Chapters (40)
- Cover Page
- Title Page
- Dedication
- Prologue A Brief History of Banting
- Part One
- Chapter 1
- Chapter 2
- Chapter 3
- Chapter 4
- Part Two
- Chapter 5
- Chapter 6
- Chapter 7
- Chapter 8
- Chapter 9
- Chapter 10
- Chapter 11
- Chapter 12
- Chapter 13
- Part Three
- Chapter 14
- Chapter 15
- Chapter 16
- Chapter 17
- Chapter 18
- Chapter 19
- Chapter 20
- Chapter 21
- Chapter 22
- Chapter 23
- Chapter 24
- Epilogue
- Notes
- Bibliography
- Acknowledgments
- Illustration Credits
- A Note About the Author
- Also by Gary Taubes
- Footnotes
- Copyright
One consequence of this sub-specialization of modern medicine is the belief, often cited in the lay press, that the causes of obesity and the common chronic diseases are complex and thus no simple answer can be considered seriously. Individuals involved in treating or studying these ailments will stay abreast of the latest “breakthroughs” in relevant fields—the discovery of allegedly cancer-fighting phytochemicals in fruits and vegetables, of genes that predispose us to obesity or diabetes, of molecules such as leptin and ghrelin that are involved in the signaling of energy supply and demand around the body. They will assume rightfully, perhaps, that the mechanisms of weight regulation and disease are complex, and then make the incorrect assumption that the fundamental causes must also be complex. They lose sight of the observations that must be explained—the prevalence of obesity and chronic disease in modern societies and the relationship between them—and they forget that Occam’s razor applies to this science, just as it does to all sciences: do not invoke a complicated hypothesis to explain the observations, if a simple hypothesis will suffice. By the same token, molecular biologists have identified a multitude of genes and proteins involved in the causation and spread of cancer, and so it could be argued, as well, that cancer is much more complex than we ever imagined. But to say that lung cancer, in over 90 percent of the cases, is caused by anything other than smoking cigarettes is to willfully miss the point. In this case, if refined carbohydrates and sugars are indeed the reasons why we fatten—through their effect on insulin and insulin’s effect on fat accumulation—and if our goal is to prevent or remedy the disorder, the salient question is why any deeper explanation, at the moment, is necessary.