00:00:00.000Hi, everybody, and welcome to Maintenance Phase, the podcast that keeps saying it doesn't
00:00:15.800want to talk about poop, but it's really like conceptually painted itself into a corner.
00:00:22.440I have spent the last three weeks livid about doing this episode, even though I don't know
00:00:28.920who i'm angry at i'm just angry when you picked it i was very surprised i was like the one that's
00:00:35.520famously poopy the poopisode yes i'm aubrey gordon and i'm here with my co-host michael hobbs you can
00:00:44.720find us on patreon at patreon.com slash maintenance phase we also have t-shirts and masks and phone
00:00:52.060cases and tote bags and all kinds of stuff on t public both of those are linked for your
00:00:57.320convenience at maintenancephase.com. You know what we don't have, Aubrey? Fat-free potato chips.
00:01:03.760Yeah. That make you feel weird in your downstairs. So can you tell me what you know about this
00:01:11.980ingredient Olestra and the history of it? So Olestra, brand name Olene. Yes. Burst onto the
00:01:20.000market sometime in the mid 90s, right in the middle of my fat kid adolescence. What I remember
00:01:27.420most distinctly, they were wow, potato chips from Frito-Lay. Yes. I don't know if I ever tried them,
00:01:34.780but I definitely remember feeling like this is for me. And of course, I remember nonstop jokes
00:01:42.300about the phrase anal leakage. Yes. This is my primary memory as well. Poop jokes. It's your0.98
00:01:48.120nightmare. I know exactly. Poop jokes as far as the eye can see. This is where my trauma about
00:01:53.000this comes from. Yes. That's about all I remember. Okay. I'm super curious to hear about how did all
00:02:00.480this start? Yes. First, we have to talk about it as a science story and then we have to talk about
00:02:05.320it as a politics story. Oh. So Olester is actually a combination of oil and table sugar. What? Yes.
00:02:13.060It was discovered by Procter & Gamble in 1968 by accident.
00:02:18.240They were not looking for a fat that wasn't fat.
00:02:21.340They were actually looking for the exact opposite.
00:02:23.840So they were working on baby foods that would actually absorb more calories.
00:02:29.580So they were doing all this weird – I don't understand how chemistry works.
00:02:32.440But they were doing all kinds of weird chemistry about like taking apart fats and putting fats back together and mixing them with other ingredients to try to get something that would help babies fatten up essentially.
00:02:43.060and they came up with this molecule that is sucrose polyester and they tested it not on
00:02:49.600babies because that's super unethical but i think on rats or something and they found out that it
00:02:54.020just went right through them the rat became a straw and so they were like huh there might be
00:03:00.040something here i genuinely can't think of a bigger outrage factory than the concept of baby testing
00:03:07.120i know exactly exactly some of the old research that you find on this it's like when they started
00:03:13.820testing it on babies i'm like they absolutely did not test this on babies and if they did
00:03:19.120someone needs to work on a book about this whoa the way that it works basically you start with
00:03:24.200table sugar normal ass table sugar and vegetable oil and there are chemical processes that you can
00:03:30.280do to break the vegetable oil into its constituent parts. So you basically break off the fatty acids
00:03:37.300from the sort of backbone of the fat molecule. And then you take those fatty acids and I don't
00:03:43.700put them in a blender. I don't exactly know how this works, but you blend them with sugar. And so
00:03:48.740what happens when you put the whole thing back together is you end up with a fat molecule that
00:03:53.260is more than twice as big as an ordinary fat molecule. And nothing about that, like chemically,
00:03:59.460it can't be broken down by the bacteria in your small or your large intestine so it's essentially
00:04:04.880like if you swallowed like a pebble literally one of the scientific papers i came across actually
00:04:09.900says it's the same reason we can't digest wood so the the central genius of olustra is that to your
00:04:17.080gut it is wood right none of it gets absorbed and therefore none of the calories go into your body
00:04:23.380like it doesn't register as calories but to your mouth it is like totally normal fat huh it's
00:04:29.100Actually, more of a process than a substance.
