Podcasts > The School of Greatness > Draft for Publish on 2025-11-03

Draft for Publish on 2025-11-03

By Lewis Howes

In this episode of The School of Greatness, Jessica Knurick examines America's chronic disease crisis and its connection to the modern food system. She presents data showing that most Americans struggle with multiple chronic conditions while failing to meet basic nutritional guidelines, and explains how post-World War II changes to agriculture and food production have contributed to these health challenges.

Knurick addresses the relationship between lifestyle factors and chronic disease prevention, with a focus on practical dietary changes and nutrition myths. She explores common misconceptions about ingredients like high fructose corn syrup and seed oils, distinguishes between social media claims and scientific evidence, and discusses the limitations of restrictive diets compared to balanced nutrition approaches.

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Draft for Publish on 2025-11-03

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Draft for Publish on 2025-11-03

1-Page Summary

Chronic Disease and Health Issues in America

Jessica Knurick discusses the widespread prevalence of chronic health conditions in America, where more than half of adults live with multiple conditions. These diseases, including diabetes, heart disease, and obesity, are primarily linked to lifestyle factors and poor dietary choices. According to Knurick, over 90% of Americans fail to meet recommended guidelines for vegetable and fiber intake, while more than half consume excessive added sugar.

American Food System Prioritizes Profitability Over Public Health

Knurick explains how the American food system is fundamentally structured around profitability rather than health outcomes. About 70% of available foods are low-nutrient, ultra-processed products, a trend that emerged post-World War II. She points out that agricultural policies favoring commodity crops like corn have made high fructose corn syrup an economically attractive sweetener, while car-centric urban planning has created food deserts and limited access to healthy options.

Diet, Nutrition, and Lifestyle in Chronic Disease Prevention and Management

In addressing these health challenges, Knurick and Lewis Howes advocate for comprehensive lifestyle changes. They emphasize the importance of increasing vegetable and fiber intake while reducing ultra-processed foods. Beyond diet, Knurick highlights the crucial role of other lifestyle factors, including proper sleep, stress management, and physical activity in preventing chronic diseases.

Addressing Myths and Misconceptions Around Food and Nutrition

Knurick tackles common nutritional misconceptions, particularly those spread through social media. She explains that while ingredients like high fructose corn syrup and seed oils are often vilified, scientific research doesn't support claims of their unique harmfulness. Instead, she identifies overconsumption of added sugar as the primary nutritional concern. Regarding restrictive diets, Knurick cautions that while they might offer short-term benefits, they lack long-term safety and efficacy data, advocating instead for a balanced, nutrient-rich diet.

1-Page Summary

Additional Materials

Counterarguments

  • While lifestyle factors and poor dietary choices are significant contributors to chronic diseases, genetics and environmental factors also play a crucial role that shouldn't be overlooked.
  • Some experts argue that focusing solely on individual lifestyle choices without addressing systemic issues such as socioeconomic disparities and access to healthcare can be an oversimplification of the complex issue of chronic disease prevalence.
  • The claim that over 90% of Americans do not meet vegetable and fiber intake guidelines may not account for regional and cultural variations in diet that could provide these nutrients in less conventional forms.
  • The assertion that more than half of Americans consume excessive added sugar might benefit from a more nuanced discussion of the different types of sugars and their sources in the diet.
  • The critique of the American food system may not fully consider the efforts and initiatives aimed at improving public health outcomes, such as farm-to-table movements, organic farming, and nutritional education programs.
  • The figure stating that about 70% of available foods are low-nutrient, ultra-processed products could be challenged by pointing out the increasing availability and popularity of whole foods and minimally processed products in many markets.
  • While agricultural policies have favored commodity crops, there are also subsidies and support for specialty crops and local farming that aim to diversify the food system.
  • The role of car-centric urban planning in creating food deserts is a valid concern, but there are also initiatives and urban designs that promote walkability and access to fresh food markets.
  • The emphasis on lifestyle changes for chronic disease prevention and management may not fully acknowledge the importance of medical interventions and personalized medicine in certain cases.
  • The defense of high fructose corn syrup and seed oils based on scientific research may not address the broader context of how these ingredients are used in the diet and their potential impact when consumed in large quantities.
  • The criticism of restrictive diets for lacking long-term safety and efficacy data may not consider the potential benefits and therapeutic uses of such diets for specific medical conditions under professional supervision.
  • Advocating for a balanced, nutrient-rich diet is sound advice, but it may not take into account individual dietary needs, preferences, and potential food intolerances or allergies.

