<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Go With Your Gut Beyond Menopause: Label To Table ]]></title><description><![CDATA[Replays of our Live Label To Table: 2 Holistic nutritionists decoding  ingredients. We read the fine print on what goes on your plate, your skin, and in your space, translate the science, and give you the confidence to make better choices so you can sage with sass and grace in everyday life. ]]></description><link>https://karenlangston.substack.com/s/label-to-table</link><image><url>https://substackcdn.com/image/fetch/$s_!REE8!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbd6c27e4-0cb4-4962-8831-b7764d6b66fa_524x480.png</url><title>Go With Your Gut Beyond Menopause: Label To Table </title><link>https://karenlangston.substack.com/s/label-to-table</link></image><generator>Substack</generator><lastBuildDate>Mon, 27 Jul 2026 20:49:41 GMT</lastBuildDate><atom:link href="https://karenlangston.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Karen Langston]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[karenlangston@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[karenlangston@substack.com]]></itunes:email><itunes:name><![CDATA[Karen Langston]]></itunes:name></itunes:owner><itunes:author><![CDATA[Karen Langston]]></itunes:author><googleplay:owner><![CDATA[karenlangston@substack.com]]></googleplay:owner><googleplay:email><![CDATA[karenlangston@substack.com]]></googleplay:email><googleplay:author><![CDATA[Karen Langston]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Label to Table: Decoding Gold Bond Crepe Corrector. Is it safe?]]></title><description><![CDATA[Can Crepey-Skin Lotion Really Correct Crepey Skin? One of our viewers wanted to know. Read, Watch Listen in now]]></description><link>https://karenlangston.substack.com/p/can-crepe-skin-lotion-correct-crepey-skin</link><guid isPermaLink="false">https://karenlangston.substack.com/p/can-crepe-skin-lotion-correct-crepey-skin</guid><dc:creator><![CDATA[Karen Langston]]></dc:creator><pubDate>Wed, 22 Jul 2026 11:03:37 GMT</pubDate><enclosure url="https://api.substack.com/feed/podcast/189884834/033c62d766a725b953c00da0b659e02e.mp3" length="0" type="audio/mpeg"/><content:encoded><![CDATA[<p></p><p>Welcome Sagers, so happy to have you here. </p><p>Today we are talking about what the Gold Bond ingredient label reveals, which ingredients deserve a closer look, and how to support aging skin from the inside out</p><p>Crepey skin is one of those changes that we are not happy to welcome. One day, the skin on your arms, legs, neck, or chest looks firm. Then,  you look in the mirror and your skin appears thinner, looser, finely wrinkled, and a little more papery, like, overnight. What gives? </p><p>Naturally, we start looking for something that promises to reverse time and put the plumpness back in our crepey skin. And that is exactly what Dean was searching for. Dean reached out to us on some answers to a product she was not sure about. </p><p>But first, I also wanted to take this opportunity to thank the guests who were live with us: <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;:Stuart-james.&quot;,&quot;id&quot;:129761913,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3db954ee-300b-4aa4-bee5-e47c5b3fdaf7_144x144.png&quot;,&quot;uuid&quot;:&quot;eab156e6-00f3-4031-871e-481f9ea11765&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;a15ff3bb-4f27-4234-9443-088f33481fe4&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;DR Darke&quot;,&quot;id&quot;:52751209,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!uymX!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4f7ea095-b20e-4deb-95da-f1d4f79cfae2_650x650.jpeg&quot;,&quot;uuid&quot;:&quot;26abce45-bc7c-4bbf-8c2e-b28b370e0612&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Scott Humphrey&quot;,&quot;id&quot;:101252533,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/278df6a5-cb04-43a6-8078-8e288a759b1e_720x960.jpeg&quot;,&quot;uuid&quot;:&quot;ea661590-da84-4107-84ac-a37c062325fb&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;enjoyment&quot;,&quot;id&quot;:61056418,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/86f62f30-53f1-43ac-b4aa-6b20ccc2a7fa_500x500.jpeg&quot;,&quot;uuid&quot;:&quot;c35528c3-411e-4a55-9bb7-b70ecffe968b&quot;}" data-component-name="MentionToDOM"></span>, there were some others, but I didn&#8217;t capture the rest of you, but thank you to all for joining us live.  </p><p>And lastly let&#8217;s welcome some new subscribers this week:</p><p><span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;jmacgregor&quot;,&quot;id&quot;:1170416,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:null,&quot;uuid&quot;:&quot;5b0e957a-da61-415c-be71-09d349eebc66&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Cindy Panetti Cyr&quot;,&quot;id&quot;:201503345,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f454d939-4ae6-4467-946b-36a46bb0ace6_1000x1000.jpeg&quot;,&quot;uuid&quot;:&quot;93122bb1-175a-4efd-acda-979258799948&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Melin &#127802; Living Aloha&quot;,&quot;id&quot;:517149843,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/4b0694d9-b09c-4089-95dd-bc64c2f65390_319x319.jpeg&quot;,&quot;uuid&quot;:&quot;554118cd-261f-4720-8b9e-e0df34f46d79&quot;}" data-component-name="MentionToDOM"></span> , and <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Rajnikant Sanghavi&quot;,&quot;id&quot;:130181890,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cfd4155a-6d33-46a0-aa25-bbc1c64df664_959x534.png&quot;,&quot;uuid&quot;:&quot;eb71e8f9-aced-488a-b7b1-774cc060db06&quot;}" data-component-name="MentionToDOM"></span> </p><p>Thank you joining. If you are new here, welcome, I hope you too will subscribe. For Monday&#8217;s article and Wednesday&#8217;s live Label to Table with <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!rmJf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fadae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;dc86e120-a6ed-4e2a-9853-131f7a70352a&quot;}" data-component-name="MentionToDOM"></span> and I, a previously recorded Label to Table on Thursday. Right then, on with the show. </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><div class="callout-block" data-callout="true"><p style="text-align: center;"><a href="https://karenlangston.substack.com/p/can-crepe-skin-lotion-correct-crepey-skin">If you are reading this in your email <br>be sure to hop over to see the whole article.</a></p></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!cN1h!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!cN1h!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!cN1h!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg" width="1200" height="630" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:630,&quot;width&quot;:1200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:323088,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/189884834?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!cN1h!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!cN1h!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F53fb8007-b854-4d74-9801-4cdb2c0c1231_1200x630.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Dean sent us a picture of a product called GOLDBOND Age Renew Crepe Corrector Body &amp; Face Lotion. with the message. Is this safe? </p><p>Hi Karen I hope you are doing well! Thanks for always being up-to date, information and interesting on your posts!&nbsp;</p><p>Thank you Dean for your question. We were elated to have our first ever subscriber question! </p><p>Looking over the GoldBond Bottle, it makes some impressive claims such as:</p><blockquote><p><strong>Seven moisturizers plus three vitamins.</strong></p><p><strong>Omega fatty acids, antioxidants, and botanicals.</strong></p><p><strong>Visible improvement in crepey skin in just two days.</strong></p></blockquote><p>The promise of smoother-looking crepey skin in only two days certainly had me ready to sign up. But we know better than to stop at the promises splashed across the front of the bottle. We turn it around, read the ingredient list, and decode what the product is actually doing to the skin.</p><h3>The Question is&#8230;</h3><h3>Can a topical lotion truly correct the deeper changes responsible for crepey skin? </h3><p>Or does it temporarily make the surface look smoother while leaving the underlying structure unchanged? Let&#8217;s turn the bottle around and read the fine print.</p><p>What Is Actually in Gold Bond Crepe Corrector? The complete ingredient list: </p><p><strong>Water, hydroxyethyl urea, glycerin, dimethicone, petrolatum, Selaginella lepidophylla extract, jojoba esters, aloe barbadensis leaf juice, stearyl alcohol, behentrimonium methosulfate, glyceryl stearate, steareth-21, cetyl alcohol, butylene glycol, stearamidopropyl PG-dimonium chloride phosphate, propylene glycol, cetearyl alcohol, polysorbate 60, Citrullus lanatus watermelon fruit extract, Pyrus malus apple fruit extract, Lens esculenta lentil fruit extract, sodium lactate, sodium PCA, distearyldimonium chloride, methyl gluceth-20, ethylhexylglycerin, methylparaben, tocopheryl acetate, bisabolol, ginger root extract, panthenol, hydrolyzed jojoba esters, EDTA, ubiquinone, C12-15 alkyl benzoate, jojoba oil/macadamia seed oil esters, squalene, phytosteryl macadamiate, phytosterols, tocopherol, potassium hydroxide, magnesium ascorbyl phosphate, whey protein, and citric acid.</strong></p><h2><strong>What does this ingredient list say to you? </strong></h2><p>That is quite the ingredient list. I wonder, what do you see looking at this list? </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/p/can-crepe-skin-lotion-correct-crepey-skin/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/p/can-crepe-skin-lotion-correct-crepey-skin/comments"><span>Leave a comment</span></a></p><p>The bottle calls attention to omega fatty acids, antioxidants, vitamins, and botanicals. However, many of those headline ingredients appear in the middle or toward the bottom of the list. Ingredients are generally listed from greatest to least concentration until the formula reaches ingredients present at 1 percent or less. Below that point, they may appear in any order. Therefore, the label cannot tell us precisely how much of each ingredient is present, but it does reveal the broad architecture of the formula.</p><p>Like others, this formula is built primarily around a familiar cosmetic strategy: pull water toward the outer skin layer, soften the surface, and place an occlusive film over it to slow evaporation.</p><p>While the marketing highlights omega fatty acids, antioxidants, and botanicals, the formula relies primarily on humectants, silicone, petrolatum, and fatty alcohols to produce its visible results, let&#8217;s look at that now. </p><h2>The Water-Silicone-Petrolatum System for Crepey Skin</h2><p>The first five ingredients tell us most of what we need to know:</p><ul><li><p>Water</p></li><li><p>Hydroxyethyl urea</p></li><li><p>Glycerin</p></li><li><p>Dimethicone</p></li><li><p>Petrolatum</p></li></ul><p>This is a water-based moisturizer that uses humectants to draw water into the outer layer of the skin and occlusive ingredients, which form a protective barrier on the surface to help slow water loss. You may recognize the marketing term <em><strong>&#8220;locks in moisture.&#8221;</strong></em> </p><h2>Humectants for Crepey Skin</h2><p>The formula contains several humectants:</p><ul><li><p>Hydroxyethyl urea</p></li><li><p>Glycerin</p></li><li><p>Sodium PCA</p></li><li><p>Sodium lactate</p></li><li><p>Propylene glycol</p></li><li><p>Butylene glycol</p></li><li><p>Methyl gluceth-20</p></li></ul><p>Humectants bind water within the outer layer of the skin, called the stratum corneum. This causes those outer cells to become better hydrated and slightly fuller, making fine surface lines look less noticeable.</p><p>You may have heard that humectants pull moisture from the air when humidity is high but pull water out of the body when the air is dry. There is a sliver of truth tucked inside that explanation, but it is overly simplistic.</p><p>Humectants can attract water from their immediate environment, including water moving upward from deeper epidermal layers. Whether that ultimately leaves skin feeling hydrated or dry depends on the entire formulation, the surrounding humidity, the condition of the skin barrier, and whether the humectant is paired with adequate occlusive ingredients.</p><p>This particular lotion does include strong occlusives, so it would be inaccurate to say its humectants are simply draining water from the body.</p><h2>The moisture seal</h2><p>The main occlusive and emollient ingredients include:</p><ul><li><p>Petrolatum</p></li><li><p>Dimethicone</p></li><li><p>Stearyl alcohol</p></li><li><p>Cetyl alcohol</p></li><li><p>Cetearyl alcohol</p></li><li><p>Glyceryl stearate</p></li><li><p>Jojoba esters</p></li><li><p>Squalene</p></li><li><p>Macadamia-derived esters and phytosterols</p></li></ul><p>Petrolatum is one of the most effective ingredients available for reducing transepidermal water loss. Dimethicone forms a flexible surface film, while fatty alcohols and esters soften the skin and help fill the microscopic gaps between dry outer cells.