Beyond Calories: “The scientific community agrees: A calorie is NOT a calorie”

Beyond Calories: “The scientific community agrees: A calorie is NOT a calorie”

Academic Position Paper Concludes: Some Calories More Harmful than Others

Beyond Calories” analysis finds unanimity among researchers on unique role sugar-sweetened beverages play in chronic health problems, despite challenges in current landscape of nutrition research

A position paper written by a group of twenty-two researchers and published in a leading scientific journal provides a comprehensive review of the current challenging landscape of nutrition research, including a notable warning that consumption of soda and other sugar-sweetened beverages increases cardio-metabolic risk factors.

The findings, published in Obesity Reviews and available online today [CLICK HERE FOR REPORT], are the result of a July 2017 academic conference hosted by the CrossFit Foundation. The conference convened the group of international nutrition scientists and researchers to review the current scientific record and the specific dietary components that lead to cardio-metabolic factors associated with obesity, cardiovascular disease, and type-2 diabetes, independent of caloric intake.

While the paper reviews the significant challenges involved in conducting and interpreting nutrition research—detailing the historically conflicting expert opinions regarding the health effects of food components such as fat, sugar, and carbohydrate—the participants did arrive at one conclusion: the consumption of sugar-sweetened beverages clearly increases risk factors for chronic diseases such cardiovascular disease, and type-2 diabetes, even compared with calorically-equal amounts of starch.

This finding and unanimity of scientific experts is notable because it undercuts the beverage industry’s focus on balancing calorie consumption with calorie expenditure. The industry’s “energy balance” argument falsely assures the consumer that sugar consumption is not uniquely harmful in its effect on obesity and cardiometabolic disease—claiming that, like any food, added sugar can fit into a healthy diet as long as the excess calories are burned through increased physical activity. However, the review of the evidence encapsulated within the “Beyond Calories” position paper confirms that some calories are more harmful than others in terms of their cardiometabolic effect, and that a healthy diet is about more than “energy balance.” The review summarizes evidence that risk factors even increase when sugars are consumed within diets that do not result in weight gain.

The paper’s finding also undercuts the beverage industry’s resistance to the development of consumption-focused health policies—such as soda taxes, warning labels, and marketing restrictions—that could impact the dramatic global rise in cardio-metabolic disease. The paper’s sugar-sweetened beverage finding is also relevant to recent legislative and legal battles, such as a 2017 Ninth Circuit court decision that prevented the City of San Francisco from implementing a soda warning label, which hinged upon the court’s determination of whether soda and other sweetened beverages are uniquely harmful to human health or merely one source of calories among many.

As a recent article in the Journal of the American Medical Association explained, “The court noted that…a clearer emphasis in the law on the special harms of SSBs [sugar-sweetened beverages], rather than added sugars in general, would have strengthened the government’s case.”

First author Dr. Kimber Stanhope of University of California, Davis, noted that the paper’s delineation of the challenges associated with conducting and interpreting nutritional research may help the public better understand inconsistencies in nutrition advice, and suggested that “this thorough academic review of the current body of nutrition research is a valuable contribution that may both improve the design of future research and focus attention on research areas that may have the greatest impact in slowing the epidemics of obesity, cardiovascular disease, and type-2 diabetes.”

The factors that lead to obesity and chronic disease are as complex as the human body itself.  But while the authors’ findings were inconclusive in regards to several other questions such as low-fat versus low-carbohydrate diets, the scientists’ conclusions regarding the impacts of sugar-sweetened beverages were clear.

“The food and beverage industry has influenced the field of nutrition for decades by highlighting the health impact of caloric intake at the expense of other factors that might call their products into question,” said Director Olivia Leonard of the CrossFit Foundation. “These tactics have exerted a devastating impact on human health. We’re proud to support efforts to correct and inform public perception of the consumption and lifestyle choices that impact individual health.”

For more information about this paper, contact Josh Lahey: josh@lotsixteen.com

Tax sugary foods to reverse type 2 diabetes epidemic within 3 years

Tax sugary foods to reverse type 2 diabetes epidemic within 3 years

A new report from leading international obesity experts gives eight point plan to reverse epidemic of type 2 diabetes within 3 years.

