Dr. Chris Van Tulleken ate 80% of his calories from ultra-processed food for 30 days as the pilot subject in what may become the world's largest randomized controlled trial of UPF — he gained 6 kg (15 lbs) in four weeks and developed brain changes that persisted 8 weeks after stopping.
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His fMRI scans showed a massive increase in connectivity between the habit-forming cerebellum and the reward/addiction regions of the brain — findings his researchers described as resembling the development of a new addiction — all from a diet typical of an American teenager.
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Ultra-processed food blunts your satiety hormones at a biological level: after 4 weeks on UPF, his fullness hormones rose far less and his hunger hormones stayed far higher after eating the same standardized meal — the food modifies your body's ability to feel full after any food.
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The tobacco industry literally bought the food industry in the mid-1980s — Philip Morris and RJ Reynolds acquired General Foods and Crisco, and used their product-development techniques to engineer addictive foods the same way they had engineered addictive cigarettes.
Protocols
Concrete recipes — what, when, how much, and why
6 items
Mindful eating as disgust-induction — the plate-and-fork protocol for UPF
WhatWhen you eat UPF, plate it on a china dish, use a knife and fork, sit down, and take slow deliberate bites. Do not eat from a bag, box, or packet in a car or while standing. The deliberate slowing removes the environmental scaffolding that enables overconsumption.
WhenAny time you are trying to reduce UPF intake but find restriction is failing.
DoseOnce consistently applied, many people report the food loses its appeal within a few weeks as the sensory and mythological illusion (the shape, the tube, the packaging) is stripped away.
For whomAnyone who identifies as addicted to specific UPF products and has repeatedly failed at restriction or abstinence.
WhyUPF is a sensory and environmental addiction as much as a chemical one. The processing (shape, texture, packaging) and the eating environment (speed, containers, distraction) are what enable overconsumption. Remove the environmental scaffolding and the food fails to hold up.
CaveatsThis is a psychological tool, not a nutritional cure. People with eating disorders or trauma around food should approach with professional support.
Van Tulleken describes his own experiment: 'Around week three I had a chat with a colleague in Brazil... and she kept saying a thing — it's not food, Chris. It's an industrially processed edible substance. I sat down that evening to eat my favorite fried chicken brand. I got a little bucket of it and I was so looking forward to it and I couldn't finish it. She had made it disgusting.' A nutritionist/psychologist patient of a colleague achieved the same result by sitting in Burger King and taking 20 chews per bite: 'He came back and he was like, this was gross. I couldn't eat it after I did that.' Hyman confirms his own perceptual shift: 'It doesn't look like food to me. It looks like a rock or a piece of wood.' Van Tulleken also recommends the Pringles experiment: crush them into powder in a bowl and eat with a spoon — discovering whether you love the chip or love the hyperbolic paraboloid shape plus tube branding.
Mechanism
UPF is engineered with texture, shape, color, and aroma to deliver maximum sensory stimulation in the first 2-3 bites. Slow-eating removes the rapid-fire sensory sequence the product was optimized to deliver, causing the sensory signal to decay. The food becomes 'gray powder' — which, Van Tulleken notes, is what it would actually look like without artificial dyes.
Personal experience
Van Tulleken: 'I genuinely do not want any of it anymore. I eat it to be polite.' Hyman: 'I definitely would — it just doesn't look like food to me.'
The food will be your greatest teacher. Eat the food. Lay it out on a china plate. Get a knife and fork. This is not food that stands up to scrutiny.
Also said
“Get your Pringles, get them out of the tube, crunch them up into a powder, put the powder in a bowl, and eat it with a spoon. And that way you will discover if you really love Pringles because part of that ultraprocessing is the hyperbolic paraboloid shape, part of the ultraprocessing is the mythology, the branding on the tube.”— Concrete experiment to separate product love from engineering-induced palatability.
Read about the food industry's incentives before trying to quit UPF
WhatBefore attempting to stop eating UPF, deliberately learn about how food companies engineer products for addiction — the brain-scanner product development, the bliss-point research, the tobacco-industry origins, the conflicts of interest in regulatory bodies.
WhenAs a prerequisite to any dietary change attempt, or in the first week of a reduction attempt.
DoseReading one book (Van Tulleken's Ultraprocessed People or Moss's Salt Sugar Fat) is sufficient — the goal is cognitive reframing, not encyclopedic knowledge.