</p><p>Incidentally, stearyl alcohol, cetyl alcohol, and cetearyl alcohol are fatty alcohols. They are not the harsh, evaporating alcohols people usually associate with drying toners. Together, these ingredients create a smoother, more supple surface. But what does this all mean? </p><h2>Does Occlusive and Emollient Ingredients Actually Correct Crepey Skin?</h2><p>So, the question is can these ingredients correct crepey skin? It depends on what we mean by &#8220;correct.&#8221;</p><p>The lotion can hydrate the outer skin layer. It can reduce roughness, improve softness, and temporarily make fine wrinkling less visible. Those are legitimate cosmetic benefits.</p><p>What it cannot do within two days is reconstruct substantially lost collagen, replace elastin, restore diminished subcutaneous tissue, or reverse the hormonal and structural changes taking place in aging skin.</p><p>The American Academy of Dermatology explains that lotions and creams generally produce subtle firming results at best. A retinoid may encourage some collagen production over time, but ordinary moisturizing ingredients mainly affect hydration and appearance at the surface.</p><p>A more accurate interpretation of the claim would be:</p><blockquote><p><em><strong>&#8220;It does not correct the deeper cause of crepey skin. It temporarily plumps the surface so the crepiness is less visible.&#8221;</strong></em> </p></blockquote><h6>(transcript of Label To Table episode.) </h6><p></p><p>That distinction also came through repeatedly during the podcast discussion: the product creates slip, softness, and surface fullness, but the visible effect wears away as the product is washed off or the moisture evaporates or is absorbed into the skin. This does not mean the lotion is doing nothing. It means moisturizing and structural repair are not the same thing.</p><h2>Why Does Crepey Skin &#8220;Need&#8221; This Lotion Every Day?</h2><p>There is no convincing evidence that this lotion deliberately damages the skin to make someone use more of it. What happens is less sinister and much more ordinary.</p><p>Dimethicone, petrolatum, conditioning agents, and fatty alcohols create a soft, smooth film. When the film wears off or washes away, the skin returns to its baseline condition what ever that is the for the individual. </p><p>After becoming accustomed to that silky surface, untreated skin may suddenly feel much rougher by comparison. It may seem as though the skin has become dependent on the lotion, when in reality the lotion was maintaining a temporary cosmetic effect.</p><p>Think of lip balm on dry lips. The balm does not necessarily cause the original dryness. However, once we become accustomed to the coated sensation, bare lips can feel surprisingly parched.</p><p>Daily use is required because the product is maintaining hydration, not permanently changing the skin&#8217;s architecture. Dermatologists commonly recommend regular moisturizer use for dry skin precisely because the effect is maintained through repeated application.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!9JlO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!9JlO!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!9JlO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg" width="1200" height="630" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:630,&quot;width&quot;:1200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:671688,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/189884834?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!9JlO!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!9JlO!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9860554f-6129-4000-9c4d-bc5c0982bd6f_1200x630.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Are There Ingredients Likely to Dry or Irritate Crepey Skin?</h2><p>Most of this formula is designed to moisturize, soften, preserve, or stabilize the product. However, individual skin reactions are always possible especially when you start decoding the ingredients. Let&#8217;s look at those now. </p><h3>Propylene glycol</h3><p>Propylene glycol is a solvent, humectant, and penetration-enhancing ingredient. Most people tolerate it, but it can cause irritation or allergic contact dermatitis in susceptible individuals. If the skin begins burning, itching, reddening, flaking, or feeling progressively tighter after repeated use, propylene glycol would be one possible suspect.</p><p>This <a href="https://www.laballey.com/blog/propylene-glycol-safety-hazards">versatile compound </a>appears in products ranging from injectable medications to ice cream to aircraft deicing fluid, making it one of the most widely used industrial chemicals.</p><p><span>While generally recognized as safe, prolonged exposure or high concentrations of </span><a href="https://www.laballey.com/blog/propylene-glycol-safety-hazards"><span>Propylene glycol</span></a><span> can cause dryness and eczema, particularly in individuals with sensitive skin or pre-existing conditions like atopic dermatitis.  </span></p><p><span>Although </span><a href="https://www.inchem.org/documents/pims/chemical/pim443.htm"><span>dermal absorption is typically minimal,</span></a><span> systemic effects such as central nervous system (CNS) depression, lactic acidosis, and hyperosmolality may occur if large amounts are absorbed through damaged skin or applied over large surface areas for extended periods</span></p><h3>Potassium hydroxide</h3><p>Potassium hydroxide is a <a href="https://www.sciencedirect.com/science/article/abs/pii/S1871553209001285">highly corrosive alkali t</a>hat causes liquefaction necrosis upon skin contact, allowing it to penetrate deep into tissues faster than acids. The resulting <a href="https://datasheets.scbt.com/sc-215739.pdf">side effects include </a>severe skin burns, deep penetrating ulcers, redness, swelling, and blistering. In a product potassium hydroxide is used to adjust pH. In tiny amounts it is considered not harmful, but if a formula is slightly alkaline it can disrupt the skin barrier over time. The safety of the finished product depends on its final concentration and pH. </p><h2>Conditioning compounds</h2><p>Behentrimonium methosulfate, distearyldimonium chloride, and stearamidopropyl PG-dimonium chloride phosphate are conditioning agents that improve softness, spreadability, and surface feel.</p><h2>Behentrimonium Methosulfate (BTMS)</h2><p>Despite the word &#8220;sulfate&#8221; in its name, this is not the same type of sulfate found in harsh detergents like sodium lauryl sulfate (SLS). BTMS is a quaternary ammonium compound, often called a quat. It is usually derived from rapeseed (canola) oil and then chemically modified in a laboratory.</p><p>Its purpose is to:</p><ul><li><p>reduce static</p></li><li><p>make skin feel silky</p></li><li><p>improve spreadability</p></li><li><p>leave a conditioned feel after the water evaporates</p></li></ul><p>From my perspective, the concern isn&#8217;t that it&#8217;s acutely toxic. It&#8217;s that this is another highly processed synthetic ingredient added primarily to improve how the product feels rather than to nourish the skin.</p><h2>Distearyldimonium Chloride</h2><p>This is another quaternary ammonium compound known as quat.</p><p>Quats are used because they:</p><ul><li><p>cling to skin</p></li><li><p>reduce friction</p></li><li><p>create a smooth conditioned feel</p></li><li><p>help ingredients stay deposited on the surface</p></li></ul><p>Some quaternary ammonium compounds have been studied for skin irritation, respiratory effects (particularly in occupational settings), and environmental persistence. The evidence varies considerably from one quat to another, but the broader family has raised enough questions that some people choose to minimize their exposure, especially when there are alternatives. This ingredient is not rebuilding skin. It is improving the feel of the product.</p><h2>Stearamidopropyl PG-Dimonium Chloride Phosphate</h2><p>The name alone tells you this isn&#8217;t something occurring naturally in the skin. It is another synthetic conditioning polymer designed to:</p><ul><li><p>improve slip</p></li><li><p>reduce drag</p></li><li><p>leave a soft coating</p></li><li><p>improve consumer perception</p></li></ul><p>In other words, it&#8217;s engineered to make the lotion feel luxurious. Again, that isn&#8217;t the same thing as improving skin health.</p><h2>What About Dimethicone?</h2><p>Dimethicone is a silicone-based ingredient that coats the surface of the skin. It gives skin that silky, smooth feel and helps reduce water loss by forming a barrier over the outer layer. That barrier can make crepey skin look smoother, but it is creating a cosmetic effect, not reversing the biological changes that caused the skin to become crepey in the first place.</p><p>Whether or not dimethicone is absorbed through the skin is almost beside the point for me. My question is: do I really want a synthetic silicone film sitting on my skin every day simply to create the appearance of smoother skin? Personally, I don&#8217;t. I&#8217;d rather support the health of my skin than rely on a coating to disguise the problem.</p><p>Another concern often raised about dimethicone is that it forms a film over the skin. By design, it creates a barrier that helps reduce water loss, but some people question whether that same barrier can also trap sweat, sebum, dead skin cells, bacteria, or other debris against the skin. The research has not clearly shown that dimethicone itself traps &#8220;toxins,&#8221; but if there is a change in the skin after applying a product with dimethicone it is something to consider as the underlying cause. </p><h2>Methylparaben: The Most Debated Ingredient in the Bottle</h2><p>This lotion contains water, aloe, fruit extracts, whey protein, and other materials that could support microbial growth. Without an effective preservation system, the bottle could become a tiny bathroom petri dish. </p><p>And, think about every time it is opened, handled, or stored in a warm, humid room, it is exposed to potential microbial contamination. Methylparaben is meant to solve this problem. Its role is to helps prevent the growth of mold, yeast, and bacteria. </p><p>The FDA explains that parabens are used in cosmetics for precisely this reason. The preservation system in this bottle appears to include:</p><ul><li><p>Methylparaben</p></li><li><p>Ethylhexylglycerin</p></li><li><p>EDTA</p></li></ul><p>Ethylhexylglycerin can help boost antimicrobial performance, while EDTA binds metal ions that might otherwise destabilize the formula or support microbial processes.</p><h2>Why methylparaben is concerning </h2><p>Parabens have demonstrated estrogenic activity in laboratory and animal research. They can interact with estrogen receptors, which is why they are frequently discussed as possible endocrine disruptors.</p><p>However, all parabens are not equally estrogenic. Methylparaben is generally considered one of the weaker members of the family, while longer-chain parabens such as propylparaben and butylparaben have attracted greater concern.</p><h2>Conflicting stories on the saftey of Parabens</h2><p>The European Scientific Committee on Consumer Safety reviewed methylparaben specifically, including concerns regarding potential endocrine activity. It concluded that methylparaben is safe as a cosmetic preservative at concentrations up to 0.4 percent. The FDA currently states that it does not have information showing that parabens as used in cosmetics have an effect on human health, while continuing to review available research. </p><p>Some research says parabens are completely harmless, while other studies conclude the  lotion is poisoning your hormones. It&#8217;s so confusing. </p><p>Methylparaben has weak estrogenic activity under experimental conditions. Regulatory assessments consider it safe within established cosmetic limits. Consumers who prefer to reduce cumulative exposure to endocrine-active chemicals may still choose to avoid it, particularly in products applied over large areas every day.</p><p>That is a personal risk-tolerance decision. If I have to think about the risks outweighing the benefits. There is no, way, it is worth it to me. </p><h2>Does the Plastic Bottle Add Xenoestrogens?</h2><p>Then there is the plastic bottle itself. Gold Bond doesn&#8217;t come in glass. It comes packaged in plastic, and maybe you have not thought about questioning what happens when lotions sit in plastic for months or even years before we buy them. I have. </p><p>Plastic can contain chemicals such as phthalates, bisphenols, and other additives, depending on the type of plastic and how it was manufactured. Heat, sunlight, florescent lights, storage conditions, and the formulation itself can all influence whether chemicals migrate from the packaging into the product.</p><p>Can I tell you this particular bottle is leaching endocrine-disrupting chemicals into the lotion? No, because I don&#8217;t have migration testing on this specific packaging. But I also can&#8217;t tell you it isn&#8217;t. That&#8217;s the problem. Consumers are expected to trust packaging they know very little about.