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Chris Van Tulleken

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2023-10-23
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2023-10-23
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  1. I'm really blushing. I mean, there's very few people I'd rather hear that from than you. It really means a huge amount. So thank you.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  2. I can tell you because I already regret it and it's It's not spending the kind of quality time that I've just given you with them. You know, to spend time with you today, I prepared, I thought about it, I've read your book, I've been listening to the podcast for ages. And as a result, we've had at least what feels to me, like quite a meaningful engagement. It's really nice and I leave kind of enriched. And my kids get this set of snatches of time. And you talk about diarizing lunch. And I know this is the thing you talk about in lots of places. not just giving the crumbs to your family, but it's like giving investing in your family in the way you do in your work. And I don't do it because, you know, my wife's pregnant. I've got two kids, six and three, and it's just a scramble. So that's what I will regret. And it's great actually being given the opportunity to articulate that and go, okay, if I'm going to regret it, who do I want to be? And, you know, I love that question. I'm going to go away and try and force time with them that I'm present. And often they don't want, they're not interested, but it's just being there.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  3. Have to be. I mean, nothing worth achieving will be achieved in our lifetime. So this will not be just the work of my lifetime. And I'm inheriting this work. Many of us are inheriting this work from a generation of people who've been slaving at this since Nestle were indicted for aggressively marketing infant formula in very, very low income settings and really harming children in low-income countries. So, you know, that was kind of the first engagement with big food where people were angry and we could really point to a problem. Those activists now, they're 20, 30 years older than me and they're sort of handing knowledge to me in a whole bunch of other people across the world, people from the global south, people from very diverse communities. And so I'm going to hand this to my kids, but.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  4. And there are some we have more and more ways of doing it with these sustainable non for profit, not for profit food companies, for example, as a way of funding activism.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  5. From that knowledge to proper regulation took fifty-sixty years. And because around a significant percentage of women still smoke throughout pregnancy in this country, which is a good benchmark of not succeeding, they're highly motivated to stop and unable to. And we see the rise of vapes. So it's an arms race. I'm a virologist by training my PhDs in studying how viruses compete with humans. And in an arms race, you never get ahead for very long. It's like business and business is a great example of an arms race. You understand arms race is better than anyone. You can't just build your company and be like, well, that's done. Oh my go, let's watch the money flow. Someone's always, always trying to overtake you. And so as a community of activists, what we need to build is a sustainable form of activism that is you build regulation, you build on that, you keep generating.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  6. I think because when it came to tobacco control it took from the certainty that tobacco caused not just lung cancer but strokes, heart attacks and a whole range of other health outcomes including early death. The same list of health outcomes that ultra-processed food causes.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  7. There aren't a lot of choices. The pain thinks interesting we need a little bit of pain in our diet. We need foods that are bitter and real and chewy and crunchy and make us work for them and take time to prepare. And one of the big switches is trying to see food preparation not as a chore, but as something that connects you to your ancestors. I mean, you know, we've survived because we come from this long chain of people who just spent hours a day grinding and pulverizing and salting and mashing and figuring out how to make food to nourish this. And it's the thing we should do with other people. And trying to enjoy food prep is a big change for me.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  8. You don't really have a choice. I mean, if you have enough money and you're really prepared to get up early in the morning, you have some choices. But our food choices are severely curtailed. And if you're on a motorway, if you're traveling around this country, if you just try and go out on that high street out there and just buy yourself a quick lunch.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  9. It's a really hard journey for a doctor because doctors are all about telling you about yourself. And I try and do it less and less.