Actionables

  • You can start a "veggie and fiber challenge" with friends or family where each participant aims to meet the daily recommended intake for a month, tracking progress through a shared app or spreadsheet. This creates a support system and adds a fun, competitive element to adopting healthier eating habits. For example, use a simple Google Sheet to log daily intake and share recipes that are high in vegetables and fiber.
  • Transform your grocery shopping routine by dedicating the first 30 minutes exclusively to the perimeter of the store, where fresh produce, dairy, and meats are typically located. This helps you fill your cart with nutrient-rich foods before reaching the aisles with more processed items. To make this more effective, prepare a shopping list that emphasizes vegetables, fruits, and whole grains, and stick to it.
  • Create a "no added sugar" week once a month where you focus on preparing meals and snacks without any added sugars, using spices, herbs, and natural sweeteners like fruit to enhance flavors. This can help recalibrate your taste preferences and reduce reliance on sugary products. Share your experience and recipes on social media to encourage others and hold yourself accountable.

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Draft for Publish on 2025-11-03

Chronic Disease and Health Issues in America

In America, chronic health conditions have become a widespread issue, with more than half of adults living with at least one and often multiple conditions related to lifestyle choices.

Most American Adults Have Multiple Chronic Health Conditions

Jessica Knurick highlights the severity of chronic diseases in America, emphasizing the relationship between lifestyle factors and the prevalence of conditions such as diabetes, heart disease, and obesity.

Chronic Diseases Like Diabetes, Heart Disease, and Obesity Have Surged Due to Poor Diet, Inactivity, and Lifestyle Factors

Knurick discusses cardiometabolic diseases like [restricted term] resistance and high blood sugar levels as biological root causes. She asserts a systems perspective, associating these chronic diseases with poor diet, inactivity, and lifestyle choices. Acknowledging a serious chronic disease problem, she notes rising rates of cardiometabolic disease, type 2 diabetes, and obesity, which are mostly lifestyle-related.

Lewis Howes observes visible signs of physical pain, obesity, and chronic disease, particularly when visiting Midwest airports. These observations seem to reflect the broader national trend of lifestyle-related h ...

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Chronic Disease and Health Issues in America

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Counterarguments

  • While lifestyle choices are a significant factor, genetics and environmental factors also play a crucial role in the development of chronic diseases, and these should not be overlooked.
  • Access to healthy food and safe places to exercise is not equally available to all Americans, which can disproportionately affect low-income and marginalized communities.
  • The healthcare system itself may contribute to the prevalence of chronic diseases through inadequate prevention strategies and a focus on treatment rather than prevention.
  • Stress and mental health are also critical factors in chronic disease prevalence, which may not be adequately represented when focusing solely on diet and physical activity.
  • The role of government policy and food industry practices in shaping dietary habits and lifestyle choices is a significant factor that might require more emphasis.
  • Personal responsibility in lifestyle choices is important, but it must be balanced with an understanding of the broader social determinants of health.
  • The text may not fully account for the complexity of obesity, which is not solely a result of individual lifestyle choices but also involves complex interactions between genetics, metabolism, and the environment.
  • Public health interventions need to ...

Actionables

  • You can track your vegetable and fiber intake with a color-coded food diary to ensure you're meeting nutritional guidelines. Start by assigning a specific color to vegetables, fruits, and fiber-rich foods in your diary. Each day, aim to add more color to your pages by incorporating a variety of these foods into your meals, making it visually apparent when you're falling short and where you can improve.
  • Create a "sugar swap" challenge for yourself where you replace one high-sugar item with a healthier alternative each week. For example, if you usually have a sugary soda with lunch, switch it out for sparkling water infused with fruit. Keep a log of these swaps and note any changes in how you feel, such as energy levels or cravings, to motivate continued progress.
  • Engage in a "micro-activity" ro ...

