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Could Ozempic Ignite Food’s Healthier Future?

Today, the weight loss drugs highlight a consumer movement against processed and ultra-processed foods. These foods have added ingredients such as sugar, salt, unhealthy fats, and artificial colors that provide no nutritional value…except great taste.

Eaten as an indulgence, they are not terrible. But, unfortunately, many people indulge in these treats as a dietary staple.

The Search for Nutrition

Consumers today are looking for nutritious foods. Foods that not only treat existing diseases but prevent ones from appearing. Foods that help you manage your health and help you age gracefully, with ‘food as medicine’  the sought-after goal.

Innova Market Insights identified nutritional value and balanced nutrition, along with naturalness are important for consumers.

Ingredients containing protein, Omega-3, fiber, vitamins, prebiotics, probiotics, and even esoteric mushrooms such as ashwagandha and lion’s mane are high in demand. Mintel also identified a changing attitude toward extending life in good health.

How GLP-1 Drugs Affect Our Diet

Further fueling demand for a healthier, more nutritious diet are among those taking a new class of prescription drugs: GLP-1 agonists. These medications, like Ozempic and Wegovy, help lower blood sugar levels and promote weight loss.

Morgan Stanley’s research survey of 300 patients taking a GLP-1 agonist found that these drugs reduced their daily appetite by 20-30 percent. They lost their appetite for candy, sugary drinks, and baked goods, creating room for adding healthy foods to their diet.

Especially as those on the GLP-1 drugs are not that hungry and might not meet the full 2,000-calorie minimal daily requirement, it is essential that what they do eat in a day provides their full complement of minerals and vitamins.

As the obesity epidemic continues to rise, so will the associated health issues such as heart disease, type 2 diabetes, certain cancers, and fatty liver disease.

Today, about 69 percent, or 178 million adults, are either overweight or obese. Adult obesity is at 42.4 percent and is expected to climb to 50 percent in just six years.

GLP-1 drugs seem to hold the answer to obesity, heart disease, and diabetes. Morgan Stanley estimated that 7 percent of the U.S. population will be take GLP-1 medications by 2035. This equates to a potential $44 billion market by 2030.

Will Food Sales Decline? 

Grocers and consumer products companies worry about the future if more and more people are cutting 20-30% of their calories out of their diet.

In the fall of 2023, Walmart announced that it had seen a slight drop in food demand due to appetite-suppressing medications. It might be too soon to tell given that there is such a small percentage of the population on these weight loss programs, but as the numbers increase, how will CPG companies prepare?

However, CPG companies and grocers can benefit from this trend; consumers don’t have to be hurt by purchasing less food. Of course, if everyone ate more fruits and vegetables and fewer cookies, then obesity would not be an issue.

At D2D, we have written about changing one’s diet, but it is hard. What you eat is what you crave. Can anything be done to meet our nutritional needs while sating our  tastebuds?

How about a Healthy Oreo?

There are over 14 unique Oreos to choose from, with ‘Double Stuff’ being our favorite, mostly because it is reminiscent of our childhood.

But sadly, there is no benefit to eating these every day. Despite their great taste, they have no nutritional value, 12 grams of sugar, and 150 calories for just two cookies. They would be considered an indulgence and not a ‘food’.

What if the Oreo had the same basic ingredients but with added health benefits?

What if the creamy filling included Omega 3s for heart health, and fiber in the cookie for lowering cholesterol, aiding gut health, and reducing the risk of heart disease? Some vitamins like D3 could be added as an extra immune benefit. Instead of sugar, there could be stevia to keep the taste.

The mouthfeel and taste that any saturated fat provides could be replaced by an alternative fat from a plant oil called Epogee.

To be fair, in 2021, Mondelez did try to launch the Oreo Zero in China. Instead of sugar, they used sucrose and glucose, which gave a different taste from the original Oreo. They chose China because those consumers like less sugar in their snacks. Needless to say, it was not a success. Some of you readers might remember the backlash against the ‘New Coke’ in 1985. A change in the 99-year formula was a complete flop because Coca-Cola lovers liked the ‘Real Thing’.

