Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease

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Penguin, Dec 27, 2012 - Health & Fitness - 336 pages
New York Times Bestseller

Robert Lustig’s 90-minute YouTube video “Sugar: The Bitter Truth”, has been viewed more than three million times. Now, in this much anticipated book, he documents the science and the politics that has led to the pandemic of chronic disease over the last 30 years.

In the late 1970s when the government mandated we get the fat out of our food, the food industry responded by pouring more sugar in. The result has been a perfect storm, disastrously altering our biochemistry and driving our eating habits out of our control.

To help us lose weight and recover our health, Lustig presents personal strategies to readjust the key hormones that regulate hunger, reward, and stress; and societal strategies to improve the health of the next generation. Compelling, controversial, and completely based in science, Fat Chance debunks the widely held notion to prove “a calorie is NOT a calorie”, and takes that science to its logical conclusion to improve health worldwide.


Time to Think Outside the
A Fallacy of Biblical Proportion
A Calorie Is a Calorieor Is
Personal Responsibility versus the Obese SixMonthOld
To Eat or Not to Eat? Thats Not
Food AddictionFact or Fallacy
Stress and Comfort Food
The Birth Care and Feeding of a Fat Cell
Home Run or Hyperbole?
Environmental Obesogens
Response of the Food Industry
The Personal Solution
Altering Your Food Environment
Altering Your Hormonal Environment
When Altering Your Environment Isnt Enough
The Public Health Solution

The Difference Between Fat and Sick
The New Scourge
The Real Toxic Environment
Low Fat versus Low Carb
FructoseThe Toxin
FiberHalf the Antidote
ExerciseThe Other Half of the Antidote
Personal versus Societal Responsibility
What Hath Government Wrought?
A Call for Global Sugar Reduction
Not a TopDown but a BottomUp Movement

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About the author (2012)

Robert H. Lustig, M.D., MSL, is professor of pediatrics in the Division of Endocrinology and a member of the Institute for Health Policy Studies at University of California, San Francisco. He has authored 120 peer-reviewed articles and 70 reviews, as well as The Fat Chance CookbookThe Hacking of the American Mind, and Metabolical. He has mentored 30 pediatric endocrine fellows and trained numerous other allied health professionals. He is the former chairman of the Obesity Task Force of the Pediatric Endocrine Society, a member of the Obesity Task Force of the Endocrine Society, and a member of the Pediatric Obesity Devices Committee of the U.S. Food and Drug Administration. He is also the president of the nonprofit Institute for Responsible Nutrition, dedicated to reversing childhood obesity and Type 2 Diabetes. He consults for several childhood obesity advocacy groups and government agencies.

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