  • Recommendations also call for labelling of added and free sugars on products in tea spoons for the public to understand, a complete ban of all sugary drink advertising  (including fruit juice) on TV and internet demand services and a ban of companies associated with sugary products from sponsoring sporting events.
  • The authors state that the science against sugar alone is not sufficient to overcome the obesity and type 2 diabetes crisis, opposition from vested interests need to be overcome.
  • The experts call for complete dissociation of dietetics organiZations from taking sponsorship money from food companies that market processed foods otherwise organizations such as the British Dietetic Association cannot claim their dietary advice is independent.
  • A leading right wing UK think tank, The Institute of Economic Affairs is being called out as being a front group for industry interests
  • “The public worldwide is being conned” says top international Professor of Food Policy
  • The calls are backed by eminent international public health scientists including Professor of European Public Health Martin McKee, the Vice President of the UK Faculty of Public Health Simon Capewell, Professor of Food Policy at the Centre of Food Policy,City University of London,Tim Lang, and Policy Director of Baby Milk Action, Patti Rundall OBE.

Three international obesity experts, NHS Consultant Cardiologist Dr Aseem Malhotra, Professor Robert Lustig of the University of California San Francisco and Professor Grant Schofield, Auckland University of Technology have authored the most comprehensive up to date report on the science of sugar with an eight-point plan that if implemented will result in a reversal in the epidemic of type 2 diabetes within 3 years.

The peer reviewed academic publication entitled “ The science against sugar, alone, is insufficient in tackling the obesity and type 2 diabetes crises —we must also overcome opposition from vested interests” published in The Journal of Insulin Resistance makes comparisons with tackling the obesity epidemic with taking on Big Tobacco.

“We should not wait decades to solve our current problems with sugar. It took 44 years from the 1950 publication of the first study to link smoking to lung cancer, to the attorney general of Mississippi suing Big Tobacco to recoup medical costs related to the disease.

Big Tobacco sowed doubt that cigarettes were harmful, confused the public, persistently denied their effects, bought the loyalty of scientists, and gave ammunition to political allies” they write.

“Now, the science demonstrating sugar’s role in diet-related disease is incontrovertible, but science alone cannot curb the obesity and type 2 diabetes epidemics. Opposition from vested interests that profit from diminishing society’s health must be overcome.”

“As with tobacco, policy changes that target availability, affordability or acceptability (the Mexico sugar tax, for example) are overwhelmingly effective in curbing sugar consumption. But the sugar industry, their partners, and political allies utilize numerous instruments to deflect culpability and derail policy change. Some involve influencing science, and some influencing public opinion” they continue

The authors describe in detail and reference examples adopted by the sugar industry to deflect blame away from sugar’s role in obesity and type 2 diabetes which includes paying scientists, obfuscating scientific research, co-opting public health experts and influencing public opinion.

“For years, soft drink companies’ public relations machinery, have pushed the lack of physical activity as a cause of obesity, when there is evidence to reveal that although sedentary lifestyle contributes to chronic disease physical activity, impact is minimal at best and you cannot outrun a bad diet.

Beverage companies have sponsored numerous public health efforts provided they did not address soft drinks. Brenda Fitzgerald, the recently disgraced director of the U.S.Centers for Disease Control, had partnered with Coca-Cola’s Georgia’s public health commissioner, who also bankrolled the Global Energy Balance Network, a consortium of three academics, to push lack of exercise as the cause of obesity. Even Michelle Obama caved to food industry pressure; during the US president’s second term she shifted her focus away from the importance of a healthy diet toward promoting physical activity.

The US Academy of Nutrition and Dietetics, British Dietetic Association (BDA), and the Dietitians’ Association of Australia all receive annual contributions from the food industry. It is extraordinary that the BDA has also promotedNestle Health Science on its homepage. Nestle has not only been a prominent marketer of sugary products for children, but it has also been the target of a boycott by respected international organization Baby Milk Action for contributing “to the unnecessary death and suffering of infants around the world by aggressively marketing baby foods in breach of international marketing standards”. These organizations are wittingly or unwittingly behaving more like front groups for the processed food industry —this must be exposed” they write.