00:04:32.800So one of the few sources I found on this was a book called The Man Who Ate Everything by friend of the show, Jeffrey Steingarten, this writer for Vogue who we talked about in our Master Cleanse episode.
00:11:35.380I mean, it's like between this and Fen-Fen and Redux, we have a couple of like massive 90s examples of sorry about your heart valve, sorry about your lungs, sorry about your poop, and sorry about your carotenoids.
00:11:53.480Nothing matters as much as being thin.
00:11:57.400So that's one downside that it removes all these other nutrients.
00:12:00.800The other downside is the downside we all know about.
00:12:03.980so a parent okay according to my parents i'm i'm going on a digression because i i want to have
00:12:11.940euphemisms for talking about this for the rest of the episode so i guess when i was a kid i couldn't
00:12:18.120say bowel movement when i was like four or five it was like a difficult thing for my little child
00:12:24.380tongue to say so i started saying bamu and then my parents started saying bamu and it's like become
00:12:31.260the whole thing that my family for decades now just says BAMU when we want to talk about like
00:12:35.940downstairs backdoor stuff. So the second downside of Olestra is the BAMU stuff. Like the BAMU
00:12:43.840things start showing up very quickly. They do show up very quickly. Famously.
00:12:48.580This is an excerpt from one of the scientific articles that I found.
00:12:52.020Olestra worked well, but not perfectly. Tests revealed that the indigestibility of the fat
00:12:57.220molecule was causing what early Procter & Gamble documents described as leakage problems in the
00:13:03.300stool of a percentage of the people who ate these fat-free foods. So in the early tests, this is one
00:13:09.220of the effects of having this snowball ravaging through your body and then sort of melting.
00:13:14.360This is an excerpt from Jeffrey Steingarten's book. The early, more liquid versions caused
00:13:18.500gastrointestinal problems. One of these, anal seepage, or in my preference, passive oil loss,
00:13:25.080occurs when fully liquid olestra separates from the food in which it was cooked and slips along
00:13:31.440the inner walls of people's intestines, bypassing everything else in its way. Drops of olestra show
00:13:37.720up on their underwear or floating in their toilets. The FDA actually abbreviates this as
00:13:43.540OIT, oil in toilet. Passive oil loss sounds like something British petroleum should be concerned
00:13:50.700with the euphemisms like we get into the jungle of euphemisms very quickly which i'm actually fine
00:13:57.120with i don't i don't want to discuss you're like euphemism away i'm here for it so keep those two
00:14:03.800downsides in your mind these are what they found in the early testing and now we're going to move
00:14:08.220into the fda approval process oh based on our old friend the food drug and cosmetic act of 1938
00:14:16.480ate, anyone can make a food additive and apply for approval from the FDA. But the obligation
00:14:24.880is on the company itself to do the testing. So I, Michael Hobbs, cannot just like come up with
00:14:30.500a food additive in my garage and be like, hi, FDA, I need you to spend 10 years and $50 million
00:14:36.760testing this food additive to make sure it's safe before you approve it. The obligation is on me
00:14:42.440to spend the money to conduct tests that meet the sort of the FDA's standards of quality
00:14:47.120to show that my food additive is safe. And if it's safe, then I can start putting it in food.
00:14:52.480Like that's the process. So that seems both good and bad.
00:14:56.580Yes. This is exactly in my notes. Tell me what you think.
00:14:59.100So on the one hand, it seems good in that like, yes, it shouldn't be the responsibility of the
00:15:04.820state to test the products of private companies. Like fundamentally, it is their responsibility
00:15:10.400to make sure it's safe. But also, if you turn over that testing to those private companies,
00:15:16.420it absolutely incentivizes sort of like research structures that are more favorable to the
00:15:22.500findings that you want. Yes. And also, it's not Michael Hobbs in his garage making food additives.
00:15:28.860It's Procter & Gamble. Exactly. The least Michael Hobbs in his garage. I know.
