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Gary Taubes, Food Science Author, Answers Your Questions (LIVE Q&A)

First Posted: 04/20/11 03:11 PM ET Updated: 06/20/11 06:12 AM ET

Gary Taubes

There's no getting around it: obesity in the United States has steadily been increasing over the past twenty years. And it's a problem that seems to be getting worse every year.

In his new book Why We Get Fat: And What to Do About It, writer Gary Taubes investigates what makes us gain weight, concluding that a low-carb diet is best for healthy living. In New York Times Magazine, Taubes recently examined the growing evidence that indicates sugar is toxic.

Taubes comes from a science background, having studied applied physics and aerospace engineering Harvard and Stanford, before he earned a master's in journalism at Columbia. Taubes originally wrote mostly about physics issues, his focus has turned recently to health and nutrition.

Today, from 2:30 to 3:30 EST, Gary is here to answer any questions you might have about America's weight problem, nutrition, his book, and his recent article on sugar. If you want to ask Gary a question, leave a comment or tweet your question under the hashtag #FatChat.

Like this Q&A? Follow HuffPostLive on Twitter and Facebook to learn about the next one.

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It's been fun, everyone. Thanks for the questions and caring enough to ask them!

-Gary Taubes

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runongreen asks via the comments:

What changed your interest from applied physics to nutrition?

I became a journalist, which was the first switch, and got obsessed with good science and bad science. Lived at a physics lab for a year and watched some very bright physicists screw up an experiment and discover non-existent elementary particles.

I wrote a book about cold fusion, one of the great scientific screw-ups of the last century. Then some of my physics friends said to me, if you think the science in cold fusion was bad, you should look at some of this stuff in public health.

One thing led to another and the next thing I knew I was looking at the science underlying some of our core beliefs in nutrition -- that salt consumption leads to high blood pressure, fat consumption to heart disease, etc. That science was indeed terrible and now I'm trapped in this world of trying to set it straight. (Assuming, of course, that I'm right and the CW is indeed wrong.)

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Matt Reid asks via the comments:

When stories like mine emerge are they a detriment to your studies because the conversatiĀ­on can be quickly turned into fad diets and weight loss rather than health and true science?

And lt11481 asks via the comments:

If I am avoiding carbs and thus eating more protein and fats, what does this do to my level of coronary risk?

Thanks for the comments, guys. And, no I think anecdotal evidence of the kind you're giving can be valuable in convincing medical authorities that there's something meaningful here.

A key point I make in "Why We Get Fat" is that an obese or overweight individual needs a lot of calories to run their body, so that the only thing they should be restricting are the carbohydrates that make them fat -- the sugars, refined carbs, starches. If they do this and keep calories high, then they're eating a lot of fat and now it all sounds suspiciously like the Atkins diet.

The catch is Atkins was a smart guy and just happened to get it right (most of it, anyway). If you have fears about that the fat is doing to your heart disease risk, get a lipid profile done -- including what's called a VAP test. I just did (my wife insisted on it) and posted it on my blog --www.garytaubes.com . You can see what yours is very likely to look like, since I also eat like you both say you do.

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Ronan Freyne (@Ronanfreyne) asks via Twitter:

What % of calorie intake do you think is generally okay to get from sugar?

You mean, other than the lower the better? I don't know. One of the amusing/interesting facts I came upon in my research was a British physician in the early 1700s or 1800s (forget which) defending sugar in the diet, but commenting that it does indeed make women fat. And this would have been at a time that sugar consumption was perhaps one tenth what it is today.

Now getting fat and getting sick (diabetes, cancer, etc.) are two different things. One South African diabetes specialist in the 1950s, suggested that over about half the sugar we consume today, you start to see high rates of diabetes in populations. But the numbers are confusing because of how he was calculating sugar consumption compared to how the USDA does, etc.

So, keep it low. That's all I can say for sure.

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vikingv has this to say via the comments:

Labeling a high carb as unhealthy and a low carb diet as healthy is not correct.

Hmmmm, not reading my books, but attacking straw men. Two factors seem relevant to me: glycemic index and fructose content. So as I say in Why We Get Fat, some carbs are fattening some are not. Sugars are probably the worst because of their effect on insulin resistance and the liver. Easily digestible starches and refined cars are problematic because of the insulin response needed to handle them. Green vegetables -- fine.

Low carb content, lots of fiber to slow down digestion. But, but but but, all people aren't the same. Someone who is naturally lean is someone who can tolerate the carbs and sugars in the diet (at least their weight can). These people are different than those of us who put on weight easily. So a carb content that seems fine for a lean person could easily be the cause of obesity and even massive obesity in someone who's sensitive to the carbs in the diet.

So yes, spaghetti and spinach, not the same, and if you think I said they were, you should read my books.