For whomAnyone who has tried to eat less UPF and blamed themselves for failing.
WhyUnderstanding the commercial incentives of an addictive product is one of the best-evidenced quit tools from smoking cessation. It shifts the locus of control from 'I lack willpower' to 'I am being engineered against' — which activates very different psychological resources.
CaveatsUnderstanding does not automatically confer willpower. It is one tool in a multi-tool approach. Structural barriers (food access, cost, time, marketing) remain even after full awareness.
Van Tulleken: 'Understanding the tobacco industry massively helps smokers and understanding the food industry really helps people who are addicted to UPF.' He draws a direct parallel between the tobacco cessation literature — where understanding that cigarettes were engineered to trap you reduces blame and increases agency — and UPF. Key industry facts he documents: Unilever's head of neuroscience openly discusses putting people in brain scanners to watch them eat ice cream; companies internally track 'stomach share' (how much and how fast people eat); the bliss point was industrialized by Howard Moskowitz in the 1970s designing tomato sauce; Philip Morris/RJ Reynolds bought General Foods and Crisco in the mid-1980s.
Mechanism
Cognitive reframing shifts attribution from self-blame to systemic accountability, which removes shame-based eating (stress-eating after failed diets) and replaces it with analytical engagement with the behavior.
Understanding the incentives of those who are selling you the substance is important. Understanding the tobacco industry massively helps smokers and understanding the food industry really helps people who are addicted to UPF.
Remove environmental scaffolding — do not keep UPF in default-available home formats
WhatDo not keep UPF in the home in the packaging formats that enable mindless consumption (bags, tubes, grab-and-go boxes). If you choose to eat UPF, require yourself to go out to get it — do not make it the default available option.
WhenEnvironmental restructuring to be done once, not repeated each time temptation arises.
For whomAnyone who eats UPF primarily because it is there, not because of active craving.
WhyUPF eating is heavily environment-dependent. The tube, the bag, the open-packet format enable continuous grazing without any single decision point. Removing the default-available format requires a separate decision to procure the food, breaking the automatic eating loop.
Van Tulleken's description of his experimental state: 'I was never full. I was never hungry. I was just sort of eating all day because that's what the food allows you to do.' The food is designed to be eaten continuously — it does not produce the satiety signal that stops eating of minimally processed food. Removing the home supply breaks the automatic grazing default.
I was never full. I was never hungry. I was just sort of eating all day because that's what the food allows you to do.
Satiety recalibration: transition to minimally processed food and allow hormonal recovery
WhatAfter weeks or months of heavy UPF consumption, expect a period of poor satiety from any food — because UPF has modified the hormonal satiety response globally, not just for processed food. Transition to minimally processed food (NOVA Groups 1-3) and allow weeks for hormonal recalibration.
WhenWhen beginning any dietary improvement program after a period of heavy UPF consumption.
DoseVan Tulleken felt better within 48 hours of stopping; hormonal recalibration may take weeks longer. His weight (6 kg gained in 4 weeks) took 2 years to lose.
For whomAnyone transitioning off a long-term high-UPF diet who finds that whole foods do not fill them up.
WhyUPF exposure blunts fullness hormone response and keeps hunger hormones elevated. If you transition to minimally processed food while this hormonal state persists, you will feel less full than expected — which is a normal part of recovery, not a sign the new diet is not working.
CaveatsThis protocol is derived from a single-subject experiment with 4 weeks of exposure. Chronic long-term UPF consumption may require longer hormonal recovery. No formal clinical data yet on recovery timeline.
The key insight: the satiety blunting is not specific to processed food — it affects the hormonal response to any food. A standardized meal that would have produced normal satiety signals before the experiment produced a blunted response after 4 weeks of UPF. Someone switching from UPF to whole foods may not feel full from whole foods initially — not because whole foods are inadequate, but because the hormonal system has been recalibrated.
Mechanism
UPF modifies the hormonal satiety-response system: fullness hormones upregulate less after meals; hunger hormones clear more slowly. Candidate mechanisms include microbiome disruption, emulsifier effects on gut-hormone-secreting L cells, and reward-pathway dysregulation that decouples eating from satiety.
After eating the same standard meal at the end of the UPF diet, my fullness hormones went up much less and my hunger hormones stayed much higher. So at the end of the same meal, the diet is modifying your body's ability to feel full after any food.