“Astroturf groups are ‘citizens’’ non-profit groups that mask their sponsors to appear as though they are grassroots organizations. For instance, in the U.S., the Center for Organizational Research and Education’s (CORE; formerly the Center for Consumer Freedom) name is deliberately designed to divert attention away from industry connection. It claims to be “dedicated to protect consumer choices and promoting common sense’. It is funded by fast-food, meat, alcohol and tobacco industries. The group was originally founded in the mid-1990s, using tobacco and restaurant industry money to oppose smoking restrictions in restaurants. Its founder, Richard Berman, also founded the American Beverage Institute, which fights restrictions on alcohol use and raising the minimum wage. In a secretly recorded interview reported by The New York Times, Berman encouraged industry players to attack those that oppose industry interests and they could either “win ugly or lose pretty”.

Similarly in the UK, the Institute of Economic Affairs (IEA), an organization that describes itself to be “the UK’s original free-market think-tank” claims to be independent of any political party, group or organization. But in 2016, Transparify —which provides ratings of financial transparency of major think tanks —gave a ‘highly opaque’ zero score.

The IEA have received undisclosed voluntary donations from a number of organizations including Big American Tobacco, Coca-Cola Great Britain and Ireland, and sugar manufacturer Tate and Lyle. As Transparify states: “The more lobbyists try to hijack the ‘think tank’ label in an attempt to mask their paid-for spin as research-driven advocacy, the more important it becomes for the think tank sector as a whole to fight back. The best weapon in that fight is transparency”they continue to write.

“Twenty-five of the 30-year average increase in life expectancy in the past century can be directly attributed to public health measures that were underpinned by regulation, including safe drinking water, safer working environments, seat belts in cars, smoke-free buildings, and immunizations.

The regulatory approaches that addressed the acceptability, affordability, and availability of tobacco have been the most important factor driving decline in cardiovascular disease (CVD) mortality since 1969. A public education campaign, combined with smoke-free building regulation, and banning of tobacco advertising, were important measures for reducing smoking prevalence, and in turn, reducing CVD. However, the taxing of cigarettes was responsible for the biggest impact, by far. Unfortunately, the increasing prevalence of obesity and type 2 diabetes driven by poor diet, and,in particular, sugar consumption, is costing billions to national economies every year, and resulting in loss of economic productivity.

Industry has a right to use information to market its products, but it does not have a right to use disinformation to propagandize them. The public deserves to know the financial relationships between organizations and those who represent their interests.”

The experts provide an eight point public health intervention plan, all of which are evidence based to reduce population sugar consumption, and all of which were successful in curbing tobacco use which will start to show a decline in the prevalence of type 2 diabetes within 3 years if implemented.

  1. Education for the public should emphasize that there is no biological need or nutritional value of added sugar. Industry should be forced to label added and free sugars on food products in teaspoons rather than grams, which will make it easier to understand.
  2. There should be a complete ban of companies associated with sugary products from sponsoring sporting events. We encourage celebrities in the entertainment industry and sporting role models (as Indian cricketer Virat Kohli and American basketball player Stephan Curry have already done) to publicly dissociate themselves from sugary product endorsement.
  3. We call for a ban on loss leading in supermarkets, and running end-of-aisle loss leading on sugary and junk foods and drinks.
  4. Sugary drinks taxes should extend to sugary foods as well.
  5. We call for a complete ban of all sugary drink advertising (including fruit juice) on TV and internet demand services.
  6. We recommend the discontinuing all governmental food subsidies, especially commodity crops such as sugar, which contribute to health detriments. These subsidies distort the market, and increase the costs of non-subsidized crops,making them unaffordable for many. No industry should be provided a subsidy for hurting people.
  7. Policy should prevent all dietetic organizations from accepting money or endorsing companies that market processed foods. If they do,they cannot be allowed to claim their dietary advice is independent.
  8. We recommend splitting healthy eating and physical activity as separate and independent public health goals. We strongly recommend avoiding sedentary lifestyles through promotion of physical activity to prevent chronic disease for all ages and sizes, because “you can’t outrun a bad diet”. However, physical (in)activity is often conflated as an alternative solution to obesity on a simple energy in and out equation. The evidence for this approach is weak. This approach necessarily ignores the metabolic complexity and unnecessarily pitches two independently healthy behaviors against each other on just one poor health outcome (obesity). The issue of relieving the burden of nutrition-related disease needs to improve diet, not physical activity.

“Retrospective econometric analysis and prospective Markov modeling both predict that the prevalence of type 2 diabetes will start to reduce three years after implementing these measures. This calamity has been 40 years in the making—three years is not too long to wait” they conclude.

