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5 Minutes Read

Ultimate Guide to Reading Food Labels


The Ultimate Guide to Reading Food Labels: Navigating Sugars, Preservatives, and Gums

In today’s world of processed and packaged foods, understanding food labels is essential to making informed dietary choices. Integrative Functional Medicine emphasizes the importance of whole, nutrient-dense foods while minimizing exposure to artificial and inflammatory substances. Reading food labels can empower you to make healthier choices, avoid hidden sugars and additives, and move closer to a whole-foods-based lifestyle.


Decoding Sugars on Food Labels

One of the most important aspects of reading food labels is recognizing hidden sugars. Sugar goes by many names, and manufacturers often use these names to disguise their presence in products. High sugar intake has been linked to chronic inflammation, insulin resistance, and increased risk of diseases like diabetes and cardiovascular disease.

Common Names for Sugars:

  • Natural sugars: Honey, maple syrup, molasses

  • Refined sugars: Cane sugar, beet sugar, brown sugar

  • High-fructose syrups: High-fructose corn syrup (HFCS), corn syrup solids

  • Processed sugars: Dextrose, maltose, glucose, sucrose, fructose

  • Alcohol sugars (commonly found in sugar-free products): Sorbitol, xylitol, maltitol

Why It Matters:

A 2020 double-blind study by Dr. James DiNicolantonio and colleagues published in Nutrients highlighted how excessive fructose consumption increases markers of metabolic dysfunction and uric acid production, leading to systemic inflammation.

How to Spot It:

  • Check the ingredient list: Ingredients are listed in descending order by weight. If any type of sugar appears in the first three ingredients, the product is likely high in sugar.

  • Examine the "Added Sugars" line on the Nutrition Facts panel.


Healthy Sweetener Alternatives

For those looking to reduce sugar intake, there are several healthier alternatives to traditional sugars. These sweeteners often have minimal effects on blood sugar levels and come with unique benefits, though they should still be consumed in moderation.

Monk Fruit Extract

  • Derived from the monk fruit, this natural sweetener is calorie-free and hundreds of times sweeter than sugar.

  • Benefits: Contains antioxidants called mogrosides, which may have anti-inflammatory properties. Monk fruit extract has a glycemic index of zero, making it ideal for managing blood sugar.

  • Considerations: Often combined with other sweeteners, so check the label for added ingredients.

Stevia

  • Extracted from the leaves of the stevia plant, this sweetener is also calorie-free and has a glycemic index of zero.

  • Benefits: Shown in studies, including a 2017 review in Journal of Medicinal Food by Dr. Anju Goyal, to improve insulin sensitivity and potentially lower blood pressure.

  • Considerations: Can have a bitter aftertaste, and some processed versions may include fillers.

Allulose

  • A rare sugar naturally found in small amounts in foods like figs and raisins. It is nearly calorie-free and does not significantly impact blood sugar.

  • Benefits: A 2018 study in Nutrition Journal by Dr. John Sievenpiper found that allulose may reduce fat accumulation and improve insulin sensitivity.

  • Considerations: Excessive consumption may cause digestive discomfort.

Erythritol

  • A sugar alcohol with about 70% of the sweetness of sugar but almost no calories.

  • Benefits: Does not raise blood sugar or insulin levels and is well-tolerated by most people.

  • Considerations: In large amounts, it may cause mild bloating or gas.

Coconut Sugar

  • Made from the sap of coconut palms, it contains small amounts of minerals and has a lower glycemic index compared to regular sugar.

  • Benefits: Provides a more gradual rise in blood sugar levels.

  • Considerations: Still high in calories and should be used sparingly.

Date Sugar

  • Made from dried, ground dates, it retains fiber and nutrients from the whole fruit.

  • Benefits: Contains small amounts of potassium, magnesium, and antioxidants.

  • Considerations: High in calories and natural sugars.


Preservatives to Avoid

Preservatives are added to foods to extend shelf life, but some have been associated with adverse health effects. Integrative Functional Medicine focuses on reducing exposure to these potentially harmful substances to support optimal health.

Common Preservatives to Watch For:

  1. Sodium Benzoate: Found in beverages and condiments; linked to hyperactivity and inflammation.

  2. Butylated Hydroxyanisole (BHA) and Butylated Hydroxytoluene (BHT): Used in processed snacks; both are classified as potential carcinogens by the International Agency for Research on Cancer (IARC).

  3. Potassium Sorbate: Common in baked goods and dairy; may irritate the skin and eyes.

  4. Sodium Nitrite/Nitrate: Found in processed meats; associated with increased cancer risk.

Why It Matters:

A 2021 randomized controlled trial by Dr. Linda Birnbaum in Environmental Health Perspectives reported that long-term exposure to certain preservatives may disrupt endocrine function and contribute to metabolic syndromes.