</p><p>Personally, if I&#8217;m trying to reduce my overall chemical exposure, I would rather choose products packaged in glass whenever practical. We know our exposure doesn&#8217;t come from one lotion. It comes from the cumulative effect of cosmetics, food packaging, receipts, cleaning products, fragrances, and countless other everyday sources. For me, reducing exposure wherever I reasonably can simply makes sense.</p><h2>What the Front Label Doesn&#8217;t Tell You</h2><p>On the front of the label, which is probably as far as one goes to assess a product ( me too, sometimes) Gold Bond draws attention to omega fatty acids, antioxidants, botanicals, and vitamins. It sounds like a good product. </p><p>The formula does contain several ingredients that fit those categories:</p><ul><li><p>Tocopherol and tocopheryl acetate, forms of vitamin E</p></li><li><p>Magnesium ascorbyl phosphate, a vitamin C derivative</p></li><li><p>Panthenol, a vitamin B5 derivative</p></li><li><p>Ubiquinone, also known as CoQ10</p></li><li><p>Jojoba and macadamia-derived esters</p></li><li><p>Squalene</p></li><li><p>Phytosterols</p></li><li><p>Aloe</p></li><li><p>Watermelon, apple, lentil, ginger, and resurrection-plant extracts</p></li></ul><p>These ingredients may provide antioxidant, emollient, soothing, or formulation benefits. However, they are in small amounts. The presence  of these ingredients does not transform the product into a natural product teaming with nutrients or a treatment that rebuilds the dermis. The majority of its immediately noticeable effect still comes from the basic moisturizing system: water binding, barrier coating, and surface smoothing.</p><p>That is why the phrase from our live discussion still fits:</p><blockquote><p><strong>&#8220;The glamorous ingredients are in the passenger seat. The humectants, silicone, petrolatum, and fatty alcohols are doing most of the driving.&#8221;</strong></p></blockquote><h2>Why Crepey Skin Develops in the First Place</h2><p>Crepey skin is rarely caused by one missing moisturizer. So, you do not have a deficiency of a moisturizer. It is influenced by several overlapping changes such as </p><p style="text-align: center;">Reduced collagen production</p><p style="text-align: center;">Changes in elastin and connective tissue</p><p style="text-align: center;">Lower estrogen after menopause</p><p style="text-align: center;">Reduced water-binding capacity</p><p style="text-align: center;">Loss of natural skin lipids</p><p style="text-align: center;">Ultraviolet damage</p><p style="text-align: center;">Smoking</p><p style="text-align: center;">Alcohol</p><p style="text-align: center;">Repeated weight gain and loss</p><p style="text-align: center;">Low protein intake</p><p style="text-align: center;">Poor nutrient status</p><p style="text-align: center;">Chronic inflammation</p><p style="text-align: center;">Glycation from persistently elevated blood sugar</p><p style="text-align: center;">Normal loss of subcutaneous tissue with age</p><p>Menopause is particularly relevant to crepey skin. Estrogen receptors are present in skin, and declining estrogen affects collagen, glycosaminoglycans, skin thickness, and water content.</p><p>That is why a woman can eat well, hydrate properly, and still notice substantial skin changes after menopause. Nutrition does play a huge role , but it cannot entirely cancel biology, genetics, or decades of ultraviolet exposure.</p><p>The goal is not to promise wrinkle-proof skin through blueberries and bone broth.The goal is to give the body the raw materials it needs while reducing the processes that accelerates collagen breakdown.</p><h2>Supporting Skin from the Inside Out</h2><p>How can we help our skin? Begin with adequate protein</p><p>Collagen is made from amino acids, particularly glycine, proline, and hydroxyproline. The body also needs sufficient total dietary protein to maintain skin, muscle, connective tissue, enzymes, immune proteins, and repair processes. This is where many women may be starting with an empty toolbox.</p><p>A woman can sprinkle collagen powder into coffee, but if her overall food intake is low in protein, or if she is not digesting and absorbing protein effectively, the larger foundation still needs attention. Protein-rich foods include:</p><ul><li><p>Eggs</p></li><li><p>Fish and shellfish</p></li><li><p>Poultry</p></li><li><p>Beef, lamb, and pork</p></li><li><p>Greek yogurt or cottage cheese, when tolerated</p></li><li><p>Legumes</p></li><li><p>Tofu (organic only) and tempeh</p></li><li><p>Gelatin-rich cuts and slow-cooked meats</p></li></ul><p>Low stomach acid, pancreatic insufficiency, poor chewing, certain medications, intestinal inflammation, or previous gastrointestinal surgery may affect protein digestion and absorption. Persistent digestive symptoms play a role in how your body is processing and absorbing nutrients and amino acids. A deeper understanding of diet and nutritional status deserve evaluation rather than simply adding another scoop of collagen powder.</p><p>Collagen supplements remain a mixed evidence area. Some studies report improvements in hydration and elasticity, while a recent systematic review found that benefits were much less convincing in trials without industry funding.</p><p>Collagen powder may be useful for some people, but it is not a substitute for adequate protein, vitamin C, minerals, hydration, and metabolic health.</p><h2>Do not forget vitamin C</h2><p>And if those collagen products are not helping. Take a look at vitamin C. Vitamin C is required for the enzymes that hydroxylate proline and lysine during collagen formation. Without sufficient vitamin C, the body cannot properly build and stabilize collagen. </p><p>Food sources include of vitamin C include: </p><ul><li><p>Bell peppers</p></li><li><p>Kiwi</p></li><li><p>Citrus fruit</p></li><li><p>Strawberries</p></li><li><p>Broccoli</p></li><li><p>Brussels sprouts</p></li><li><p>Cabbage</p></li><li><p>Parsley</p></li><li><p>Guava</p></li></ul><p>Vitamin C is water soluble and not stored in large amounts, so regular intake is important.</p><h2>Copper</h2><p>Copper helps cross-link collagen and is required for lysyl oxidase, an enzyme involved in cross-linking collagen and elastin. Sources include:</p><ul><li><p>Oysters and other shellfish</p></li><li><p>Liver and organ meats</p></li><li><p>Cashews</p></li><li><p>Sesame seeds</p></li><li><p>Sunflower seeds</p></li><li><p>Mushrooms</p></li><li><p>Dark chocolate or cacao</p></li></ul><p>So we need vitamin C and copper in the making of collagen. However, do not supplement with copper.  Copper and zinc fight for uptake. So, taking high-dose of copper can create a  zinc imbalance. Better to test to find out than guess. Food first is usually the saner starting point.</p><h2>Hydrate with minerals, not water alone</h2><p>Skin water content is influenced by far more than how many glasses of water we drink.</p><p>Sodium, potassium, and magnesium help regulate fluid movement, nerve signaling, muscle function, and cellular balance. Drinking large quantities of plain water while eating very little food or salt does not necessarily produce well-hydrated tissues.</p><p>Useful food sources include:</p><ul><li><p>Leafy greens</p></li><li><p>Avocado</p></li><li><p>Potatoes and squash</p></li><li><p>Meat and broth</p></li><li><p>Fruit</p></li><li><p>Dairy, when tolerated</p></li><li><p>Celtic Sea Salt used appropriately with meals</p></li></ul><p></p><p>People with heart failure, kidney disease, hypertension, or medications that alter sodium or potassium should not increase electrolytes casually. Check with your physician before implementing. </p><p>Skin also contains natural moisturizing factors and glycosaminoglycans that help hold water. These systems depend on adequate protein, micronutrients, normal barrier lipids, and overall health. A cream may temporarily imitate some of their effects, but the body must build the tissue itself.</p><h2>Eat omega-3 fatty acids</h2><p>Omega-3 fatty acids help form cell membranes and participate in inflammatory regulation. It also helps in hydrating the skin and keeps that nice natural soft feel. </p><p>The most direct food sources of EPA and DHA include:</p><ul><li><p>Sardines</p></li><li><p>Salmon</p></li><li><p>Mackerel</p></li><li><p>Herring</p></li><li><p>Anchovies</p></li><li><p>Trout</p></li><li><p>Shellfish</p></li></ul><p>Plant foods such as flax, chia, and walnuts provide alpha-linolenic acid, but conversion to EPA and DHA is limited and varies considerably from person to person.</p><p>Some may notice that chronically dry skin, cracked heels, or brittle texture improves when their intake of fatty fish or a quality fish-oil supplement. </p><p>Choose fish-oil supplements carefully because rancid oil is not a skin-health strategy. Look for appropriate testing, freshness information, and transparent sourcing. And avoid fish oil with seed oils. </p><h2>Bring in polyphenols</h2><p>Polyphenols are plant compounds that influence inflammatory and antioxidant pathways. Think black purple, blue, and red as the higher content of polyphenols. Sources include:</p><ul><li><p>Berries</p></li><li><p>Pomegranate</p></li><li><p>Green tea</p></li><li><p>Herbs and spices</p></li><li><p>Purple cabbage</p></li><li><p>Olives and extra-virgin olive oil</p></li><li><p>Apples</p></li><li><p>Onions</p></li><li><p>Cacao</p></li></ul><p>They do not act like edible wrinkle filler. Their value lies in supporting the biological environment in which collagen is maintained or degraded.</p><h2>Stabilize blood sugar</h2><p>Persistently elevated blood glucose encourages the formation of advanced glycation end products, or AGEs.</p><p>During glycation, sugars bind to proteins, including collagen. Collagen fibers become stiffer, less flexible, and harder for the body to remodel. Glycation is one of the processes associated with accelerated skin aging and reduced elasticity.</p><p>Build meals that reduce repeated glucose surges:</p><ul><li><p>Include protein with meals</p></li><li><p>Add fibrous vegetables</p></li><li><p>Choose minimally processed carbohydrates</p></li><li><p>Avoid making refined starch and sugar the foundation of the diet</p></li><li><p>Move after meals</p></li><li><p>Build and maintain muscle through resistance exercise</p></li><li><p>Address sleep deprivation and chronic stress</p></li></ul><p>Muscle is a major site of glucose disposal. weight bearing exercise is one of the most practical long-term tools available for metabolic health.</p><h2>Support the gut</h2><p>The gut and skin communicate through immune, metabolic, and microbial pathways. Gut bacteria produce short-chain fatty acids from fermentable fibres. These compounds influence intestinal integrity, immune regulation, and inflammatory signaling, all of which can indirectly affect the skin.</p><ul><li><p>Supportive foods may include:</p></li><li><p>Vegetables for feeding bacteria</p></li><li><p>Legumes</p></li><li><p>Berries</p></li><li><p>Ground flax or chia</p></li><li><p>Fermented vegetables</p></li><li><p>Yogurt or kefir</p></li><li><p>Resistant starch</p></li><li><p>Diverse herbs and spices</p></li></ul><p>But gut advice must be individualized. A person with active inflammatory bowel disease, SIBO, severe bloating, histamine intolerance, or a recent gastrointestinal surgery may not thrive on a sudden avalanche of raw fibre and fermented foods. Start slow and build up. </p><h2>What About a Natural crepe Skin Lotion?</h2><p>Not everyone wants to apply a product containing methylparaben, petrolatum, silicone, and several conditioning agents every day. Or, at least I don&#8217;t. A simpler product can reduce ingredient exposure while still protecting the skin barrier. </p><h2>Properly prepared tallow balm</h2><p>Tallow-based moisturizers have become popular because beef tallow contains fatty acids that can create an emollient, occlusive barrier. A properly made product generally uses purified, rendered tallow, often from suet, blended with another oil to improve texture. Look for:</p><ul><li><p>Transparent sourcing</p></li><li><p>Clean rendering practices</p></li><li><p>Minimal ingredients</p></li><li><p>No unnecessary fragrance</p></li><li><p>Hygienic packaging</p></li><li><p>Clear storage instructions</p></li></ul><p>A producer who understands cosmetic formulation rather than someone spooning kitchen grease into a jar</p><p>&#8220;Tallow&#8221; does not automatically mean safe, clean, or nonirritating. Animal fats can oxidize or become contaminated when processed or stored poorly. Patch-test first on your arm before putting on the face incase of rash. </p><h2>Natural Oils for Crepey Skin</h2><p>Here are some wonderful oils that can step in as  natural moisturizers. I personally rotate through these. </p><h3>Jojoba oil</h3><p>Jojoba is technically a liquid wax rather than a triglyceride oil. It is relatively stable and often tolerated well. Use a small amount on slightly damp skin rather than pouring it on dry skin and expecting it to manufacture water.</p><h3>Rosehip Seed Oil</h3><p>Rosehip seed oil contains fatty acids and carotenoid compounds. It is lighter than tallow or petrolatum and may suit someone who dislikes heavier products.</p><p>Rosehip seed oil can oxidize, so choose a fresh product in protective packaging and store it according to the manufacturer&#8217;s directions. Rosehip oil is a carrier oil, not an essential oil.