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Elizabeth Popp asks via the comments:

What is your recommendaĀ­tion for eating whole grains as a part of the total diet? How would we know if or when we become insulin resistant? Do we cut down on whole grain carbs when we gain weight, or is there another indicator that we can watch?

The first thing I'd do is get rid of the sugars entirely, but the second thing I'd do is get rid of the other refined carbohydrates and starches. Shill alert: I discuss this at length in my book "Why We Get Fat" and if you're overweight or obese, I recommend you read it.

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BrainyLegume asks via the comments:

Which is worse: Splenda or sugar? I know Splenda is not good, but I'm kind of addicted..Ā­.

Ok. Splenda v. sugar, I'd go with splenda, but that's because I know the problems with sugar (or at least think I do). As for how do you know you're insulin resistance, a good sign is if

1). You're getting fatter, 2). your triglycerides are high and your HDL is low. High blood pressure is another sign of insulin resistance.

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Is food coloring toxic? I thought I read about Europe tightening regs on the use of color additives.

Another one I can't answer. One way I've found to keep credibility (such as it is) is to speak out only about those subjects on which I've done significant research. That said, the point of my books is that there are very well defined chronic diseases of western diets -- obesity, diabetes, heart disease, cancer, etc. -- that can be linked to the consumption of sugar and other refined carbohydrates and are all associated with insulin signaling and insulin resistance.

If food coloring was toxic, it's hard to know what diseases it would be causing. And one thing I discuss specifically in my book "Why We Get Fat" is that there were plenty of populations with high levels of obesity and diabetes that wouldn't have been consuming artificially colored foods, so those would stand as counter-examples to the idea that food coloring causes those disorders, at least. Key thing to know about science is that we want to explain observations. If food coloring was toxic, which it could be, we need to have some diseases that it could be causing. Without the latter information, the former hypothesis doesn't do much good.

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Another good question from @CurlyKarin via Twitter:

Is agave a smart sugar substitute?

Agave has a very high fructose content -- perhaps over 90 percent. That suggests it could be worse than sucrose or HFCS, although it gets complicated. The glucose in these sugars stimulate insulin secretion and that affects how the liver deals with the fructose and vice verse. So having less glucose could be beneficial, while having more fructose could be worse. I'd vote for worse, but that's just speculation.

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@CurlyKarin asks via Twitter:

Is aspartame really that bad for me (even in moderation)?

I wish I knew. I had time to research sugar and other carbs excessively. Little time to research artificial sweeteners. My next topic, perhaps.

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Hi everyone,

I'm ready to take your questions and hope I get enough to overwhelm me.

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There's no getting around it: obesity in the United States has steadily been increasing over the past twenty years. And it's a problem that seems to be getting worse every year. In his new book Why ...
There's no getting around it: obesity in the United States has steadily been increasing over the past twenty years. And it's a problem that seems to be getting worse every year. In his new book Why ...
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HUFFPOST SUPER USER
DrP
08:46 PM on 04/24/2011
Gary - if you read this, and all other low-carb supporters on Huffpo...please, please respond to the appalling article posted today that "blames" low carb diets for Type II Diabetes. It is an absolutely travesty and warrants rebuttal by all of you who have studied the science of insulin-resistance.
02:42 AM on 04/26/2011
Indeed! The one encouraging thing about this ridiculous post is the overwhelmingly negative response to it. It looks like a spokesman for big food/big pharma thought he could put up a post to encourage people to eat/buy sugar and grains. As it seems, people have become too educated to believe that nonsense. Maybe there's hope that American's health will start to improve over time.
01:44 PM on 04/24/2011
Sugar is toxic. No question about it.
01:31 PM on 04/24/2011
Gary, what are your thoughts about Xylitol vs. maple syrup (grade b or c) as a sugar
substitute? What are the pros and cons of each?
HUFFPOST SUPER USER
DrP
08:35 PM on 04/24/2011
The best option is to give up all sweeteners. It takes so doing, but in time, you learn to live without them. If a person is really insulin-resistant, even the taste of something sweet causes the pancreas to pump out insulin, which is the villain in all of this. We really don't need sweets in any form.
11:37 AM on 04/23/2011
We all need to take personal responsibility for our health.

Obesity is an epidemic in this country contributing to heart disease, high blood pressure, diabetes and cancer.

We all need to reduce the fat, sugar and salt in our diets.

I wish the processed food companies would get the message and reduce the salt and sugar content in their products.
03:58 AM on 04/24/2011
I'll generally agree on salt, I'll agree on sugar, I won't agree on fat.

I've been following a ketogenic diet for control of my headaches for five or six years now, and I've got to say that it's really been the best solution for my health and well-being.

