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Deck 73 · The Kitchen Notebook

Nutrition, plainly

A cookbook editor's tour of the macros, micros, metabolism, and the diets you've been told to follow — with the evidence behind each, plainly stated.

Course I — The basics

What food does

All food breaks down into three macronutrients — carbohydrate, protein, fat — plus alcohol (a fourth caloric substrate), water, and the micronutrients (vitamins, minerals). Energy is measured in kilocalories: 1 kcal = 4.184 kJ.

Macronutrientkcal/gPrimary roles
Carbohydrate4Fast and stored fuel (glycogen)
Protein4Structure, enzymes, hormones
Fat9Dense fuel, membranes, hormones
Alcohol7None essential
Course II — Macros

Carbs, protein, fat

Carbohydrate

Sugars (simple) and starches/fibers (complex). Glucose is the brain's preferred fuel. Fiber — indigestible carbohydrate — feeds gut bacteria and lowers LDL cholesterol; aim for 25–38 g/day.

Protein

Made of 20 amino acids; nine are essential (must be eaten). RDA is 0.8 g/kg/day; active adults often benefit from 1.2–1.6 g/kg. Animal sources (eggs, dairy, meat, fish) and combined plant sources (legumes + grains) provide complete profiles.

Fat

Saturated, mono-unsaturated, poly-unsaturated. Essential fatty acids: omega-3 (ALA, EPA, DHA) and omega-6 (linoleic). Trans fats — industrially hydrogenated — are uniquely harmful and now banned in many countries.

veg protein grains fruit + fats

A modern "MyPlate"-style guide (USDA, 2011, replacing the 1992 pyramid).

Course III — Micros

Vitamins and minerals

Vitamins are organic; minerals are inorganic. Both are required in milligrams or micrograms but their deficiency can be devastating: scurvy (C), beriberi (B1), pellagra (B3), rickets (D), goitre (iodine).

NutrientRolesSources
Vitamin CCollagen, antioxidantCitrus, peppers, broccoli
Vitamin DCalcium absorption, immunitySun, fatty fish, fortified milk
Vitamin B12Red cells, nervesAnimal foods, fortified cereal
IronHemoglobin, oxygen carryRed meat, lentils, spinach
CalciumBone, signalingDairy, leafy greens, tofu
IodineThyroid hormoneIodized salt, seafood
Magnesium~300 enzymesNuts, seeds, whole grains
PotassiumBP regulation, nervesBananas, beans, potatoes
Course IV — Metabolism

How the body burns it

Total daily energy expenditure (TDEE) is the sum of:

Metabolism slows with age primarily because lean mass declines. Resistance training preserves it. Beyond modest individual variation, "slow metabolism" is rarely the cause of weight gain — but appetite regulation, sleep, and ultra-processed food formulation strongly are.

Course V — Diets, examined

What the evidence says

Mediterranean

Olive oil, fish, legumes, vegetables, moderate wine. The PREDIMED trial (NEJM 2013) showed ~30% reduction in major cardiovascular events. Strongest overall evidence base of any named pattern.

Low-carb / Keto

Effective for short-term weight loss and for some seizure disorders (its original use, 1920s). Long-term cardiovascular safety depends on fat sources. Hard to sustain.

DASH

Dietary Approaches to Stop Hypertension. Lower sodium, high produce. Lowers BP comparably to a single antihypertensive medication.

Plant-based / Vegan

Lower LDL, lower CV risk. Requires planning for B12, iron, omega-3, calcium, iodine.

Intermittent fasting

16:8, 5:2, alternate-day. Comparable weight loss to caloric restriction; convenience matters more than any metabolic magic.

Carnivore

All animal foods. Anecdotal benefits; very little controlled evidence; concerns about fiber and long-term cardiovascular profile.

Course VI — From the kitchen

A photographic interlude

A Mediterranean spread — olive oil, vegetables, fish. Photo: Unsplash.

"Eat food. Not too much. Mostly plants." — Michael Pollan, In Defense of Food, 2008.

Course VII — Ultra-processed

The category that matters most

The NOVA classification (Monteiro et al., 2010) groups foods by processing level. Group 4 — ultra-processed — includes industrially formulated products with ingredients you would not find at home (high-fructose corn syrup, hydrolyzed proteins, emulsifiers).

Hall et al.'s 2019 metabolic-ward study (NIH) found that participants ate ~500 kcal/day more on an ultra-processed diet matched for macros and palatability. Reducing UPF intake is currently the single most evidence-supported dietary lever for weight and cardiometabolic health.

Course VIII — Energy balance

Calories still matter

The first law of thermodynamics applies to bodies. To lose mass, energy out must exceed energy in. How the deficit is achieved — diet composition, frequency, time of day — affects sustainability and body composition far more than total efficacy.

A pound of body fat stores ~3,500 kcal; a sustainable deficit is 300–700 kcal/day. Aggressive deficits drive muscle loss, hunger, and rebound. Protein intake of 1.6 g/kg and resistance training preserve lean mass during weight loss.

in out deficit → loss
Course IX — A featured recipe

A bowl that ticks every box

Mediterranean Lentil Bowl · serves 2

  • 1 cup brown lentils, cooked
  • 1 cup cherry tomatoes, halved
  • 1 cucumber, diced
  • ½ red onion, thin-sliced
  • 100 g feta, crumbled
  • 2 tbsp extra-virgin olive oil
  • juice of 1 lemon
  • fresh parsley, mint, oregano
  • 1 tsp salt, fresh black pepper

Toss everything in a wide bowl. Per serving: ~520 kcal, 22 g protein, 60 g carbohydrate (12 g fiber), 22 g fat (mostly mono-unsaturated). Notable: 1.6 mg iron, 12 g protein from plants, full omega-9 profile from olive oil.

Course X — Evidence quality

Why nutrition science is hard

Nutrition is plagued by confounded observational studies, self-reported food frequency questionnaires, and short trial durations. A 12-week study cannot detect cancer or cardiovascular endpoints. Headlines change because effect sizes are small relative to noise. Trustworthy claims tend to be:

Course XI — Learn more

Where to read and watch

Peter Attia & Layne Norton — Nutrition basics

Layne Norton, PhD nutrition scientist, on protein, calories, and the realities of dieting research.

Watch on YouTube →

Books: How Not to Die, Greger · The Case Against Sugar, Taubes · Salt Sugar Fat, Moss · USDA Dietary Guidelines (free).

Nutritional needs vary by age, activity, pregnancy status, and disease. Talk to a registered dietitian or physician before changing diets in the context of medical conditions.