00:15:34.980That this world has ever seen. It's only massive corporations that are trying to do this. And the
00:15:39.720FDA essentially has no power to run its own studies.
00:15:43.880There's also the sort of probably even much bigger issue.
00:15:48.300This comes up in a chapter in Marion Nestle's book, Food Politics.
00:16:05.560So Marian Nestle is like a giant of these sort of food science politics field, and she got a copy of Aubrey's book and blurbed it, which made us both really happy.
00:16:15.020So one of the things that Marian Nestle is obsessed with in her book, rightfully, is that this entire FDA approval process is designed around these other food additives, right, like Yellow 5, that, you know, do they cause cancer or not?
00:16:27.860But there's nothing in this process about does it actually work?
00:16:35.160That's not part of the process at all. It's all about this binary distinction. Does it cause harm or doesn't it cause harm? And if it doesn't cause harm, then you can put it on the market regardless of whether it does what it's supposed to do. So at no point during this entire 25 year, 20,000 human subject study process, do they test, does O'Lester help people lose weight?0.75
00:16:58.200So they're like, it will make you poop, but it won't give you cancer. Go to town.
00:17:02.020So in 1987, Procter & Gamble files the sort of official food additive approval.
00:17:09.220And so this takes nine years, this entire process.
00:17:11.980And there's a lot of sort of chapters of this that I'm going to skip.
00:17:15.320There's like a big fight about patents at one point.
00:17:18.220There's a big fight about sort of can you put it in sweet stuff?
00:17:29.480So generally what you need to know is the entire nine-year approval fight is a battle between Procter & Gamble and a nonprofit organization called the Center for Science in the Public Interest.
00:17:53.660I've interviewed them for various stories over the years.
00:17:55.700But I also think that it's worth noting during this time in the late 80s and early 90s, CSPI and all these other organizations, nobody was really pushing back against the low-fat consensus.
00:18:09.140So in all of these hearings and the debates around it, CSPI is making like this weird argument where they're saying like we have to get fat out of the American diet, but not this way.
00:18:19.180They're basically accepting the terms of the debate, but just saying, oh, this particular additive shouldn't do it.
00:18:25.040Yeah, it feels like such a tricky moment of just like, oh, politically, the 90s was a great time of people just accepting the terms of all kinds of debates.
00:18:33.920I was thinking about this the other day, like the number of women that I grew up with who would go, I'm not a feminist, but.
00:18:45.980And so this is really one of the main problems with the debate over Olestra, this nine-year-long debate, is that the only real objections that the Center for Science and the Public Interest can make are these methodological objections.
00:18:59.260We don't know about the long-term effects.
00:19:01.600Most of the studies that Procter & Gamble has done have been small ends.
00:31:22.160I'm just a homespun farmer growing soybeans, a thing that most Americans at this point don't really understand what they are or what they do
00:33:37.440You know, the American Medical Association puts out a statement supportive of Olestra, but doesn't mention that it's also negotiating an $800,000 donation from Procter & Gamble at the same time.
00:33:51.100Yeah, they also fund a bunch of, you know, academic conferences and, you know, medical professionals.
00:33:58.880And Jeffrey Steingarten talks about how they sent little sort of tinfoil packets of chips, actual chips, to hundreds of newspaper editors across the country.
00:34:10.300Like, this just is a full court press.
00:34:13.220God, I mean, like, it makes sense, right?
00:34:15.160Like, that is how you market things, right?
00:35:57.980Again, you can't draw these like very clean lines.
00:36:01.900Like there's not necessarily like brown envelopes of cash trading hands.
00:36:05.840And you could just as easily say that Procter & Gamble is seeking out researchers who are doing research, finding good things about Alestra and paying them afterwards.
00:36:14.820The causal relationship doesn't necessarily go only in the one direction.
00:36:37.060And this feels like it's missing the hashtag ad part of it.
00:36:40.220Just what it shows to me is how deeply embedded in the food science field the food companies are.
00:36:47.540There's a really interesting passage in Marion Nestle's book where she says, like, I have gotten money from Procter & Gamble.