How does one follow a ketogenic diet? Increasing the quantity of fat in your diet and reducing the quantity of carbohydrate. Protein is a little difficult to dial up or down, but where it is prior to a carbohydrate-restricted diet is usually acceptable.

Then it's just a matter of adherence. My headaches went away ten days after starting to eat this way. Dropped about 35lbs. My energy got much better. And I can take solace in the fact that the science is behind me, thanks to Mr. Taubes and his extensive citations.

(FWiW, I haven't picked up his new book yet. The previous one - Good Calories, Bad Calories - was very thorough. A review of fifty+ years of nutritional research.)
04:50 PM on 04/24/2011
How long did it take you to lose 35lbs?
01:52 PM on 04/24/2011
You forgot about carbohydrates -- high density carbohydrates. They turn into sugar in our bodies, although not pure fructose.

Cut out added sugar and high density carbohydrates (pasta, rice, bread, baked goods, etc.), and you'll (not meaning you personally but all of us generally) will be amazed at the difference in health and how quickly the change for the better happens.

Don't worry about the processed foods. Avoid them. Lean meat, fish/seafood, fruit and vegetables are around the edge of grocery stores. Avoid the middle where all the processed food sits, along with its added high fructose corn sugar, cane sugar, high density processed carbohydrates and other junk)
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HUFFPOST SUPER USER
Ranveig Elvebakk
Innovator, author and lecturer on weight and nutri
03:20 PM on 04/22/2011
I find it interesting that the expertise in nutrition these days comes from an aerospace journalist. It is better than from duchesses and actresses though. It also speaks to the abdication of responsibility by the medical profession for this most important scientific issue, in fact, the very issue at the origin of most illness, replaced by philosophizing, bickering and confusion. This noise and chatter keep us from recognizing the results of the studies that are screaming off the pages of the last 30 years of medical research. They all point us in the same direction and it is not towards fructose, which is another diversion. Refined sugar and its downstream metabolites are indeed toxic, and we need to learn to respect their true nature in order to solve our problems.
Ranveig Elvebakk, MD, board certified in bariatric medicine, specializing in weight and nutrition, author "The Food Tree", and "A New Disease Model"
08:16 PM on 04/21/2011
As a registered dietitian I feel much has been omitted in this commentary. Blaming obesity on added sugar is certainly not the whole story – all calories count and it does not matter where they come from. Bottom line, if you consume more calories than you expend you will gain weight, thus impacting the risk of getting chronic diseases associated with obesity.
Within the conversation, there is no mention of our portion distortion and inactive lifestyles, which are apparent everywhere we turn. Discretionary calories no matter what the source without balance will lead to unwanted pounds.
We need to focus on energy balance, moderation and calories in vs. calories out. Education is key. Until we stop demonizing one food or beverage and teach people that all foods can fit into a healthy diet with portion control and physical activity, we will not win the battle of the bulge. I see the power of education on a daily basis and will continue to work with a variety of clients, including the food and beverage industry, to find a solution.
In Good Health,
Michelle Stewart RDLD/N, CDE
11:06 PM on 04/21/2011
"All calories count and it does not matter where they come from." Sorry but this is just
not true. The body processes whole, unprocessed food, or real food in a much different manner than processed crap. Our bodies have an infinite wisdom that dietitians really don't get. In my experience the label, dietitian, is puzzling? I don't need someone to consult my diet, I need someone who knows true nutrition, as in a nutritionist.
HUFFPOST SUPER USER
DrP
11:15 PM on 04/21/2011
Where did you get your nutrition education? You need to ask for your money back.
03:32 PM on 04/21/2011
Rick Bauer is correct.
10:59 AM on 04/21/2011
interesting that this fast talking book seller was afraid to let dr oz test him.
HUFFPOST SUPER USER
DrP
11:20 PM on 04/21/2011
And what is Dr. Oz?
By the way, Gary did have his blood work done and the results are posted on his blog. I challenge Dr. Oz to do the same.
03:42 AM on 04/24/2011
He didn't allow the lab that Dr. Oz wanted to send him to to test him because the show refused to pay for a VAP test. You can see the results of his blood test on his blog.

While I'm at it, Dr. Oz is a real fast talker himself. I don't trust any man who gives "energy medicine" the time of day.
10:36 AM on 04/21/2011
Thank you for giving Gary a fair chance, compared to the hatchet job "Dr." Oz gave him.
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HUFFPOST SUPER USER
newthinktank
No Opinions, Just FAQs
07:31 AM on 04/21/2011
I'm a person who completely turned his health around. I actually lost 80 pounds and went from being very unhealthy to getting rated as a preferred plus insurance wise. How did I do it? I ate low calorie, fat, sodium and cholesterol food. These low carb, high fat diets do not work over the long term! I wish these supposed experts would stop pushing this stuff.
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HUFFPOST COMMUNITY MODERATOR
LisaLisa1234
09:09 AM on 04/21/2011
And I wish people like you would stop assuming that because something worked for you, it works for everyone. The research of Mr. Taubes and Dr. Atkins is sound, and as time goes by, the long-term effects are obvious, and validated more and more.