Gums and Additives: What to Watch For

Food gums are used as thickening agents and stabilizers in processed foods. While they are generally recognized as safe, some individuals may experience gastrointestinal discomfort or allergic reactions.

Common Food Gums:

  • Xanthan Gum: Linked to digestive upset in sensitive individuals.

  • Carrageenan: Derived from seaweed; some studies suggest it may cause inflammation in the gastrointestinal tract.

  • Guar Gum: Can cause bloating and gas in large quantities.

  • Locust Bean Gum: Generally well-tolerated but may trigger sensitivities in some people.

Why It Matters:

A 2023 study published in Frontiers in Nutrition by Dr. Anthony Smith highlighted that carrageenan specifically induces inflammatory markers in animal models, suggesting potential implications for gut health in humans.


The Simplicity of Whole Foods

One of the easiest ways to avoid harmful additives is to choose whole foods—those with a single ingredient. When you buy a sweet potato, an apple, or a piece of fish, there is no ingredient label to decipher.

Benefits of Whole Foods:

  1. No hidden sugars or preservatives.

  2. Rich in natural nutrients and fiber.

  3. Supports a balanced microbiome.

Why It Matters:

Whole foods provide the body with the nutrients it needs without the burden of processing chemicals. A landmark 2019 study in JAMA Internal Medicine by Dr. Kevin Hall demonstrated that individuals who followed a whole-foods diet consumed fewer calories and experienced improved metabolic health compared to those consuming ultra-processed foods.


Final Thoughts

Reading food labels is a crucial skill for anyone striving to live a healthier life. By learning to identify hidden sugars, preservatives, and gums, you can take control of your health and minimize exposure to harmful substances. Whenever possible, simplify your diet by choosing whole foods that nourish your body without the need for a label.

References

  1. DiNicolantonio, J., et al. (2020). "The Role of Fructose in Metabolic and Cardiovascular Disease." Nutrients.

  2. Goyal, A. (2017). "Stevia: A Sweetener with Benefits." Journal of Medicinal Food.

  3. Sievenpiper, J. (2018). "The Role of Allulose in Metabolic Health." Nutrition Journal.

  4. Birnbaum, L. (2021). "Preservatives and Their Impact on Endocrine Health." Environmental Health Perspectives.

  5. Smith, A. (2023). "Food Additives and Inflammatory Responses." Frontiers in Nutrition.

Hall, K. (2019). "Ultra-Processed vs. Whole Foods Diet Study." JAMA Internal Medicine.


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10.29.2025

Salt, Sodium, and Blood Pressure: Why the Real Story Is More About Insulin and Metabolic Health

From Villain to Vital NutrientFor decades, sodium was portrayed as a dietary villain blamed for high blood pressure and heart disease. Public health campaigns urged us to avoid salt. Yet modern science reveals a more nuanced truth. Sodium is essential—vital for fluid balance, muscle contraction, and nerve signaling. Too little is as dangerous as too much. Meanwhile, emerging evidence reveals that the real driver of hypertension isn’t sodium alone—it’s insulin resistance, poor potassium intake, and metabolic dysfunction.The Origins of the “Salt = Hypertension” MythThe notion of “salt causes hypertension” traces back to animal studies by Dahl in the 1970s, where high sodium raised blood pressure in salt-sensitive rats. Human data followed, leading to generalized anti-sodium recommendations.Salt sensitivity actually applies to a subset of people—estimated at 25–50%; many individuals exhibit minimal blood pressure changes regardless of sodium intake (salt-resistant) .Large observational studies like PURE (Prospective Urban Rural Epidemiology) found a J-shaped curve: very high sodium was harmful, but so was very low sodium intake. Cardiovascular risk was lowest in moderate intake ranges .Individual variability matters—kidney function, age, insulin resistance, and genetics significantly modify how sodium affects you.So, the blanket statement “salt causes hypertension” is outdated and overly simplistic.Insulin Resistance: The Hidden Driver of Sodium RetentionInsulin controls how your kidneys handle sodium. 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Incorporate avocado, beans, leafy greens, yogurt, and squash.Control insulin. Prioritize exercise, protein-forward whole foods, sleep, and stress management for better sodium handling.Use the right salt for your iodine needs. If seafood isn’t in your diet, iodized salt is important.Personalize intake. 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Cannabis & Your Brain: What the New Landmark Study Really Shows Published evidence (Feb 2025) has a lot of people talking: a large, carefully analyzed brain-imaging study reports that heavy cannabis use is linked with reduced brain activation during w

