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Comment by deadbabe

3 days ago

But there is also the fallacy where some people want you to believe basically everything will cause CVD and there is no single thing you could do to change it, so therefore just keep doing whatever you’re doing.

I call this the "Everything in Moderation" fallacy. From what I've heard people who say it, they emphasize the everything part of it. In other words almost everything is bad for you so just eat a little bit of everything and you won't get too much of the bad stuff. It's maddening.

  • The way I understand it (and my understanding is certainly poor, so I welcome well-supported pushback on it), is that few, if any, components in the food that we in developed countries eat today are actively harmful in themselves (with the caveat outlined below)

    The main issue is overconsumption leading to overweight and obesity. Food that’s high in refined sugars and/or saturated fats tend to contribute to this, because it’s palatable and calorie-dense

    So in that sense, yes - I believe that as long as your diet is varied enough that you get sufficient intake of all, or at least most, of the essential nutrients, and you don’t eat too much (i.e. in moderation), the ratio of macronutrients doesn’t make a big difference to your health outcome

    The crux is that moderation is hard when the food is jam-packed with calories, and it’s so delicious you just want to keep stuffing your face

    • By volume most of the food in modern western grocery stores is unnaturally sugary or otherwise calorie dense.

      You have to restrict yourself to produce and a few scant other options to escape with balanced nutritional products.

      They even advertise cereals as a "part of a healthy breakfast". Which is a lie under any circumstances, because it's never a healthy part if you eat it long term. (Yes it could keep you from starving to death in a famine, still not 'healthy'.) Imagine if they could only say "it will keep you from starving, and may significantly contribute to diabetes"

  • I don’t think “Everything in Moderation” means you won’t get too much of the bad stuff. The philosophy alludes to the fact that in the modern world, trying to have the ideal diet is exhausting and near impossible. Lack of choice, money, time, education, self control etc. all contribute to you intentionally or unintentionally eating stuff that’s going to do irreparable harm to you. You could be eating salads and somehow poisoning yourself with pesticides and high sugar/fat/sodium salad dressings. Which is why this philosophy focuses on, do everything in moderation and you’ll maybe avoid CVD and other diseases for longer. It is meant for people who cannot meet the idealistic standards of what you are supposed to do.

    • Is it really that exhausting though? I've been on a zero-carb diet for two months (other than thanksgiving or christmas), and it really hasn't been hard at all. If I eat at a restaurant there's some things I can't avoid (seed oils), but otherwise it's not too hard to look at a menu and see things I can eat. The only hard part is to be optimally healthy I need to cook for myself, but that's always been true.

      In a lot of ways, it's actually been easier. Because my blood sugar isn't crashing every few hours, I can easily skip a meal and feel perfectly fine. Fasting is very easy for me now, which it wasn't at all on an unhealthy diet.

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  • What is moderation? The volume (or mass) of a single apple of alcohol is going to make you very drunk (most alcohol is mixed with water: an apple's worth of beer is very little, that much Everclear is a problem).

    That is what I hate about the everything in moderation. We need to do better since some things should be in much larger amounts than others.

    I think we all would agree that any amount of rat poison is a bad thing, thought perhaps this is too much of a strawman.

Even if you can’t change the inevitability of CVD, what you do will absolutely change WHEN you get it.

I've never seen this fallacy.

What I've seen is that the best and most well documented way to prevent CVD is the DASH diet paired with exercise and potentially statins.

If you are an unhealthy weight you are both eating too much and/or not exercising enough. High calorie foods can be fatty, sugary, or both.