Patrick Dempsey · July 30, 2026 · 4 min read

A couple of weeks ago I dug into what the evidence really says about sugar — and why the instinct to swear it off is only half right. That instinct is an old one for me: on a business trip years ago I read an article comparing the health toll of sugar to cigarettes, and I quietly stopped eating added sugar. Right instinct, oversold headline. This week, the mechanism that makes the good half work: fiber.

Below: how fiber actually does it, what the guidelines actually cap, and the three swaps I'd start with.

Intrinsic vs. Added: The Matrix Is Everything

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