I'm a perfect example of a low-carb, plenty-of-fat (and plenty of veggies) way of eating not only working long-term, but being incredibly healthy. A low-calorie, low fat diet, on the other hand, actually makes me gain weight; in addition, my lipid profile gets drastically worse. So should I completely invalidate your success because your method is disastrous for my body? That would be ridiculous, wouldn't it?
08:06 PM on 04/23/2011
Ditto...
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09:16 AM on 04/21/2011
Sorry, but you'll gain it all back. It's the inevitability of low-cal, low fat diets. Good luck! Hope I'm wrong!
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HUFFPOST SUPER USER
newthinktank
No Opinions, Just FAQs
07:43 AM on 04/26/2011
I have been at my target weight of 170 pounds for almost 2 years. I haven't gained it back. I'm never hungry. I wouldn't call it low calorie. It is instead the amount of calories I should eat being a person who is 6'3"
This user has chosen to opt out of the Badges program
11:26 PM on 04/20/2011
Any advice for menopausal women?
02:45 PM on 04/24/2011
Find a good female doctor who believes in estrogen replacement (not premarin derived from horse urine). That in itself will make an amazing health difference. See if you can research the names of a couple of doctors who appeared on Oprah's show who have been prescribing identical hormone replacement for their patients for years with incredible results and without any adverse effects.

In the meantime, cut out added sugar and high density carbohydrates (baked goods, pasta, rice, bread (indulge in whole grain breads only once in a while), etc. Focus on lean protein, fish/seafood, fruits and vegetables, bearing in mind that some fruits have a lot of sugar.

You will be amazed at the difference in well being -- almost overnight -- and an added bonus of a flat stomach.
HUFFPOST SUPER USER
DrP
10:32 PM on 04/20/2011
This is awesome! I am so glad Huffpo has given Gary this forum. Gary, you are my hero!
07:04 PM on 04/20/2011
Gary,
Could excess consumption of fruit, especially high glycemic fruit, contribute to insulin resistance, diabetes and/or fatty liver disease?
HUFFPOST SUPER USER
DrP
10:22 PM on 04/20/2011
I'm not Gary, but there is ample evidence to support saying "yes."
Dr. Mercola posts extensively on the problems with eating too much fruit. Fructose should be limited to 25 grams/day including that derived from fruit. Those who already know they are insulin resistant should probably avoid fruit altogether. People with some insulin resistance seem to be able to handle occasional berries and melons as a treat - dessert, in other words on occasion.
09:25 AM on 04/21/2011
I also recieve Dr. Mercola's newsletter and asked the question in the context of the info from his website regarding concerns about over consuming fructose from any source. I have reduced my fruit consumption by eating mostly berries. I have developed a taste for raw cranberries (small amounts)--very low in fructose. Thanks for your insightful comment.
dididangerlove
subverting political perversion
06:57 PM on 04/20/2011
Staying as natural as possible without spiking blood sugar is what has worked for me. That, and 90 minutes of daily exercise. As far as sugar goes, I've been using SweetLeaf Stevia for years in my tea and coffee (kicked soda more than a decade ago), and I don't get that heart pounding sugar rush. Can't tolerate artificial sweeteners at all. Some people mistakenly describe stevia as an artificial sweetener. SweetLeaf Stevia is natural.
05:59 PM on 04/20/2011
I really KNOW this guy is right -- not just because I think he really DOES research deeply before he writes -- but because I have proven again and again that if I eat a lot of carbs, I gain weight and my numbers go up and if I eat a high protein/fat diet and vegetables, I lost weight and get healthier. Add the things Tim Ferriss has writen in his 4-Hour Body -- and I'm hooked. So much so that SlowCargbHq appeared online so I can spread the word.
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HUFFPOST COMMUNITY MODERATOR
LisaLisa1234
09:03 AM on 04/21/2011
Tim Ferriss is quite a character! The 4-Hour Body was interesting to be sure, but it wound up going in circles for me. It may be because I'm not really in any of his categories at the moment, needing to lose fat or gain muscle. He's also a little vulgar for my taste. :) But I can see how his methods can be effective! He also validates a lot of Dr. Atkins' research.
04:35 PM on 04/21/2011
Since I do need to lose fat and gain muscle, I love TIm's take on it -- AND that he is a character. I'm 68 years old and actually read the whole book, even the parts about power lifting 400 lbs -- not that I'll ever try that! But both Taubes and Ferriss validate what Atkins said. It's sure interesting...