by Marion Nestle

Search results: natural

Jan 23 2024

Kratom: a primer on its politics

I see stores selling Kratom all over my downtown Manhattan neighborhood and am curious about it (no, I have not tried it, nor do I intend to).

I took a look at the websitesof the American Kratom Association (AKA) and the FDA’s Kratom page.

The AKA describes itself as “a consumer-based, nonprofit organization, focuses on setting the record straight about kratom and gives a voice to those who are suffering by protecting their rights to possess and consume safe and natural kratom.” It says:

Natural kratom comes from the mitragyna speciosa, a tropical evergreen tree in the coffee family native to Southeast Asia…Naturally occurring Kratom is a safe herbal supplement that behaves as a partial mu-opioid receptor agonist and is used for pain management, energy, even depression and anxiety that are common among Americans. Kratom contains no opiates, but it does bind to the same receptor sites in the brain. Chocolate, coffee, exercise and even human breast milk hit these receptor sites in a similar fashion.

Thus, according to the AKA, Kratom is something like chocolate or breast milk.

The FDA, in fact, defines Kratom in much the same way:

Kratom is a tropical tree (Mitragyna speciosa) that is native to Southeast Asia…Kratom is often used to self-treat conditions such as pain, coughing, diarrhea, anxiety and depression, opioid use disorder, and opioid withdrawal. An estimated 1.7 million Americans aged 12 and older used kratom in 2021, according to the Substance Abuse and Mental Health Services Administration’s National Survey on Drug Use and Health.

So far so good.

But the AKA is calling on the FDA to regulate Kratom.  This may sound highly responsible, but the AKA is doing this because the FDA refuses to have anything to do with this product and warns against its use.

The FDA says:

  • Kratom is not an approved drug: “There are no drug products containing kratom or its two main chemical components that are legally on the market in the U.S.
  • Kratom is not an approved dietary supplement: “FDA has concluded from available information, including scientific data, that kratom is a new dietary ingredient for which there is inadequate information to provide reasonable assurance that such ingredient does not present a significant or unreasonable risk of illness or injury.’
  • Kratom is not an approved food additive: “FDA has determined that kratom, when added to food, is an unsafe food additive.”
  • Therefore, kratom is not lawfully marketed in the U.S. as a drug product, a dietary supplement, or a food additive in conventional food.

The FDA’s Q and A:

  • What can happen if a person uses kratom?  FDA has warned consumers not to use kratom because of the risk of serious adverse events, including liver toxicity, seizures, and substance use disorder (SUD). In rare cases, deaths have been associated with kratom use…However, in these cases, kratom was usually used in combination with other drugs, and the contribution of kratom in the deaths is unclear.
  • How is FDA protecting the public from the risks of kratom?   FDA has also taken steps to limit the availability of unlawful kratom products in the U.S. We will continue to work with our federal partners to warn the public about risks associated with use of kratom.

The AKA says its mission is to

  • Support Consumers. The FDA does everything it can do to interfere with the right of consumers to make informed choices about products they use for their health and well being, and their war on kratom includes distributing disinformation on kratom that materially misleads consumers and policy makers. Our goal is to change that.
  • Educate. Kratom is a natural plant that helps consumers improve their health and well being for centuries. Our goal is to educate all Americans with the truth about kratom — from potential consumers to regulators and everyone in between.
  • Speaking the Truth on Kratom. We represent millions of Americans that each have a story to tell. The FDA wants to drown out the individual voices, but we will raise those voices and together we will be heard across America.
  • Global Awareness. Anti-kratom detractors are trying to expand kratom bans across the world. We hope to demonstrate responsible use and the health benefits of kratom will convince other countries to responsibly regulate kratom, not ban it.
  • Protect Natural Resources. Kratom is a precious natural resource that is an important part of our global ecosystem. We support and advocate for sustainable harvesting techniques and reforestation protecting existing kratom forests to protect the climate and the invaluable carbon exchange kratom trees contribute to the environment.

Oh dear.  While this disagreement continues, Kratom is readily available in shops that sell CBD and other cannabis derivatives.

What’s especially interesting about this difference of opinion is that the FDA usually keeps hands off —says not one word about—products sold as dietary supplements.  It stays quiet about them as a result of court decisions following passage of the Dietary Supplement Health and Education Act of 1994 (DSHEA), which essentially deregulated herbal supplement products.