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  10. That moment of clarity, of decision, that's when we've all had it, the switch suddenly flicks, that can never arise as long as someone else is telling it. And the clearest example of this is the washing up that my, you know, we've got a family where everyone's. And sometimes as I'm about to heroically at the end of a meal, get up and do all the washing up, my wife will say to me, could you clear these plates and do the washing up? And I've gone from being an empowered person with agency about to heroically do my bit for the family to being someone doing the bidding of someone else. And it enrages me. And we do it to each other So just allowing other people to grasp their problems and deal with them or not is.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  11. See him as an extension of myself because when he would be big in public, you know, we work together as television presenters and I'd be like, God, you're embarrassing me. Like we're trying to talk about health and medicine to kids and look at you. And when I let all that go and saw him, it's like, you know, he's such a wonderful person. I love him so much. Who cares about his weight? That enabled him to sort of engage with it. Then lots of other things happened. He's just got married to a public health academic. He's got resources. He got a bit older. I mean, all kinds of things happen. So much of life is luck. We can tell these narratives of how someone got from A to B, but he's very fortunate. And I think celebrating weight loss is just something I'm so anxious about doing. But a big product of the book was an improvement in my relationship with him because I stopped caring what he ate.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  12. So maybe the biggest effect of the book is he kind of I stopped. Message in the book, and I would say this because people are listening, listening to selfish. We're like, how do I lose that? How do I quit UPF? I've said that. But the bigger thing is don't beat your loved ones over the head with this. So many people are like, I'm going to buy your book for my wife or husband or daughter. I'm going to tell my kids. And when we let people go and we stop owning their problems, it gives them agency. It empowers them. And then it's up to them to decide and they if they have the resources and the opportunities generally they will. And so a big, a kind of core message of the book is stop nagging your loved ones about their food. Their food is controlled by forces that are far bigger than you. They know what to eat, nagging people about their weight only stresses them out and makes it worse. It was when I let go properly of what Zand eats and stop really, really stopped caring about him and started to kind of not.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  13. There's a pair of twins I know who are separated at birth, adopted in China, separated at birth. They're quite well known. I've interviewed them for a podcast. And one grew up in Norway, one grew up in the States, genetically identical, and the Norwegian twin is that much taller than the American twin. So we do see these natural experiments too.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  14. It is really intriguing. I mean, that idea of eating a sort of traditional home cooked whole food diet. Versus your probably quite high UPF start. I mean, The data, you know, your one case, but we build evidence out of case studies. I love that idea. I'm not sure I can really accept you as kind of intellectually and physically stunted sitting across from you.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  15. I think you're going to have difficulty selling people on this. But I mean, it is an intriguing point. We know about youngest people in. In Europe, the youngest children are I don't know that, did it? There are about five IQ points less smart.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  16. It's the same, it's about the same in the US, the physical stunting. Physical stunting, once you get rid of cigarette smoking during pregnancy, which is still far too high, it's really all due to diet. So there's all those causes of optimism, and yet I also am up against any one of these corporations has revenues equivalent to the GDP of a pretty decent sized country like Venezuela, Croatia. And that's any one of the companies.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  17. So people are furious we sort of know this is happening. We know we can't stop eating this food. Obisti is all around us. And so I think there is real, real momentum for people to reclaim their foods. And we do have a lot of amazing food cultures in this country that we can draw on for kind of rich phenomenal diets.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  18. Part of that comes from selling cigarettes in other countries. Some of it comes from the rise of vaping. But nonetheless, we did manage to get control of tobacco. So as a public health activist, I have a template. I know how to do it. I know how to tackle marketing. And we have a roadmap. And we also know that people are furious. I mean, people are enraged. For 40 years, we've watched particularly our children not just get bigger, but get shorter. So if you have kids, if you have kids in this country by the age of five, they will be that much shorter than if you had kids in Scandinavia or Bulgaria or the Netherlands. At the age of five, that much. Nine centimeters. That is the difference between a British five-year-old and a Bulgarian five-year-old. And it is all diet. So it's not just our kids live with obesity. They are stunted. Now you can't stunt a body by nine centimeters at the age of five and not also stunt them intellectually.