EXPERT REACTION

The science against sugar, alone, is insufficient in tackling the obesity and type 2 diabetes crises —we must also overcome opposition from vested interests

____________________

Martin McKee
Professor of European Public Health
London School of Hygiene and Tropical Medicine

“We now know how Big Tobacco works, pushing products that kill millions. This paper makes a compelling case that Big Food is doing the same. Maybe these corporations don’t care how they are seen. But if they do care about their reputation, then this paper shows that they have a lot to do to clean up their act.”

____________________

Tim Lang
Professor of Food Policy
City University of London
Centre of Food Policy

“This is an important paper with fair but firm recommendations. Slowly but surely, evidence and awareness are growing that a fundamental change is needed to national and international food policies. Food manufacturing has sweetened diets unnecessarily. Influence is bought by funding arms-length organizations who take the money and cloak themselves in spurious arguments on consumer freedom. Actually, the public worldwide is conned. The impression is given that a tweak here or there will sort out obesity and the runaway non-communicable disease toll. Media ought to realize they give airtime and space to what are effectively anti public health fronts. Declaration of funding should be made before airtime is given.”

____________________

Simon Capewell
Professor of Clinical Epidemiology
Department of Public Health and Policy
University of Liverpool

“Big Sugar, Big Tobacco and Big Food all use the same HARMS tactics to deny culpability:

H – Heaps money for politicians, journalists & scientists    

A – Attack PH opponents & groups

R – Recruit cronies

M – Misinformation

S – Substitute ineffective interventions.

H – Heaps money for politicians, journalists & scientists

  • Gifts, entertainment, money, bribes, jobs

A – Attack PH opponents & groups

  • Use proxies, stooges, libertarians, free market think tanks, to neutralize,  discredit, fragment & destabilize opponents
  • Litigation, threat of legal action, pre-emption

R – Recruit cronies

  • Build internal constituencies: alliances & trade associations
  • External constituencies: policymakers, Media, unions, civil society, consumers, employees, public; astroturf

M Misinformation

  • Reshaping evidence; reframing argument, lobbying (direct/via third parties)
  • Junk Science to contradict & create doubt

S – Substitute ineffective interventions

  • Education, Public-Private-Partnerships
  • Voluntary, self-regulation, non-regulatory, technical “solutions”

____________________

Simon Chapman
Emeritus Professor
Sydney School of Public Health
University of Sydney, AUSTRALIA

“The 2005 satirical movie Thank you for smoking featured a triumvirate of tobacco, alcohol and firearms lobbyists, sharing their strategies at weekly meetings they call The MOD Squad (Merchants of Death).  If the movie was remade today, a fourth member from Big Sugar would be mandatory.

These modern chronic disease vectors all use the same playbook. If you want to control malaria, it’s essential you control mosquitos. If you want to control obesity, diabetes and cardiovascular disease, you must control the mosquito’s equivalent -the food industry”

____________________

Patti Rundall OBE
Policy Director of Baby Milk Action

“A key tactic used by the food industry and all industries whose harmful practices should be regulated, is to create ‘front groups’ that represent their interest while sponsoring individuals in positions of influence -especially health professionals or anyone holding a position of trust. This allows them to secretly hijack the political and legislative process; manipulate public opinion and appear respectable .  Since 1996, eight world Health Assembly Resolutions have called for conflict of Interest safeguards for those working in infant and young child feeding.  These safeguards need to be implemented and extended to all those providing  nutrition advice – transparency is an essential  first step.”

____________________

The analysis paper is available online at https://insulinresistance.org/index.php/jir/article/view/39 in the Journal of Insulin Resistance.

NOTES:The Journal of Insulin Resistance(JIR) is a peer-reviewed, clinically oriented journal covering advances in disorders of insulin resistance. Articles will focus on clinical care and advancing therapy for patients with insulin resistance related disorders, such as obesity, metabolic syndrome, type 2 diabetes, cardiovascular disease, non-alcoholic steato-hepatitis, Alzheimer’s dementia, sexual dysfunction and other related disorders. Insulin Resistance includes pathophysiology, management, patient education, and treatment considerations for different patient populations. The journal will feature original research, reviews,editorials, case studies, and patient handouts. This will be of interest to medical practitioners, clinical educators, nurse practitioners and other health care professionals involved in the care of patients with disorders related to insulin resistance.

