The typical Western diet often combines sugar with vegetable and seed oils and other processed ingredients, making it difficult to isolate the specific effects of sugar alone.

“And you know the the thing that sort of complicates the discussion right is no one's sitting there eating you know bowls of straight sugar unless they're eating frosted flakes but yeah well even yeah I mean but most of the time so the problem with our food environment is most of the time where that sugar is coming from in the diet has vegetable and seed oil you know has other processed ingredients in it right so it becomes very difficult ult to really separate out the effects of, you know, what is the sugar itself doing, right?”