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American Food System Prioritizes Profitability Over Public Health

Jessica Knurick raises concerns about how corporate interests control the American food system, suggesting a reevaluation of agricultural policy to prioritize public health over profit.

Food System Prioritizes Profits Over Health: 70% Low-nutrient, Ultra-Processed Products

Knurick explains that the food system in America is built from the ground up for profitability, often at the expense of health. She clarifies that while the system may not aim to make people unhealthy, it prioritizes profitability over health outcomes. She notes that about 70% of our food system consists of low-nutrient, ultra-processed foods. Knurick points to post-World War II convenience trends as a root cause, with dual-working-parent households and lack of time encouraging the reliance on easily prepared food items.

Commodity Crop Policies Lower High Fructose Corn Syrup Costs

Knurick illustrates how the abundance of high fructose corn syrup in the American diet is a direct result of agricultural policies that make corn cheap to produce. These policies lead to the widespread use of high fructose corn syrup as a cost-effective sugar source in mostly low-nutrient foods. To protect local corn farmers, economic policies also put quotas on sugar imports, further incentivizing the use of high fructose corn syrup by food manufacturers aiming to maximize profits.

Built Environment, Limited Access to Healthy, Affordable Foods Hinder Health Outcomes

Knurick discusses that most American cities, designe ...

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American Food System Prioritizes Profitability Over Public Health

Additional Materials

Clarifications

  • Post-World War II convenience trends refer to the societal shift towards more convenient and easily prepared food options following the end of World War II. This period saw the rise of processed and prepackaged foods to accommodate the changing lifestyles, such as the increase in dual-working-parent households and the need for quick meal solutions. The convenience trends led to a shift in food consumption patterns, with a growing reliance on ready-to-eat and fast food items for their ease of preparation and consumption. This shift in food culture has had long-lasting effects on dietary habits and public health outcomes.
  • Commodity crop policies in the U.S. influence the production and pricing of crops like corn. These policies can make corn production more affordable, leading to the widespread use of high fructose corn syrup in processed foods. By subsidizing corn production and imposing restrictions on sugar imports, these policies indirectly promote the use of high fructose corn syrup as a cheaper sweetener option for food manufacturers.
  • Economic policies that put quotas on sugar imports are government regulations that limit the amount of sugar that can be brought into the country from foreign sources. These quotas are often implemented to protect domestic sugar producers by controlling the competition from cheaper imported sugars. By restricting sugar imports, these policies aim to support local sugar industries and maintain stable prices within the domestic market.
  • Food deserts are areas with limited access to fresh, nutritious food, often lacking grocery stores with healthy options. These areas may rely on convenience stores or fast food outlets instead of offering a variety of fresh produce. Food deserts are associated with health issues like obesity and cardiovascular disease due to poor diet quality and limited access to nutrient-rich foods. Factors like income levels, transportation challenges ...

Counterarguments

  • Profitability is necessary for the sustainability of the food system; without profit, farmers and companies cannot survive, and the food supply could be at risk.
  • Ultra-processed foods are not inherently unhealthy; they can be part of a balanced diet if consumed in moderation and combined with other nutrient-rich foods.
  • Convenience foods emerged in response to consumer demand and changing lifestyles, not solely because of corporate interests.
  • High fructose corn syrup is chemically similar to sugar and is not necessarily worse for health than other forms of sugar when consumed in similar quantities.
  • Agricultural policies are complex and aim to balance multiple interests, including food security, farmer livelihoods, and environmental concerns, not just public health.
  • Urban planning and infrastructure development are influenced by a variety of factors, including historical patterns, economic considerations, and consumer preferences, not just corporate interests.
  • Food deserts are a multifaceted issue that invo ...