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  19. Their economic models, we can propose corporate structures, we can incorporate things in different ways that will serve the community in different ways. That's one source of optimism. The second source of optimism is we sort of did it with tobacco. And the cool terrible thing about tobacco is we regulated the tobacco industry and got smoking rates right down and the growth of equity value of the tobacco companies has continued more or less uninterrupted throughout.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  20. You could ask me, you get a different answer each morning. So at the moment, Here are my sources of optimism. There is another way of doing this. I have a friend who runs a not-for-profit drug company, works as a normal drug company, has a huge quantity of revenue. Only one person took a pay cut, and that was the CEO, so he doesn't own it. Everyone else is paid exactly as if they're at a normal pharmaceutical company. The purpose, and he paid back investors. It's a really, it would be cool for you to interview him, actually. He's one of the smartest people I know. He came from Big Pharma. Because he's not obliged to institutional investors, he develops drugs for low-income settings. He also sells them in middle and high income settings and does really a great job. But the purpose of the company is to reduce healthcare inequalities. Now, there are lots of people who are working on a similar model that will sit within, you know, a capitalist structure that will pay back investors, but where food needn't become so beholden to institutional investors. So I think there are financial reasons for optimism.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  21. I don't think it meets so food is very poorly defined. We don't have a working definition of food sort of in law, but I think food is substance that you eat for nourishment. And it should be about nourishment culturally, socially, personally, psychologically, as well as physically. And these products are developed to generate financialized growth for institutional investors. They're not made by people who love you, who want to nourish you. And so I don't think it meets what I think is a useful cultural definition of food. I think it's very useful to not think of them as food. And I don't think a mixture of coloring addictive drugs and phosphoric acid could be called food in any sense of the word. It doesn't have nutrition. It only has things that will, we're pretty sure that almost every ingredient does you harm in some way. So I don't see how that could be called food. It's a way of commodifying.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  22. Think that that is kind of the priority if you're living with the addiction. It's to try and get to discussed. And that's what happened to me is the food became, you know this thing about the uncanny valley where if there's a thing in animations where if animations are very cartoony they're fine but if they become quite human they suddenly start looking weird and there are some films where they get it a bit wrong where the cartoon characters are too realistic they they become almost zombie or corpse like so this this uncanny valley that animation goes through where it becomes weird and then when they're ultra human they're they're fine again the food for me was a bit like that it entered this sort of uncanny valley where it's it's similar to food but it isn't food and so so now i just don't want any of it But I will eat it to be polite.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  23. I think resisting addictions, if you live with addiction, is almost impossible. That's the whole point about addiction. And what you need to do is to make the journey from being addicted to being disgusted. And love and disgust are quite, they're anatomically close in the brain. They're neurologically quite related. And many of us have experienced this falling out of love process where something or someone you're infatuated with that is irresistible. You want to spend all your time engaging with suddenly becomes something you really don't want to do. And smokers will describe it. Some people have this experience in human relationships. It can happen. That switch can be flicked quite quickly. And I think if you're someone who lives with addiction, you need to figure out how to flick that switch. At the moment, if you're addicted to this food and you're constantly trying to resist it, it will be too much.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  24. Association all of them are funded by companies that make ultra processed food. So we need That is a very painful weekly process because if you write a book about food, you get offered, you know, I mean, enormous amounts of money to go and work for the food industry.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  25. Aligned group. Outside of the UK, there is no discussion about the role of ultra-processed food, that pandemic obesity is primarily due to this Western industrial diet. Everyone agrees on this. Countries like Argentina, a can of cola, has three big black hexagons on it, bigger than the logo of the company that makes the cola. Same with most of the breakfast cereals. You know, there are warnings in the national guidance. So globally, people are very, very aware of this. In the UK, there is real control of the public health narrative by the Food and Drink Industry. So as an example, all our major charities that influence policy and a lot of policy comes from charity, they're all paid by companies that make by UPF. So if we look at the British Nutrition Foundation, it is majority funded by all the major food companies you can name. Coca-Cola, Nestle, Cargill, all of them cancer UK, diabetes UK, the British diet.