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Culture War Roundup for the week of May 19, 2025

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We've been doing detailed studies for 80 years!

And we still have this deep confusion about whats going on. Citing an old SSC post:

In 1965, some scientists locked people in a room where they could only eat nutrient sludge dispensed from a machine. Even though the volunteers had no idea how many calories the nutrient sludge was, they ate exactly enough to maintain their normal weight, proving the existence of a “sixth sense” for food caloric content.

Next, they locked morbidly obese people in the same room. They ended up eating only tiny amounts of the nutrient sludge, one or two hundred calories a day, without feeling any hunger. This proved that their bodies “wanted” to lose the excess weight and preferred to simply live off stored fat once removed from the overly-rewarding food environment. After six months on the sludge, a man who weighed 400 lbs at the start of the experiment was down to 200, without consciously trying to reduce his weight.

This confusion is kind of my point. The lipostat hypothesis is still a bit controversial after 80+ years. If a "set point" for weight truly exists somewhere in the system, it's still not clear what raises this set point, and why lowering it again seems extremely difficult.

There's plenty of studies that indicate that once the set point has been raised, it can't be easily lowered again. This is, funnily enough, contradictory to your 1965 study (unless the 400 lbs -> 200 lbs guy was short, and 200 lbs was still obese). Or maybe only more modern food additives raise the set point permanently? I don't think we know, and almost nobody (relative to how important those questions are) seems to actually test things on large groups of people.

Some other Scott quotes. From "Book Review: Good Calories, Bad Calories":

The failure of small dietary changes to produce major changes in weight suggests something more complicated is going on.

Nutritionists tend to scoff at the idea that weight is anything beyond a simple calories in - calories out balance, and for understandable reason. The First Law of Thermodynamics, that mass/energy can neither be created nor destroyed, means that food mass/energy has to go somewhere. If you put it in your body, either you burn it for exercise or it stays in your body and becomes fat. This is why smug people sometimes say that they're following "the physics diet" of eating less and exercising more as opposed to thinking diet pills or fad diets can do much good. Fancy biochemistry stuff has nothing to do with it, mere sophistry on the part of people who claim to have "bad metabolisms" in the same way people used to say they were "big boned".

But even my limited amount of medical knowledge is enough to know this isn't true. There are a bunch of diseases - Prader-Willi Syndrome, hypothyroidism, hypothalamic lesions - that cause obesity. There are even drugs you can take that cause obesity - some of the antipsychotics are famous for this. And by playing around with mice genes, you can get anything from disgusting spherical mice to mice that look like they just got out of a concentration camp, even if they're all feeding out of the same bowl of Mouse Chow.

The book's solution - which I think is pretty standard now - is to say that yes, fat has to follow the laws of thermodynamics, but thermodynamics doesn't specify what is controlling the equation. It could be that your diet and exercise are controlling the weight gain. Or it could be that some innate tendency to weight gain is controlling the amount you diet and exercise.

And it seems to be some combination of the two. Realistically, I know not everything is determined by some mysterious inner process - sometimes I just see a cupcake, and want it, and eat it, and I know my having eaten it is determined completely by the fact that I happened to come across it at that moment and no one was watching (obviously a mysterious inner process could have prevented me from eating it by making me feel really full, but that's different). On the other hand, I accept that a lot of the time I eat things it's because my body is telling me I'm hungry, and a lot of the time I don't eat things it's because my body is telling me I'm full, and a lot of the time I exercise it's because my body is telling me I'm antsy, and so on.

So the idea is of an obesity set point. If you get fatter than your body's hidden set point, it makes you a little less hungry and more willing to exercise until you get back down. If you get leaner than your body's hidden set point, it makes you a little hungrier and more tired until you get back up. It is subtle, complicated, and more than enough to sabotage the diet plans of nearly everyone.

Taubes' work supporting the concept of an obesity set point is really spectacular. He talked about both terrible-sounding studies where scientists forced people to subsist on starvation diets, and fun-sounding studies where scientists forced people to eat as many sundaes as they could stuff into their faces. In both cases, people went to desperate lengths to return to their previous weight, and felt absolutely miserable when denied the opportunity (these studies disproportionately came from the military - in every other setting, people just gave the scientists the finger and broke the study rules after a few days). And this happened whether or not the subjects were fat or thin - it wasn't like being fat provided a "buffer" where you were okay with a semi-starvation diet while your fat burned, you were just as desperate to return to your (high) set point as your thin friend was to return to her (lower) one.