00:36:53.240Basically, if you attend food conferences, if you speak at things, if you talk at universities, if you basically work in this field, it is almost impossible to not have some financial relationship with Procter & Gamble and Unilever and all the other ones because they're always the ones funding these things.
00:37:12.060This is a real, like, no ethical consumption under capitalism moment, right?
00:37:16.080Like, there's no way for this to be clean and tidy for kind of anybody or for kind of any industry, right?
00:37:22.800Like, particularly when folks don't disclose.
00:43:10.720So alongside the CSPI hotline, Procter & Gamble also sets up a hotline.
00:43:17.100So on the bag of chips, it will say, you know, if you have any questions about this product,
00:43:20.820if you want to report any problems with this product, call like whatever, 1-800-BOMU stuff,
00:43:25.600like whatever it was, it was some hotline number, right?
00:43:27.920And so Procter & Gamble also got, they got 15,000 calls, which CSPI and others say like,
00:43:34.180oh my god they're getting all these complaints like a flood of complaints but according to
00:43:37.660procter and gamble only nine percent of those are actually complaints the rest of them are just like0.99
00:43:41.920requests for information you know where do i buy these in my town like kind of random ass shit0.86
00:43:46.060and they've published the data from all of these calls that they get to the hotline and what's0.97
00:43:50.460really interesting is the calls the sort of the complaints to the hotline spike after the chips
00:43:56.720are introduced in the test market and there's like a wave of marketing and a wave of news stories
00:44:01.860like hey this weird technological ingredient is coming onto the market and then they taper off
00:44:07.300very quickly but that doesn't actually track with sales because right when the products are
00:44:13.540introduced the sales are relatively low and then sales increase over time but the calls completely
00:44:19.900taper off so if you had people who were actually shitting themselves based on eating these chips
00:44:25.900you would have calls to the hotline rising as sales of the chips rise and you don't see that
00:44:31.040pattern, you see the spike around media coverage of Olestra, not sales of Olestra.
00:44:36.400Right. I could also see that that wave of calls, like the same kind of person who would call a
00:44:42.740Procter & Gamble hotline would be the first person in their town to try a new kind of chip
00:44:49.200and sort of pride themselves on it, right? So that's like more a measure of sort of like
00:44:52.900how are early adopters responding to this than it is about like, what's the effect of this food?
00:44:58.820Right. We should be careful. These are all Procter & Gamble studies, right? So just on their face, we should be skeptical of this. But the information that Procter & Gamble publishes is that another thing that shows up in the reports on the hotline is that people will say, I ate these Olester chips at noon and I was like shitting myself by two.
00:45:17.760and that isn't something that showed up in any of the clinical data or any of the sort of double
00:45:23.800blind placebo tests that they had done while they were developing the chips so all of the symptoms
00:45:30.620take two or three days to happen like it has to kind of build up in your system and you have to
00:45:35.640eat like a can of pringles every day and then by day three or four you're reporting that you have
00:45:41.360diarrhea but you're not getting that like an hour later because that's like physically impossible
00:45:45.160because it takes a long time for the sort of the fat to get through your large intestine so a lot
00:45:51.240of the complaints that people are reporting are like basically impossible and there's also no
00:45:55.480relationship between vulnerable groups and olastro side effects so among the population you would
00:46:02.700expect elderly people and children to have much greater likelihood of symptoms because they have
00:46:08.100just kind of weaker guts generally and yet the complaints to procter and gamble are like very
00:46:13.040evenly distributed throughout the population.
00:47:09.360So you kind of got to go on what you got.