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Diet, Nutrition, and Lifestyle in Chronic Disease Prevention and Management

Boost Fiber, Cut Sugar, Focus On Whole Foods to Enhance Health

Knurick and Howes advocate for significant changes in diet and lifestyle to mitigate the rising prevalence of chronic diseases.

Diet and Activity Changes Impact Chronic Disease Prevention

According to Knurick, Americans are not following the recommended dietary patterns that decrease chronic disease risk, which includes boosting fiber, cutting sugar, and eating whole foods. She advises people to increase vegetable and fiber intake while decreasing the consumption of ultra-processed foods. Howes contributes to this conversation, suggesting that removing sugary items from the home helps avoid temptation, in support of healthier dietary habits.

Knurick alludes to the well-established principles of good nutrition, advocating for a focus on eating vegetables and fruits, meeting fiber needs, and obtaining a variety of protein sources. She suggests that, although not exciting, these basics are important and fail to get attention on social media. Additionally, she mentions that staying hydrated and eating a variety of foods, while minimizing consumption of ultra-processed foods, is crucial to health improvement.

Knurick also argues that the majority of people should prioritize their diet before considering supplements and emphasizes the inadvertent benefits of eschewing dietary products like seed oils, which typically accompany ultra-processed foods. She asserts that removing them could augment the nutrient density of the diet and result in a greater consumption of whole foods. Both Knurick and Howes underscore the broader health benefits associated with eating whole foods and reducing intake of ultra-processed food substances.

Beyond Diet: Sleep, Stress, and Social Factors Crucial to Wellness

Improving Health Outcomes By Addressing Interconnected Lifestyle Factors

Beyond just diet, Knurick discusses the vast importance of lifestyle choices, such as maintaining physical activity, proper hydration, nutrition, and limited intake of alcohol and drugs to prevent chronic diseases. She indicates that even when one partakes in optimal dietary behaviors, issues such as genetics can still necessitate medication for chronic conditions. Knurick and Howes emphasize the multi-faceted approach to health that includes nutrition, exercise ph ...

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Diet, Nutrition, and Lifestyle in Chronic Disease Prevention and Management

Additional Materials

Counterarguments

  • While increasing fiber and cutting sugar are generally recommended, some individuals may have conditions, such as certain gastrointestinal disorders, where a high-fiber diet might exacerbate symptoms.
  • The advice to remove sugary items from the home may not be practical or desirable for everyone, as it can create an environment of restriction that may lead to disordered eating patterns in some individuals.
  • The emphasis on eating a variety of protein sources may not take into account the ethical, environmental, or health reasons some individuals choose plant-based diets, which can also be nutritionally complete.
  • The recommendation to minimize ultra-processed foods could be challenging for individuals with limited access to fresh foods due to socioeconomic factors or living in food deserts.
  • Prioritizing diet before considering supplements may not account for individuals with specific nutritional deficiencies who may require supplementation, as determined by a healthcare provider.
  • The suggestion to remove seed oils overlooks the fact that some seed oils, like flaxseed or chia seed oil, can be part of a healthy diet due to their omega-3 fatty acid content.
  • The focus on individual lifestyle changes may underemphasize the role of social determinants of health, which can have a significant impact on an individual's ability to adopt healthy behaviors.
  • The ...

Actionables

  • You can create a "veggie alarm" on your phone to remind you to eat vegetables throughout the day. Set multiple alarms with labels like "Snack on carrots!" or "Salad time!" to prompt you to reach for vegetables instead of less healthy options, ensuring you meet your daily fiber and nutrient goals.
  • Start a "hydration challenge" with friends or family where everyone tracks their water intake using a shared app or a group chat. This turns staying hydrated into a fun and competitive activity, encouraging you to drink more water and stay accountable to your hydration goals.
  • Organize a "whole food swap meet" in ...

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Draft for Publish on 2025-11-03

Addressing Myths and Misconceptions Around Food and Nutrition

Lewis Howes and Jessica Knurick engage in a discussion to debunk common myths and misconceptions in the realm of health and food trends, emphasizing the need for science-backed information in nutrition.

