Fork U with Dr. Terry Simpson

Terry Simpson

Fork U(niversity) Not everything you put in your mouth is good for you. There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner. On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon who has spent years doing molecular virology research and as a skeptic with academic credentials. He’ll help you develop the critical thinking skills so you can recognize evidence-based medicine, busting myths along the way. The most common medical myths are often disguised as seemingly harmless “food as medicine”. By offering their own brand of medicine via foods, These hucksters are trying to practice medicine without a license. And though they’ll claim “nutrition is not taught in medical schools”, it turns out that’s a myth too. In fact, there’s an entire medical subspecialty called Culinary Medicine, and Dr. Simpson is certified as a Culinary Medicine Specialist. Where today's nutritional advice is the realm of hucksters, Dr. Simpson is taking it back to the realm of science.

  1. Animal Protein and Cancer Risk

    6D AGO

    Animal Protein and Cancer Risk

    Animal Protein and Cancer Risk: What the Science Really SaysRecently, Mark Hyman posted on X (formerly Twitter) that a new study suggests eating more animal protein might actually lower your risk of cancer. The study he pointed to came from the NHANES dataset—a U.S. survey of diet and health. It sounded reassuring, but it doesn’t line up with the bulk of the evidence. Here is the story about Animal protein and cancer risk: Let’s dig into what the science really shows. Red and Processed Meats: Where the Risk Is ClearIf you want the strongest evidence, look at red and processed meats. Large prospective cohort studies and systematic reviews consistently show that higher intake of these foods increases cancer risk. The effect is clearest for colorectal cancer, but we also see it in breast, endometrial, and even lung cancer.[1–6] How big is the risk? Recent meta-analyses and systematic reviews find relative risks (RRs) and hazard ratios (HRs) in the 1.10–1.30 range for the highest vs. lowest intakes. For example, a comprehensive meta-analysis reported that every 50–70 grams per day of red or processed meat increased colorectal cancer risk by 15–32% (HR 1.15–1.32).[3,5] Processed meat generally carries more risk than unprocessed red meat.[2–3,6] That’s why the American Cancer Society recommends limiting red and processed meats. Their advice is clear: swap them out for fish, poultry, or legumes when possible.[15] Fish: A Safer BetThe data on fish tells a different story. Multiple studies and meta-analyses find a modest reduction in colorectal cancer risk with higher fish intake (SRR 0.94, 95% CI 0.89–0.99).[7–8] In fact, adding 50 grams of fish per day reduces risk by about 4%. Pescatarian diets (no red meat, but including fish) show even more protection. Compared to meat-eaters, pescatarians had a 9% lower overall and colorectal cancer risk (RR 0.91, 95% CI 0.86–0.96).[9] Poultry: Mostly NeutralChicken and turkey usually get lumped in with “animal protein.” But when you pull the data apart, poultry tells a different story. Most meta-analyses show a neutral or even slightly protective association with colorectal cancer (RR 0.79, 95% CI 0.63–0.99 for white meat).[10–12] That said, a few studies hint at possible links with certain blood cancers, but those findings aren’t strong or consistent.[5,10] For most people, poultry is a much safer choice than red or processed meats. Dairy: A Mixed PictureDairy is tricky. On one hand, milk and calcium-rich foods are consistently linked to a lower risk of colorectal cancer (RR 0.93, 95% CI 0.91–0.94).[4,13] On the other hand, high intake of milk or calcium may slightly increase the risk of prostate and endometrial cancers (RR 1.09–1.10).[13–14] No consistent associations are found for breast or ovarian cancer. Cheese intake in particular may even have protective effects, but results vary. Why the Confusion?So why did that NHANES study Mark Hyman highlighted find a small reduction in cancer mortality with higher animal protein? A few reasons: NHANES relies on a single dietary recall—one snapshot in time that may not reflect long-term habits.It doesn’t separate red and processed meat from healthier animal proteins like fish or poultry.Residual confounding (differences in lifestyle factors that aren’t fully accounted for) may skew the results. When you put NHANES side by side with larger, longer-term studies and meta-analyses, it looks like the outlier. The overwhelming weight of evidence shows that