00:47:11.020or make like major systemic reforms that will take decades go right so i mean this is not a
00:47:18.080like proctor and gamble stan episode or like it's you know olestra is a maligned figure from the0.77
00:47:24.1001990s i do not give a shit like i yeah i have no interest in like defending olestra i'd be like0.95
00:47:29.980bring it back like it never got approved actually in canada the uk or the eu and like i don't give0.98
00:47:36.960a shit like they have not been deprived of anything like we'll get into the sort of broader0.94
00:47:42.220structural reasons why olestra is trash but like there's no sort of smoking gun of like people0.99
00:47:48.540actually having these symptoms and it took me a long time to sort of believe procter and gamble
00:47:53.080because this is what procter and gamble has always said is that on any given month 40 percent of
00:47:59.560Americans have gastrointestinal symptoms. Yeah. Abdominal cramping, diarrhea, sort of feeling
00:48:06.360bad in your BAMU. And it's very difficult to sort of trace these things back to one thing that you
00:48:13.180ate. Basically, to me, it's the central reason why Olestra never should have been approved in
00:48:17.360the first place, because it's impossible to untangle the effect of the chips from just the
00:48:22.400population having gastrointestinal issues generally. Yeah, totally. I mean, like, this is
00:48:27.020also how we get Whole30 and like elimination diets broadly. This idea that like, if I feel
00:48:34.740bad, it must be because of a food. I just have to figure out which food and stop eating that food
00:48:39.900when there's still so much that we don't know about digestion and about what causes
00:48:47.440gastrointestinal distress. It's a fiction that we keep chasing without really a whole lot of
00:48:53.520evidence to to back it up well this is why one of the most fascinating studies on this was this is
00:48:58.260also a procter and campbell study so grains of salt but they basically set up this thing in a
00:49:02.640movie theater where they said hey come and watch a movie you get all you can eat chips so basically
00:49:08.160when you come in you get like a can of fucking pringles and they give you like as many pringles0.98
00:49:12.420as you want so some people are eating a little some people are eating a lot and then afterwards0.98
00:49:15.660they measure people's gastrointestinal symptoms so it is true that of the people who went to this
00:49:22.220movie theater test and who ate olestra chips 16 of them had various gastrointestinal issues
00:49:29.280afterwards do you want to know what percentage of people had gastrointestinal issues after eating
00:49:35.000normal chips 16 18 so it's one of those things we're like yes olestra causes problems but maybe
00:49:43.180all of the other stuff causes problems too like it just all causes problems this is like very
00:49:49.300genuinely blowing my mind isn't it what me too it's like very genuinely blowing my mind it's
00:49:53.900what's happening right now so basically brass tacks my read of the entire situation from
00:49:59.460everything that i read from the federal documents to various independent studies that have come out
00:50:03.800since all of this controversy is basically if you eat like a decent amount of olestra foods like a
00:50:11.860can of Pringles every single day, after three or four days, there's about a 20% chance that you'll
00:50:19.800get like some BAMU symptom. For the majority of people, it's going to be something relatively
00:50:25.320minor, like farting, like you're going to fart more. Or like one of them was like pooping frequency,
00:50:30.460like you're going to poop more. But there's a small percentage of that small percentage is
00:50:34.960going to get things that are more irritating, like abdominal cramping or diarrhea. And there's
00:50:40.900a couple of extremely isolated, extremely anecdotal cases of people with severe, like
00:50:46.600requiring hospitalization symptoms. But those are so rare that when they happen, like there's an
00:50:53.420entire journal article about them. So there's literally a journal article about two children
00:50:58.380that had like severe gastrointestinal distress after eating Olestra, but they were also taking
00:51:04.140Orlistat at the same time. Oh God. Yeah. It's not, it's not clear like how those things were
00:51:09.000interacting, but it's like, in extremely rare cases, it sounds like something super severe can
00:51:15.040happen. And that's like, Olestra, famously sort of a diarrhea factory, and Orlistat, also famously
00:51:23.840a diarrhea factory, right? That's a pretty unique situation, right? That's not a clean read on just
00:51:28.900Olestra or just Orlistat. Right. I mean, that seems to be sort of like the overall state of
00:51:34.660the data. Although we should also note a very important caveat that of course Procter & Gamble
00:51:39.240does not bring up themselves is that Olestra was not designed to just be in chips. Like the vision
00:51:45.760of Olestra was that it would be all over the US food supply, right? Like the plan was to have this
00:51:52.020in cookies, to have this in breads, to have this in like crackers. Like there was Olestra wheat
00:51:57.480thins at one point. They were going to have like restaurants using it. So the idea of like if you
00:52:03.180eat reasonably large portions of this every single day, you're going to get symptoms.
