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Javier E

Opinion | Ozempic Is Repairing a Hole in Our Diets Created by Processed Foods - The New... - 0 views

  • In the United States (where I now split my time), over 70 percent of people are overweight or obese, and according to one poll, 47 percent of respondents said they were willing to pay to take the new weight-loss drugs.
  • They cause users to lose an average of 10 to 20 percent of their body weight, and clinical trials suggest that the next generation of drugs (probably available soon) leads to a 24 percent loss, on average
  • I was born in 1979, and by the time I was 21, obesity rates in the United States had more than doubled. They have skyrocketed since. The obvious question is, why? And how do these new weight-loss drugs work?
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  • The answer to both lies in one word: satiety. It’s a concept that we don’t use much in everyday life but that we’ve all experienced at some point. It describes the sensation of having had enough and not wanting any more.
  • The primary reason we have gained weight at a pace unprecedented in human history is that our diets have radically changed in ways that have deeply undermined our ability to feel sated
  • The evidence is clear that the kind of food my father grew up eating quickly makes you feel full. But the kind of food I grew up eating, much of which is made in factories, often with artificial chemicals, left me feeling empty and as if I had a hole in my stomach
  • In a recent study of what American children eat, ultraprocessed food was found to make up 67 percent of their daily diet. This kind of food makes you want to eat more and more. Satiety comes late, if at all.
  • After he moved in 2000 to the United States in his 20s, he gained 30 pounds in two years. He began to wonder if the American diet has some kind of strange effect on our brains and our cravings, so he designed an experiment to test it.
  • He and his colleague Paul Johnson raised a group of rats in a cage and gave them an abundant supply of healthy, balanced rat chow made out of the kind of food rats had been eating for a very long time. The rats would eat it when they were hungry, and then they seemed to feel sated and stopped. They did not become fat.
  • then Dr. Kenny and his colleague exposed the rats to an American diet: fried bacon, Snickers bars, cheesecake and other treats. They went crazy for it. The rats would hurl themselves into the cheesecake, gorge themselves and emerge with their faces and whiskers totally slicked with it. They quickly lost almost all interest in the healthy food, and the restraint they used to show around healthy food disappeared. Within six weeks, their obesity rates soared.
  • They took all the processed food away and gave the rats their old healthy diet. Dr. Kenny was confident that they would eat more of it, proving that processed food had expanded their appetites. But something stranger happened. It was as though the rats no longer recognized healthy food as food at all, and they barely ate it. Only when they were starving did they reluctantly start to consume it again.
  • Drugs like Ozempic work precisely by making us feel full.
  • processed and ultraprocessed food create a raging hole of hunger, and these treatments can repair that hole
  • the drugs are “an artificial solution to an artificial problem.”
  • Yet we have reacted to this crisis largely caused by the food industry as if it were caused only by individual moral dereliction
  • Why do we turn our anger inward and not outward at the main cause of the crisis? And by extension, why do we seek to shame people taking Ozempic but not those who, say, take drugs to lower their blood pressure?
  • The first is the belief that obesity is a sin.
  • The second idea is that we are all in a competition when it comes to weight. Ours is a society full of people fighting against the forces in our food that are making us fatter.
  • Looked at in this way, people on Ozempic can resemble cyclists like Lance Armstrong who used performance-enhancing drugs.
  • We can’t find our way to a sane, nontoxic conversation about obesity or Ozempic until we bring these rarely spoken thoughts into the open and reckon with them
  • remember the competition isn’t between you and your neighbor who’s on weight-loss drugs. It’s between you and a food industry constantly designing new ways to undermine your satiety.
  • Reducing or reversing obesity hugely boosts health, on average: We know from years of studying bariatric surgery that it slashes the risks of cancer, heart disease and diabetes-related death. Early indications are that the new anti-obesity drugs are moving people in a similar radically healthier direction,
  • But these drugs may increase the risk for thyroid cancer.
  • Do we want these weight loss drugs to be another opportunity to tear one another down? Or do we want to realize that the food industry has profoundly altered the appetites of us all — leaving us trapped in the same cage, scrambling to find a way out?
Javier E