    14 min
  2. When Green Tea Isn’t Chemotherapy

    OCT 2

    When Green Tea Isn’t Chemotherapy

    When Green Tea Isn’t ChemotherapyIntroductionFood is powerful. Eating well lowers your risk of many diseases, including cancer. Yet food is not chemotherapy. Still, the idea that broccoli or green tea could replace cancer treatment is tempting. It feels safe, natural, and hopeful. However, cancer is not treated with vegetables or tea. Cancer is treated with medicine. Let’s break down what food can and cannot do when it comes to cancer. Broccoli and Cruciferous VegetablesBroccoli, cabbage, Brussels sprouts, and other cruciferous vegetables contain natural compounds like sulforaphane. In lab studies, these compounds slow cancer cell growth. That is promising. Furthermore, population studies show that people who regularly eat cruciferous vegetables often have a lower risk of colon, lung, and breast cancers. So, broccoli can help lower risk. But here is the key point: broccoli does not cure cancer. No oncologist prescribes broccoli as chemotherapy. Prevention is not the same as treatment. Green Tea and Its LimitsGreen tea is another food often linked to cancer prevention. It contains catechins, such as EGCG, which in test tubes can slow cancer cell growth. Some studies even suggest that people who drink green tea regularly may have slightly lower cancer rates. But again, that is prevention. Once cancer begins, drinking green tea will not stop it. And when taken as concentrated supplements, green tea extracts can actually harm the liver. So, green tea is a fine beverage. But it is not chemotherapy. Personally, I prefer black tea — green tea tastes a little too much like pond water for me. Scams and False HopeSadly, the gap between prevention and treatment is where scams thrive. You’ve probably heard of things like: Gerson Therapy: organic juices and coffee enemas, still promoted in Mexico. No evidence, high risk.Apricot pits and soursop: marketed as natural cures, but linked to toxicity.Ivermectin: useful for parasites, but not proven in cancer. Then there’s the Warburg effect. Otto Warburg correctly observed that cancer cells use sugar differently. But modern science has shown cancer is not a “sugar disease.” It is a DNA disease caused by mutations. Cancer cells can grow on sugar, ketones, and even vitamins. You cannot starve cancer with diet. What Medicine Has DoneNow, let’s talk about the real success stories. Chemotherapy in the past was harsh, like carpet bombing. Yet it saved lives. My brother Jimmy was diagnosed with stage 4 Hodgkin’s disease in 1969. Thanks to experimental chemotherapy and radiation, he lived 37 more years. Today, treatment is even better. We have: Targeted therapies that hit the exact mutation in a tumor.Immunotherapy drugs that unleash the body’s own defenses.Combination therapies that extend survival with fewer side effects. And vaccines are changing everything. The HPV vaccine prevents cervical, anal, and many oral cancers. It may even help lower melanoma risk. Researchers are now studying vaccines for brain cancers like glioblastoma and even for pancreatic cancer. No apricot pit will ever do that. Food Still MattersWe should not ignore food. A poor diet filled with ultra-processed foods and low in fiber increases cancer risk. In fact, the rise in colon cancer among younger adults is likely tied to diets low in fiber and high in processed foods. The Mediterranean diet, rich in fruits, vegetables, whole grains, olive oil, and legumes, does more than prevent cancer. The large EPIC studies show it also lowers the risk of cancer coming back after treatment. That makes it...