But the FDA has plenty to say about Kratom.  That the agency argues that Kratom is not a drug, supplement, or food additive, means that it views Kratom as demonstrably harmful.

In situations like this, I tend to invoke the precautionary principle: see proof of safety before using it.  I prefer to head off trouble whenever possible.

But this situation raises an interesting question.  If the FDA thinks Kratom is all that bad, why isn’t it acting to take it off the market?  Or stating that it wishes it could but DSHEA won’t let it.  When the FDA tried to ban potentially harmful supplements, the makers of those supplements took the FDA to court.  The courts generally ruled in favor of the supplement makers.  Go figure.

Caveat emptor.

Jan 18 2024

Misleading product of the week: Veggieblends Cheerios

I think it’s time to start a new “of the week” series of posts—this one on egregiously marketed food products.

Thanks to Jerry Mande, who sent me this email:

Are you writing about Veggie Cheerios? An especially egregious case of misleading marketing. This could be Rob Califf’s Citrus Hill Fresh Choice moment. Particularly troubling is that original Cheerios, a go to finger food for moms of infants and toddlers, is lower sugar and higher in fiber than Veggie Cheerios  –  which only have 2g sugar plus 4g fiber. These new Cheerios have 8g sugars – from corn syrup – and only 2g fiber. Certainly, adding ¼ c. fruit & veggies shouldn’t cause the fiber to go down!

I hadn’t run across this version during my What to Eat revision visits to supermarkets, although I was aware that Cheerios, that old reliable cereal for kids, now came in more than 20 options—line extensions to take up more supermarket shelf space; the more shelf space, the more get sold.

I went right to the link:

Cheerios Veggie Blends Breakfast Cereal, Blueberry Banana Flavored, Family Size, 18 oz

Sure enough.  1/4 cup fruit & veggies.   And you get blueberry, banana, spinach, carrot, and sweet potato.  Impressive!

Here’s what Walmart says about it:

Available exclusively at Walmart [no wonder I hadn’t seen it], a wholesome bowl of Blueberry Banana flavored Cheerios Blends Cereal contains 1/4 cup of fruit and veggies in every serving.*

Uh oh; a footnote.  I went right to it:

* Cheerios Blends Cereal is made with fruit puree and vegetable powder. See complete list of ingredients. It is not intended to replace fruit or vegetables in the diet.

Oh.

As for the ingredient list:

Whole Grain Oats, Corn Meal, Sugar, Sweet Potato Powder, Corn Starch, Carrot Powder, Canola and/or Sunflower Oil, Banana Puree, Blueberry Puree Concentrate, Corn Syrup, Salt, Spinach Powder, Vegetable and Fruit Juice Color, Tripotassium Phosphate, Natural Flavor. Vitamin E (mixed tocopherols) Added to Preserve Freshness. [the rest are added vitamins and minerals].

You want fruits and vegetables?  Eat fruits and vegetables.

You want Cheerios?  I vote for the boring original.

I think I will go to Walmart and buy a box.  I want this one for my cereal box collection.  I don’t think it will be on the market long.

Jan 9 2024

The FDA’s somewhat good news on antibiotic use in farm animals (if we believe it)

The FDA issued its most recent report on antibiotics late last year: 2022 Summary Report On Antimicrobials Sold or Distributed for Use in Food-Producing Animals, along with Antimicrobial Sales and Distribution Data 2013-2022.

It did this in response to public concerns about antibiotic use in food animals: if antibiotics are used at subtherapeutic doses, they might induce microbial resistance to drugs used to treat diseases in humans.

This is not a theoretical concern.  It’s a real problem.

It’s also a problem because the vast majority of antibiotics were used as growth promoters or to prevent infections in animals crowded together—not to treat disease.

In 2014 or so, the FDA ruled that medically important antibiotics could no longer be used as growth promoters in farm animals.  That rule went into effect in 2017.

The FDA’s good news: the amounts of antibiotics used in farm animals has declined since then.

Are medically important antibiotics still used for non-therapeutic purposes?

The report says that since 2017, zero antibiotics are administered for growth promotion.

If you wonder whether this is really true (as I do), consider that $11.2 million kilograms of antibiotics were used in food animals in 2022.  This is a decrease from the 15.6 million kg used in 2015, but still a lot.

Of these drugs, 63% are administered in feed, and 31% in water.

All antibiotics still used as growth promoters are supposed to be drugs not used in human medicine.

