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Anyone have a good handle on the science of sugar consumption?

Hello--wondering if anyone has a good handle on the state of the science on the effects of sugar consumption. There's clearly a movement afoot in the nutrition world to normalize (undemonize) sugar consumption as a strategy to avoid disordered eating and overconsumption, but I'm finding that the dominance of that conversation is making it hard to find actual information about the effects of sugar consumption. What do we know about how bad or not bad it is at different levels of consumption? What problems/illnesses is consumption connected to, and how strong is the causation evidence? What do we know about what strategies are most effective in helping people avoid excessive consumption, and does the effective strategy depend on the presence or absence of particular factors or is it one-size-fits-all (and do we have any information that is any more scientific than instagram or bloggers)? Are the various advisory bodies' suggested daily maxes based on solid research or do they seem pretty speculative and/or incorporate an allowance based more on what is achievable than what is healthiest? TIA

Answer

I don’t have sources for you, but I’ll try to summarize the gist as I understand it.

Sugar is fine in moderation from natural sources provided you don’t have a medical condition such as diabetes. By natural I mean like fruit or milk. By moderation I mean a single serving. Those natural sources will almost always come with other nutrients and fiber that you won’t get from juice or processed foods

Excessive sugar will cause you to generate more insulin and over time desensitize your body to it. Sugar also triggers reward pathways in the brain which can cause addiction and dependency issues. Sugar is also the metabolically cheapest energy and your body will always process it first, which means excess calories from fat or protein are more likely to be stored instead of burned, especially since your body tends to need switch “modes” of calorie burning (carbs then fats then proteins). This can, however, be a good thing if you are engaging in intense physical activity.

The more processed the sugar generally the higher it’s bioavailability and glycemic index which ultimately means the stronger it’s effects on the body.

Tl;dr a little fruit here and there is good for the average person and the occasional glass of milk can be nutritious, but juice, desserts, and processed foods should be avoided as they will muck with your metabolism and act like a drug on your body.

Answer

Robert lustig, a professor and neuro-endocrinologist that specialises in obesity (mainly in youth, I think) has an answer to all your questions.

https://youtu.be/dBnniua6-oM

https://youtu.be/ceFyF9px20Y

Great stuff. Teaches you exactly how much we know. We know enough to know it’s a chronic health hazard that’s slowly killing more and more of the world population.

Answer

The good:
Fine in small amounts (darker varieties are better with molasses), efficient/effective energy source during athletic exercise, and less bad than most artificial sweeteners.

The bad:
Depresses the immune system, feeds pathogenic bacteria and yeasts, and pretty bad/damaging in the presence of any insulin resistance. In excess, associated with various other problems related to the other major organs (liver, gallbladder, etc)

If health is a priority, it’s simply better to avoid it,