    13 min
  3. Why Beans Aren’t Medicine

    SEP 25

    Why Beans Aren’t Medicine

    Food Is Powerful, But It’s Not EnoughFood shapes our health. Eating beans, fruits, vegetables, and whole grains can lower the risk of diabetes and other chronic conditions. Yet food does not replace medicine. Clearly, diets high in ultra-processed foods make diabetes worse. And yes, eating better is the most empowering thing anyone can do. Still, some claim that modern food is the only reason we have chronic diseases like diabetes. They argue that if people only ate “real food,” there would be no need for medicine. History proves otherwise. The Story That Changed Everything: Dr. Banting and InsulinIn the early 1920s, Dr. Frederick Banting and Charles Best discovered insulin in Toronto. At the time, children with type 1 diabetes had no future. Families were told to put their kids on starvation diets, hoping to add a few months to their lives. Death was certain. Then came insulin. Doctors injected it into children already in comas. One by one, they woke up. They sat up, asked for food, and hugged their parents. What had been a hospital ward of silence turned into a place of joy. Insulin was the fastest-adopted drug in history. Banting became the youngest Nobel Prize winner at the time. That discovery did not come from food. It came from science and medicine. Two Types of DiabetesThere are two main types of diabetes. Type 1 diabetes happens when the pancreas loses all ability to make insulin. Without insulin, sugar cannot move into cells, and life cannot continue. That is why every person with type 1 diabetes needs insulin from the first day of diagnosis.Type 2 diabetes is different. In this case, the body still makes insulin, but the cells resist it. Over time, the pancreas wears out. That is why many people with type 2 eventually need insulin too. It is not failure. It is simply how the disease progresses. Food can help manage both types, but food alone is never enough. What Beans Can DoBeans are one of the best foods for blood sugar. They are full of soluble fiber, which slows down glucose absorption. They also provide plant protein and have a low glycemic index. That means they don’t spike blood sugar the way soda or white bread does. Research shows that eating beans regularly can lower hemoglobin A1c — the measure of long-term blood sugar — by about 0.3 to 0.5 percent. That is a real effect from food. Beans are also practical. They are inexpensive, found almost everywhere, and have been eaten by humans longer than almost any other protein source. Why Beans Aren’t MedicineNow let’s compare beans to metformin. Metformin is the first-line drug for type 2 diabetes. It lowers A1c by 1 to 2 percent. That’s two to four times more than beans. Metformin also lowers the risk of heart disease and has decades of safety data behind it. So while beans help, they are not metformin. If blood sugar is high, no amount of hummus or chili will bring it back to safe levels. Medicine is needed. Food lays the foundation, but medicine does the heavy lifting. The Best Diet for Diabetes: The Mediterranean PatternWhen it comes to diet, the evidence is clear. The Mediterranean diet is the best overall eating plan for diabetes. This diet includes: FruitsVegetablesOlive oilNutsLegumes (yes, beans!)Whole grains Now, some people push back against whole grains. That may be because they grew up in the low-carb era, when grains were unfairly blamed for every health problem. But whole grains are healthy, especially for people with diabetes. They are far better for the body than bacon or butter. The Mediterranean...