</p><h3>Squalane</h3><p>Squalane is the hydrogenated, more stable form of squalene. It is lightweight and generally well tolerated. Choose a product with one clearly identified ingredient and no added fragrance when simplicity is the goal.</p><h3>Coconut oil</h3><p>Coconut oil can reduce water loss and works well for some areas of the body. However, it can feel heavy, aggravate acne, or cause irritation in some. </p><h3>Sweet almond oil</h3><p>Sweet almond oil is a heavier emollient that may be useful on dry arms, legs, feet, and hands. And super nice in the winter is it creates warmth.  Anyone with a relevant nut allergy should discuss topical use with a qualified clinician rather than assuming skin exposure is harmless.</p><h2>A Word About Essential Oils</h2><p>Essential oils are often promoted as a cleaner alternative to synthetic skincare, but &#8220;natural&#8221; does not mean nonreactive.</p><p>Lavender, citrus, peppermint, cinnamon, clove, tea tree, and other essential oils can irritate skin or cause allergic contact dermatitis. Some citrus oils can also increase photosensitivity.</p><p>Essential oils should not be applied undiluted, and they are not required for an effective moisturizer.</p><p>For reactive or aging skin, fragrance-free is often the friendliest choice whether the fragrance was made in a laboratory or squeezed from a flower.</p><h2>The Sun and Crepey Skin</h2><p>Sunlight is important for circadian biology and vitamin D production, but ultraviolet radiation is also one of the major drivers of collagen degradation, elastin damage, uneven pigmentation, and premature wrinkling.</p><p>It would be inaccurate to say that sun exposure builds skin collagen. Excess ultraviolet exposure does the opposite. That does not mean living underground. It means balancing outdoor light exposure with sensible protection:</p><ul><li><p>Avoid repeated burning</p></li><li><p>Use shade and clothing during intense sun</p></li><li><p>Consider a broad-spectrum natural sunscreen when exposure is prolonged</p></li><li><p>Remember that cumulative ultraviolet exposure can wrinkle skin.</p></li></ul><p>The American Academy of Dermatology recommends broad-spectrum SPF 30 or higher to help prevent sun-related wrinkles, age spots, and skin cancer.</p><p>So, Is Gold Bond Crepe Corrector Safe?</p><p>Gold Bond is selling the appearance of healthier skin, not actually rebuilding it. The formula temporarily hydrates the outermost layer of the skin and coats it with ingredients that reduce water loss and improve smoothness. Those effects can make crepey skin look better, but they do not address why the skin became crepey in the first place.</p><p>The formula works primarily by:</p><ul><li><p>Attracting and binding water in the outer skin layer</p></li><li><p>Reducing evaporation</p></li><li><p>Softening dry surface cells</p></li><li><p>Coating the skin with ingredients that improve slip and smoothness</p></li></ul><h2>The larger issue is the promise.</h2><p>The product can temporarily improve the appearance of crepey skin. It does not correct the nutritional, hormonal, metabolic, structural, or ultraviolet-related factors that created it. It is just a hopeful promise. </p><p>Skin creams work mainly from the outside by binding water, reducing moisture loss, and smoothing the surface. Nutrition works from the inside by providing the amino acids, vitamins, minerals, fatty acids, and metabolic environment the body uses to maintain skin tissue.</p><p>A simple natural moisturizer may still be useful, especially when skin is dry, itchy, fragile, or uncomfortable. But we should know what we are buying.</p><p>Gold Bond Crepe Corrector is a moisturizer with clever positioning. Its strongest ingredients are not the watermelon, lentil extract, antioxidants, or omega marketing sprinkled across the front of the bottle.</p><p>They are glycerin, hydroxyethyl urea, dimethicone, petrolatum, and fatty alcohols.</p><p>They hydrate. They coat. They smooth. Then they wear off.</p><p>For longer-term support, begin where the skin begins: adequate protein, vitamin C, mineral balance, omega-3 fats, hydration, blood-sugar regulation, gut integrity, resistance exercise, sleep, and protection from excessive ultraviolet damage. And look for a natural alternative to the chemical-laden one. </p><p>When it comes to crepey skin, there is no magic ingredient hiding in a bottle. Gold Bond can temporarily make the skin feel softer and look smoother by increasing hydration and reducing water loss, but it cannot replace collagen, restore elastin, or reverse the changes that naturally occur with aging.</p><p>If your goal is healthier skin, I believe the best place to start is from the inside out. Eat enough quality protein, include healthy fats, stay well hydrated, keep blood sugar balanced, support your gut microbiome, get adequate sleep, spend time outdoors, and protect your skin from excessive sun exposure. Then, if you choose to use a moisturizer, look for one with ingredients that align with your own values and comfort level.</p><p>Our  goal isn&#8217;t to tell you what you should buy. It&#8217;s to help you understand what you&#8217;re buying so you can make an informed decision for yourself. Once you know how to read an ingredient label, the marketing loses much of its power.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://karenlangston.substack.com/s/label-to-table" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!2Elj!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!2Elj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3319213,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://karenlangston.substack.com/s/label-to-table&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/189884834?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!2Elj!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!2Elj!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fcf5e59b4-5b31-4648-af60-96c84335cd06_1920x1080.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p> Finally, a heartfelt thank you to Dean for suggesting this topic. Your question sparked a fascinating <a href="https://karenlangston.substack.com/s/label-to-table">Label to Table </a>conversation and a deeper look into what many of us are putting on our skin every single day. If there&#8217;s an ingredient or product you&#8217;ve been wondering about, let me know. It just might become our next Label to Table deep dive.</p><p></p><p>Thank you to everyone who tuned into my live video. And thank you for reading. If you have a product or ingredient for us to decode? Drop me a line or message or leave a Voice Mail at (656) 222-0848</p><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p>See you next Wednesday for our next Live Label to Table.</p><p>Have a great week, </p><p>~Karen </p>]]></content:encoded></item><item><title><![CDATA[Label to Table: Azodicarbonamide & Parasites in your salad?]]></title><description><![CDATA[From Toilet to Table: How a Microscopic Parasite Ends Up in Your Produce. What is lurking under your jar lids is even more disturbing. Read, watch, listen in]]></description><link>https://karenlangston.substack.com/p/cyclospora-outbreak-what-is-the-diarrhea-parasite-going-around</link><guid isPermaLink="false">https://karenlangston.substack.com/p/cyclospora-outbreak-what-is-the-diarrhea-parasite-going-around</guid><dc:creator><![CDATA[Karen Langston]]></dc:creator><pubDate>Thu, 16 Jul 2026 11:01:57 GMT</pubDate><enclosure url="https://api.substack.com/feed/podcast/207110217/b90d3ec316a1cee9908258fbd6d19b4c.mp3" length="0" type="audio/mpeg"/><content:encoded><![CDATA[<p>Every summer it seems like another food recall or outbreak makes headlines. One week it is lettuce. The next it is cilantro, basil, berries, salad kits even deli meats. Then the warnings begin to spread across social media, often accompanied by confusing or conflicting advice. This summer is no exception. The latest headlines &#8220;Cyclospora outbreak 2026&#8221; &#8220;What Is the &#8216;Diarrhea Parasite Going Around? &#8220; And the big one..&#8221;Explosive Diarrhea Outbreak&#8221;</p><div class="callout-block" data-callout="true"><p style="text-align: center;"><strong>If you are reading this in your email it will get cut off <br><a href="https://karenlangston.substack.com/p/cyclospora-outbreak-what-is-the-diarrhea-parasite-going-around">so hop over to the article </a>to get the full scoop</strong> </p></div><p>But before we get into it Our Label to Table this week also included an update on a previous Label to Table episode where <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!rmJf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fadae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;abe2bea5-f343-4df1-ac59-312d3a9f0787&quot;}" data-component-name="MentionToDOM"></span> talked about azodicarbonamide (ADA), a chemical substance approved for use as a whitening agent in cereal flour and as a dough conditioner in bread baking here in the USA.  It is an industrial chemical  and bleaching agent also used as a foaming agent in yoga mats and shoe soles. Sounds yummy, right? </p><p>We touched on lids but we were not entirely sure if this European banned substance was actually used. Indeed it is being used. Danni is into preserving and canning and this concerned her. Well, me too, I use those lids. You should be concerned too. Azodicarbonamide is lurking under just about every lid found sitting on the grocers&#8217; shelves.  </p><p>Danni did find two companies that are not using Azodicarbonamide or other icky toxic ingredients. These are e <a href="https://www.simplycanning.com/orchard-road-canning/">Orchard Road Canning</a> and <a href="https://weckjars.com/">WEK Jars</a> using silicone lids. Oh, and I shared that I use non bleached parchment paper rounds, and perhaps that might be a solution to the azodicarbonamide dilemma. The two products I use are <a href="https://amzn.to/4hgeXMB">If You Care </a>and <a href="https://amzn.to/4bMd5rk">Zenology.</a> </p><h6>( I added Amazon affiliate shortened links&#8212; just being transparent). </h6><p>For the full information including more about natural alternatives, check out her publication Back To Basics of Nutrition for more information. Oh, and be sure to follow her. </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://substack.com/@backtobasicsnutrition?utm_source=global-search&quot;,&quot;text&quot;:&quot;Subscribe to Back to Basics of Nutrition&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://substack.com/@backtobasicsnutrition?utm_source=global-search"><span>Subscribe to Back to Basics of Nutrition</span></a></p><div><hr></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!TTCD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!TTCD!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 424w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 848w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!TTCD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1402384,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!TTCD!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 424w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 848w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!TTCD!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F740ee886-5f3f-4e1a-a722-e1fe28b9baa1_1920x1080.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>I also wanted to take this opportunity to thank the guests who were live with us: </p><p><span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;93e6079b-46cc-4998-b1be-0072acb4e0f0&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Ciska | Thoughts over Coffee&quot;,&quot;id&quot;:164650763,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c35ab472-c56b-400a-a80d-caf3b864d721_1080x1080.webp&quot;,&quot;uuid&quot;:&quot;14c5d034-51b6-4570-8f8c-7b80f42a7f1e&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Corie Feiner&quot;,&quot;id&quot;:113514488,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!oij6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F85667997-0163-4948-aaeb-4b88821704f6_3024x3024.png&quot;,&quot;uuid&quot;:&quot;110d2124-2d12-46b8-9947-6afabd03c548&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Mollie Lyon&quot;,&quot;id&quot;:108763659,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/f7ea8546-304d-463f-b1d9-b6a97c048759_1168x1168.jpeg&quot;,&quot;uuid&quot;:&quot;7e0d7d26-2f9f-468f-a726-0dc8253aeb87&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kathie L&quot;,&quot;id&quot;:101597342,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/92e7c5c0-5b8d-4ac2-b0c0-ebef56e9868a_144x144.png&quot;,&quot;uuid&quot;:&quot;2ad73044-d16a-4685-ae6a-34958adad7b1&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Carolyn Malone&quot;,&quot;id&quot;:64655302,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!lxm2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6247671c-112f-42bd-af66-a864b99ddba6_1637x1637.jpeg&quot;,&quot;uuid&quot;:&quot;5885fe94-d417-48be-a30b-ed79d5a250b3&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Buttercup&quot;,&quot;id&quot;:76760915,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/518b8266-8fe6-4601-80d3-d254a1dc3eed_144x144.png&quot;,&quot;uuid&quot;:&quot;2c386cb8-ef74-451f-b1e3-7857b7994acf&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Prissmel Acres&quot;,&quot;id&quot;:407913301,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b461abde-0424-45b5-ae59-9e5d59db5bb9_531x531.png&quot;,&quot;uuid&quot;:&quot;57f1d8b5-099c-4115-8f4b-70fae136418f&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;TJ Schnoor&quot;,&quot;id&quot;:257487461,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f6ba4d65-d253-4391-9492-5f9831f0ae88_1170x1170.png&quot;,&quot;uuid&quot;:&quot;88aaf680-7c43-4cc2-a0fe-e1fb1445d4c6&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Calm Spirit with Deanna &#129719;&quot;,&quot;id&quot;:180290261,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/85ca5ac7-7991-4aed-842a-887fc6f11bbd_638x760.png&quot;,&quot;uuid&quot;:&quot;eb1cbba9-6e97-49a0-bc3a-a6c76c6fee71&quot;}" data-component-name="MentionToDOM"></span> </p><p>And lastly before we get into the cyclosporiasis outbreak, let&#8217;s welcome some new subscribers:</p><p><span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Jen Knox&quot;,&quot;id&quot;:10309801,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f6aff33e-c684-4a5f-b52c-0aae3a88d890_1603x1603.jpeg&quot;,&quot;uuid&quot;:&quot;35fa6188-7b51-4628-906b-a156130e5e4e&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Michelle Dowd&quot;,&quot;id&quot;:152985,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!vkgM!