For all media and press enquiries contact:

Dr. Aseem Malhotra
aseem_malhotra@hotmail.com

Metabolical You

Metabolical You

Looking forward to Metabolical You: an Evening with my colleague, best-selling author, and doctor, Dr. David Ludwig, hosted by Swedish Medical Center.

June 15, 2018, 5:30 PM – 8:30 PM
Plymouth Church, United Church of Christ
Seattle, WA

Support and book sales by Elliott Bay Book Company

I’m in Seattle, June 15-16, 2018 for the Swedish CME summit for health care professionals: Metabolic Health and Nutrition Across the Life Span.

Metabolic Health and Nutrition

Metabolic Health and Nutrition

The national Metabolic Health and Nutrition Across the Life Span CME summit June 15-16 was a brainchild of my colleagues (Wolfram Alderson, Leslie Lee Sutton, and Dr. Uma Pisharody) at the Institute for Responsible Nutrition, a national organization I founded that has subsequently merged with EatREAL.org. Leslie has now joined with Dr. Pisharody and the amazing team at Swedish. Dr. Pisharody made headlines when she was successful getting juice off of the pediatric menu at Swedish. You may be aware of the research I have done showing the benefits to children after cutting fructose out of their diets for just 10 days. There are a number of reasons why such a CME conference is not only helpful to healthcare professionals, but groundbreaking:
  • A third or less of doctors get nutrition education in medical school, and those that do, might only take a course or two. There has been a national call for improved nutrition education for doctors since the first dietary guidelines were launched in 1980, based on a 1977 report by the Senate Select Committee on Nutrition called, Dietary Goals for Americans.
  • The stats on nutrition education in medical schools are getting worse not better – so the best place, right now, to educate healthcare professionals is in the “after-market” CME framework which is institutionalized and commonplace.
  • Unfortunately, CME programs on nutrition have been infiltrated by companies such as Abbott or Nestle, who use their so-called nutrition “institutes” as a front for peddling CME programs / nutrition “education” that is nothing but a vehicle for marketing their sugar-shake products like Ensure or Boost. Even worse, CME programs are promulgated by mainstream healthcare institutions that promote drugs, devices, procedures and outdated nutrition information that is not only wrong, but harmful. Often these CME events are sponsored by big pharmaceutical companies and commercial interests – the CME programs are supposed to have policies in place to prevent influence, but as they say in Spanish, “Con dinero baila el perro.”

So, the dream of a national CME summit that would bring together movers and shakers who are busting paradigms and moving us away from coopted and misinformed (metabolic health and nutrition science) information came true – thanks to Swedish Hospital.

Present at our first CME summit, Pediatric Metabolic Health and Nutrition, (2017) was Dr. Guy Hudson, then Medical Director, and now CEO of Swedish. With a history in pediatrics, he was a natural advocate for our efforts. We focused on the the pediatric population first.

This year (2018), the focus was broadened to Metabolic Health and Nutrition Across the Life Span. In addition to forging out-of-the-box concepts and themes of the CME summit, hosting and facilitating, etc., my colleagues recruited nationally and internationally known talent, and, in order to really bring together a blockbuster group, all speakers were asked to forgo their speaker fees, which they have done, both year one and two, an indication of how much “skin in the game” our CME summit faculty has. Check out the brochure for this event.

There is a free companion event to this year’s CME summit, called “Metabolical You,” features myself and Dr. David Ludwig (our keynote speaker at the CME summit) is also being offered to the general public. Elliott Bay Books is also on board with the event.

 

Big Food and Big Pharma: Killing for Profit

 

Recently, I shared information about the efforts of Dr. Aseem Malhotra in the UK.

Here is the complete video recording of the presentation to the European Parliament.

His presentation to the European Parliament was held Thursday, April 12 at 3 PM – 5 PM UTC+02

Dr. Aseem Malhotra spoke to the European Parliament, at the invitation of Nathan Gill MEP for Wales.

Dr. Malhotra invited top leaders in European Medicine to expose “how Big Food and Big Pharma are killing millions of people.”

Dr. Aseem Malhotra, an internationally renowned UK cardiologist and author of the Pioppi Diet, argued the case for lifestyle medicine and explaining why lawmakers need to change EU health policy.

“Prescribed medications are estimated to be the third biggest killer, after heart disease and cancer.  Bad Pharma sees millions taking drugs they don’t need – destroying their lives! For years public health advice across Europe has got it dangerously wrong,” Dr. Malhotra states.