I’m not the only skeptic on this one.  See:

I.  The Bureau of Investigative Journalism’s Antibiotics in agriculture: The blurred line between growth promotion and disease prevention.

In an investigation published today, the Bureau revealed how US farm animals are still being dosed with antibiotics vital to human health, despite efforts to curtail such usage and combat the spread of deadly superbugs. We also found that a regulatory loophole means that using antibiotics to make animals fatter – a process known as growth promotion – is technically still possible, despite this practice being banned in January 2017.

II.  Nature: Antibiotic use in farming set to soar despite drug-resistance fears. Analysis finds antimicrobial drug use in agriculture is much higher than reported.

III.  Vox: Big Meat just can’t quit antibiotics: Meat production is making lifesaving drugs less effective. Where’s the FDA?

According to an analysis published in September by the Natural Resources Defense Council and One Health Trust, medically important antibiotics are increasingly going to livestock instead of humans. In 2017, the meat industry purchased 62 percent of the US supply. By 2020, it rose to 69 percent.

Does the FDA check?  It has guidance for industry on The Judicious Use of Medically Important Antimicrobial Drugs in Food-Producing Animals, but this guidance is non-binding.

Obviously, the FDA needs to do more.  Its officials told Vox:

Veterinarians are on the front lines and as prescribers, they’re in the best position to ensure that both medically important and non-medically important antimicrobials are being used appropriately…We cannot effectively monitor antimicrobial use without first putting a system in place for determining [a] baseline and assessing trends over time.

Vox reports: “The agency right now only collects sales data, and it’s been exploring a voluntary public-private approach to collect and report real-world use data.”

This is not reassuring.  The use of antibiotics in animal agriculture is a long-standing issue.  It requires political will, big time.

Dec 21 2023

Bird flu causing big trouble

Avian influenza of the highly pathogenic kind (HPAI, H5N1) is now everywhere.

The CDC says bird flu, caused by avian influenza viruses,

naturally spread among wild aquatic birds worldwide and can infect domestic poultry and other bird and animal species. Bird flu viruses do not normally infect humans. However, sporadic human infections with  bird flu viruses have occurred.

The CDC also has much to say about the current status of H5N1: it has infected 72.5 million poultry so far this year.  These had to be destroyed.

One egg producer, Michael Foods, said it “lost” 4.2 million laying hens to HPAI.

“Lost?”

According to Vox, 

The 2022-2023 spread of bird flu has been the most catastrophic on record in the US. In less than two years, it’s hit hundreds of poultry factory farms across nearly every state in the country, costing the federal government $757 million and counting to manage, and the poultry industry more than $1 billion in lost revenue and other costs (experts also fear that the disease could spark an outbreak in humans).

To help stamp out the disease’s spread, all of the more than 72 million chickens, turkeys, and other birds raised for meat and eggs on affected farms have been killed and disposed of, whether or not they actually had the virus, which can spread rapidly and has a very high mortality rate for poultry birds.

Vox explains the killing method (consider what killing millions of chickens entails): basically shutting down the ventilation.

This seems catastrophic, even though 72 million is just a small fraction of the 1.2 billion chicken alive at any time.

Surely, industrially crowded housing has something to do with the rapid spread of H5N1.  Another downside of industrial egg production.

Expect egg prices to rise.

Happy new year.

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Dec 19 2023

Industry-funded study of the week: Quorn

[Note: If you saw this yesterday, ignore.  I made a scheduling error so this post got sent out with yesterday’s.  Apologies.]

A reader in Scotland,  Prof. Lindsay Jaacks, who I was fortunate to meet in Edinburgh last April,  tweeted (X’d?) this and tagged me on it::

A new study funded by @QuornFoods finds health benefits of substituting ‘Mycomeat’ for red & processed meat.
We need independent evidence far from the hands of industry if we are going to transform #FoodSystems.

I looked it up:

The study: Farsi, D.N., Gallegos, J.L., Finnigan, T.J.A. et al. The effects of substituting red and processed meat for mycoprotein on biomarkers of cardiovascular risk in healthy volunteers: an analysis of secondary endpoints from Mycomeat. Eur J Nutr 62, 3349–3359 (2023). https://doi.org/10.1007/s00394-023-03238-1.