00:52:08.140Well, the idea was for all of us to be eating quite a bit of this. Like that was the vision
00:52:12.480at the end of the rainbow. So if 20% of the population is getting some form of distress,
00:52:19.640if the food supply had started incorporating this more, we all would have been eating moderate
00:52:23.860amounts of it at some point. Like this was never going to be sustainable.
00:52:27.440Right. So like the volume of poop jokes that we got about Olestra was maybe sort of jumping the gun, right? Like was not borne out by the data that we had, but it would have been borne out by the sort of vision for Olestra.
00:52:42.860Yeah. The poop jokes were a warning to us all.
00:58:16.520Exactly. When you market something as a diet food, I would imagine that it would be sort of teeing folks up psychologically to preemptively feel unsatisfied.
00:58:26.520Right. I mean, you find these articles that say like, well, there's no compensation effect for Olestra and it only happens if people know they're eating Olestra.
00:58:34.000So there's no compensation. And it's like, well, under what scenario would somebody trying to lose weight not know that they're eating Olestra?
00:58:42.300Like if you're eating it, you're buying it at the store and you're buying it at the store because you know about it.
00:58:57.540So like at the population level, if we wanted to like make America lose weight using Olestra, somehow you'd have to put this into our food without telling us?
00:59:05.040Is it then just, like, you set up, like, a box with a stick propping it up and, like, put chips, like, a dish of chips in it and then, like, a fat person comes along and you, like, pull the string on the stick and trap them in the box?
01:00:25.740So I think that's just kind of quietly faded from the market.
01:00:28.760But one of the only independent studies that I found found that Olestra actually gives people less gastrointestinal symptoms than other food additives.0.99
01:00:42.120You shut the fuck up right now, Michael.1.00
01:01:03.520People who ate Sorbitol 40 grams a day had liquid-slash-loose stools within one to three hours of consumption.
01:01:11.940Olestra consumption, at levels far in excess of normal snacking conditions,
01:01:16.780resulted in a gradual stool softening effect after several days of consumption,
01:01:21.220did not meet any of the three objective measures of diarrhea,
01:01:24.400and did not increase gastrointestinal symptoms.0.68
01:01:27.360Olestra has this miserable reputation for causing people to shit themselves in Tower Records.
01:01:32.860Other food additives actually have worse effects, like objectively worse effects,
01:01:38.020but they haven't been subject to the same amount of media scrutiny.
01:01:40.440Right. The stuff that's in Halo Top is xylitol and this one's sorbitol, but they're both sugar alcohols, which are in everything right now. And there is broad research on sugar alcohols that upholds this idea that like, if you eat more than a little bit of any kind of sugar alcohol, like you are going to have some gastrointestinal stuff.
01:02:04.740It'll also scramble your hunger cues, potentially.
01:02:08.800There's research that suggests that that may be happening, right?
01:02:11.500Like, it feels like we're in one of those moments where, like, there's an Olestra happening right now.
01:02:23.720Oh, Mike, I feel like I'm leaving the movie theater after seeing, like, The Witch or Hereditary.
01:02:30.680You know what I mean? Where you're like, oh, this feels bad in a very sort of large scale kind of way.
01:02:38.120Yes. Well, this is what's amazing to me is that the summing up, like the last thing to say about this is that none of this debunking is meant to be like, let's bring Olestra back. Olestra is good.
01:02:48.920The problem with Olestra isn't the fact that it made people shit themselves. The problem with Olestra is that it never should have existed in the first place.0.93
01:02:55.580Like we're not going to have a technological solution to a political public health problem.
01:03:03.520So the entire endeavor is just pointless.
01:03:06.740Like why do we need a fake fat with zero calories and dubious long-term effects when like we can just do the things that we know are going to make people healthier now?