In defense of science fiction - by Noah Smith - Noahpinion - 0 views

  • I’m a big fan of science fiction (see my list of favorites from last week)! So when people start bashing the genre, I tend to leap to its defense
  • this time, the people doing the bashing are some serious heavyweights themselves — Charles Stross, the celebrated award-winning sci-fi author, and Tyler Austin Harper, a professor who studies science fiction for a living
  • The two critiques center around the same idea — that rich people have misused sci-fi, taking inspiration from dystopian stories and working to make those dystopias a reality.
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  • [Science fiction’s influence]…leaves us facing a future we were all warned about, courtesy of dystopian novels mistaken for instruction manuals…[T]he billionaires behind the steering wheel have mistaken cautionary tales and entertainments for a road map, and we’re trapped in the passenger seat.
  • t even then it would be hard to argue exogeneity, since censorship is a response to society’s values as well as a potential cause of them.
  • Stross is alleging that the billionaires are getting Gernsback and Campbell’s intentions exactly right. His problem is simply that Gernsback and Campbell were kind of right-wing, at least by modern standards, and he’s worried that their sci-fi acted as propaganda for right-wing ideas.
  • The question of whether literature has a political effect is an empirical one — and it’s a very difficult empirical one. It’s extremely hard to test the hypothesis that literature exerts a diffuse influence on the values and preconceptions of the citizenry
  • I think Stross really doesn’t come up with any credible examples of billionaires mistaking cautionary tales for road maps. Instead, most of his article focuses on a very different critique — the idea that sci-fi authors inculcate rich technologists with bad values and bad visions of what the future ought to look like:
  • I agree that the internet and cell phones have had an ambiguous overall impact on human welfare. If modern technology does have a Torment Nexus, it’s the mobile-social nexus that keeps us riveted to highly artificial, attenuated parasocial interactions for every waking hour of our day. But these technologies are still very young, and it remains to be seen whether the ways in which we use them will get better or worse over time.
  • There are very few technologies — if any — whose impact we can project into the far future at the moment of their inception. So unless you think our species should just refuse to create any new technology at all, you have to accept that each one is going to be a bit of a gamble.
  • As for weapons of war, those are clearly bad in terms of their direct effects on the people on the receiving end. But it’s possible that more powerful weapons — such as the atomic bomb — serve to deter more deaths than they cause
  • yes, AI is risky, but the need to manage and limit risk is a far cry from the litany of negative assumptions and extrapolations that often gets flung in the technology’s directio
  • I think the main problem with Harper’s argument is simply techno-pessimism. So far, technology’s effects on humanity have been mostly good, lifting us up from the muck of desperate poverty and enabling the creation of a healthier, more peaceful, more humane world. Any serious discussion of the effects of innovation on society must acknowledge that. We might have hit an inflection point where it all goes downhill from here, and future technologies become the Torment Nexuses that we’ve successfully avoided in the past. But it’s very premature to assume we’ve hit that point.
  • I understand that the 2020s are an exhausted age, in which we’re still reeling from the social ructions of the 2010s. I understand that in such a weary and fearful condition, it’s natural to want to slow the march of technological progress as a proxy for slowing the headlong rush of social progress
  • And I also understand how easy it is to get negatively polarized against billionaires, and any technologies that billionaires invent, and any literature that billionaires like to read.
  • But at a time when we’re creating vaccines against cancer and abundant clean energy and any number of other life-improving and productivity-boosting marvels, it’s a little strange to think that technology is ruining the world
  • The dystopian elements of modern life are mostly just prosaic, old things — political demagogues, sclerotic industries, social divisions, monopoly power, environmental damage, school bullies, crime, opiates, and so on
Javier E