  • Purpose:  “Mycoprotein is a relatively novel food source produced from the biomass of Fusarium venenatum. It has previously been shown to improve CVD risk markers in intervention trials when it is compared against total meat. It has not hitherto been assessed specifically for benefits relative to red and processed meat.”
  • Methods:  “We leveraged samples from Mycomeat, an investigator-blind randomised crossover controlled trial in metabolically healthy male adults (n = 20), randomised to consume 240 g/day of red and processed meat for 14 days followed by mycoprotein, or vice versa. Blood biochemical indices were a priori defined secondary endpoints.”
  • Results:  “Mycoprotein consumption led to a 6.74% reduction in total cholesterol (P = 0.02) and 12.3% reduction in LDL cholesterol (P = 0.02) from baseline values…There was a small but significant reduction in waist circumference for mycoprotein relative to meat (− 0.95 ± 0.42 cm, P = 0.04). Following the mycoprotein diet, mean systolic (− 2.41 ± 1.89 mmHg, P = 0.23) and diastolic blood pressure (− 0.80 ± 1.23 mmHg, P = 0.43) were reduced from baseline.”  Urinary potassium was higher, but the study found no difference in triglycerides, urinary sodium, nitrite, or TMAO.
  • Conclusions: “These results confirm potential cardiovascular benefits when displacing red and processed meat with mycoprotein in the diet. Longer trials in higher risk study populations are needed to fully elucidate suggested benefits for blood pressure and body composition.”
  • Conflict of interest:  “This work was part funded by Marlow foods Ltd. TJAF is a consultant to Marlow Foods.”

Comment

Marlow Foods is the parent company of Quorn, mycelium-based products.  Quorn products have been around in the U.S. since 2002.  The Center for Science in the Public Interest has been dubious about these products ever since, arguing that Quorn induces allergic reactions and gastrointestinal distress and should be labeled as such.  It has also filed a class action lawsuit and engaged in other litigation.  CSPI refers to Quorn as “fungus” or “mold.”  Marlow, and other producers of mycelium-based meat substitutes prefer “mushroom.”  Marlow is doing what it can to counter criticism of the safety of theae products.

If you want to try Quorn, be sure to check the ingredient list.  Here’s what’s in QUORN VEGAN MEATLESS SPICY CHIQIN PATTIES:

Mycoprotein (54%), Wheat Flour (Wheat Flour, Calcium Carbonate, Iron, Niacin, Thiamine), Canola Oil, Water, Wheat StarchWheat Gluten, Pea Protein, Potato Protein, Calcium Chloride, Calcium Acetate, Salt, Chilli Flakes, Parsley, Yeast Extract, Onion Powder, Garlic Powder, Pea Fiber, Yeast, Tomato Powder, Spices (Cayenne Pepper, White Pepper), Carrageenan, Sodium Alginate, Rice Flour, Spice Extracts (Black Pepper Extract, Cayenne Extract, Ginger Extract), Paprika Extract (Coloring), Natural Flavor, Sage, Sugar, Leavening (Ammonium Carbonate)., Contains Wheat.

Ultra-processed? absolutely [industrially extracted ingredients; not much real food except wheat; you can’t reproduce this in your home kitchen].

Delicious?  You decide.

Dec 5 2023

The COP-28 UN Climate Change Conference in Dubai—items

COP-28, the UN’s climate change conference is happening in Dubai, right now.

I’m trying to make sense of it.  For starters, the irony:

But food—the effects of agriculture on climate change (and vice versa) is on its agenda this year—a major big deal.

That’s why a coalition of farmers, communities, business, and philanthropy has issued a call to transform food systems.

Here’s my collection of food-related items.

I.  Food Tank’s Danielle Nierenberg is on the job: more than 30 Food Tank partnered events are scheduled.

Once again, four pavilions will be devoted to food systems: Food and Agriculture, led by our partners and friends at FAO, CGIAR, International Fund for Agricultural Development, and The Rockefeller Foundation; Food Systems, spearheaded by the European Union-backed program EIT Food and a variety of other groups including the Food and Land Use Coalition; Food4Climate, organized by a variety of partners—including youth voices—pushing for a more humane and sustainable food system; and the Sustainable Agriculture of the Americas Pavilion facilitated by IICA, bringing together the global north and south across the hemisphere.  You can read Food Tank’s coverage of the roadmap, which was announced last year, here.

IIFoodDive: Food system transformation on the menu at COP28

III.  Reuters: Countries urged to curb factory farming to meet climate goals

IV.  The lunch menu: The summit is featuries roughly two-thirds plant-based menu to highlight the link between greenhouse gas emissions and livestock.  But the meat industry is fighting  back.