This was accompanied by fascinating animal experiments where they would try to trick rats. Suppose a rat usually ate a 10 calorie diet. They would try to trick the rat by giving it a food that looked and tasted exactly like its old food, but was ten times as calorically dense; the rat would eat a tenth as much food and maintain its weight. If they gave it a food that was only a tenth as calorically dense, the rat would eat ten times as much - and maintain its weight. If they surgically stuck food into the rat's stomach, the rat would eat exactly as much additional food as was necessary to maintain its accustomed caloric input and its weight.

So people (and rats) are really good at maintaining their obesity set point. How come some people have higher set points than others, and why does this change over time?

And from "Contra Hallquist On Scientific Rationality":

Taubes believes the human body is good at regulating its own weight via the hunger mechanism. For example, most Asian people are normal weight, despite the Asian staple food being rice, which is high-calorie and available in abundance. Asians don’t get fat because they eat a healthy amount of rice, then stop. This doesn’t seem to require amazing willpower on their part; it just happens naturally.

In a similar vein is one of Taubes’ favorite studies, the Vermont Prison Experiment, where healthy thin prisoners were asked to gain lots of weight to see if they could do it. The prisoners had lots of trouble doing so – they had to force themselves to eat even after they were full, and many failed, disgusted by the task. Some were able to eat enough food, only to find that they were filled with an almost irresistible urge to exercise, pace back and forth, tap their legs, or otherwise burn off the extra calories. Those prisoners who were able to successfully gain weight lost it almost instantly after the experiment was over and they were no longer being absolutely forced to maintain it. The conclusion was that healthy people just can’t gain weight even if they want to, a far cry from the standard paradigm of “it takes lots of willpower not to gain weight”.

Other such experiments focused on healthy thin rats. The rats were being fed as much rat food as they wanted, but never overate. The researchers tried to trick the rats by increasing the caloric density of the rat food without changing the taste, but the rats just ate less of it to get the same amount of calories as before. Then the researchers took the extreme step of surgically implanting food in the rats’ stomachs; the rats compensated by eating precisely that amount less of normal rat food and maintaining their weight. The conclusion was that rats, like Asians and prisoners, have an uncanny ability to maintain normal weight even in the presence of unlimited amounts of food they could theoretically be binging on.

Modern Westerners seem to be pretty unusual in the degree to which they lack this uncanny ability, suggesting something has disrupted it. If we can un-disrupt it, “just eat whatever and let your body take care of things” becomes a passable diet plan.

I sometimes explain this to people with the following metaphor: severe weight gain is a common side effect of psychiatric drug Clozaril. The average Clozaril user gains fifteen pounds, and on high doses fifty or a hundred pounds is not unheard of. Clozaril is otherwise very effective, so there have been a lot of efforts to cut down on this weight gain with clever diet programs. The journal articles about these all find that they fail, or “succeed” in the special social science way where if you dig deep enough you can invent a new endpoint that appears to have gotten 1% better if you squint. This Clozaril-related weight gain isn’t magic – it still happens because people eat more calories – but it’s not something you can just wish away either.

Imagine that some weird conspiracy is secretly dumping whole bottles of Clozaril into orange soda. Since most Americans drink orange soda, we find that overnight most Americans gain fifty pounds and become very obese.

Goofus says: “Well, it looks like Americans will just have to diet harder. We know diets rarely work, but I’m sure if you have enough willpower you can make it happen. Count every calorie obsessively. Also, exercise.”

Gallant says: “The whole problem is orange soda. If you stop drinking that, you can eat whatever else you want.”

Taubes’ argument is that refined carbohydrates are playing the role of Clozaril-in-orange-soda. If you don’t eat refined carbohydrates, your satiety mechanism will eventually go back to normal just like in Asians and prisoners and rats, and you can eat whatever else you want and won’t be tempted to have too much of it – or if you do have too much of it, you’ll exercise or metabolize it away. When he says you can “eat as much fat as you want”, he expects that not to be very much, once your broken satiety mechanism is fixed.

Taubes is wrong. The best and most recent studies suggest that avoiding refined carbohydrates doesn’t fix weight gain much more than avoiding any other high-calorie food. However, the Clozaril-in-orange-soda model, which is not original to Taubes but which he helped popularize, has further gained ground and is now arguably the predominant model among dietary researchers. It’s unclear what exactly the orange soda is – the worst-case scenario is that it’s something like calorically-dense heavily-flavored food, in which case learning this won’t be very helpful beyond current diet plans. The best-case scenario is that it’s just a disruption to the microbiome, and we can restore obese people to normal weight with a basic procedure which is very simple and not super-gross at all.

Reading those Scott quotes makes me wonder if the idea of a "set point" has just been tainted by association with low-status people, much like his observation on how Alex Jones latched onto a real environmental effect and turned "they're turning the frogs gay" into a national joke because people think he's lame.