@kcklatt.bsky.social
Assistant Prof, @uoftnutrisci.bsky.social . Experimental #Metabolism Researcher, #Dietitian. Associate Editor, American Journal of Clinical Nutrition. By way of: UC Berkeley, Baylor CoM, NIH, Cornell Kcklatt.substack.com
and they lied on leucovorin too!
bsky.app/profile/kckl...
justice for non-enzymatic reactions!
It'll probably surprise few that HHS managed to slip a whole bunch of quackery & functional medicine junk into their nutrition competencies for medical trainees. This isn't competencies for physicians, its training for being a popular influencer in 2019.
Remember when leucovorin was going to help 'hundreds of thousands' of kids? So glad we're only using gold standard science and rebuilding trust with this FDA. @politico.com
www.politico.com/news/2026/03...
Irrelevant & quack stuff also displaces real competencies. The entire public health nutrition competency list has little if anything to do with public health - nothing about local and state programs that provide food aid & medically tailored meals, how SNAP and WIC work, food safety, etc
It'll probably surprise few that HHS managed to slip a whole bunch of quackery & functional medicine junk into their nutrition competencies for medical trainees. This isn't competencies for physicians, its training for being a popular influencer in 2019.
In a high risk group like this it's unlikely to have 100% completion rate. Effect size is huge for every self reported scale and it's all driven by huge deteoriation of the placebo group and no change in the intervention (other than a tightening of standard deviation)
Extremely homogeneous baseline outcome data that becomes even more homogeneous at 3mo follow up. All scales highly correlated and significant. Basic errors of sample size. Data in table 5 and 6 should be the same and see for some variables but means and SD change for certain outcomes.
It's wild trying to defend the institutions of science from complete collapse while influencers share this newest n3 trial that is almost certainly faked. Peer review and publishing are so broken.
www.sciencedirect.com/science/arti...
There are no minor nutrition wins from this way of thinking that are worth the long-term downsides for all of public health
Yepp. Too many folks pretend that the underlying unscientific thinking that drives anti-vaccine sentiments doesn't also drive their nutrition sentiments: appeal to nature+ cherry picking data + prioritizing handwavey mechanisms over clinical evidence.
Contributions of Women to Human Nutrition - ScienceDirect share.google/xjkiXGpToKGO...
Happy International Women's Day! I'm grateful to be in the field of nutrition, which is dominated by badass women. If you haven't, I recommend reading Janet King PhD RD's 2003 commentary on women in nutrition science & the legacies of Drs Morgan & Calloway as pioneering nutrition academics.
People are still debating about carbs vs fat in obesity pathophysiology/treatment and i'm just like
Ugh. The potential for harm is definitely higher than folks pushing for more physician nutrition education appreciate!
More physician nutrition education is good but will minimally address the barriers preventing integration of evidence-based nutrition interventions into the healthcare system. Still major issues of knowledge & training, time, & reimbursement.
There's a huge problem with the Dietary Guidelines, and it isn't tallow.
It's that the authors went all in on finding any scrap of evidence that supported their beliefs.
We all do that! But here, it's on display remarkably clearly.
(Gift link.)
wapo.st/4cRnHXl
The Surgeon General is a figurehead who can enact cultural change, but this is what's most concerning about Means. She'll be representative of a movement of integrative&functional quack medicine that shifts cultural perspectives on pseudoscience, while doing nothing to really address the food system
In all the Means fanfare, folks are losing site of the fact that we already have a nearly 40 yr old Surgeon General report on nutrition & obesity that is still quite relevant today. It's a shining example of how the Surgeon General has limited power to address nutrition-related chronic disease
They also happen to make her very wealthy in the meantime. Glad she's found a way to pay off those med school loans without a license.
Her approach is a grift built off communications 101 - if you establish shared values, you can gain trust. Means is using peoples concerns about the food system to establish that trust and so that they don't become skeptical of her proposed solutions that ultimately don't address the problem.
Exhibit A: Casey Means rightly thinks that our food environment is driving chronic disease. However, her solutions are spiritual woo woo, CGMs & supplements, despite none of those things being a serious approach that address the problems of our food supply. What happened to 'root cause'?
Someone who has identified the right problems doesn't immediately know the solutions.
we've seen zero pushback on physicians who assert nutrition expertise with zero training and use it to rise to places of power and influence (see: Attia -> Low Carb -> NuSi -> Epstein).
we've seen zero appetite from professional organizations to police their own members who have enthusiastically embraced IFM, or at least have the backbone to put out position statements calling for quelled enthusiasm for & honest comms about low evidence modalities - this is rampant in dietetics
The failures here happen at every level. We've seen the normalization of integrative & functional medicine (IFM) centers at large academic hospitals, granting their legitimacy in exchange for cash grabs from wealthy patients willing to pay for (often risky) low evidence modalities.
As we watch Means go up for her nomination to Surgeon General, don't forget that academic institutions, medical centers and professional orgs have been entirely complacent, and in many ways facilitated, the situation where a nutrition & functional medicine grift is A-OK.
After year 1 of MAHA and a lot of noise from vaccines and speculative health claims, its easy to lose sight of the point for MAHA: cash in on wellness.
Watch out for this frivolous lawsuit from the natural products industry vs FDA on supplement health claims
anh-usa.org/anh-sues-fda....
