Think all calories are equal? Think again. In this episode of Vitality Made Simple, Dr. Robert Lustig joins us to explain how the “calories in, calories out” weight loss model fails to account for the complexities of our biology. He explains why equal calorie counts can have unequal effects: fiber reduces absorption, protein costs energy to process, fats are not metabolically equivalent, and fructose impairs mitochondria and drives insulin resistance. He explains that the same number of calories can have different effects: fiber reduces absorption, protein requires energy to process, fats are metabolized differently, and fructose damages mitochondria and causes insulin resistance.
Dr. Lustig delves into why intact fiber is much better at slowing sugar absorption, while pulverized fiber, like juice and smoothies, can instead spike insulin. He also weighs on GLP-1 agonists, which can be helpful but have significant drawbacks like digestive issues, muscle loss, and weight regain. He stresses that true health comes from eating whole foods, exercising, and finding joy beyond sugary treats.
Curiosity led Dr. Debbie Ozment down a unique path as a dentist. A 1985 graduate of Oklahoma University College of Dentistry, her clinical practice took a dramatic turn as she observed her patients’ increasing list...
Robert Lustig, MD, MSL is an Emeritus Professor of Pediatrics in the Division of Endocrinology and a Member of the Institute for Health Policy Studies at UCSF. Dr. Lustig is a neuroendocrinologist, with...