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F268d2a32-65d7-4f89-886c-0c499780fbe1_400x400.jpeg&quot;,&quot;uuid&quot;:&quot;92033277-8d00-41b0-a2d6-539cf56fe8f6&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kimberly Dyan | Life Coach&quot;,&quot;id&quot;:146665185,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/697e6662-2421-4dfe-bb52-2a36251ba262_2188x2188.jpeg&quot;,&quot;uuid&quot;:&quot;1fc4c98c-27a9-4cea-b269-22da5e009a2b&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Azike Prosper&quot;,&quot;id&quot;:453869916,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/87732905-fbd5-44e6-9120-e42c1a4fb356_3072x4080.jpeg&quot;,&quot;uuid&quot;:&quot;6ca71650-444a-42b6-baee-38ca9a3f4ad2&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Deborah Kat&quot;,&quot;id&quot;:190358380,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c25c0cf1-90f3-4534-ab29-2c5617307b35_1343x1343.png&quot;,&quot;uuid&quot;:&quot;165f5e58-5be9-484a-871a-8138bec33395&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Ciska | Thoughts over Coffee&quot;,&quot;id&quot;:164650763,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c35ab472-c56b-400a-a80d-caf3b864d721_1080x1080.webp&quot;,&quot;uuid&quot;:&quot;d928d59d-d2e8-47f4-999e-a03e9aa6306c&quot;}" data-component-name="MentionToDOM"></span> and <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;R.R. Hayman&quot;,&quot;id&quot;:140962586,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/e46b4110-5b4c-4bb5-88cc-e829d8cb60ea_1014x1014.png&quot;,&quot;uuid&quot;:&quot;67fab026-10b4-405d-9335-5cb98214130d&quot;}" data-component-name="MentionToDOM"></span>. </p><p>Thank you joining. If you are new here, welcome, I hope you too will subscribe too. </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><p></p><h2 style="text-align: center;">Cyclospora outbreak 2026<br>What Is the Diarrhea Parasite Going Around?</h2><p>If you&#8217;ve been searching for answers about the current Cyclospora outbreak, wondering about the symptoms and severity of cyclosporiasis, or trying to understand what <em>Cyclospora cayetanensis (C. cayetanensis)</em> actually is, you&#8217;re in the right place. We&#8217;ll also explore conventional medical treatment, along with natural ways to support the body during a cyclosporiasis infection and practical steps you can take to help reduce your risk of future <em>C. cayetanensis</em> infection.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!OhAl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!OhAl!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 424w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 848w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!OhAl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg" width="377" height="347" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:347,&quot;width&quot;:377,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:21873,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!OhAl!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 424w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 848w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!OhAl!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F46a39edc-f94e-4117-a4ca-2344b8d99fe0_377x347.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Cyclospora cayetanensis stained| Photo Credit:Content Providers(s): CDC/ DPDx - Melanie Moser, Public domain, via Wikimedia Commons</figcaption></figure></div><h2>What Is Cyclospora?</h2><p>Cyclospora, the actual name is <em>Cyclospora cayetanensis</em> (<em>C. cayetanensis)</em>, is a single-celled intestinal parasite that infects humans. Unlike bacteria or viruses, parasites have unique life cycles and behave differently once they enter the body. It&#8217;s also important to understand that not all parasites act the same way. Different types can vary widely in how they spread, the symptoms they cause, and how they respond to treatment.</p><p>The center of attention in this current outbreak is the microscopic protozoan parasite Cyclospora cayetanensis (C. cayetanensis). When a person becomes infected with Cyclospora, the illness is called cyclosporiasis. That&#8217;s why you may see news outlets referring to this event as a cyclosporiasis outbreak, while others simply call it a Cyclospora outbreak. Both terms describe the same event. The difference is that Cyclospora is the parasite, while cyclosporiasis is the illness it causes.</p><p>One of the reasons cyclosporiasis can be so difficult to identify is because symptoms do not begin immediately. In fact, many feel perfectly healthy for several days, and sometimes up to a week or longer, after eating contaminated food before becoming ill. </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KeUc!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KeUc!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 424w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 848w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 1272w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!KeUc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png" width="1456" height="1934" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1934,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2369526,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!KeUc!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 424w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 848w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 1272w, https://substackcdn.com/image/fetch/$s_!KeUc!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb1f0c237-e44d-4dd4-8fd9-9958440fb1d4_2730x3627.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Cicle vital de Cyclospora Cayetanensis| Sonia Almeria,Hediye N. Cinar and Jitender P. Dubey, CC BY 1.0  Creativecommons.org via Wikimedia Commons</figcaption></figure></div><p>That delay has to do with the unique life cycle of the parasite and the steps required before it can establish an infection in the body.</p><p>Unlike other foodborne pathogens, Cyclospora cannot multiply in food. Instead, food becomes contaminated before it reaches your kitchen. Fresh produce is responsible for most outbreaks because these foods are often eaten raw without a cooking step that would reduce contamination. But don&#8217;t blame the produce. Raw fruits, veggies and lettuce are merely the vehicle. </p><h2>Foods Commonly Associated with Cyclospora</h2><p>According to the <a href="https://www.cdc.gov/cyclosporiasis">Centers for Disease Control and Prevention</a> (CDC), foods repeatedly associated with Cyclospora cayetanensis include:</p><ul><li><p>Fresh cilantro</p></li><li><p>Fresh basil</p></li><li><p>Bagged salads</p></li><li><p>Romaine lettuce</p></li><li><p>Snow peas</p></li><li><p>Sugar snap peas</p></li><li><p>Raspberries</p></li><li><p>Blackberries</p></li></ul><div class="comment" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/&quot;,&quot;commentId&quot;:293136496,&quot;comment&quot;:{&quot;id&quot;:293136496,&quot;date&quot;:&quot;2026-07-12T16:33:35.179Z&quot;,&quot;edited_at&quot;:null,&quot;body&quot;:&quot;Good farmer market food leads to a good meal with good friends. \n\nEverything was from the farmers market - can you believe it? \n\n&#129367; Salad &#8212; so easy \n\ngrilled peaches, blueberries, goat cheese, red onion sliced thin, red leaf lettuce. \n\n&#129753; Dressing: olive oil, balsamic vinegar, Celtic sea salt. Pepper corns, fresh cracked, Italian herb blend. \n\n&#127860; Coat the lettuce with dressing. \n\nAdd the ingredients drizzle hot honey over top. So darn good. &quot;,&quot;body_json&quot;:{&quot;content&quot;:[{&quot;content&quot;:[{&quot;text&quot;:&quot;Good farmer market food leads to a good meal with good friends. &quot;,&quot;type&quot;:&quot;text&quot;}],&quot;type&quot;:&quot;paragraph&quot;},{&quot;type&quot;:&quot;paragraph&quot;,&quot;content&quot;:[{&quot;text&quot;:&quot;Everything was from the farmers market - can you believe it? &quot;,&quot;type&quot;:&quot;text&quot;}]},{&quot;content&quot;:[{&quot;text&quot;:&quot;&#129367; Salad &#8212; so easy &quot;,&quot;type&quot;:&quot;text&quot;}],&quot;type&quot;:&quot;paragraph&quot;},{&quot;type&quot;:&quot;paragraph&quot;,&quot;content&quot;:[{&quot;text&quot;:&quot;grilled peaches, blueberries, goat cheese, red onion sliced thin, red leaf lettuce. &quot;,&quot;type&quot;:&quot;text&quot;}]},{&quot;content&quot;:[{&quot;text&quot;:&quot;&#129753; Dressing: olive oil, balsamic vinegar, Celtic sea salt. Pepper corns, fresh cracked, Italian herb blend. &quot;,&quot;type&quot;:&quot;text&quot;}],&quot;type&quot;:&quot;paragraph&quot;},{&quot;type&quot;:&quot;paragraph&quot;,&quot;content&quot;:[{&quot;text&quot;:&quot;&#127860; Coat the lettuce with dressing. &quot;,&quot;type&quot;:&quot;text&quot;}]},{&quot;content&quot;:[{&quot;text&quot;:&quot;Add the ingredients drizzle hot honey over top. So darn good. &quot;,&quot;type&quot;:&quot;text&quot;}],&quot;type&quot;:&quot;paragraph&quot;}],&quot;attrs&quot;:{&quot;schemaVersion&quot;:&quot;v1&quot;},&quot;type&quot;:&quot;doc&quot;},&quot;restacks&quot;:0,&quot;reaction_count&quot;:16,&quot;children_count&quot;:6,&quot;attachments&quot;:[{&quot;id&quot;:&quot;d273d43c-ed94-4619-bcba-fa9ae26d55a0&quot;,&quot;type&quot;:&quot;image&quot;,&quot;imageUrl&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/fadc2401-d8a0-44d3-b6de-4b5a3e938c5b_4032x3024.jpeg&quot;,&quot;imageWidth&quot;:4032,&quot;imageHeight&quot;:3024,&quot;explicit&quot;:false},{&quot;id&quot;:&quot;a7a2e24c-75e7-40f2-b28c-c6fd0f87b12a&quot;,&quot;type&quot;:&quot;image&quot;,&quot;imageUrl&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/76c0c124-b794-4c63-bc4f-3aeec53e6fe8_3024x4032.jpeg&quot;,&quot;imageWidth&quot;:3024,&quot;imageHeight&quot;:4032,&quot;explicit&quot;:false},{&quot;id&quot;:&quot;630acc90-5ed7-44bd-8ace-10c3d92d436d&quot;,&quot;type&quot;:&quot;image&quot;,&quot;imageUrl&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ac7d204e-e16a-4de4-aff1-d5283af49374_4032x3024.jpeg&quot;,&quot;imageWidth&quot;:4032,&quot;imageHeight&quot;:3024,&quot;explicit&quot;:false}],&quot;name&quot;:&quot;Karen Langston&quot;,&quot;user_id&quot;:101276243,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/cbcbadae-5626-4beb-81ae-414a3875f56b_300x300.png&quot;,&quot;user_bestseller_tier&quot;:null,&quot;userStatus&quot;:null},&quot;source&quot;:null,&quot;forumChannel&quot;:null}" data-component-name="CommentPlaceholder"></div><h2>Why Does Cyclospora Keep Appearing Every Summer?</h2><p>My husband and I were spending the weekend with friends, and of course I was serving up fresh produce finds from our trip to the farmers market. I was excited to have lettuce that had been picked that morning, along with fresh peaches. We managed to get the last of the blueberries and also scored some goat cheese and raw honey.</p><p>My friend came into the coach to check on my progress. I had just finished adding the freshly washed, crisp red leaf lettuce to a large white china bowl I had previously chilled in the freezer.</p><p>As I tossed the salad together, she questioned how well I had cleaned the produce. Then she mentioned she had seen a news report about a parasitic outbreak.</p><p><em>&#8220;Oh, you mean Cyclospora?&#8221;</em> I quipped as I drizzled my homemade dressing over the lettuce.&nbsp;</p><p><em>&#8220;Yes, that&#8217;s it, I believe,&#8221;</em> she replied with growing certainty.</p><p>Using two large forks, I gently tossed the leaves, making sure each one was evenly coated with olive oil, balsamic vinegar, and Italian seasoning.</p><p><em>&#8220;Yes, that&#8217;s the one all over the news,&#8221;</em> I said. <em>&#8220;It seems to happen just about every summer.&#8221;</em></p><p>I glanced over at the small pan on the cooktop, where the honey had just begun to bubble over low heat. My friend picked up the dinner plates, cutlery, and napkins. She paused for a moment, deep in thought, then asked, <em>&#8220;Why does Cyclospora seem to show up every summer?