45. I started cutting out sugar 25 days ago, and dropped from 156.5 pounds to 150 pounds during that time. I've got another 10 pounds (at least!) to lose, so I'll be continuing it. And even after that, I doubt I'll ever go back to sugar. Having lost my mother (who was overweight) to a premature heart attack, I don't want to go down that same path.

  46. Absolutely correct and understated.Sugar , no matter if it is refined , organic, organic, natural is the worst thing you could consume. It is a major causer Candida. Helps unbalance your PH. Leads to yes, Cancer, worsens immune deficiencies, obviously, effects high blood pressure, hyper tension, is a major cause for for obesity, and a major player causing diabetes. I am 65 and with a daily strict regimen of supplements, diet and exercise, I have (it's a daily ,every day routine) reversed the following illnesses caused by genetics, enormous sugar intact as a child under 17, work place health hazards, causing cancer. For over 24 years. Even thou I have had diets of vegetarianism, vegan, eating holistically since i was 19, ( Have never had ate dinner and have only hapless then 5 big Macs, or Woppers in my life, and never was a fast food junkie, the 2 most important foods to refrain from are sugar and processed foods. I HAVE REVERSED 24 YEARS OF SYSTEMATIC CANDIDA, FUNGAL AND YEAST INFECTIONS TRHOUGHOUR MY BODY ND SKIN, PROSTATE CANCER, FIBROMYALGIA, NEURALGIA, 14 YEARS OF (CLL) CRONIC LYMPHOCYTIC LEUKEMIA , 2 HIP RESURFACING, BLEEDING ULCERS, 4 GROIN SURGERIES (2 SERIOUS) HEART SURGERY, NECK LYMP NODE SURGERY THAT WENT WRONG, 2 WEEKS IN HOSPITAL WITH DEATHY PNEUMONIA, BED RIDDEN FROM AN EPIDURAL FOR ALMOST 4 MONTHS, CRACKED, ALMOST SEVERED L 4, SEVERE HEAD PAIN THAT ALSO HAD ME INCAPACITATED FOR 4 MONTHS FROM THE LYMP NODE SURGERY. ALSO YEARS WITH SLIPED DISKS, SCIATICA AND MORE. 
    I AM CURRENTLY IN THE BEST CONDITION HOLISTICALLY AND PHYSICALLY AND STRENGTH WISE, I HAVE BEEN IN FOR THE PAST 25 YEARS. NOPE, I AM ONLY 156 POUNDS, GETTING SHORTER EVERY YEAR, (5'5" TALL). YOU CAN HAVE SIMILAR RESULTS TOO BUT IT TAKES A COMMITMENT TO ACTION AND PERSISTENCE AND CONSTANT EDUCATION AND THE WILLINGNESS TO LIVE WITHOUT JUDGEMENTS ON WHAT WILL WORK. BLESSINGS AND LOVE

  47. Dr. Lustig has been my sugar guru for years. I am six years without sweeteners of any kind natural or artificial. Yes, if I eat in a restaurant they nip it in to things, but never have I eaten ice cream, cake, pie, cookies, juice. After years of yoyo dieting my weight has been stable within a few pounds for six years.

  48. It's a minor factual inaccuracy to say " no alcohol " (in UAE, Qatar, Malaysia, etc)… alcohol is much more strictly regulated in those countries but in fact it IS legally available in certain venues (hotels and nightclubs, etc).. I've even seen liquor stores in Bahrain, UAE, and Malaysia… But they DO have a problem with overconsumption of soda and fast foods, at least as bad as the US… Robert Lustig's commentary overall is spot on: sugar is more dangerous than people realize

  49. Lost 50 lbs since February 11th (252 – 202)…initially was a combination of exercise and calorie reduction through counting…although initially effective, to break through the plateau, ramped up the exercise, and avoided sugar, processed foods, carbs, and dairy where possible switching my diet to primarily whole food based. Did some intermediate fasting as well to keep my body guessing as well which was highly effective. Sugar is addictive, so I got my "fix" from lots of fruit…worst advice out there from some diet practioners is to avoid fruit altogether…restrictive diets which say you can never eat a certain food are doomed to fail…set yourself up for success by basing your diet on a healthy foundation of whole food, but allow yourself those unhealthy choices on an occasional basis…over time your desire for the unhealthy foods becomes less and less.

  50. Message doesn't seem that far from Nancy Reagan's. Just say no. Not that easy to just stop eating sugar cuz you know it's bad for you. Most of us know the food is bad for us. But the addiction is strong the Temptation is strong the void in the life. The Emptiness and unhappiness

  51. Sods is very addicting. The only drink my mother and aunt wanted days before death was Coke. My boss drank no coffee just Pepsi – morning and afternoon.

  52. That's it! No more sugar, except maybe a little in coffee. 2 days later: Goes Walmart and buys a thing of chocolate covered mini donuts.

  53. When I was a kid and a boy scout, we were taught to start our campfires with sugar, that’s when you really see how much energy is in it

  54. YEARS AGO SOMEONE SAID IF THERE WAS A CURE FOR CANCER BUT THE SIDE AFFECTS WERE THE SAME AS THE ONES FROM SUGAR THE FDA WOULDNT ALLOW IT TO BE APPROVED AND DEEMED SAFE AND EFFECTIVE 🤔

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