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This rebuttal doesn't seem to say that much about Lustig's central claim: that fructose is metabolized in a very different way from glucose, that large amounts of fructose metabolism harms the liver, and that this harm may be associated with metabolic syndrome.

What it does say is that overall calorie consumption has increased since 1970 but the fraction of calories from added sugar has not (no claim about fructose consumption specifically?), that fructose is almost always found along with glucose, so the fact that fructose does not induce an insulin response doesn't mean that foods containing fructose aren't satiating, that the Japanese do eat some fruit, that most fruits have less fiber than sugarcane, and that dosage is relevant to toxicity.

Couldn't Aragon be right about every one of these points without refuting Lustig's central claim? Can't it simultaneously be true that consuming too many total calories is harmful, and that consuming too much fructose is also harmful?




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