&#8221;</em></p><p>I could have given her the entire download from my brain right then and there. I am after all a microbe geek. Instead, I didn&#8217;t have to answer because her husband arrived carrying fresh peaches straight off the barbecue (saved by the bell as the say).  My friend didn&#8217;t press the issue. Perhaps she didn&#8217;t want parasites to become the dinner conversation. Truthfully, neither did I. Especially since it could be lurking in my wonderful salad. </p><p>I added the blueberries and thinly sliced red onion, crumbled the goat cheese over the top, and nestled the warm grilled peaches on top. They were still warm enough to slightly soften the goat cheese, releasing its rich aroma. Finally, I drizzled the warm honey over everything. Perfect.</p><p>We headed outside to join our husband&#8217;s at the picnic table to enjoy a wonderful meal together.  Yet even as we  shared stories and laughed around the table, the connection between Cyclospora and summertime lingered in the back of my mind. Enough so that I thought it would be perfect segment for our weekly Live Label to Table. </p><h2 style="text-align: center;">So, why does Cyclospora <br>seem to show up in the summer? </h2><p>There are several reasons. Many of the fresh fruits and vegetables we enjoy during the warmer months are grown and harvested here in the USA or are imported from tropical or subtropical regions where <em>Cyclospora cayetanensis</em> is more common. Even though the parasite is found more frequently in these regions, outbreaks still occur here in the United States and Canada because contaminated produce is widely distributed through national and international food supply chains.</p><p>Because fresh produce often travels thousands of miles before reaching grocery stores, contamination that occurs during growing, harvesting, or washing may not be discovered until people across multiple states or provinces begin getting sick.</p><p>The parasite also favors warm, moist environments. Fresh herbs, berries like raspberries and blackberries, leafy greens and packaged salad mixes provide ideal opportunities because they are delicate, difficult to wash thoroughly, with lots of nooks and crannies and usually eaten raw.</p><p>Another challenge is timing. Unlike bacteria that can make someone sick within hours, Cyclospora symptoms often take about one week to develop. By the time someone becomes ill, the salad has long been eaten, and it can be difficult to remember exactly what foods were consumed. </p><p>Seriously, think fast&#8230;. what did you eat yesterday? See what I mean? Now imagine trying to remember everything you ate over the last week and half and where. That delay makes outbreak investigations incredibly challenging.</p><h2>The Current Cyclospora Outbreak of 2026</h2><p>Health officials continue investigating multiple cases of cyclosporiasis across several states.</p><p>Investigators interview patients, trace grocery purchases, restaurant meals, and food distribution chains in an effort to identify a common source. During these investigations, agencies such as the CDC and FDA work together to determine whether the illnesses are connected.</p><p>One important point to remember is that not every reported case immediately becomes an outbreak. An outbreak is declared when public health officials determine that more illnesses than expected are linked to a common source, such as a particular food or food distributor. That process takes time and requires careful investigation.</p><p>Early reports may include only a handful of illnesses. Weeks later, additional laboratory-confirmed cases may be added as testing is completed, patients are interviewed, and investigators connect the dots between seemingly unrelated illnesses.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://www.cdc.gov/cyclosporiasis/php/surveillance/index.html" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!G4b9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 424w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 848w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 1272w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!G4b9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png" width="1456" height="1332" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1332,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:441222,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:&quot;https://www.cdc.gov/cyclosporiasis/php/surveillance/index.html&quot;,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!G4b9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 424w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 848w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 1272w, https://substackcdn.com/image/fetch/$s_!G4b9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ef30939-41dd-4599-80e9-ddec6b13c94e_1478x1352.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">CDC cyclosporasis outbreak map is interactive:| *These data include case data reported directly to the cyclosporiasis surveillance program at CDC. Case counts may not match exactly with what is listed in the Nationally Notifiable Diseases Surveillance System tables. New York State includes case reports from New York City. In Pennsylvania, cases are reported voluntarily. Data are preliminary and subject to change. For questions related to the number of cases reported in each state, contact that state&#8217;s health department.</figcaption></figure></div><p>If you&#8217;re looking for the latest cyclosporiasis outbreak map or updates on affected states, check the official <a href="https://www.cdc.gov/cyclosporiasis">CDC Cyclospora page</a> and the <a href="https://www.fda.gov">FDA outbreak investigations page.</a> Both pages are updated as new information becomes available.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!eR_9!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!eR_9!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 424w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 848w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 1272w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!eR_9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png" width="1456" height="1934" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1934,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:2369526,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!eR_9!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 424w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 848w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 1272w, https://substackcdn.com/image/fetch/$s_!eR_9!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3b431add-6c47-4d9e-9fa6-b676f8729faf_2730x3627.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Cicle vital de Cyclospora Cayetanensis| Sonia Almeria,Hediye N. Cinar and Jitender P. Dubey, CC BY 1.0 Creativecommons.org/licenses via Wikimedia Commons</figcaption></figure></div><h2 style="text-align: center;">How Does Someone Become <br>Infected with Cyclospora? </h2><p>Cyclospora has a fascinating, albeit unpleasant, life cycle. Unlike many pathogens, a person who is actively sick does not immediately pass along infectious parasites. While parasites such as Giardia and Cryptosporidium can be transmitted directly from person to person, Cyclospora cayetanensis (C. cayetanensis) behaves differently.</p><p>The immature oocysts (often referred to as eggs) are shed in the stool of an infected person. However, if someone were to ingest these freshly shed oocysts, very little would happen because they are not yet infectious.</p><p>Instead, the oocysts require time and the right environmental conditions to mature. They must spend several days to weeks in a warm, moist environment, often on contaminated soil, water, or fresh produce. During this time, they undergo a maturation process known as sporulation.</p><p>Only after sporulation can <em>Cyclospora cayetanensis</em> infect another person. This is why direct person-to-person spread is considered uncommon. However, poor hand hygiene after using the restroom can contaminate food, water, or surfaces with immature oocysts. Given enough time and the proper environmental conditions, those oocysts can sporulate and become infectious, creating an indirect route of transmission.</p><p>So, think about who is growing, picking, and packaging your produce. Contamination typically occurs when:</p><p style="text-align: center;">Human waste contaminates irrigation water</p><p style="text-align: center;">&#11015;&#65039;</p><p style="text-align: center;">Produce is washed with contaminated water</p><p style="text-align: center;">&#11015;&#65039;</p><p style="text-align: center;">Food handlers work in unsanitary conditions</p><p style="text-align: center;">&#11015;&#65039;</p><p style="text-align: center;">Consume raw vegetable or fruit </p><p>Fresh produce becomes contaminated long before it reaches consumers. It can then take a week or more before that produce graces your kitchen table, giving the immature oocysts ample time to sporulate and become infectious, all without anyone being the wiser.</p><h2>What Are the Symptoms of Cyclospora?</h2><p>The symptoms of cyclosporiasis can vary from mild to severe. Some people may not experience any symptoms at all, while others have only a few days of digestive upset. For many, however, the illness can linger for weeks or even months.</p><p>The most common cyclosporiasis symptoms include:</p><ul><li><p>Frequent watery diarrhea</p></li><li><p>Loss of appetite</p></li><li><p>Weight loss</p></li><li><p>Stomach cramping</p></li><li><p>Bloating</p></li><li><p>Increased gas</p></li><li><p>Nausea</p></li></ul><p>Othere symptoms may also include </p><ul><li><p>Fatigue</p></li><li><p>Low-grade fever</p></li><li><p>Body aches</p></li><li><p>Flu-like symptoms</p></li></ul><p>Two characteristic feature of Cyclospora infection is watery diarrhea that is typically explosive in nature. <mark data-color="#ffff00" style="background-color: rgb(255, 255, 0); color: rgb(0, 0, 0);">The other is that symptoms often improve, only to return days later. Some have reported feeling better for several days before another wave of diarrhea and fatigue suddenly begins.</mark></p><p>Without treatment, symptoms may continue for weeks or even months. This relapsing pattern is one reason healthcare providers sometimes mistake Cyclospora for irritable bowel syndrome, viral gastroenteritis, or other digestive conditions including Inflammatory Bowel disease, Pancreatitis, Celiac Dsieae or possible &#8220;flare up&#8221; of Crohn&#8217;s disease, Ulcerative Colitis, or Celiac Disease. </p><h2>Who Is Most at Risk of Cyclosporiasis? </h2><p>Although anyone can become infected with cyclospora, some individuals are more likely to experience severe illness including higher-risk groups and include:</p><ul><li><p>Older adults</p></li><li><p>Young children</p></li><li><p>Individuals receiving chemotherapy</p></li><li><p>Organ transplant recipients</p></li><li><p>People taking immune-suppressing medications</p></li><li><p>Individuals living with HIV/AIDS</p></li><li><p>Anyone with weakened immune function</p></li></ul><p>For these individuals, prolonged diarrhea can lead to dehydration, electrolyte imbalances, nutritional deficiencies, and unintended weight loss.</p><p><mark data-color="#ffff00" style="background-color: rgb(255, 255, 0); color: rgb(0, 0, 0);">And a cautionary note: persistent diarrhea should never be ignored. If you have severe diarrhea longer than 3 days, please seek medical attention. Especially in the summer when temperatures are high. </mark></p><h2>How Is cyclosporiasis Diagnosed?</h2><p>One of the biggest challenges with Cyclospora is diagnosis. Routine stool cultures do not detect this parasite because it is not included on a standard stool culture panel. Unless your healthcare provider specifically suspects Cyclospora, the infection may be missed entirely.</p><p>Diagnosis usually requires specialized stool testing designed specifically to detect parasites. In some cases, multiple stool samples collected on different days are needed because the parasite may not be shed consistently in every sample.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!wJuN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!wJuN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 424w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 848w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 1272w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!wJuN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png" width="1456" height="1746" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1746,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1600629,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!wJuN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 424w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 848w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 1272w, https://substackcdn.com/image/fetch/$s_!wJuN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F635c4aa7-c8ba-4089-aa1c-1296638caa58_1561x1872.