Use WHO free-sugar threshold (5% of daily calories) as a single-number UPF proxy
WhatWhen evaluating packaged foods, apply the WHO free-sugar threshold: no more than 5% of total daily calories from free/added sugars. Any product providing more than 5% of calories from added sugars in a single serving is at or above the entire daily recommended ceiling.
WhenAt point of purchase, when evaluating packaged foods without access to NOVA classification tools.
DoseApplied consistently as a buying rule; replace flagged products with NOVA Group 1-3 alternatives.
For whomConsumers navigating supermarkets without expert guidance.
WhyMore than 99% of UPF products exceed recommended thresholds for at least one of calories, saturated fat, salt, or sugar. You do not need the NOVA classification to identify most UPF — nutrient profile alone is a highly specific proxy.
CaveatsCatches 99%, not 100% of UPF. Newer 'clean label' UPF uses natural additives and stays within nutrient thresholds — a growing loophole Van Tulleken identifies.
Van Tulleken criticizes the US FDA's proposed front-of-pack labeling: 'The low, you get low for added sugars if it's 5% sugar. Now, WHO says you shouldn't eat more than 5% of your calories from free sugar at all. You'll get health benefits all the way down to 5% if you can get it down. So saying that 5% is low when that's at the upper edge of what WHO recommend for a daily intake feels lax.' The South/Central American black-octagon system — a stop-sign warning that appears once any single threshold is exceeded — is his preferred model.
WHO say you shouldn't eat more than 5% of your calories from free sugar at all. You'll get health benefits all the way down to 5% if you can get it down.
Address the UPF sodium-nocturia-cortisol cascade when cutting processed food
WhatWhen reducing UPF, expect rapid improvement in sleep within 48 hours. Recognize that poor sleep during heavy UPF consumption is often driven by excess sodium: high sodium leads to compensatory fluid intake, nocturia, fragmented sleep, elevated cortisol, and secondary overeating driven by fatigue and cortisol — a self-reinforcing loop.
WhenFirst 48-72 hours of reducing UPF intake. Also use as a diagnostic frame when a patient presents with insomnia/nocturia and does not yet connect it to diet.
DoseVan Tulleken reported feeling 'massively better' within 48 hours of stopping UPF.
For whomAnyone with insomnia, nocturia, or fatigue who has not connected these to UPF sodium intake — particularly men in their 40s.
WhyUPF is uniformly high in sodium. Breakfast cereal and microwave lasagna contain comparable salt levels. This sodium drives polydipsia, nocturia, sleep disruption, cortisol elevation, and then secondary overeating — a cascade that is entirely food-driven and rapidly reversible.
CaveatsIf nocturia or insomnia persist after reducing UPF, investigate other causes (prostate, sleep apnea, etc.).
Van Tulleken: 'The food is so salty that you eat it in the evening and then you have to drink all this fluid. So then if you're a man in your 40s, you're kind of up all night peeing as well and then you're exhausted and you get constipated. Your life starts and you're angry and tired and stressed and so you get up in the middle of the night and then you're eating more because you're tired and your cortisol level goes up.' The UPF-sodium-nocturia-cortisol-overeating loop is self-reinforcing: poor sleep from excess sodium drives more UPF consumption because fatigue and high cortisol both increase appetite.
The food is so salty that you get very, you know, you eat it in the evening and then you have to drink all this fluid. So then if you're a man in your 40s, you're kind of up all night peeing as well and then you're exhausted... your cortisol level goes up. Within 48 hours of stopping, I felt massively better.
What's new
Personal practice updates, fresh positions, predictions
7 items
fMRI brain changes from 4 weeks of UPF persisted 8 weeks after stopping
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Van Tulleken's functional MRI scans after 30 days on 80% UPF showed a massive increase in connectivity between the cerebellum (automatic behavior and habit formation) and the reward/addiction regions in the middle of the brain — changes his team described as resembling a newly developed addiction. Critically, these changes were not transient: they persisted for 8 weeks after he returned to a normal diet.
Why this matters: This is the first n=1 pilot biomarker data from a self-experimenting BBC physician who then designed a large registered RCT around the findings. The 8-week persistence raises stark questions about the neurological effects of UPF on children eating these diets for years.
Background
Van Tulleken was the first pilot participant in a registered randomized controlled trial comparing healthiest-available UPF versus minimally processed food in free-living individuals — a trial now enrolling 30+ subjects, with his self-experiment informing the measurement protocol.