    9 min
  4. Salmon isn't a Stent Food and Medicine

    SEP 18

    Salmon isn't a Stent Food and Medicine

    When Salmon Isn’t a StentHeart disease was four times more deadly than it is today. In those days, we had no statins, no stents, and no bypass surgery. Food was the only weapon doctors had. Pharmacies in Rome and Greece even stocked extra virgin olive oil for patients with “hardening of the arteries.” Doctors sent people to pick up bottles, almost like prescriptions. Olive oil wasn’t curing clogged arteries, but it showed an early recognition that diet mattered. Then scientists noticed something bigger. In certain Mediterranean villages, people lived longer with far less heart disease. It wasn’t genetic. Relatives who moved to cities and switched to Western diets developed heart disease much earlier. Researchers didn’t stop there. They followed men in villages across Europe and the Mediterranean for decades. Some communities ate diets heavy in saturated fats. They developed clogged arteries and heart disease quickly. Other communities ate diets rich in fruits, vegetables, legumes, fish, nuts, and olive oil. They had much lower rates of heart disease. This pattern became the foundation of what we now call the Mediterranean Diet. At that time, diet gave us hope. But today, we know that food alone is not enough. Lyon Heart StudyThe Lyon Diet Heart Study proved how powerful diet could be. Conducted just as statins came onto the market, it showed that patients with heart attacks who switched to a Mediterranean-style diet had a 70% lower risk of another cardiac event. That meant fewer heart attacks and fewer deaths. Later, the PREDIMED trial confirmed these results. In high-risk adults, the Mediterranean Diet reduced major cardiovascular events by about 30%. That’s impressive, but it also raises a question: can people sustain it? Adherence usually means sticking with the diet about 70 percent of the time. That’s not perfect. Here’s a personal example. I have hypercholesterolemia and a strong family history of heart disease. I follow the Mediterranean Diet carefully. But even with strong adherence, my LDL cholesterol never dropped below 180. With two drugs — Zetia and Crestor — my LDL is now in the 40s. Food helps. Medicine saves. Atherosclerosis begins early in lifeThe PESA Heart Study showed why this matters. Researchers in Spain followed adults who felt perfectly healthy. Using advanced imaging, they found more than 60 percent already had plaque in their arteries. Atherosclerosis begins silently, and often decades before symptoms appear. The JUPITER trial with rosuvastatin (Crestor) proved what medicine can do. Statins reduced cardiovascular events by 44 percent, and the study had to stop early because the benefit was so strong. And then there’s Dean Ornish. His program is often called the “diet that reverses heart disease.” But it was never just a diet. His patients quit smoking, took statins, took blood pressure medications, and practiced yoga. Ornish proved that lifestyle matters — but it was food and medicine together that made the difference. Barbara O'Neill and Cayenne PepperMeanwhile, scammers still sell false hope. Barbara O’Neill, banned from giving health advice in Australia, charges thousands for seminars where she claims cayenne pepper “opens arteries.” That’s pure fiction. Cayenne is a spice, not a stent. She also claims cholesterol guidelines only exist to enrich drug companies. Yet my three-month supply of Crestor costs $2.36, while she profits thousands. The real con is clear. So here’s the truth: salmon is healthy, but it isn’t a stent. Olive oil helps, but it isn’t a statin. Food prevents disease. Medicine treats it. Together, food and medicine are...

    13 min
  5. Bananas Aren’t Beta Blockers

    SEP 11

    Bananas Aren’t Beta Blockers

    When Bananas Aren’t a Beta BlockerPeople love to believe that food can replace medicine. We talked about this in Episode One, where I explained that Hippocrates never said “let food be thy medicine.” Still, the myth endures. Food does matter. The right eating pattern can lower blood pressure. One of the best-studied is the DASH Diet—short for Dietary Approaches to Stop Hypertension. It is often called America’s version of the Mediterranean Diet. While the Mediterranean Diet was being mapped out for overall health, the DASH researchers asked a sharper question: what foods can lower blood pressure directly? Why DASH Is UniqueUnlike most nutrition studies, the original DASH trial provided all the food to participants. That meant researchers knew exactly what people ate, meal after meal. This is rare and expensive, but it gave them confidence in the results. The DASH diet emphasizes: Fruits and vegetables, especially potassium-rich foods like bananas, beans, and leafy greensWhole grainsLean proteins, like fish and poultryLow-fat dairyLess red meat, sweets, and sodium Because it combined several food groups, DASH worked quickly. Within two weeks, blood pressure dropped. What the Studies ShowThe results were consistent. People following DASH lowered their systolic blood pressure (the top number) by 8–11 mmHg and their diastolic pressure by 5–6 mmHg. That is about the same as one standard blood pressure pill. Even more important, DASH showed that sodium reduction matters. Those who cut sodium intake to 1,500–2,300 milligrams per day saw the greatest improvements. This shattered the myth that unlimited salt is safe. Too much sodium raises blood pressure, increases heart disease risk, and fuels strokes. The Role of ElectrolytesThis is where things get messy. Electrolytes, especially sodium, are necessary during prolonged exercise—typically more than 1–2 hours, in hot weather, or when sweating heavily. Under those conditions, sodium helps prevent hyponatremia, a dangerous drop in blood sodium levels. However, for most people exercising less than an hour, water is enough. Regular meals will replace lost sodium. Salty drinks or powders aren’t required. In fact, most commercial sports drinks don’t even contain enough sodium to match sweat losses in extreme events. The Salt Supplement ScamHere is where the grift appears. Shirtless salesmen on social media love to sell high-priced mango-flavored salt packets as “essential” electrolytes. They promise performance and recovery, but they may actually raise your blood pressure and put you at risk. Science says otherwise. Electrolyte supplementation should be individualized and used with caution. People at highest risk from unnecessary sodium loading include: Those with hypertension, heart failure, or kidney diseaseWomen, who are more prone to overhydration and hyponatremia due to smaller body size and lower sweat ratesOlder athletes or those with low body massRecreational athletes who follow outdated advice to “drink as much as possible” Even ultra-endurance athletes cannot rely on sodium supplements alone. If they drink more than they lose, sodium will not prevent hyponatremia and may make things worse. The best strategy is to drink to thirst and use salty foods or fluids only when truly needed. What a DASH Day Looks LikeHow can you follow DASH in real life? Here’s one...