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  26. Some very light regulation. I don't want to tax things. I don't want to ban things. We need to appropriately label unhealthy food. And at the moment, the labels are so confusing as to be unusable. We need to put in our national nutrition guidance that there is good evidence linking ultra-processed food as a category to all these poor health outcomes. And we should recommend the government should recommend that people do try and consume less. Now, there will be a real problem for the government doing that because the government creates a food environment and it's really hard for a government to say, look, on the one hand, don't eat all this and then go on the other hand, that is all you can afford to eat. So that's going to create a real political problem. And that's sort of what we're up against. The most important policy step is to get industry out of the room when it comes to making policy. So this is, so I just spoke at the World Bastie Federation in New York. There are UN-aligned WHO.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  27. is that they can they have agency so that they are not subject to constant predatory marketing and they have true choice so all the policies that I'm proposing and I'm part of a big group working on this are about making real food affordable and available so in terms of the hierarchy of what needs to be done for everyone the number one thing is tackle poverty poverty is a political choice there is enormous wealth in this country and people born into disadvantage should not have a different childhood than people who are born rich and and it feels kind of almost revolutionary to say that but it's really obvious to me like why I mean I can talk about this all day but but health outcomes are so different for people born in poverty for people who live across the road from my kids so that's the number one thing the second thing is

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  28. I love that those steps are coming from you, that I don't have a I honestly don't care what people eat. I like freedom. I don't like being told what to do. And so I am not prescriptive about what anyone should eat. Nowhere in the book do I say you should, like as a normative statement, you should eat less UPF. So if you want to, knowing what you know, that's up to you. I don't think anyone has a duty to be healthy, to generate economic growth. I just think no one asks to be born. You're born. You should be able to live your life as you want. What I do think is what I want for everyone.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  29. There's some emerging evidence about ADHD. I'm speaking to there's a working group at the Royal College of Psychiatrists who are really interested in the links between binge eating disorders and other eating disorders and an ultra-processed food. I think we are only at the very beginning of discovering the health effects. But remember from very early on in childhood, a huge number of kids in this country are on a diet of ultra, almost pure ultra-processed food. But that's often in a situation where there is also other sources of trauma, of other health factors, there'll be poor housing. It will go hand in hand with lots of other things. So as an adjunct to other problems, I would think there will be a link, but teasing it all out is going to be complicated.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  30. So the speed of hit seems to be important, and that may be partly to do with the softness of UPF. You get it, you get a very quick hit of your nutrition.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  31. For some people that one cigarette, that one glass of wine, for many, probably forty percent of people, I don't know about your audience, but across the country forty percent of people will have a troubled relationship with it. And for those people, abstinence may be an easier strategy. So yeah, I think it's addictive when we look at scans. It's addictive when we do surveys. It's addictive when we look at the profile of genes and the other surrounding factors that lead to addiction. It's caused by the same things. And there's lots of basic science about the speed of consumption and addiction. So addictive things are normally very quickly consumed. Shots, crystal meth, tobacco products. If you choose tobacco, if you have slow release methylphenidate, it's a treatment for ADHD. It's not addictive. If you have weak session beer, it's not addictive like tequila shots are.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  32. So that's why I think I have two groups of readers. Some people are just going to want to cut down. You might be someone who's maybe eating a little bit more than you want and you just want to go, I'm going to maximize my health and I'm just going to have it as a treat on a Friday night. And that's fine. It's like it can be like booze or the occasional cigarette.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  33. The definition of ultra-processed food allows you to describe the category of substances that are addictive. And when we go and speak to people who say I live with addiction to food and you say, what do you feel addicted to, it's always ultra-processed products. It'll be very different. Some people it's going to be the dark colors, some people it's biscuits, some people it's pizzas, but it's always UPF. The definition of addiction is continued use of a substance despite knowledge of harm's physical or psychological and despite repeated attempts to quit. And you and I will both know people in our own lives who continue to eat this food. I was definitely one of these people despite knowing it was harming me and wanting.