Adele Hite Profile picture
8 Sep, 10 tweets, 3 min read
It's presumptuous (& wrong) to say evidence is "clear" in fields as young as these. This is exactly why we *should* be speaking on this topic: to counter people like you making vastly premature pronouncements about what is clearly *not* "clear." Thread. 1/n @NanciGuestRDPhD Vegan dietitian declaring herself & her ideological companio
Nutrition as it relates to chronic disease and agricultural management of the food supply as it relates to climate change are (relatively) young scientific fields.

ALL science is tentative & likely to be refuted. This is especially true in young fields of science. 2/n
As for "consensus," at one time, there was "consensus" among 1000s of scientists that: spontaneous generation was a thing; men were smarter than women; white people were smarter than dark skinned people; eugenics (look it up) would make the world a better place; etc. etc. 3/n
I don't think you (or your 1000s of scientists) have a unique epistemological advantage that scientists who determined personality & brain function by the shape of a person's skull lacked.

They were wrong. There's a good chance you & your "consensus" are wrong too. 4/n
A key characteristic of a scientific mindset is to admit 1) that you don't know much of anything & 2) that none of us know much of anything.

The fact that you *think* the science is "clear" in the context of your obvious ideological bias speaks volumes. 5/n
When someone as brilliant as Richard Feynman says, “I was born not knowing and have had only a little time to change that here and there," it is downright arrogant for you to claim that YOU have the answer to 1) what diet EVERYONE EVERYWHERE should be eating 6/n
& 2) how EVERYONE EVERYWHERE should manage their local agriculture in order to produce the most nourishing food most efficiently with the best environment impact.

Yet you suggest that I have an "agenda," which you snidely imply must be from "industry." 7/n
Well, I do have an "agenda." It is to help people critically evaluate the remarks of people with narrow, elitist, culturally limited notions of how to save the world by creating a top-down, one-size-fit-all notion of the "right" way to eat & manage agricultural production. 8/n
This is particularly important when those who are telling us how to live do so in the name of "helping" us live (their idea of) a better life - while at the same time, blaming us for our own misfortune.

This isn't about science. It is about power & privilege. Just own it. 9/9 Vegan dietitian declaring that people deliberately choose to
[I'll just hang out over here & wait for my "block."]

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More from @ahhite

14 Aug
To me, this comment & some that follow indicate that there are some misconceptions about how we got where we are now (& thus, I think, some mistaken ideas about how to change the situation). Thread.
1st, lower fat, higher carb national dietary guidelines *began* as a clinical intervention for high risk patients. Then (as now) docs who were trying to the right thing for patients in their care, read research & advised their (high risk) patients accordingly. 2/
Food manufacturers picked up on this. They thought, "Hey, fear & uncertainty MOVES PRODUCT. Let's use this to advertise products that say to housewives 'Hey, your son or husband *might* be high-risk. Protect them by buying our product." 3/
Read 14 tweets
22 May
The Surgeon General's Report on Smoking - which dramatically changed the smoking habits of Americans - would not have happened without epidemiology.

Biochemistry is very important. But ... 1/n
Mechanisms acting at cellular levels do not necessarily give full explanations of physiological level effects & outcomes. Metabolism is too complicated for that.

Effects of smoking are seen at cellular, physiological & population levels. You can't say the same for pizza. 2/
There are other problems with comparing smoking to food/eating:

1) RRs for smoking were 10-fold greater than what is typically seen in *any* nutritional epidemiology study.
2) Individuals are quite accurate in their recall of their smoking history. 3/
Read 12 tweets
3 Apr
I would say "anger" motivates me as well. But not MY anger.

I have in my heart & in my head the voices of the dozens of (mostly) women patients who tried hard, for years, to bring their heath in line by following the guidance they were given.
They were told to
--eat less and move more, as if these two things are independent of each other
--count calories in/out, as if health is a math problem
--drink more water, as if that can nourish an underfed body
--write down everything, as if this would "Make It So."
When these things didn't work, they were scolded. They were told they must not be "trying" or "paying attention." They were told they needed to "keep better track" and "not fool themselves."

And they did. They tried harder. They wrote everything down. It still didn't work.
Read 13 tweets
27 Mar
Okay, there's a bit of confusion about this out there in Twitterland:

Just as @JesseLunsford points out in this thread, there is no mandate for RDs to "follow" official USDA/HHS dietary guidelines when they counsel patients.

However, that's not the whole picture. 1/
First, I don't think we can completely ignore this incident, from around 2008-2009: nmsociety.org/2018/02/18/ann…

There have been other situations that are compared to Ms. Presley's, but they have involved other factors (unproven supplements, etc.) not just dietary information. 2/
Then there's this, from the Academy of Nutrition & Dietetics, an RDs professional organization (eatrightpro.org/media/meet-our…): 3/ Image
Read 19 tweets
14 Feb
Y'know, this comment just got stuck in my brain. Yes of course, if a product doesn't sell well it won't last long on the shelves. But the notion that "stores just sell what people buy" is so disingenuous. So, let's look at a little more of this story. 1/
Who even pays attention to the Dietary Guidelines anyway?

Answer: The food industry. This has been true from the beginning. Now it is even more intense: They watch the committee hearings. They show up to listen (as well as testify). They prepare. 2/
If you follow industry publications during the years leading up to a new edition of the DGA, you'll quickly learn how they prepare products *in advance* to conform to what they think will be declared the next big thing in how we define "healthy" food. 3/
Read 18 tweets
9 Jan
Stumbled across this thread after a call with @joannerinker who is with @AADEdiabetes. She helped me understand why our presentation was not accepted😕but was so encouraging that my little team is going to take it to #AADE20 as a poster. Read the thread, meet me back here. 1/11
She and I agreed that the world of diabetes educators & the world of clinicians who use therapeutic carbohydrate restriction to treat diabetes are waaaay too far apart. We could learn a lot from each other. 2/11
Docs who use low-carb need to learn how NOT to call their patients with diabetes "diabetics" - as if the disease is who they are. 3/11
Read 11 tweets

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