    11 min
  6. Tofu Isn't a Statin: Food as Medicine

    SEP 4

    Tofu Isn't a Statin: Food as Medicine

    When Tofu Isn’t a StatinPeople love to say “food is medicine.” Some even claim Hippocrates himself said it. But here’s the thing: he didn’t. The phrase does not appear in any of his surviving writings. In fact, historians believe the line was created centuries later and then falsely attached to Hippocrates to give it weight. Still, the idea persists. Even the current head of HHS, Robert F. Kennedy Jr., has repeated the myth. And when RFK Jr. is your fact-checker, you know you’re in trouble. Now, as someone certified in Culinary Medicine, I believe food is incredibly powerful. Eating the right foods can prevent disease, improve health, and help you live longer. However, food alone rarely works as well as actual medicine. That is especially true when it comes to cholesterol. The Portfolio DietIn the early 2000s, Dr. David Jenkins and his team introduced what they called the Portfolio Diet. Instead of focusing on one “superfood,” the diet combines several cholesterol-lowering foods: Soy proteinNuts, like almondsViscous fibers from oats, barley, or psylliumPlant sterols from fortified foods Each one has a small effect. But when you put them together, the benefits add up. Why does it work? Cholesterol gets secreted by your liver into bile, then travels into your gut. Normally, most of that cholesterol is reabsorbed into your bloodstream. But fiber and plant sterols bind to cholesterol and drag it out of your body. That’s why bowel movements are brown—bile is brown, and fiber helps carry it out. More fiber means you feed your gut bacteria and flush away cholesterol. It really is a win-win. What the Studies ShowThe Portfolio Diet has been tested in multiple clinical trials. In one JAMA study, people who followed the diet lowered their LDL cholesterol by about 13 to 14 percent over six months. That translated to a drop of about 24–26 mg/dL. Other studies show that people who stick with it can lower their LDL by 17 percent on average. Some who were especially diligent saw drops of more than 20 percent at one year. The Portfolio Diet also improves non-HDL cholesterol, apolipoprotein B, and long-term risk for heart disease. So yes—it works. In fact, the effect is similar to what you get from early statins like lovastatin. What It Looks Like in Real LifeThe science sounds great. But how do you actually eat this way? Here’s one example day: Breakfast: Oatmeal made with soy milkSnack: A handful of almonds (about 25–30 grams)Lunch: Lentil soup with whole-grain breadDinner: Tofu stir-fry with vegetables and barleyExtra: Two grams of plant sterols, often from fortified margarine spreads That daily pattern gives you soy protein, fiber, nuts, and plant sterols. But here’s the challenge: it takes careful planning to hit the right doses every day. It’s not impossible—but it is hard to sustain. How It Differs from the Mediterranean DietMany people confuse the Portfolio Diet with the Mediterranean Diet. Both are plant-forward, emphasize nuts, legumes, whole grains, and lower cardiovascular risk. However, the Mediterranean Diet is broader and easier to follow. It includes olive oil, fish, fruits, vegetables, and even moderate wine. The Portfolio Diet, on the other hand, is very prescriptive. You must hit specific amounts of soy protein, fiber, and sterols daily. Think of the Mediterranean Diet as the entire restaurant, while the Portfolio Diet is just one corner of the menu—focused...