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">Cyclospora Oocists de Cyclospora cayetanensis | Sonia Almeria, Hediye N. Cinar and Jitender P. Dubey, CC 4.0 Creativecommons.org/licenses via Wikimedia Commons </figcaption></figure></div><p>Some healthcare providers may request only a microscopic examination of the stool. While this can detect the characteristic oocysts, it may miss the parasite altogether, particularly when only a small number of oocysts are present or they are shed intermittently. Depending on the laboratory, testing may include microscopic examination of wet smears, special staining techniques, fluorescence microscopy, molecular (PCR) testing, or, less commonly, serological testing.</p><p>For the best chance of detecting <em>Cyclospora cayetanensis</em>, many experts recommend combining a microscopic stool examination with a Cyclospora PCR test. PCR (polymerase chain reaction) looks for the parasite&#8217;s DNA rather than relying solely on visually identifying oocysts under the microscope. Because PCR can detect very small amounts of genetic material, it is generally more sensitive and can identify infections that might otherwise be missed, especially when the parasite is present in low numbers or is being shed intermittently.</p><p><mark data-color="#ffff00" style="background-color: rgb(255, 255, 0); color: rgb(0, 0, 0);">If your healthcare provider suspects Cyclospora, don&#8217;t hesitate to ask whether a Cyclospora PCR test can be included with your stool testing.</mark></p><p>This is one reason it&#8217;s important to tell your healthcare provider if you&#8217;ve recently eaten fresh produce (in the past week or two), traveled internationally, or are aware of an ongoing Cyclospora outbreak in your area. The more information they have, the more likely they are to order the appropriate testing.</p><p>Remember, not everyone develops severe symptoms. Some people experience only mild digestive upset, while others have no symptoms at all or assume their symptoms are related to another illness or even a medication side effect. When in doubt, ask to be tested.</p><h2>Get a Follow up Cyclospora Test</h2><p>If you are diagnosed with cyclosporiasis and complete the prescribed treatment, don&#8217;t simply assume the infection is gone because your symptoms have improved. Ask your healthcare provider if they plan to order a follow-up Cyclospora test, preferably a Cyclospora PCR test, to help confirm the parasite has been eliminated.</p><p>I cannot tell you how many clients I have worked with over the years who were diagnosed with bacterial, viral, or parasitic infections, prescribed medication, and never received a follow-up test. Instead, they were told, <em>&#8220;If you feel better, you&#8217;re probably fine.&#8221;</em> For me, personally, I don&#8217;t think that&#8217;s good enough.</p><p><strong>Symptoms alone cannot tell you whether an infection has completely cleared.</strong> Some people continue to experience symptoms, while others feel perfectly normal. The only way to know whether Cyclospora has been eliminated is through appropriate follow-up testing.</p><p>I checked with my partnered laboratory through Evexia. According to Cherise at Evexia, LabCorp offers Cyclospora testing by microscopic stool examination. If your healthcare provider is not willing to order follow-up testing, this may be one of the quicker options.</p><p>The GI Effects&#174; Fundamentals Profile from Genova Diagnostics includes testing for Cyclospora cayetanensis, and one of my preferred comprehensive stool analyses, the GI-MAP&#174; from Diagnostic Solutions Laboratory, detects Cyclospora cayetanensis using highly sensitive quantitative PCR (qPCR) technology.</p><p>I am mentioning these tests <mark data-color="#ffff00" style="background-color: rgb(255, 255, 0); color: rgb(0, 0, 0);">specifically as follow-up options, not as the first test to diagnose an acute infection.</mark> Because these comprehensive stool analyses typically require 7 to 10 business days for results, you may want to consider ordering your kit through a qualified practitioner while you are still undergoing treatment if you already know your healthcare provider will not be ordering repeat testing. That way, you&#8217;ll have everything ready once it&#8217;s time to collect your follow-up sample. </p><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p>At the time of writing, I have contacted Evexia about Genova Diagnostics and Diagnostic Solutions Laboratory and LabCrop regarding their recommended post-treatment washout period before collecting a follow-up stool sample. I will update this article once I receive their recommendations. Until then, follow the collection instructions provided by the laboratory or your healthcare provider. </p><p>One of the biggest advantages of both the GI Effects&#174; and GI-MAP&#174; is that they provide much more than a simple positive or negative result for Cyclospora. They also evaluate digestive function, inflammation, beneficial bacteria, opportunistic organisms, digestive markers, and the overall health of your gut microbiome. This information can help guide your recovery and identify areas where your digestive system may need additional support after the infection has cleared. My advice is simple: treat the infection. Confirm it&#8217;s gone. Don&#8217;t rely on symptoms alone.</p><p>And please keep in mind, I am not a Doctor. I am merely sharing with you as if you were sitting across my kitchen table, coffee in hand. It would be what I would be talking about with a family member. Please follow your Doctor&#8217;s advice. Not mine. </p><h2>What happens if you get Clyclospora? </h2><p>According to the <a href="https://www.cdc.gov/cyclosporiasis/hcp/clinical-care/index.html">Centers for Disease Control and Prevention (CDC)</a>, </p><blockquote><p><em><strong>Most people who have a healthy immune systems will recover from cyclosporiasis without treatment. Symptoms may seem to go away and then return one or more times (relapse).  Depending on your immune systems ability to stave off the infection. If necessary, you may need to turn to medications.</strong></em> </p></blockquote><h1>Conventional Cyclosporiasis Treatment </h1><p>According to the<a href="https://www.cdc.gov/cyclosporiasis"> Centers for Disease Control and Prevention (CDC)</a>, the standard medical treatment for cyclosporiasis is the prescription antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly known by the brand names Bactrim&#174; and Septra&#174;. The CDC continues to recommend TMP-SMX as the treatment of choice for most patients. </p><p>According to <a href="https://www.drugs.com/mtm/sulfamethoxazole-and-trimethoprim.html">Drugs.com</a>, sulfamethoxazole and trimethoprim is a combination antibiotic used to treat a variety of bacterial infections, including ear infections, urinary tract infections, bronchitis, traveler&#8217;s diarrhea, shigellosis, and Pneumocystis jirovecii pneumonia.</p><p>Like all medications, TMP-SMX may cause side effects. <a href="https://www.drugs.com/mtm/sulfamethoxazole-and-trimethoprim.html">Common side effects</a> include nausea, vomiting, loss of appetite, and skin rash. More serious side effects require immediate medical attention. Contact your healthcare provider right away if you experience:</p><ul><li><p>Severe stomach pain or diarrhea that is watery or bloody, even if it occurs months after your last dose.</p></li><li><p>Any skin rash, no matter how mild.</p></li><li><p>Yellowing of the skin or eyes.</p></li><li><p>Seizures.</p></li><li><p>New or unusual joint pain.</p></li><li><p>Increased or decreased urination.</p></li><li><p>Swelling, bruising, or irritation around an IV site.</p></li><li><p>Increased thirst, dry mouth, or a fruity odor on the breath.</p></li><li><p>A new or worsening cough, fever, or difficulty breathing.</p></li><li><p>Signs of high potassium, such as nausea, weakness, tingling, chest pain, irregular heartbeat, or loss of movement.</p></li><li><p>Signs of low sodium, including headache, confusion, memory problems, weakness, or feeling unsteady.</p></li><li><p>Signs of low blood cell counts, such as fever, chills, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, light-headedness, or shortness of breath.</p></li></ul><p>Seek emergency medical care immediately if you develop signs of a severe allergic reaction, such as hives, swelling of the face or throat, chest pain, or difficulty breathing, or if you develop a severe skin reaction with fever, sore throat, burning eyes, painful blistering, or peeling skin.</p><h2>TMP-SMX for cyclospora and Sulfa Allergy</h2><p>Individuals with a sulfa allergy or sulfonamide intolerance should discuss alternative treatment options with their healthcare provider. Although TMP-SMX remains the preferred treatment for Cyclospora cayetanensis, alternative medications may be considered in certain situations.</p><p>According to a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7026454/">2020 review published in Frontiers in Cellular and Infection Microbiology</a>:</p><blockquote><p><em><strong>&#8220;TMP-SMX is not suitable for patients having sulfonamide intolerance. In such case ciprofloxacin, although less effective than TMP-SMX, is a good option. Another drug of choice is nitazoxanide that can be used in the cases of sulfonamide intolerance and ciprofloxacin resistance.&#8221;</strong></em> </p></blockquote><p>While these medications have been used in certain circumstances, the evidence supporting them is not as strong as it is for TMP-SMX. Anyone with a sulfa allergy should work closely with their healthcare provider to determine the most appropriate treatment based on their individual medical history.</p><h2>What about Ivermectin and Cyclospora infection?</h2><p>Because ivermectin is an antiparasitic medication, many people naturally wonder whether it can be used to treat Cyclospora cayetanensis. The short answer is there is currently no good evidence that ivermectin is effective against Cyclospora infection.</p><p>This is an important distinction because the word &#8220;parasite&#8221; covers a wide variety of organisms. Not all parasites respond to the same medications.</p><p>For example, ivermectin is highly effective against certain worms (helminths), including Strongyloides, Onchocerca, and scabies mites. However, Cyclospora cayetanensis is not a worm.  It is a coccidian protozoan parasite, and it responds differently to medications.</p><p>The Centers for Disease Control and Prevention (CDC) continues to recommend trimethoprim-sulfamethoxazole (TMP-SMX) as the treatment of choice for cyclosporiasis. At this time, ivermectin is not listed as a recommended treatment, and there are no high-quality human studies demonstrating that it effectively treats Cyclospora infection.</p><p>In fact, the CDC notes that even several other antimicrobial and antiparasitic medications have been found to be ineffective or have insufficient evidence for treating Cyclospora.</p><p>That does not mean ivermectin is an ineffective medication. It remains an important and well-established treatment for several parasitic diseases. It simply means that, based on the evidence currently available, Cyclospora cayetanensis is not one of them. Until well-designed clinical studies demonstrate otherwise, there is no scientific basis for recommending ivermectin as a treatment for cyclosporiasis.</p><h2>Cyclosporiasis and Dehydration</h2><p>One of the most common cyclosporiasis symptoms is severe diarrhea, which can be watery and, at times, explosive. Ironically, diarrhea is also listed as a possible side effect of trimethoprim-sulfamethoxazole (TMP-SMX), the antibiotic most commonly prescribed to treat Cyclospora cayetanensis.</p><p>Regardless of the cause, severe diarrhea is one of the quickest ways to become dehydrated. During a diarrheal illness, the intestines are unable to absorb water and electrolytes efficiently. At the same time, inflammation within the intestinal lining causes additional fluid to be secreted into the bowel, resulting in significant fluid and electrolyte losses.</p><p>Older adults, young children, and individuals with chronic health conditions are particularly vulnerable to dehydration. Replacing both fluids and electrolytes is an important part of recovery and, in some cases, may require medical attention.</p><h1>Nutritional IV therapy for Diarrhea</h1><p>One option that my family has used, and one that I have recommended to clients in appropriate situations, is nutritional IV therapy administered by qualified healthcare professionals. </p><p>Depending on your state, this may be available at an infusion center or through licensed mobile IV nurses who come to your home, hotel, or workplace. In addition to intravenous fluids for hydration, some providers can administer vitamins, minerals, and certain physician-prescribed medications when medically appropriate.</p><p>A couple of years ago, my daughter became seriously ill while away from home producing a video for a police department. The illness came on quickly, and what concerned me most was that she began experiencing changes in her vision, a potential sign of significant dehydration. </p><p>I immediately arranged for a licensed mobile IV nurse to come to her hotel room. After receiving two rounds of intravenous fluids, appropriate nutritional support, and the medical care she needed, she recovered and was back in the producer&#8217;s chair three days later. While the IV did not cure the illness itself, restoring her hydration and boosting her immune system helped support her recovery and likely prevented the situation from becoming much worse.