How can CPG Companies Benefit? 

But are CPG companies ready to make such big changes? Already, many are starting to address their concerns about the potential for declining food consumption.

According to Food Dive, Coca-Cola and PepsiCo have introduced small cans in response to consumers cutting back on sugar. Also, snack companies have created 100-calorie small snacks. Some have reduced salt and others have reformulated their products for added nutrition. But is it the right answer?

CPG companies have a range of opportunities to create healthier products. These changes can have meaningful impacts on consumer health.

How can the pharmaceutical industry influence the snack industry?

Healthier Product Formulations:

  • CPG companies can reformulate existing snacks to align with healthier profiles. For instance, reducing added sugars, saturated fats, and sodium content.
  • Whole grains, fiber, and protein can be added in to create more satisfying and nutritious snacks.
  • CPG companies can focus on nutrient-dense options that provide sustained energy.

Functional Ingredients:

  • Incorporating functional ingredients like prebiotics, probiotics, Omega-3, turmeric, and additional antioxidants can enhance the nutritional value of snacks.
  • GLP-1 users may want to seek snacks that support gut health and overall well-being.

Portion Control and Mindful Snacking:

  • Ozempic’s appetite-suppressing effects may encourage consumers to eat smaller portions.
  • CPG companies can develop snack packs with smaller, healthier portions, promoting mindful eating.
  • GLP-1’s impact on cravings could lead to decreased consumption of empty-calorie snacks (e.g., sugary treats).

Marketing Strategies:

  • Highlighting diabetes-friendly, weight-conscious, or blood sugar-friendly snacks can resonate with GLP-1 users.
  • Transparent labeling and clear health benefits can attract health-conscious consumers.

Collaboration with Healthcare Professionals:

  • CPG companies can collaborate with healthcare providers to educate consumers about healthier snack choices.
  • Ozempic users may appreciate guidance on suitable snacks to complement their treatment.
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Are we what we eat? A Netflix film thinks so…

Netflix’s “You Are What You Eat: A Twin Experiment,” directed by the acclaimed Louie Psihoyos, presents a look at the effects of diet on health through the unique lens of an 8-week ‘controlled’ study by Stanford University. The documentary series, released in January 2024, unfolds the intriguing findings from an experiment involving 22 sets of genetically identical twins.

The overarching message of the series is that ‘meat is bad for you, and plants are good for you’, as is seemingly made evident by Dr. Christopher D. Gardner, Ph.D., the study’s author and principal investigator. However, a closer examination of the study uncovers limitations and concerns.

The study’s premise was straightforward: each twin was assigned a different diet—one vegan, one omnivore—both seemingly balanced and nutritious. Initially, the twins received pre-prepared meals to ensure dietary adherence, followed by a transition to self-prepared meals for practical application. Commentators then chime in to provide additional insights based on their expertise, including NYC Mayor Eric Adams, Senator Cory Booker, Dr. Michael Greger, and Marion Nestle.

Considering Overall Health

We agree that a diet rich in fresh produce and limited in red meat is certainly the way to go!

But before you jump into all vegan diet, consider some of the drawbacks and how to manage them.  This film entices you to become a vegan because the twin that eliminated meat showed significant outcomes: a 10% to 15% decrease in LDL cholesterol, a 25% reduction in insulin levels, and a 3% weight loss—all achieved through whole, plant-based foods without any animal products. Conversely, those on the omnivore diet showed no significant health benefits.

While the vegan group experienced positive changes in their LDL cholesterol (the bad one) and weight loss, they also had negative changes in HDL cholesterol (the good one) and triglycerides (bad fat).  High triglycerides may contribute to the hardening of the arteries or thickening of the artery wall, therefore, contributing to heart disease.

Furthermore, the oversight of potential risks associated with Vitamin B12 deficiency in the documentary is a significant concern. Vegetarians need to take a B12 supplement to make sure they have enough of this crucial nutrient for their overall health, particularly for the proper functioning of our nervous system and the production of red blood cells.