The specific fMRI pattern was connectivity between the cerebellum — which Van Tulleken describes as the 'automatic behavior bits at the back of the brain' — and the reward and addiction circuitry in the middle of the brain. The pattern is consistent with how addiction researchers characterize behavioral addictions: the goal-directed prefrontal system loses influence while the habit and reward systems become hyperconnected. Van Tulleken was in his mid-forties when he did the experiment, and he notes that this raises grave questions about children eating similar diets over years. The full clinical trial will test whether these changes replicate across 30+ participants and whether they are a function of UPF per se versus its nutrient composition.
We did functional MRI scans and looked at connectivity between different parts of the brain. And these changes were very surprising to all of us. They were very robust and they persisted for 8 weeks after I switched back on the diet.
Also said
“We saw a massive increase in connection between the automatic behavior bits at the back of the brain in the cerebellum, the habit forming bits, and the reward addiction bits in the middle of the brain.”— Specifies exactly which neural circuits changed — not generic 'brain activity' but the habit-reward connectivity pattern consistent with addiction neuroscience.
“The findings are best described as if I had developed a new addiction.”— Van Tulleken's own characterization of the fMRI pattern — framing 4 weeks of a normal teenage diet as sufficient to produce addiction-like neurological remodeling.
UPF blunts satiety hormones at a biological level — not just appetite perception
~slice 1
At the start and end of the 4-week experiment, Van Tulleken ate an identical standardized meal and had his hormones measured. After the UPF month, his fullness hormones (like GLP-1/PYY) rose much less after the same meal, and his hunger hormones (like ghrelin) stayed much higher. The implication: UPF does not merely fail to fill you up — it modifies your body's global ability to feel full after any food.
Why this matters: This is objective endocrine data, not self-reported satiety — you cannot fake your hormones. It transforms UPF overconsumption from a willpower failure into a physiological consequence of prior dietary exposure.
Background
The experiment measured standardized hormonal response to a fixed meal before and after the 30-day UPF intervention. Hormones measured included ghrelin (hunger) and fullness signals. This was not self-report or subjective feeling — it was blood assays.
Van Tulleken was never forced-fed and was not intentionally overeating — he simply ate to appetite with the rule that 80% of calories came from UPF. The result was constant eating throughout the day without ever feeling genuinely full or genuinely hungry: 'I was never full. I was never hungry. I was just sort of eating all day because that's what the food allows you to do.' The hormonal measurement was designed precisely to bypass subjective reporting — because UPF eating patterns can confound subjective experience. The finding that the same standardized meal elicits a blunted fullness response after weeks of UPF exposure suggests a lasting hormonal recalibration, not merely a property of the food in the moment.
After eating the same standard meal at the end of the UPF diet, my fullness hormones went up much less and my hunger hormones stayed much higher. So at the end of the same meal, the diet is modifying your body's ability to feel full after any food.
Also said
“You just didn't rely on your subjective feeling about how hungry or full you were. You actually measure the hormones like ghrelin and leptin that actually tell you whether or not you're full or hungry biologically.”— Van Tulleken and Hyman clarifying that the satiety measurement was hormonal, not perceptual — the gold-standard approach to bypass reporting bias.
Tobacco companies purchased the food industry in the mid-1980s and applied addiction science to food
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Philip Morris and RJ Reynolds, the largest tobacco companies, acquired major food companies including General Foods and Crisco in the mid-1980s, then transferred their molecular, product-development, and supply-chain expertise to engineering addictive food products using the same techniques they had used for cigarettes.
Why this matters: This is not metaphor — it is corporate history. The food industry's addictive engineering is a deliberate technology transfer from an industry that had already industrialized addiction for 50 years.
Background
Michael Moss documented this acquisition history in his food industry reporting. The pattern of industry-funded science, conflict-of-interest infiltration of regulatory bodies, and deliberate suppression of harm evidence is directly carried over from tobacco playbooks.
Van Tulleken traces the 'corporate playbook' — funding academic research, seeding conflicts of interest in regulatory committees, creating patient advocacy front groups, funding nutrition charities (the British Nutrition Foundation's 'Healthy Eating Week' was sponsored by Coca-Cola), and intimidating critics. After his book was published, McDonald's sent him an offer to become their ambassador. He describes 65% of members of the UK Government's Scientific Advisory Committee on Nutrition as having financial relationships with food companies including Coke and Nestlé. He also describes Unilever's head of neuroscience openly discussing putting people in brain scanners to watch ice cream 'light up the orbital frontal cortex like a furnace' for product development.