Dr. Aseem Malhotra is a leading figure in the campaign against sugar and too much medicine in the UK, and was joined by the director of the Centre of Evidence Based Medicine, University of Oxford, the past President of the Royal College of Physicians and former doctor to the Queen, a internationally known professor of Diabetes, an award winning investigative medical journalist, and an eminent UK nutritionist.

The panel exposed how the food and beverage industry and pharmaceutical companies have had a pervasive influence over policy that coerces doctors into prescribing unnecessary and potentially harmful treatments rather than providing patients with basic lifestyle solutions. In the UK, more than half of all adults take at least one prescription medication with 50% of those over 70 on at least three. It is estimated that prescribed medication is the third most common cause of death after heart disease and cancer. The panel argued that evidence-based medicine has been hijacked by major conflicts of interest at the highest levels, and revealed unscrupulous lobbying practices that drive up profits at the expense of public health.

Dr. Malhotra states: “With global health systems forecast to collapse in the next few years, two things are driving ever-increasing demand: The escalating burden of chronic disease, caused by entirely preventable lifestyle illnesses, and over-treatment, seeing millions taking drugs and undergoing surgeries that will provide zero benefit and as a result costing national economies billions.”

The unified show of force was intended to expose collusion between politicians, respected medical institutions, ‘charities’ and medical journals for financial gain, resulting in an epidemic of misinformation with devastating consequences for health worldwide.

Big Food and Big Pharma: Killing for Profit?

Big Food and Big Pharma: Killing for Profit?

UPDATE: Here is complete video coverage of “Big Food and Big Pharma: Killing for Profit?

Recently, I shared information about the efforts of Dr. Aseem Malhotra in the UK.

Here is a heads up to a special event related to his efforts coming up this Thursday, April 12 at 3 PM – 5 PM UTC+02

Dr. Aseem Malhotra is speaking to the European Parliament, at the invitation of Nathan Gill MEP for Wales.

Dr. Malhotra has invited top leaders in European Medicine to expose “how Big Food and Big Pharma are killing millions of people.”

Dr. Aseem Malhotra, an internationally renowned UK cardiologist and author of the Pioppi Diet, will be arguing the case for lifestyle medicine and explaining why lawmakers need to change EU health policy.  “Prescribed medications are estimated to be the third biggest killer, after heart disease and cancer.  Bad Pharma sees millions taking drugs they don’t need – destroying their lives! For years public health advice across Europe has got it dangerously wrong,” Dr. Malhotra states.

Dr. Aseem Malhotra is a leading figure in the campaign against sugar and too much medicine in the UK, and will be joined by the director of the Centre of Evidence Based Medicine, University of Oxford, the past President of the Royal College of Physicians and former doctor to the Queen, a internationally known professor of Diabetes, an award winning investigative medical journalist, and an eminent UK nutritionist.

The panel intends to expose how the food and beverage industry and pharmaceutical companies have had a pervasive influence over policy that coerces doctors into prescribing unnecessary and potentially harmful treatments rather than providing patients with basic lifestyle solutions. In the UK, more than half of all adults take at least one prescription medication with 50% of those over 70 on at least three. It is estimated that prescribed medication is the third most common cause of death after heart disease and cancer. The panel will argue that evidence-based medicine has been hijacked by major conflicts of interest at the highest levels, and will reveal unscrupulous lobbying practices that drive up profits at the expense of public health.

Dr. Malhotra states: “With global health systems forecast to collapse in the next few years, two things are driving ever-increasing demand: The escalating burden of chronic disease, caused by entirely preventable lifestyle illnesses, and over-treatment, seeing millions taking drugs and undergoing surgeries that will provide zero benefit and as a result costing national economies billions.”

The unified show of force is intended to expose collusion between politicians, respected medical institutions, ‘charities’ and medical journals for financial gain, resulting in an epidemic of misinformation with devastating consequences for health worldwide.

Facebook Event Link Here for more details.

Promotional Facebook video of the event here.

For all media and press enquiries please contact press officer Alexandra Phillips, at +44 7 888 66 789 3 or alexandra.phillips@europarl.europa.eu

Reference

MEP Nathan Gill’s Open Letter

Ignore government guidelines to beat diabetes, obesity, heart disease and save NHS hundreds of millions, UK Prime Minister told.

Dr. Aseem Malhotra’s website: http://doctoraseem.com/