Additionally, the documentary‘s observation that the weight loss in the vegan group primarily consisted of muscle loss raises concerns about the impact of unbalanced weight loss strategies.

Losing muscle mass during weight loss is generally undesirable because muscle tissue plays a crucial role in metabolism, physical strength, and overall well-being.

Muscles help burn calories and support daily activities, and their loss can lead to a decrease in metabolic rate, making it harder to maintain a healthy weight.

Another noteworthy concern is its feasibility as a long-term diet. Most participants in this study reported lower dietary satisfaction with a vegan diet suggests that long-term adherence to such a diet may be challenging for many individuals. This aspect challenges the feasibility and practicality of adopting a vegan lifestyle for a substantial portion of the population.

If you’re interested in adopting a better way of eating that eschews the potential bias, the study’s limitations, potential deficiency risks, and the challenges associated with long-term dietary adherence, consider The Mediterranean Diet. This tried and true eating style has the most peer-reviewed research showing its positive effects towards living a long and healthful life.

And should you want your diet to factor in particular health concerns, consider researching epigenetics. This is the study of how your behaviors and your environment can cause changes in how your body reads your DNA.

Ideological Issues

There are plenty of healthy vegans, so that is not the issue.  It seems as though those affiliated with the documentary is using diet to make a political stance on meat.

This becomes evident when we consider the affiliations of Dr. Gardner one of the study authors, who is connected to Beyond Meat, a prominent producer of plant-based meat alternatives. While financial conflicts of interest were disclosed in the study, there is also a strong conviction in promoting a plant-based diet.

The film also focuses on animal welfare concerns associated with meat production but fails to address issues related to growing our food.  Every single bite we take has its own, including labor issues, pesticide concerns, and water usage, to name a few.

By solely emphasizing animal rights, the documentary neglects broader ethical and environmental considerations in our food system that span to crops and plant-based diet foodstuffs as well.  This documentary falls into the same category as so many others.

Not The First…and Certainly Not The Last

Consumers are often drawn to exciting and visually compelling documentaries about food, especially when they promise groundbreaking revelations about nutrition and health.

These documentaries can be engaging, emotionally charged, and persuasive, making them highly effective in shaping public opinion. However, it’s important for consumers to recognize that these films are often crafted with a specific agenda or perspective in mind and overlook some core components.

While documentaries can provide valuable insights into various aspects of our food system, they should not be the sole source of information when it comes to making important dietary decisions. Here’s why consumers should exercise caution and seek factual resources for nutrition information:

To make informed decisions about nutrition, consumers should seek out a variety of reputable, evidence-based resources. These can include peer-reviewed scientific journals, registered dietitians or nutritionists, government health agencies, and academic institutions specializing in nutrition and health research.

By consulting a range of sources and critically evaluating information, consumers can make dietary choices that are based on a well-rounded understanding of nutrition rather than being swayed solely by the excitement of a compelling documentary.

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Uncovering Illegal Fishing Boats

Growing up in northern New England, we were spoiled with abundant fresh, local seafood. It wasn’t until I moved away that I realized how good I had it eating freshly caught fish. The United States imports 70-80% of its seafood, mostly from China, Thailand, Canada, Indonesia, Vietnam, and Ecuador.   

My new reality was pulling out my phone at the seafood counter in my grocery store to find out where the catch originated. But with confusing adjectives, like “line caught,” “wild,” “farmed,” “no antibiotic-free,” “pole caught,” and “sustainable,”… I ended up just sticking with salmon farmed in Norway, where I knew the standard was high.

Turns out, I had every reason to be overly cautious. A study released in the January 2024 issue of Nature reports that 75% of global fishing vessels are untraceable. Research jointly conducted by Global Fishing Watch, the University of Wisconsin-Madison, Duke University, UC Santa Barbara, and SkyTruth, gave concrete insights into this murky world of “dark vessels”. These stealthy ships roam the seas, plundering marine resources without a trace.

