The Real Reason For America’s Obesity Crisis And Chronic Disease Epidemic

Episode 100 1h 10m


Only about 12% of Americans are considered “metabolically healthy.” That means the other 88% of us aren’t meeting basic medical guidelines for things like blood pressure, blood glucose, cholesterol, and other markers of metabolic health. Which percentage do you fall into?

When it comes to answering that question, one common factor is how many fast carbs you’re consuming. These are the carbohydrates that have been processed—yes, that includes sugar—but it also means starches like refined flours and other processed grains. Whole wheat bread is indeed a fast carb.

This week on The Doctor’s Farmacy I sat down with Dr. David Kessler to break down the differences between fast and slow carbs, how they affect our health, how our diet became so inundated with fast carbs and what we can do to regain metabolic strength.

To put it simply, we’re in metabolic chaos. People didn’t use to be so overweight—just watch some old footage of Woodstock or other large past events and see how many obese people you can pick out. That’s because the food industry and our government policies have altered the composition of our diets in favor of highly processed sugar and starch. It’s a recipe for weight gain and all the consequences that come with it, like type 2 diabetes.

In our conversation, Dr. Kessler shares his inside experience working for the FDA, revealing the impact of Big Food on food labeling and public health. We’re currently only given total carbohydrates on a nutrition label. We talk about why this is such an outdated approach to sharing nutritional information with consumers and how to make better choices.

The best choice for good health, and the simplest, probably won’t surprise you: eating real food in its natural form. Carbohydrates from things like vegetables, legumes, and whole grains that are actually intact (think quinoa, not quinoa flour) are more slowly absorbed and they don’t spike blood sugar and insulin the way fast carbs do. These slow carbs are the ones that can consciously be included in our diets.

Food should be palatable, it should taste good. But various combinations of sugar, fat, starch, and salt have been created by food scientists to hijack our brain and metabolic circuits through hyper-palatability. Our bodies have an extremely hard time putting down a cookie that’s been engineered to be addictive. Dr. Kessler and I talk about this and so much more on this week’s episode.

I hope you’ll tune in to gain a better understanding of how to healthfully include carbs in your diet and what to avoid for dramatic improvements.

Dr. David Kessler’s new book is, Fast Carbs, Slow Carbs: The Simple Truth About Food, Weight, and Disease.


This episode is brought to you by AirDoctor, and AquaTru. The Doctor’s Farmacy podcast works with a select group of sponsors to allow for ongoing production and allow it to be zero-cost to anyone who wishes to listen to and watch the podcast.

Topics Covered

  • Why 87% of Americans are metabolically unhealthy


  • Government guidelines and policies going back to the 1970s that led us to where we are today


  • What are fast carbs and how do processed carbohydrates affect us?


  • The glycemic index of bread is higher than that of table sugar


  • How processed carbs made from grains, corn, and wheat became the foundation of our diet?


  • The food industry’s resistance to clear ingredient lists and labels on food


  • What are slow carbs?


  • Why we should all be able to get behind the idea of limiting fast carbs


  • Dr. Kessler’s own struggle with weight over the years, our tendency to turn to comfort foods in stressful time, and why it’s so difficult to break the vicious cycle that results from eating fast carb


  • The need for additional reform to the government’s dietary guidelines and how regulation differs in its oversight of the food industry vs the tobacco industry


  • Industry will follow the consumer


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Ep. 100 - The Real Reason For America’s Obesity Crisis And Chronic Disease Epidemic