Unique Harms of Ingredients Like High Fructose Corn Syrup or Seed Oils Lack Scientific Support

Jessica Knurick addresses several nutritional misconceptions that have taken root, in part due to how social media algorithms reward sensational content. There is a misconception that certain ingredients, such as high fructose corn syrup and seed oils, are uniquely harmful. Knurick explains that, according to scientific research, these fears are unsupported. The real issue is that people overconsume these ingredients. She points out that seed oils, which contain omega-6 fatty acids, are not toxic and are consumed globally. Rather than vilifying certain ingredients like seed oils or high fructose corn syrup, Knurick advises managing overall consumption and focusing on diet quality.

Added Sugar Overconsumption Is the Primary Nutritional Concern

Knurick discusses how overconsumption of added sugar, rather than any single ingredient, is a primary concern for chronic diseases. She clarifies that while high fructose corn syrup has been demonized as particularly harmful, it is the general overconsumption of sugar that poses health risks. Most Americans, she notes, consume too much sugar, and while there is a narrative that high fructose corn syrup is used to poison people, the reality is that its presence in the American food system is more about agricultural economics. Knurick emphasizes that enjoying sugary foods in moderation within a nutrient-rich, balanced diet is acceptable.

Restrictive Diets or Single-Food Regimens Offer Short-Term Benefits but Lack Long-Term Safety and Efficacy Data

Knurick expresses skepticism toward restrictive diets, such as veganism or the carnivore diet, explaining that while they may yield short-term benefits, especially when replacing low-nutrient ultra-processed foods, there is a lack of long-term health outcome data. She points out that while some sugars like honey and maple syrup do hav ...

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Addressing Myths and Misconceptions Around Food and Nutrition

Additional Materials

Clarifications

  • High fructose corn syrup and seed oils are often criticized for their potential health impacts, but scientific research suggests that the concerns are more about overconsumption rather than inherent toxicity. Seed oils, containing omega-6 fatty acids, are commonly used globally and are not inherently harmful. It's essential to focus on overall diet quality and moderation rather than demonizing specific ingredients like high fructose corn syrup. Understanding the balance of consumption and the context of these ingredients in a varied diet is key to making informed nutritional choices.
  • Social media algorithms are designed to prioritize content that generates high engagement, such as likes, shares, and comments. Sensational or controversial content tends to attract more attention and interaction from users. As a result, social media platforms may promote sensational content to increase user engagement and time spent on their platforms. This can lead to the proliferation of sensationalized or misleading information, including in discussions about health and nutrition.
  • High fructose corn syrup is present in the American food system primarily due to its cost-effectiveness as a sweetener compared to sugar. It is a result of agricultural policies and subsidies that make corn production abundant and inexpensive in the United States. This economic factor has led to the widespread use of high fructose corn syrup in various processed foods and beverages as a sweetening agent.
  • The skepticism towards restrictive diets like veganism or the carnivore diet stems from concerns about potential nutrient deficiencies and the lack of long-term health outcome data associated with these extreme dietary approaches. While these diets may offer short-term benefits, there is uncertainty about their safety and efficacy over extended periods. Nutritionists often recommend balanced and varied diets that include a wide range of nutrient-rich foods to ensure overall health and well-being. Extreme diets can sometimes lead to imbalances and may not provide all the ...

Counterarguments

  • While high fructose corn syrup may not be uniquely harmful, some studies suggest that its metabolic effects differ from other sugars due to the way it is processed by the liver, potentially contributing to non-alcoholic fatty liver disease and [restricted term] resistance.
  • The focus on added sugars is important, but it's also crucial to consider the role of refined carbohydrates and overall dietary patterns in the development of chronic diseases.
  • Some restrictive diets, like veganism, have been studied for longer terms and can be associated with health benefits when well-planned and nutritionally adequate.
  • While balanced diets are generally recommended, individual dietary needs can vary greatly, and what is balanced for one person may not be for another due to factors like allergies, intolerances, or other health conditions.
  • The term "ultra-processed foods" is broad, and wh ...

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