Understanding Dark Vessel Fishing

Dark vessel fishing ships operate well beyond the reach of regulation and oversight, hence the name ‘dark’.  Their impropriety threatens the delicate balance of marine ecosystems across the globe, not to mention posing a significant concern to global food security, economic stability, and the livelihoods of millions of people who depend on the ocean for sustenance.

The fishing industry has experienced a slowdown in recent years. Prolonged COVID shutdowns and overfishing in previous decades, as well as an increase in on-land and shore-based aquaculture operations, have contributed to decreased demand. Despite this, seafood remains a $250 billion market, with an estimated loss due to illegal fishing as high as $23.5 billion.

Illegal, unreported, and unregulated (IUU) activity continues to proliferate, prompted by an increasing demand for fish. As long as there are fish to capture, these stealthy ships will attempt to reap profits by exploiting fishing grounds beyond the reach of authorities.

IUU fishing vessels use a variety of tactics to evade detection, from turning off or manipulating their automatic identification system (AIS) transponders to operating in remote and poorly monitored ocean regions. The result is a cat-and-mouse game between authorities and illicit operators, with significant implications for marine biodiversity and the sustainability of global fisheries.

“A new industrial revolution has been emerging in our seas undetected—until now. On land, we have detailed maps of almost every road and building on the planet.

In contrast, growth in our ocean has been largely hidden from public view.”

–          David Kroodsma, study author, Global Fishing Watch

Identifying Dark Vessels

The study, conducted by an international team of researchers, analyzed satellite data and harnessed the power of artificial intelligence to track the movements of dark vessel fishing boats to identify hotspots of illegal fishing activity and gain a deeper understanding of the factors driving these activities.

The study’s findings paint a troubling picture of the prevalence of dark vessel fishing across various regions of the world, even in marine protected areas like the Galapagos Marine Reserve. Their study also found more than 25 percent of transport and energy vessels are considered “dark.”

“Historically, vessel activity has been poorly documented, limiting our understanding of how the world’s largest public resource—the ocean—is being used.

By combining space technology with state-of-the-art machine learning, we mapped undisclosed industrial activity at sea on a scale never done before.”

–          Fernando Paolo, study author, Global Fishing Watch

Collecting and analyzing the incomprehensible amount of data (2 thousand terabytes worth) needed to find this specific information was no small feat. Thankfully, these brilliant researchers mined disparate sets of public data to pinpoint exact locations of fishing vessels, both traceable and non-traceable.

They started with amassing satellite images of coastal waters worldwide from the European Space Agency from 2017 to 2021. They then created proprietary automated technology to identify which of those vessels were fishing boats. Next, the researchers compared images of the ships with public records disclosing their AIS location to determine which vessels did not broadcast their whereabouts.

Armed with this information, they create a “heat map” to show legal and illegal fishing activity across the globe:

Targeting Dark Vessel Locations

One of the key insights revealed by the research is the concentration of dark vessel fishing activity in some geographic regions.

Despite public AIS records indicating a somewhat distributed sprawl across most continents, these researchers prove that most illegal activity occurs in Asia.

The study identified several regions in Asia as the primary hotspots of IUU activity, notably Southeast and East Asia.

These regions are characterized by complex maritime disputes, porous borders, a vast array of fish species, and limited law enforcement presence to oversee farmed aquaculture practices, environmental protections, water toxicity, and many other factors.

“Publicly available data wrongly suggests that Asia and Europe have similar amounts of fishing within their borders, but our mapping reveals that Asia dominates — for every 10 fishing vessels we found on the water, seven were in Asia while only one was in Europe.

By revealing dark vessels, we have created the most comprehensive public picture of global industrial fishing available.”

–Jennifer Raynor, study author, University of Wisconsin-Madison

This lethal combination creates fertile ground for dark vessel operators to carry out an unconscionable number of illicit activities, especially in specific hotbeds of IUU activity:

Korean Peninsula

In East Asia, the waters off the Korean Peninsula have become premier battlegrounds in the fight against IUU fishing, with crustaceans, shellfish, and finfish populating the waters.

Also of note, South Korea is the largest global consumer of seafood. Surprisingly, 65% of their seafood is imported, despite their seemingly abundant waters.