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  34. So, do you want me to do a bit on the evidence prediction? So, the definition of addiction, because people, food addiction has been really scientifically Complex for a long time because baked into the notion of addiction is that the only strategy that ever works is abstinence. You cannot be abstinent from food. And so food can't be addictive. So for a long time we said, well, food is a behavioral addiction where it is the food behavior is not the food itself.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  35. Mean, this is why I don't give advice because we are at this moment where we do have to politically treat the companies like the tobacco companies. Now, at the moment for many people trying to quit ultra-processed food will be like trying to quit smoking in the 1960s. Is

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  36. Take that kind of emotional reaction and turn it into direct that rage rather than directing it inwards. It's directing it out to a food system that controls you. I mean, one of the political narratives we hear is that any kind of regulation is nanny statism. It's about government overreach. At the moment we live in a nanny state. The nannying is done by transnational food corporations. They don't pay any particular tax in this country. They do employ some people, but these are not companies that are part of our sort of culture and yet they are controlling our food and what we eat. And I think we need to rest a little bit of control back off those companies.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  37. I love that. And what. What I try and propose in the book is that you need to make that journey. Probably when you start reading the book, you're in this sort of unconscious stage if you don't think of yourself as either a victim or anything. You're just eating your food. And then midway through the book, I think I do propose to you that you are a victim. And that's a hard thing for any of us to listen to. Most of us don't want to be victims. And I think you have to make the journey from victim to activist pretty quickly. And you can be an activist in your own life for yourself. And you can if you have resources and money and skills, you can get rid of ultra-processed food. Lots of people actually can't. I just got to be really blunt here. Like there is an anxiety I had writing this book that for the core audience of readers who can afford books, most of them will be able to buy sourdough from a fancy bakery rather than, you know, the loaf of bread we just looked at. But for the people who are most affected by the problem that it simply won't be a choice. For someone like you, yes, you need to.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  38. In a way that wasn't planned, I suppose. Julian noticed this. I mean, Julian's the whole, it's all part of a very dear family now. But it was very stressful. Went there to do a master's degree. He lived above a burger shop and he kind of ate his problems and he gained thirty kilos. And that is an example of we both have a genetic vulnerability, but my life in the UK was very stable and I was in a different food environment in the UK. You move my genes, my clone, genetically were identical. You move my clone to the States, stress him out a bit, he gains 30 kilos. I mean, has our willpower changed? Has our personal responsibility changed? You know, a set of accidents and coincidences and the food environment of what determined his weight has nothing to do with willpower at all.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  39. For a British teenager, this is true for teenagers in States, Canada, Australia, they are saturated in marketing in a way that you would be completely invisible to you and I. I mean, you may remember this from childhood. It's on your bus tickets when you buy stationery at the shop. It'll be on your receipt. It's on your music apps because we pay for our music apps, but kids don't. It's on their social media. The companies get their phone numbers directly from they enter competitions and then they send them meal deals and messages ping, ping, ping to their phones. So it's 360, 24-7 immersion in marketing of addictive products. And so it's not that confusing why 25% of British kids live with obesity, not just overweight. Anyway, so Boston, yeah, my twin moved to Boston. It was a situation of some stress. He'd had a kid, a son, Julian, with someone.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  40. I mean, the marketing, that's a form of marketing. And if you think that you are struggling, I'll come back to Boston, but... If you think that someone like you struggles in a hotel room when they've put cookies and all this junk there and you have to sort of put it out of sight,