In the mid-1980s the cigarette industry bought the food industry. Philip Morris, RJ Reynolds bought General Foods, Crisco. They used their molecules and the product development techniques and the supply chain to make the addictive foods.
Also said
“I spent a huge amount of my time writing my book Ultraprocessed People talking to food industry insiders — the industry-funded academics critique the concept but the people on the inside are like, 'Oh yeah no, we design the food to be addictive. How else do you think — if the people at Danone are making the food that way, what are the guys at Nestlé supposed to do? This is an arms race for customers.'”— Food industry insiders on record confirming intentional addiction engineering — not imputed, explicitly stated.
“We interviewed Francis McLo who's head of neuroscience at Unilever, one of the world's biggest ice cream companies. And he talked about putting people in brain scanners and looking at them eating ice cream, and he said the orbital frontal cortex lit up like a furnace.”— Named Unilever executive describing using brain scanners in product development — not a whistleblower claim but an on-record statement to Van Tulleken.
UPF harms beyond salt/sugar/fat: the ultraprocessing is what enables you to eat so much of them
~slice 1-2
Van Tulleken's core theoretical claim, backed by >100 prospective epidemiological studies: even after adjusting for salt, sugar, fat, fiber, and dietary pattern, UPF independently predicts worse health outcomes. But the deeper point is not that additives are the villain — it is that the ultraprocessing (texture, color, marketing, engineering) is precisely what allows you to consume vastly more salt, sugar, and fat than you would from any home-cooked food.
Why this matters: Reframes the 'it's just sugar/salt/fat' objection: those nutrients are part of the ultraprocessing, not separate from it. You cannot eat salt from a bowl on the table — the matrix that delivers it is engineered to make you eat more of it.
Background
The NOVA classification (Monteiro, Brazil) has been fixed since 2018 and is used by WHO, UNICEF, UN, and governments in Canada, France, Belgium, Israel, and most of South/Central America. UCL and Van Tulleken's team have shown that more than 99% of UPF exceeds recommended thresholds for calories, saturated fat, salt, and sugar.
Van Tulleken summarizes: 'The ultraprocessing — which includes the marketing, the coloring, the texture effects, the physical processing, thermal, chemical processing — that is the stuff that enables and allows you to eat so much of the sugar, salt, and fat, because no one eats sugar, salt, and fat from the bowl on the table.' He also cites the food matrix distinction: 1,000 calories of almonds versus 1,000 calories of Coke interact with your microbiome, hormones, immune system, and neurotransmitters completely differently. 'A calorie burned is a calorie burn, but a calorie eaten is not a calorie eaten' — quoting his colleague Robert Lustig.
The ultrarocessing, which includes the marketing, the coloring, the texture effects, the physical processing, thermal, chemical processing. That is the stuff that allows you to eat so much of the sugar, salt, and fat.
Also said
“It's not simply a deficiency of fruit and vegetables or an excess of salt. But of course, one of the ways that ultraprocessed food harms you is because it is incredibly high in salt, saturated fat, sugar, energy density. It has a high glycemic index. And so all of those things when you adjust for them, they dilute essentially the effect, but the overall effect on your body will have all of those different factors coming to bear on your health.”— Explains why epidemiological studies that 'adjust for' nutrients still find UPF effects — the adjustment is methodologically sound but does not eliminate the combined impact.
Mindful engagement — not abstinence — as the primary individual strategy for UPF addiction
~slice 3-4
Van Tulleken deliberately does not advise readers to stop eating UPF; he invites them to eat it mindfully. By week three of his experiment, a colleague's repeated phrase — 'It's not food, Chris. It's an industrially processed edible substance' — made his favorite fried chicken disgusting. His prescription: plate the food, use a knife and fork, slow down. The disgust response does the rest.
Why this matters: Counterintuitive for a doctor who has seen the harm: he prescribes engagement, not restriction. This maps exactly onto evidence from smoking cessation — understanding the incentives of those selling the substance is one of the most powerful quit tools.
Background
Van Tulleken draws on behavior-change evidence showing that understanding the commercial incentives of an addictive product helps addicts disengage. He also cites a nutritionist/psychologist's patient who went cold turkey on Burger King simply by sitting down in the restaurant and taking 20 chews per bite.