Bay of Bengal

Similarly, the Bay of Bengal off the coast of South Asia’s Bangladesh and Myanmar, has emerged as a hotspot of illegal fishing activity, where 100% of all fishing activity is not tracked.

And to make matters worse, some fishers off of these shores use poison to catch the area’s abundance of finfish and shrimp. This not only damages the health of those who consume the poisoned products, but it also endangers the largest mangrove forest ecosystem in the world.

Strengthening Global Cooperation & Enforcement Efforts

This study can serve as a loud and clear warning sign for all of us. Addressing the scourge of dark vessel fishing requires international cooperation, significant investment in monitoring and onsite enforcement, and promoting sustainable fishing practices are all essential components of a comprehensive strategy to combat IUU fishing.

Though daunting, this undertaking would help recover an estimated global economic loss due to illegal fishing as high as $23.5 billion annually. Not to mention the restoration of vulnerable coastal communities and local economies suffering from devastating poverty and food insecurity.

Furthermore, this methodology can be easily adapted to tackle other global issues, like climate change. Mapping all vessels can improve estimates of oceanic carbon emissions and track marine degradation.

“Previously, this type of satellite monitoring was only available to those who could pay for it. Now it is freely available to all nations.

This study marks the beginning of a new era in ocean management and transparency.”

–          David Kroodsma, study author, Global Fishing Watch

Much can be learned from this team of researchers in terms of determination to source discreet data sets around the globe, innovative implementation of artificial intelligence, and cross-organization cooperation. If we follow suit, we can find new ways to shine a light on these activities and hold those responsible for their crimes.

What We Can Do Today

We can empower ourselves right away by realizing the trickle-down effect of our everyday purchase decisions. If we don’t buy fish products sourced from countries like Bangladesh, Myanmar, and other areas of the world with rampant dark vessels, fewer IUU ships will bother fishing in less lucrative territories.

As for discrete locations, if you prefer wild-caught, stick with fish caught in the northern shores of Europe. For farmed, consider fish from reputable countries like Norway, Scotland, Canada, and Chile.

Organizations focused on sustainable seafood can provide practical, research-based recommendations, too. Seafood Watch creates helpful guides to better navigate our grocery aisles and stick to more sustainable species and acceptable countries of origin (here’s the Watch’s guide for shrimp). You can also keep an eye out for the Marine Stewardship Council’s blue “MSC” label to stick with sustainable fish species.

Still can’t find the country of origin for the fish you want? Ask someone, whether it’s the associate behind the seafood counter, customer service at the grocery store, or the waiter who must ask the chef. If many of us ask this question wherever we purchase seafood, more industry players will be compelled to start readily providing these details.

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Food Security: A Critical Element of Global Conflict

Psychologists tell us we all have the same instinct. When threatened, our first instinct is to flee – just get away from the problem. Walk away from the bully. Leave the bar when the debate over the “greatest quarterback of all time” gets too heated.  Go to the other end of the table when that in-law starts on the all-too-familiar political rant at the family reunion dinner. (And in my family, just get out of town until the grand jury is no longer in session.)

And around the world, the issue is much more serious. For millions of people worldwide, the option has become more drastic —

Simply pack up everything you can carry and head for the border.

Recent migration trends

The United Nations in 2020 estimated there were 281 million emigrants worldwide, or roughly 3.6 percent of the entire global population. The flow of people occurs around the world – Europe, Asia, Africa, North and South America – no area is immune.

In the United States, authorities last year admitted over 820,000 migrants, up from 797,800 in the previous year.  Border officials report the flow of all immigrants into the United States – euphemistically referred to as “encounters with authorities” — was more like 2.8 million, up from 2.7 million in 2022.

Immigration has been a key factor in U.S. growth and development, certainly. “Migrant stock” – meaning those living in the country now but born in another country – in 2015 was estimated at more than 46 million – or more than 14 percent of our entire population.

The United States added 1.6 million to our population last year, bringing us to 334.9 million, according to the U.S. Census Bureau. Of that increase, more than two-thirds came from international migration. With a U.S. birth rate of just 12 births per 1,000 people, migrants drive our nation’s population growth.