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  41. And it's just unavoidable. If you're doing work like you do in the States and you're at hotels and you're on the move and you're traveling, you cannot eat good food.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  42. So you have a really complicated picture where genes can be inherited but not expressed in different communities according to how those populations are treated. And so that's one of the crucial things in psychology when we only study white middle class populations, when we only study psychology students, we get very, very different answers to when we go and look at populations who live with disadvantage or low income. Essentially one of the big findings from Claire Lewellen's work is if you've got rid of poverty, you would get rid of around 60% of the problem of diet-related disease.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  43. And this caused huge problems because it was done in the States and minority groups were measured as having lower intelligence. And this provided that kind of core argument of saying, well, some people are genetically less intelligent. And there's a woman called Sandra Skar and she did the first studies and it was twin studies that showed it were that whilst intelligence is heritable in some communities, it isn't in others. And basically it works like this. If you come from a well-off household, all your genes, whether they're for a healthy body shape or for intelligence, they're all maxed out. And so all the variability is genetic in the population. If you come from a low-income household, you might have genes for height that never get expressed. You might have genes for intelligence.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  44. Part of it was done by a colleague called Claire Ellen. What Claire was looking at was the heritage is a bit convoluted. Let me see if I can do this. The heritability of obesity genes. So there's a weird thing. We see this with, it's a bit easy to understand with IQ, but it's true of IQ genes and obesity genes. Then in some places, if your parents have genes for obesity, you will have a 90% chance of inheriting the obesity. But in other families, it's more like 10%. Same is true with IQ. So what Claire Lewellen showed was that if you came from a situation of deprivation, if you came from a low-income household, your genes for obesity are much more likely to be expressed. So you would inherit those genes and you would develop obesity.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  45. Those athletes generally eat food, so they that they have chefs that make, and they might make quite an elaborate flapjack, but it will be a flapjack made with the ingredients you would have in your kitchen. And they will often drink milk while they're cycling or running. And they'll eat pieces of chicken rather than other things.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  46. When you speak to, one of the really interesting things is when you speak to nutritionists, and I've spoken to a couple who work with really elite sports teams,

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  47. Putting a healthy diet in the context of lots of other healthy things is often really a good way of bringing about behavioral change. You'll feel good in other ways. But the activity in the exercise, if you think that putting in your slog at the gym, most of us can manage 40 minutes every other day tops. And I get nowhere near that. It's not going to have an impact on your weekly calories. Even if we accepted that even if we did think that it increased the number of calories you burn, there's other evidence that says you either eat more because your body isn't just the mathematical machine that your friend proposes, but also if you add up the calories and you go to the gym for half an hour, four times a week, it's just not very many calories in terms of your weekly calories. Even if you're cycling as hard as you can for the whole thing.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  48. Yeah, so that's the model. And there are lots of exceptions. But what that model tells us along with all the other available data is that when we are talking about populations who live with obesity, increasing activity will be really good for them, but it will not have a significant effect on body weight. So when we're talking about the pandemic of obesity activity isn't hugely important. And if people are listening and they want to lose weight, many people have the experience that

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  49. Budgets, you're taking it away from inflammation, away from hormones, and away from anxiety. That's why exercise seems to be good for us, because I'm sitting here and I'm relatively said that sedentary with my two kids, I don't go to the gym for an hour a day. So I spend my calories, but they're spent on inflammation and anxiety and relatively high hormone levels.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT

  50. and he just could not make sense of this. So then he went back and looked at all the data available in the literature. We've studied animals. We've studied different human populations. We've studied subsistence farmers compared to secretarial workers in the States. We've looked at miners. The same thing is true in all the studies. When you do sustained activity over a long period, it doesn't massively impact your calories. Now, some exceptions. If you do polar exploration, if you cycle in the Tour de France, if you go to the gym for an hour and a half every day, six days a week, you probably do burn a few more calories. But activity of the kind we all do doesn't seem to. And that explains why exercise is good for us. Because if you don't do exercise, I burn three thousand calories a day. Let's say with slightly different body compositions, but roughly you and I burn 3,000 calories a day. If you do your hour and a half of exercise every day, you're stealing energy from your other.

    2023-10-23 · The Diary of a CEO · The Junk Food Doctor: "This Food Is Worse Than Smoking!" & "This Diet Prevents 60% Of Disease!" - Chris Van Tulleken (Ultra-Processed People Author) · IDENTIFIED FROM THE TRANSCRIPT