Polyamory, the Ruling Class's Latest Fad - The Atlantic - 0 views

  • More is a near-perfect time capsule of the banal pleasure-seeking of wealthy, elite culture in the 2020s, and a neat encapsulation of its flaws. This culture would have us believe that interminable self-improvement projects, navel-gazing, and sexual peccadilloes are the new face of progress.
  • The climate warms, wars rage, and our country lurches toward a perilous election—all problems that require real action, real progress. And somehow “you do you” has become the American ruling class’s three-word bible.
  • Charles Taylor has argued that, since at least the late 20th century, Western societies have been defined by “a generalized culture of ‘authenticity,’ or expressive individualism, in which people are encouraged to find their own way, discover their own fulfillment, ‘do their own thing.’
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  • On the left, what gets termed “wokeness” is indissociable from self-help. How should we understand superficial, performative expressions of “anti-racism” or preening social-media politics if not as a way for self-described good-hearted liberals to make grand public displays of pruning their moral shrubbery?
  • We might call this turbocharged version of authenticity culture “therapeutic libertarianism”: the belief that self-improvement is the ultimate goal of life, and that no formal or informal constraints—whether imposed by states, faith systems, or other people—should impede each of us from achieving personal growth
  • This attitude is therapeutic because it is invariably couched in self-help babble. And it is libertarian not only because it makes a cult out of personal freedom, but because it applies market logic to human beings. We are all our own start-ups. We must all adopt a pro-growth mindset for our personhood and deregulate our desires.
  • We must all assess and reassess our own “fulfillment,” a kind of psychological Gross Domestic Product, on a near-constant basis. And like the GDP, our fulfillment must always increase.
  • Among the right, a new kind of reactionary self-help is ascendant. Its mainstream version is legible in the manosphere misogyny of Jordan Peterson, Joe Rogan, and Andrew Tate, while more eldritch currents lurk just beneath the surface. The Nietzscheanism of internet personalities like Bronze Age Pervert—who combines ethnonationalist chauvinism in politics and personal life with a Greco-Roman obsession with physical fitness—is only one of many examples of the trend the social critic Maya Vinokour has called “lifestyle fascism.”
  • Stewart’s response to the UTIs is not concern for his wife but irritation: “This guy is breaking all my toys,” he grumbles. When she gets upset that her husband keeps calling her a “cunt” and a “whore” during sex—something he professes not being able to help—Stewart does not change this habit. Instead they strike a preposterous bargain: “He will try his best not to scream cunt during sex, and I will do my best to ignore him if he does.”
  • What the author is trying to find in her open relationship is not sex, but self-understanding—what it means, how we get it, whether sex can provide it. And although the answers Molly arrives at are not cheaply won, they are cheap all the same.
  • his concept doesn’t quite capture the extent to which this relentless quest for self-optimizing authenticity has infused our social and even political sensibilities.
  • though Molly may tell herself and her readers that she is on a journey of learning and growth, the ugly truth is that More feels like a 290-page cry for help. Molly does not come off as a woman boldly finding herself, but rather as someone who is vulnerable to psychological manipulation and does not enjoy her open marriage.
  • if it seems like Molly Roden Winter does not want to be in an open marriage, it is because she often lets us know that she doesn’t want to be in an open marriage.
  • When a couples therapist asks the pair why they’re in counseling halfway through the book—prompted by a breakdown Molly experiences that stems from their marital arrangement—she explains: “We’re here because I don’t want to be in an open marriage anymore, but Stewart does.”
  • There are precious few sex scenes where Molly seems to be enjoying herself. When Molly is in the middle of a squirmy threesome she’s been dreading, she literally dissociates from her body, pretending that she is a director staging a scene in which her physical person is merely an actor. Molly describes how she performs her role with “a clinician’s detachment” and leaves the apartment rapidly so as not “to be pulled back into this scene.” After one of her dates repeatedly removes his condom without her consent—an act known as “stealthing,” which is considered a sex crime in a number of countries and the state of California—she contracts a series of urinary tract infections
  • Near the end of the memoir, the author’s mother provides the empty epiphany toward which the text careens. “Everything that happens in life,” her mom offers, “is an opportunity to learn about yourself. Marriage. Motherhood. Relationships. Even anger and illness. Nothing that happens is good or bad in and of itself. It’s all just an opportunity to learn and grow.” With this maternal revelation, Molly’s “skin starts to tingle.” She relates that the advice “feels almost holy.”
  • Winter is trapped in her therapeutic worldview, one imposed on her by an American culture that has made narcissism into not simply a virtue, but a quasi-religion that turns external obstacles into opportunities for internal self-improvement.
  • These obstacles include, in her case, profound gender inequality relating to Molly’s life as a parent to two sons, and a troubling family history. Molly’s mother joined a cult—and indoctrinated the author into it as a child—at the urging of a male partner in her own open marriage. The book makes tacit comparisons between Molly’s mother’s initiation into a cult at the behest of an extramarital partner, and Molly’s own initiation into an open marriage at the behest of her husband.
  • throughout More, the dominant emotion Molly reports is not lust but rage—primarily at the deeply unequal child-care burdens that are placed upon her. “I think about all the years I’ve spent my night alone with the kids—the dinners, the bedtimes, the dishes, the loneliness of doing it all by myself—because Stew had to work,” she laments at one point. That Stewart is now spending late nights not working (if he ever was) but rather schtupping his endless reserve of mistresses pushes Molly further to the brink: “I feel my jealousy mingle with the resentment I’ve kept at bay for years,”
  • Molly doubles down on her quest for self-actualization through the relentless pursuit of bitter novelty: new sexual experiences that she rarely seems to enjoy, new partners who rarely treat her kindly.
  • The only solution Molly can imagine is to persist in an open marriage, rather than push for an equal one. Inward sexual revolution plainly feels more possible than a revolution in who does the dishes.
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