V.  DeSmog: Big Meat Unveils Battle Plans for COP28

VI.  The Guardian: Plans to present meat as ‘sustainable nutrition’ at Cop28 revealed: Documents show industry intends to go ‘full force’ in arguing meat is beneficial to the environment at climate summit.

VII.  The Meat Institute

The Meat Institute and the Protein PACT for the People, Animals & Climate of Tomorrow will highlight animal agriculture’s commitments and progress toward global goals in multiple high-level engagements at the UN Climate Change Conference (COP28) in Dubai November 30-December 12. The Protein PACT has organized or assisted with inviting expert speakers for six panels across five COP28 pavilions, including:

  • December 5 panel in the Food Pavilion, co-organized by IICA and the International Livestock Research Institute (ILRI) on the topic of sustainable and healthy livestock production systems
  • December 6 panel in the IICA pavilion, organized by the ​​Canadian Alliance for Net-Zero Agri-food on the topic of achieving net zero in agrifood systems
  • December 8 panel in the IICA pavilion, organized by the Protein PACT on the topic of principles, practices, and proof for animal agriculture driving climate and food security solutions
  • December 9 panel in the IICA pavilion, co-organized by IICA and ILRI on the topic of innovation and investment in livestock systems for climate change adaptation and  mitigation

VIII.  International Dairy Federation & European Dairy Association side event: How Animal Source Food Nourishes The World In Times of Climate Change.

IX. Vox: There’s less meat at this year’s climate talks. But there’s plenty of bull.  Meat and dairy are driving the climate crisis. Why won’t world leaders at COP28 do anything about it?

X.  Food Navigator: on The Emirates Declaration.  Food is finally at the top table but measurable targets are missing.  Over 130 prime ministers and presidents have today signed the Emirates Declaration at COP28 – a first of its kind commitment to adapt and ‘transform’ food systems as part of action on the climate crisis…. Read more

Comment: The Emirates Declaration on Sustainable Agriculture, Resilient Food Systems and Climate Action is the firsr statement out of this meeting.  It doesn’t mention fossil fuels (the elephant in this particular room) or meat.  But it does propose:

1. Financial and technical support for sustainable solutions, capacity building, infrastructure, and innovations for farmers, fisherfolk, and other food producers.while conserving, protecting and restoring nature.

2. Promoting food security and nutrition.

3. Supporting workers in agriculture and food systems whose livelihoods are threatened by climate change.

4. Strengthening water management .

5. Conserving, protecting and restoring land and natural ecosystems, enhancing soil health, and biodiversity, and shifting from higher greenhouse
gas-emitting practices to more sustainable production and consumption approaches, including by reducing food loss and waste and promoting sustainable aquatic blue foods.

As for how and when?

To achieve these aims – according to our own national circumstances – we commit to expedite the integration of agriculture and food systems into our climate action and, simultaneously, to mainstream climate action across our policy agendas and actions related to agriculture and food
systems.

In the meantime, consider these:

What will it take to stop the impending disaster?  This has to be #1 on the advocacy agenda.

Nov 30 2023

FoodNavigator–Asia on product reformulation

FoodNavigator–Asia, a newsletter I subscribe to, publishes articles on reformulation and has now collected them in one place.

Reformulation is what happens when companies change the mix of food product ingredients to make them healthier—or at least to appear healthier-.  This is a highly effective sales strategy.

But reformulation raises philosophical questions:

  • Is a slightly better-for-you food product necessarily a good choice?
  • Does reformulation convert an unhealthy ultra-processed food product into a healthy one?
  • Is a food product with a gram or two less of sugar or salt likely to make any difference to your health?

Never mind.  Here’s what food companies are doing these days, at least in Asia.

Special Edition: Reformulation: Sugar, Salts, Fats and Oils

Governments across the region are continuing to enforce policies to reduce sugar, salts, fats, and certain oils. In this special edition, we’ll showcase the companies providing the most innovative solutions and brands at the forefront of this charge.

Nov 8 2023

ProPublica’s Big Story: Wild Salmon

I’m always being asked what politics has to do with food.  My answer: everything.

Here is an example, courtesy of ProPublica and Oregon Public Broadcasting.

Enormous numbers of people depend on wild salmon for food and livelihoods.  If the salmon disappear or cannot be eaten, these people lose both.

Salmon raise other issues besides their effects on indigenous populations.

Nothing in food is simple.  Nothing in food is free of politics.

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