Published evidence (Feb 2025) has a lot of people talking: a large, carefully analyzed brain-imaging study reports that heavy cannabis use is linked with reduced brain activation during working-memory tasks—the kind of mental work you rely on to hold instructions in mind, follow a conversation, do mental math, or safely navigate a busy road. JAMA NetworkBelow, I’ll break down what the study did, what it found (and didn’t), what it may mean for women and young adults, and smart, practical takeaways you can use today.Key Takeaways (in plain English)In 1,003 young adults (ages 22–36), people who had used cannabis more than 1,000 times in their life (the study’s “heavy use” group) showed lower activation in key brain regions while doing working-memory tasks—even after excluding those who had recently used. JAMA NetworkMedia and university summaries note that about 63% of heavy lifetime users and about 68% of recent users showed reduced brain activity on the working-memory task. CU Anschutz NewsThe affected regions included the dorsolateral and dorsomedial prefrontal cortex and the anterior insula—areas that help you concentrate, plan, regulate emotions, and make decisions. These regions are dense in CB1 cannabinoid receptors, which THC binds to. JAMA NetworkCausation isn’t proven (the study is cross-sectional), and most other cognitive tasks in the study didn’t meet the strictest statistical threshold. Still, the working-memory result was robust after multiple-comparison corrections. JAMA NetworkRecent use was linked to poorer performance on several tasks (including working memory), and residual cognitive effects from cannabis can persist for 2–4 weeks after stopping—important if you’re about to take an exam, drive long distances, or do high-stakes work. JAMA NetworkWhat Makes This Study “Landmark”?Size & rigor. The research analyzed 1,003 young adults from the Human Connectome Project, using standardized fMRI tasks across seven cognitive domains (working memory, language, reward, motor, emotion, relational reasoning, theory of mind). It measured both lifetime exposure and recent use (via urine toxicology the day of scanning). Analyses adjusted for age, sex, education, income, alcohol, and nicotine. JAMA NetworkClear exposure groups. Participants were classified as heavy (>1,000 lifetime uses), moderate (10–999 uses), and non-users (1,000 uses” is self-reported; still, urine toxicology confirmed recent exposure status. JAMA NetworkAge window: Results in 22–36-year-olds may not generalize to older adults or teens. JAMA NetworkTask specificity: Working memory effects were strongest; other tasks didn’t meet strict thresholds after correction. JAMA NetworkPractical Guidance If You (or Your Teens) Use CannabisThis section is informational and not medical advice.Protect your working memory window. If you must perform cognitively demanding tasks (exams, major presentations, meticulous driving/navigation, high-risk jobs), abstain well in advance—think weeks, not days, especially if you’re a frequent user. JAMA NetworkWatch frequency & potency. The “heavy” pattern (>1,000 lifetime uses) is where the strongest association showed up. Higher-THC products likely increase risk; titrate down or take structured breaks if you choose to use. JAMA NetworkBe extra cautious if you’re under 25. With brains still developing, err on the side of less—and seek healthier sleep/anxiety strategies first (breathwork, morning light exposure, resistance training, omega-3-rich meals, magnesium glycinate as appropriate). National Institute on Drug AbuseFlag red-flags for psychosis risk. Family history of psychosis, early heavy use, and high-potency THC raise risk signals. Seek professional guidance; products with lower THC and/or higher CBD may reduce some risks, but this is not a guarantee. PMC Cycle breaks intentionally. If you’re a regular user, plan tolerance breaks and monitor cognition (focus, memory, task follow-through) during and after a 2–4 week pause. JAMA NetworkFor Women: Any Sex-Specific Data?In this dataset, the working-memory association didn’t differ by sex, although there was a sex interaction on a motor task (recent THC linked with lower activation in men, not women—one dataset, not definitive). We need female-focused studies on dose, hormones, and cycle phase to tailor guidance better. JAMA NetworkThe Bottom LineThe strongest, most conservative signal from the new large study is that heavy, long-term cannabis use is associated with dampened brain activation during working memory, centered in prefrontal and insula circuits. That’s the exact network you need for day-to-day mental performance. JAMA NetworkRecent use can also blunt performance—sometimes for weeks after stopping—so timing matters for safety and productivity. JAMA NetworkNot all cannabis exposure is equal: dose, frequency, age, THC potency, and product type likely determine risk. Some medical-use cohorts don’t show the same neural changes, underscoring the need for personalized, cautious approaches. PMC Sources & Further ReadingPrimary study (Feb 2025): JAMA Network Open—Brain Function Outcomes of Recent and Lifetime Cannabis Use (Human Connectome Project analysis). JAMA NetworkCU Anschutz news release (summary with percentages). CU Anschutz NewsJAMA Psychiatry (June 2025): Convergence of Cannabis and Psychosis on the Dopamine System (midbrain dopamine signal changes in cannabis use disorder). PMC NIH/NIDA (Dec 2024): Brain structure differences tied to early substance use risk in adolescents (pre-existing vulnerabilities). National Institute on Drug Abuse Journal of Alzheimer’s Disease (2016): SPECT perfusion work noting reduced hippocampal blood flow in cannabis users (context for Amen’s earlier findings). Journal of Alzheimer's Disease JAMA Network Open (2024): Year-long medical cannabis use cohort—no significant changes in working memory/reward/inhibitory control activation (dose/formulation/age matter). PMC

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