    12 min
  7. Pasteurization Saves Lives: Milk Myths vs. Science

    AUG 28

    Pasteurization Saves Lives: Milk Myths vs. Science

    Milk: Life, Death, and the ParadoxMilk has always been central to survival. When mothers died in childbirth—and this happened often before modern medicine—infants survived only if they had access to another nursing mother or wet nurse. When that wasn’t possible, families sometimes turned to the milk of other mammals. That discovery helped keep our species alive. However, milk’s role in human survival carried a hidden danger. While milk nourished infants, it also became a deadly carrier of disease. When Raw Milk Killed ThousandsDuring the 1800s, raw milk was anything but safe. In New York City, dairies kept cows next to distilleries, feeding them whiskey mash. The resulting milk was bluish and watery. To disguise it, producers added chalk and plaster. Parents unknowingly gave this milk to children. According to estimates, 8,000 infants die a year from contaminated milk in New York alone. Milk also spreads tuberculosis, diphtheria, scarlet fever, and typhoid. A simple glass of raw milk could kill. Louis Pasteur and the Germ TheoryThe turning point came with Louis Pasteur, a French chemist who proved microbes spoiled wine and beer. He developed the process of pasteurization: heating a liquid enough to kill pathogens without ruining flavor. His discovery revolutionized public health. Pasteur’s germ theory of disease proved that invisible microbes caused illness. Applied to milk, this meant heating could save lives. Pasteur’s work inspired sterilization in surgery, the discovery of TB bacteria, and eventually vaccines. The American Fight for Safe MilkIn the U.S., pediatrician Abraham Jacobi urged families to boil milk by the 1870s. Philanthropist Nathan Straus built pasteurized milk stations across New York. Mortality rates for children who drank Straus’s milk dropped by nearly 50%. Pasteurization was not flashy, but transformative. Alongside clean water and vaccines, it became one of the greatest advances in human health. Tragedy in Residential SchoolsIndigenous children in Canada’s residential schools were forced to drink raw milk from cows raised on pasture. The cows looked healthy, but many carried bovine tuberculosis. Children sickened and died. In some schools, mortality reached 30–60% in just five years. Hundreds of unmarked graves discovered in recent decades reveal the human toll. Even the cleanest farm or happiest cow can carry pathogens. You cannot see tuberculosis or E. coli in a glass of milk. Pasteurization is the only safeguard. Raw Milk in the Modern EraDespite history, raw milk has returned as a “wellness” trend. Politicians like RFK Jr. have promoted it, even doing raw milk “shots” with influencer Paul Saladino in the White House. But nostalgia doesn’t erase microbiology. Just weeks later, Florida saw 21 people sickened—including six children—by E. coli and Campylobacter from raw milk. Seven were hospitalized. Two developed life-threatening complications. If someone claims to support children, selling raw milk undermines that promise. Myths vs. FactsMyth: Raw milk has more nutrients. Fact: Pasteurization causes 10% vitamin loss. Proteins, calcium, and fats remain intact. Myth: Raw milk prevents asthma. Fact: Studies show lower allergy rates in farm kids, but due to the farm environment, not the milk. Myth: A clean farm means safe milk. Fact: Even pristine dairies can harbor invisible pathogens like TB, Salmonella, or Listeria. Myth: Pasteurization “ruins” milk. Fact: Pasteurized milk is...

