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Peter Attia MDPeter Attia MD

167 - Gary Taubes: Bad science and challenging the conventional wisdom of obesity

Sign up to receive Peter's email newsletter: https://bit.ly/4c602k2 Gary Taubes is an investigative science and health journalist and a best-selling author. In this podcast, Gary explains how he developed a healthy skepticism for science as he was transitioning from being a physics major to beginning as a science journalist. He talks about how he was particularly drawn to sussing out “pathologic science,” telling the stories behind his books on the discovery of the W and Z bosons and cold fusion, emphasizing the need for researchers to perform a thorough background analysis. Gary then describes how his work came to focus on public health, nutrition, and obesity. He provides a great historic overview of obesity research and provides his explanation for why the conventional wisdom today is incorrect. We discuss: 00:00:00 - Intro 00:00:10 - Gary’s background in science and journalism, and developing a healthy skepticism for science; 00:08:27 - Gary’s boxing experience, and the challenge of appreciating behavioral risk; 00:18:55 - How Gary developed his writing skills, and what the best science writers do well; 00:29:53 - Example of how science can go wrong, and the story behind Gary’s first book, Nobel Dreams; 00:43:22 - Theoretical vs. experimental physicists: The important differentiation and the relationship between the two; 00:48:52 - Pathological science: research tainted by unconscious bias or subjective effects; 01:00:39 - Reflecting on the aftermath of writing Nobel Dreams and the legacy of Carlo Rubbia; 01:05:39 - Scientific fraud: The story of the cold fusion experiments at Georgia Tech and the subject of Gary’s book, Bad Science; 01:24:45 - Problems with epidemiology, history of the scientific method, and the conflict of public health science; 01:46:51 - Gary’s first foray into the bad science of nutrition; 01:58:04 - Research implicating insulin’s role in obesity, and the story behind what led to Gary’s book, Good Calories, Bad Calories; 02:10:00 - The history of obesity research, dietary fat, and fat metabolism; 02:21:47 - The evolving understanding of the role of fat metabolism in obesity and weight gain; 02:32:37 - Mutant mice experiments giving way to competing theories about obesity; 02:38:30 - How Gary thinks about the findings that do not support his alternative hypothesis about obesity; 02:45:19 - Challenges with addressing the obesity and diabetes epidemics, palatability and convenience of food, and other hypotheses; 02:57:30 - Challenging the energy balance hypothesis, and the difficulty of doing good nutrition studies; Show notes page: https://peterattiamd.com/garytaubes/ -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle

Peter AttiahostGary Taubesguest
Jun 28, 20213h 13mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Gary Taubes traces pathological science from particle physics to obesity research

  1. Taubes recounts his path from physics and aerospace to journalism, and shares stories of boxing, risk perception and learning to write under harsh editorial criticism.
  2. He describes how Carlo Rubbia's CERN experiment and the cold fusion episode illustrate pathological science, in which researchers commit publicly to premature signals and neglect their background and controls.
  3. He criticizes epidemiology and public health science for treating associations as causal, and discusses the conflict between honest uncertainty and the need to change behavior.
  4. He explains how a one-page assignment on the DASH diet led him to salt and dietary fat, then to the carbohydrate-insulin hypothesis, which he argues was sidelined by the history of obesity research, including lesion and ob/ob mouse experiments.
  5. Taubes and Peter Attia discuss the dispute over recent energy balance experiments and measurement methods, Taubes's frustration with how research is funded, and the wider acceptance of low-carb diets.

IDEAS WORTH REMEMBERING

5 ideas

Signal-to-noise problems underlie bad science

Taubes argues that understanding your background and equipment flaws is the hard, thankless work of science, and skipping it can produce false discoveries without any fraud.

Public commitment to premature results locks in bias

He says scientists should first try to prove themselves wrong, but once they go public they start collecting supporting evidence and listening only to those who agree.

Choosing the right control matters

The Georgia Tech neutron detectors that responded to humidity, and pair-fed lesioned animals that still got fat, were his examples of how a missing control can produce a misleading conclusion.

Epidemiology can't easily establish causation

Taubes argues that observational associations, such as power lines and cancer or nutrition cohort data, have endless possible confounders yet are accepted at a 95% confidence threshold, far weaker than physics' five sigma.

Public health faces a conflict between honesty and action

If scientists list every uncertainty, as Feynman's ideal would require, nobody changes their behavior, which Taubes describes as the central tension of public health science.

WORDS WORTH SAVING

5 quotes

The message from Nobel Dreams and Bad Science was that bad scientists never get the right answer. It's just too hard to get the right answer for you to go in being sloppy and slipshod and lazy and ambitious and get it right. Nature isn't that kind.

— Gary Taubes

You've got a field where you can't do the experiments, so you develop a field of science around basically a hypothesis, and as more and more people see the same phenomena without using rigorous experimental techniques, they start to believe that this hypothesis is true.

— Gary Taubes

Once you decide you know what the truth is, you tend to stop listening to the people who disagree with you and then you surround yourself with the people who agree.

— Gary Taubes

Doing a background analysis is the hard, relentless, rigorous grunt work of science. It's endless and thankless, because if you do it right, all you'll do is prove that you were wrong all along.

— Gary Taubes

You decide you're gonna tilt at windmills for life. You gotta get used to the fact that the windmills are gonna kick you in the ass when you ride by.

— Gary Taubes

Pathological science and fooling yourselfNobel Dreams and Carlo Rubbia at CERNCold fusion and the importance of controlsLimits of observational epidemiologyHistory of obesity research and fat metabolismCarbohydrate-insulin model versus energy balanceFunding and paradigms in nutrition research

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