The mechanism he proposes: UPF is not primarily a chemical addiction — it is a sensory and mythological addiction enabled by the processing (the Pringles hyperbolic paraboloid shape is part of the product), the packaging (tube branding), and the environment (eating quickly, in a car, from packaging). Slow down the intake and remove the environmental context and the food fails to hold up to scrutiny. Hyman confirms the same experience: processed food 'doesn't look like food to me anymore — it looks like a rock or a piece of wood.' Van Tulleken's within-48-hours recovery feeling is the opposite of withdrawal — the food was making everything worse (insomnia, constipation, anger, fatigue from high sodium) and removing it produced rapid improvement.
The food will be your greatest teacher. Eat the food. Lay it out on a china plate. You know, if you think you really love this, put it on a china plate. Get a knife and fork. This is not food that stands up to scrutiny.
Also said
“By the end of the book, I don't promise this... but if you're addicted to something, we have pretty good evidence that this works with cigarettes. That first of all, engaging with the substance, not forbidding it, is helpful, but understanding the incentives of those who are selling you the substance is important.”— Van Tulleken's evidence base for the mindful-engagement protocol — modeled on cigarette cessation data, not abstinence.
UPF recovery: felt better within 48 hours, but weight took 2 years to lose
~slice 4
After stopping the 4-week UPF experiment cold turkey, Van Tulleken reported feeling massively better within 48 hours. However, losing the 6 kg gained in 4 weeks took him two full years, ultimately achieved through fasting — illustrating the profound asymmetry between how quickly UPF damages and how slowly the body recovers.
Why this matters: Clinically striking: rapid symptomatic improvement (sleep, energy, digestion within 48 hours) versus months-to-years weight normalization. Also the fMRI changes persisted 8 weeks — suggesting neurological recovery is slower than subjective recovery.
During the UPF diet, the excess sodium led to high fluid intake, nocturia, exhaustion, elevated cortisol from sleep disruption, and constipation — a cascade that in turn drove more eating (tired, cortisol-elevated individuals eat more). All of these resolved rapidly. But the fat mass deposited required fasting and 2 years to resolve. Van Tulleken notes the profound injustice: he has every possible advantage (physician, knowledge, resources, social support) and it was 'really, really, really hard' — pointing to how impossible it is for people in food-insecure or time-pressured environments.
Within 48 hours of stopping, I felt massively better. Losing the weight took me 2 years. And in the end, I just fasted it down. I mean, it was it was grim.
99% of UPF exceeds recommended limits for calories, fat, salt, and sugar — proxy-based regulation is viable
~slice 2
Van Tulleken's UCL research, conducted in partnership with the Pan-American Health Organization and WHO, shows that more than 99% of UPF products exceed recommended thresholds for at least one of: calories, saturated fat, salt, or sugar. This means nutrient-profile thresholds can serve as a legally actionable proxy for NOVA Group 4 UPF, sidestepping definitional disputes.
Why this matters: Resolves the regulatory impasse: you do not need to define UPF in law to regulate it — black-octagon nutrient-threshold warnings (as used in Chile, Mexico, and other South/Central American countries) catch 99% of the target products.
We can show that more than 99% of ultraprocessed food has excessive calories, saturated fat, salt, and sugar. In order to regulate the food you can actually just — it's like a proxy.
Recommendations
Products, supplements, and tools mentioned in the episode
2 items
Salt Sugar Fat by Michael Moss
Book
Moss interviewed food industry insiders, executives, and scientists to document the deliberate engineering of addictive food products — including bliss-point optimization research and taste institutes where craving experts design products to create heavy users.
Van Tulleken references Moss for: (1) the bliss-point concept and companies putting people in MRI machines for product development; (2) the practice of creating 'heavy users' by designing products to increase consumption among people already eating them ('stomach share'); and (3) the connection between tobacco industry acquisition of food companies and deliberate importation of addiction engineering into food.
He really kind of wrote this book called Salt, Sugar, and Fat where he interviewed all these food industry experts and ex-executives and scientists and kind of whistleblowers and they kind of peeled back the layers of how they do this.
South/Central American black-octagon front-of-pack warning label system
Practice
The system used in Chile, Mexico, and other South/Central American countries: a black octagonal stop-sign warning that appears on any packaged product once it exceeds recommended thresholds for any single nutrient. Van Tulleken endorses this as far superior to US/UK traffic light systems.