    12 min
  8. Protein Powders: Hype and Science

    AUG 21

    Protein Powders: Hype and Science

    Protein Powders: What’s Real, What’s Hype, and Why It MattersProtein powders are everywhere. Walk into a gym, scroll through social media, or visit a health food store, and you’ll see tubs of whey, egg, pea, and soy protein. Add buzzwords like “isolate,” “hydrolysate,” and “grass-fed,” and suddenly these powders sound like liquid gold. But how much of this is science—and how much is hype? From Surgeons to ShakersSurgeons were among the first to use modular proteins. In the ICU, when patients couldn’t eat, we relied on early protein formulas. These weren’t the big plastic tubs you see at Costco. They were custom-made, extremely expensive, and delivered directly into the gut through a feeding tube. Proteins like albumin cost thousands of dollars and were carefully monitored. Over time, science moved forward. Modern protein powders have become more affordable and accessible. What once cost hospitals a fortune is now sold in shiny containers at gyms and supplement shops. That’s progress—although it also opened the door for plenty of marketing nonsense. The Egg Protein CrazeThe very first protein powders sold to the public in the 1950s were made from eggs. Hollywood stars promoted them as the secret to beauty and muscle. Soon, the “beautiful people” diet drifted into gyms, where bodybuilders grabbed onto the promise of sculpted muscles. Eventually, protein shakes became a middle-America trend. Today, gyms often make more profit selling supplements than memberships or training. That’s not nutrition—it’s salesmanship. Curds, Whey, and the Rise of Dairy ProteinRemember the nursery rhyme about “curds and whey”? That wasn’t just poetry. Cheese making separates milk into two parts: the solid curds and the liquid whey. For centuries, whey was a waste product. Farmers dumped it or fed it to pigs. Then researchers discovered that whey contained high-quality protein, packed with amino acids. Now, whey protein is the biggest player in the supplement industry. Isolates and hydrolysates are simply forms of whey with more processing. They’re not magic—they’re filtered versions of what used to be discarded. Beyond Cows: Other Sources of ProteinCows aren’t the only animals providing milk protein. Goats produce protein powders, too, often marketed as “easier to digest.” Then there’s pea protein, soy protein, and rice protein, sold to vegans and those with dairy allergies. These plant-based versions can be useful, but they aren’t inherently superior. Branched-chain amino acids (BCAAs) are another popular product. They sound impressive, but in reality, if you’re eating enough protein in your diet, you already have plenty of BCAAs. Extra scoops don’t turn into extra muscle. Why Surgeons Still Prescribe ThemHere’s the irony. While influencers push powders as miracle muscle builders, surgeons actually prescribe them for medical reasons. After weight-loss surgery, patients can’t eat large amounts of food, so modular proteins help meet nutritional needs. In ICU patients with short gut syndrome or severe illness, protein powders save lives. Doctors used them first—long before gyms turned them into cash cows. The difference? We used them based on data, not marketing hype. The Bottom LineProtein powders are tools, not miracles. They’re convenient, portable, and sometimes necessary. But they’re not a shortcut to health. If you eat enough protein from whole foods, you probably don’t need that expensive tub with the shiny label. The supplement industry thrives on hype. Science thrives on evidence. And if history has shown us anything, it’s that evidence always wins—eventually. ReferencesBoirie Y, Dangin M, Gachon P, Vasson M-P,...

    10 min

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About

Fork U(niversity) Not everything you put in your mouth is good for you. There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner. On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon who has spent years doing molecular virology research and as a skeptic with academic credentials. He’ll help you develop the critical thinking skills so you can recognize evidence-based medicine, busting myths along the way. The most common medical myths are often disguised as seemingly harmless “food as medicine”. By offering their own brand of medicine via foods, These hucksters are trying to practice medicine without a license. And though they’ll claim “nutrition is not taught in medical schools”, it turns out that’s a myth too. In fact, there’s an entire medical subspecialty called Culinary Medicine, and Dr. Simpson is certified as a Culinary Medicine Specialist. Where today's nutritional advice is the realm of hucksters, Dr. Simpson is taking it back to the realm of science.

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