Conflict ignites flight…or fight

The flood of people seeking to flee their home countries attracts widespread attention.

For instance, in 2023, 1.55 million people fled Sudan to nearby countries such as Ethiopia, Egypt and Chad because of a war between the Sudanese Armed Forces and the Rapid Support Forces. Since the war began, over 6 million have fled Ukraine for parts of Europe. And so do a comparable flood of stories about armed conflict around the world. The two phenomena may have more in common than the headlines reveal.

Those same psychologists who explain our propensity for “flight” also point to another human characteristic – the “fight or flight” syndrome. What happens when it’s simply impossible to flee a bad situation? What happens when you simply can’t run to a new home, a new town, or a new country? And what are the reasons so many places around the world seem to have taken the “fight” option?

There are no easy answers to those questions.

The sheer scale of the problem is immediately daunting. The Council on Foreign Relations (CFR) currently follows more than 20 active global conflicts, spanning the entire globe, plus major lingering arenas of conflict in places like the Middle East, India and Pakistan, and large parts of Africa.

Some are long-standing territorial disputes, some the latest front in a continuing history of corruption and political instability.  The specific combination of contributing factors may vary from each situation to another. However, it is possible to see some of the broad categories of causes of open conflict. Think of the situation in just a few key areas:

Open and hidden aggression

As the long-running battle in Ukraine makes clear, sometimes conflict can be triggered by outside forces – one country or outside entity intent on seizing control, economic resources, or other perceived national interests. The aggression can be an open invasion, as in the case of Ukraine, or through continuing acts of terrorism designed to produce the same results.

Many regional conflicts are rooted in a continuing pattern of terroristic acts, with proxy agents providing a thin veneer of deniability among nations. This kind of aggression usually has been bubbling for generations and maintains perpetual full employment in diplomatic circles.

The vicious circle of poverty, food security & hunger-related disease  

When people can’t afford or are denied access to the nutritious food they need, their health suffers dramatically.  Poor, oppressed, starving people have nothing to lose by taking up arms, especially if flight is made dangerous or impossible. The “Arab Spring” of the 2010s sprung in part from the rising cost and increasing lack of food.

The United Nations Food and Agriculture Organization (FAO) estimates that levels of malnourished populations have been rising steadily since 2014 around the world, reaching 8.9 percent of the world’s population prior to the COVID-19 pandemic.  Between 2018 and 2019 alone, the number of hungry people expanded by 10 million.

The World Health Organization (WHO) estimates the ranks of the global malnourished have increased by over 150 million since then.  If people will take up arms over a tank of gasoline, imagine what they will do to ensure food for their families.

The incidence of natural disasters

Floods, drought, high temperatures, hurricanes and typhoons, earthquakes – all destroy homes, communities, and lives. But some catastrophes can also fuel food insecurity or social unrest, destroying local agricultural productivity and the food supply chain.

Significant damage to the natural resource base can be a strong influence on the willingness of people to relocate – or to fight for those resources possessed by others. The conflict may be between nations, or within one, as the situation in Somalia has made clear. Civil war can be just as vicious as international conflict.

Breakdown in social order & institutions

Modern society is rooted in the presence of certain basic institutions and systems: efficient and effective government administration, a fair and impartial legal system, a stable financial system, some form of functioning, transparent market system to establish prices and value, and fundamental human services such as safe water, power and personal protection.

Criminality and especially criminal violence must be controlled. When any of those critical elements of society fail or are called into question, the foundation of social stability is threatened. When corruption and incompetence reach critical levels, strikes, street demonstrations, political resistance –and conflict – become increasingly appealing options – and the source of many civil wars plaguing nations on the CFR list.

Taking a closer look

Ask Venezuela for details, if you want – or any country plagued by government failure to protect its citizens and internal terrorist attacks. You can learn more about Venezuela’s conflict-ridden system below; Somalia and Gaza & West Bank are also listed to serve as tragic examples of designated conflict areas, too.