Van Tulleken distinguishes this from the UK traffic lights (which give mixed red/amber/green signals consumers find ambiguous) and the US FDA's proposed high/medium/low scale (set too leniently — 5% added sugar = 'low' when WHO says 5% is the entire daily maximum). The black octagon is binary: once you exceed the threshold, you get the warning. In Mexico and Chile it has been legally challenged by food companies and upheld. Hyman's wife photographed octagon-labeled food in Mexico: 'not safe to eat for children.'
vs alternatives
UK traffic lights give mixed signals (red/amber/green per nutrient on one product). US proposed high/medium/low uses thresholds Van Tulleken considers too lax. The black octagon is binary and unambiguous — once over the line, warning. No mixed messages.
In South America, Central America, they've got a really good system where they just use black octagonal warning labels. Once you're over the stop sign, it's a stop sign. Once you're over the recommended daily maximum, you get a black octagon.
Documents Van Tulleken's 30-day UPF self-experiment, the science behind NOVA classification, the commercial determinants of health framework, and the food industry's corporate playbook. Hyman calls it 'a great book, everybody should get a copy.'
DisclosureVan Tulleken is the guest and author of this book — explicit self-promotion throughout.
The book opens by inviting readers to eat UPF while reading it — an intentional replication of Van Tulleken's own experience of the food becoming disgusting once you understand what it is. Van Tulleken notes the book has been 'peculiarly popular for what is almost a detailed science and food policy book' — attributing this to readers being 'at a point of maximum fury.' Contains a chapter on the US food additive regulatory system (GRAS self-determination) written after he called Harvard food law professor Emily Broad Leib to verify the system's dysfunction.
In my book I do not advise anyone to stop eating ultraprocessed food. In fact at the beginning there's an invitation to the reader that they should eat UPF while they read the book.
Hyman's book on how transnational corporations subvert public health, use front groups, fund academic research, and privatize profits while externalizing health costs. He obtained Coca-Cola emails with CDC via FOIA requests while researching it.
DisclosureHost's own book — referenced by Hyman multiple times.
Hyman describes obtaining CDC-Coca-Cola correspondence through Freedom of Information Act requests, confirming commercial influence on public health messaging. The book overlaps substantially with Van Tulleken's Ultraprocessed People — Van Tulleken: 'Mark, you've written some stuff on UPF where I was like, has he copied me? And then I realized you'd written it first.'
As I was researching my book, Food Fix, I got a lot of FOIA requests for documents which you can get from the government. For example, you can get emails from the CDC with Coca-Cola.
Lines worth pulling out — contrarian, specific, or perfectly phrased
6 items
We did functional MRI scans and looked at connectivity between different parts of the brain. And these changes were very surprising to all of us. They were very robust and they persisted for 8 weeks after I switched back on the diet.
Objective neuroimaging evidence from a physician self-experiment: UPF causes persistent brain changes lasting 2 months post-exposure — not mood reports but fMRI connectivity data.
The findings are best described as if I had developed a new addiction.
Van Tulleken's own characterization of what 4 weeks of a standard American teenage diet did to his brain imaging.
The ultrarocessing, which includes the marketing, the coloring, the texture effects, the physical processing, thermal, chemical processing. That is the stuff that allows you to eat so much of the sugar, salt, and fat.
The core theoretical argument: UPF harm is not reducible to its nutrient composition — the processing is what enables overconsumption of those nutrients.
The food will be your greatest teacher. Eat the food. Lay it out on a china plate. Get a knife and fork. This is not food that stands up to scrutiny.
Van Tulleken's practical prescription — counterintuitive from a physician who has documented the harm: engagement over restriction, evidence-based from smoking cessation literature.
Within 48 hours of stopping, I felt massively better. Losing the weight took me 2 years.
The starkest single-sentence summary of the asymmetry between the ease of UPF-induced harm and the difficulty of reversing it.
In the mid-1980s the cigarette industry bought the food industry. Philip Morris, RJ Reynolds bought General Foods, Crisco. They used their molecules and the product development techniques and the supply chain to make the addictive foods.
Reframes UPF not as an accidental public health failure but as a deliberate technology transfer from the cigarette industry.
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Educational summary of the cited expert source — not medical advice. Open the source recording linked above and consult a qualified physician before acting on any protocol.