</p><p>As a holistic nutrition practitioner, my role is to help support hydration, nutrition, digestive recovery, and healthy lifestyle habits. Diagnosis, medication decisions, and the treatment of dehydration should always be made in partnership with your licensed healthcare provider. If you experience persistent vomiting, severe diarrhea, dizziness, confusion, an inability to keep fluids down, or signs of significant dehydration, seek medical attention promptly.</p><h2>Holistic and Natural remedies for Cyclospora Infection</h2><p>When it comes to bacterial, fungal, viral, and parasitic infections, I know the ins and outs of herbs, homeopathy, gemmotherapy, and phytogens. It is something I have been studying and using with clients for more than 20 years.</p><p>Before writing this section, I wanted to make sure my recommendations were supported by the available literature. So, I started searching using terms like <strong>&#8220;natural remedies for Cyclospora infection,&#8221;</strong> <strong>&#8220;natural remedies cyclosporiasis,&#8221;</strong> <strong>&#8220;Cyclospora cayetanensis natural remedies&#8221;</strong> and similar phrases. <strong>The results?</strong></p><p><strong>Exclusively conventional medical information.</strong> Page after page focused on diagnosis, antibiotics, and outbreak investigations. There was no discussion of complementary therapies that may help support the body during recovery from cyclosporiasis. If they were there before, they were buried somewhere. </p><p>Then I changed my search strategy. Remember, Cyclospora cayetanensis is a protozoan parasite. Instead of searching specifically for Cyclospora, I searched for <strong>&#8220;natural remedies for protozoa,&#8221;</strong> <strong>&#8220;protozoa natural remedies,&#8221;</strong> <strong>&#8220;homeopathy for protozoa,&#8221;</strong> and similar terms. <strong>BINGO!</strong> That completely changed the search results.</p><p>Rather than focusing on one specific organism, the literature broadened to include research and traditional use of herbs, homeopathy, and other complementary approaches that have been studied for protozoan parasites as a group.</p><p>That doesn&#8217;t mean every herb or natural therapy has been specifically studied against Cyclospora cayetanensis. In many cases, it hasn&#8217;t. However, there is a much larger body of research and traditional clinical experience involving protozoan infections in general. The information that follows is drawn from that broader body of evidence and should be viewed as supportive care, not a replacement for appropriate medical treatment. And discuss with your doctor. </p><h2>Homeopathy for protozoan infections</h2><p>Homeopathy for protozoan infections utilizes nosodes (highly diluted preparations of the pathogen itself) and specific constitutional remedies with the goal of supporting the body&#8217;s response to infection and modulating immune function. It can be used acutely and then long term to help the immune system recognize the parasite and then learn how to protect itself from future infections. </p><p>Two remedies often discussed are <strong>China (Cinchona officinalis)</strong>, which is traditionally used for protozoan-induced symptoms such as diarrhea, cramping, and loose stools containing undigested food, and <strong>Arsenicum album</strong>, which is commonly selected for watery, offensive stools accompanied by nausea and weakness.</p><p>Some experimental studies suggest these remedies may influence immune activity by increasing pro-inflammatory cytokines such as interferon-gamma (IFN-&#947;) and tumor necrosis factor-alpha (TNF-&#945;), while reducing parasitic load and helping protect intestinal tissues, including the myenteric neurons of the colon. However, more high-quality human studies are needed to confirm these effects.</p><h2>Herbs for protozoan infections</h2><p>Several <a href="https://www.heartofherbs.com/2024/06/14/antiprotozoal-herbs/">herbs have demonstrated antiprotozoal activity </a>in laboratory and animal <a href="https://herbmedpharmacol.com/Article/jhp-8358">studies</a>, including Artemisia annua (sweet wormwood), Berberis vulgaris (barberry), and Cryptolepis sanguinolenta (African cryptolepis). </p><p><strong>Wormwood (Artemisia absinthium)</strong> should not be confused with Artemisia annua (sweet wormwood). Although they belong to the same plant genus, they are different species with different chemical constituents and traditional uses.</p><p>Among herbal practitioners, wormwood (Artemisia absinthium) is often considered one of the most potent traditional antiparasitic herbs and is frequently combined with black walnut and clove as part of comprehensive herbal parasite protocols.</p><p>Pomegranate extracts have also shown activity against structural proteins found in certain protozoan parasites, while garlic and thyme (rich in the compound thymol) have demonstrated broad-spectrum activity against a variety of protozoan species.</p><h2>Probiotics and Gut Support for protozoan infections</h2><p>Saccharomyces boulardii may help support intestinal health during and after gastrointestinal infections. Rather than boosting the pH of the intestinal tract, it helps support the intestinal barrier, promotes a healthy balance of gut microbes, and may reduce the risk of antibiotic-associated diarrhea.</p><p>A high-quality, multi-strain probiotic that supports butyrate-producing bacteria may also be beneficial during recovery. One example is DFH Complete Commensal Probiotic&#8482;, which contains organisms such as:</p><ul><li><p>Akkermansia muciniphila</p></li><li><p>Bifidobacterium adolescentis</p></li><li><p>Bifidobacterium longum</p></li><li><p>Faecalibacterium prausnitzii</p></li><li><p>Roseburia intestinalis</p></li></ul><p>These bacteria are associated with maintaining the intestinal lining and supporting the production of butyrate, a short-chain fatty acid that serves as the primary fuel source for colon cells and plays an important role in gut barrier integrity.</p><p>Additional butyrate support may also be considered, such as MCT/Butyrate Liquid with SunButyrate&#8482;, depending on individual needs.</p><p>Although Saccharomyces boulardii is not a treatment for Cyclospora cayetanensis, it may help support during and recovery after infection by improving the intestinal environment. It helps reinforce the gut barrier, competes with harmful organisms, modulates immune activity, reduces inflammation, and supports the restoration of a healthy microbiome, which may be disrupted by prolonged diarrhea or antibiotic therapy. By supporting beneficial bacteria and the production of short-chain fatty acids such as butyrate, Saccharomyces boulardii helps create an intestinal environment that favors healing of the gut lining rather than continued inflammation.</p><h2>Gemmo and Phytogens for protozoan infections</h2><p>I love to combine herbs, homeopathic, probiotics and gemmotherapies and phytogen for acute infections. The following gemmptherapies may be of use. Black Alder (Alnus glutinosa)  is often considered a primary gemmo for acute and chronic infections. It supports the immune response and helps reduce inflammation of mucous membranes, including the gastrointestinal tract.  </p><p>One botanical I would seriously consider is Walnut (Juglans regia) gemmotherapy. Among gemmotherapy practitioners, it has one of the strongest traditional reputations for intestinal dysbiosis, yeast, and parasitic imbalance, making it a particularly good fit in a discussion about supporting recovery from a protozoan infection.</p><p>While there is little research specifically evaluating gemmotherapy or phytogens for Cyclospora cayetanensis, some practitioners use gemmotherapy to support the body&#8217;s terrain during and post recovery rather than to directly eliminate the parasite. Black Alder (Alnus glutinosa) is traditionally used to support immune function during infections, Black Currant (Ribes nigrum) helps modulate inflammation and the stress response, Walnut (Juglans regia) is often selected to help restore intestinal microbial balance, and Fig (Ficus carica) may soothe digestive irritation and support the gut-brain connection. These remedies are generally used alongside appropriate medical care and nutritional support rather than as stand-alone treatments.</p><p>Always consult with your health care provider before implementing anything mentioned here. </p><h2 style="text-align: center;">Part 2: Foods to Avoid, Prevention Strategies, and Practical Ways to Protect Yourself from Cyclospora Infection</h2><p>Now that we&#8217;ve covered what Cyclospora is, how it spreads, and how it&#8217;s treated, let&#8217;s talk about what you can actually do in your day-to-day life to reduce your risk and support your recovery. The first thing is don&#8217;t panic. Your body is amazing and it is already days ahead of you fighting off the infection. But there are things you can do to help support this action. </p><p>During a confirmed cyclospora outbreak, health officials often identify specific foods linked to illness. Until a source is confirmed, it&#8217;s wise to be extra cautious with foods that have historically been associated with Cyclospora. If you hear about a recall or advisory, follow it closely. Avoid consuming the product, even if it looks fresh and smells fine. When in doubt, throw it out! It&#8217;s okay to skip certain raw produce temporarily and choose cooked alternatives instead.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!NfDh!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!NfDh!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!NfDh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg" width="1200" height="630" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:630,&quot;width&quot;:1200,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:682079,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!NfDh!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 424w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 848w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!NfDh!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6c4e28b1-6916-435c-b46c-2849cbba01c0_1200x630.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Why Washing Produce Isn&#8217;t Always Enough</h2><p>We have been led to believe that thoroughly washing fruits, vegetables, and herbs will remove all contaminants. Unfortunately, that&#8217;s not always the case with cyclospora outbreak. </p><p>The parasite can cling to the surface of produce, especially leafy greens, fresh herbs, and berries with lots of tiny crevices where it can be difficult to remove. Standard rinsing under running water may reduce dirt and some microbes, but it does not reliably remove Cyclospora. Even produce labeled as &#8220;pre-washed&#8221; or &#8220;triple-washed&#8221; is not guaranteed to be free of contamination. This is why prevention efforts focus heavily on safe growing, harvesting, and handling practices long before food ever reaches your kitchen. Here&#8217;s a simplified look at how contamination can occur:</p><p style="text-align: center;">Human waste (aka poop)<br>&#8595;</p><p style="text-align: center;">The parasite is shed in human stool as immature oocysts, which require approximately one to two weeks in the environment before they become infectious.</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Contaminated wastewater or poor sanitation</p><p style="text-align: center;">Human waste can contaminate irrigation water or water used during food production.</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Irrigation</p><p style="text-align: center;">Contaminated water is used to irrigate fruits, vegetables, and herbs.</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Farm</p><p style="text-align: center;">Workers harvest produce, and contaminated water or poor hygiene practices can introduce the parasite.</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Harvesting and packing</p><p style="text-align: center;">Produce may be washed, sorted, and packaged. If contaminated water is used or proper sanitation isn&#8217;t followed, contamination can continue.</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Distribution</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Grocery store or farmers market</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Your kitchen</p><p style="text-align: center;">&#8595;</p><p style="text-align: center;">Your salad, fruit, vegetables, or fresh herbs.</p><h2>Does Washing with Vinegar Help?</h2><p>Washing produce with soap, vinegar, chlorine, or commercial produce washes can remove Cyclospora. Unfortunately, none of these methods have been shown to reliably eliminate the parasite completely.</p><p>A <a href="https://cdn.blueberriesconsulting.com/2021/02/foods-10-00481.pdf">2021 study</a> from Norway evaluated whether a solution of three parts water to one part vinegar could remove three different parasites, including Cyclospora, from raspberries and blueberries. The vinegar solution removed more parasites than rinsing the berries under running water alone, but the improvement was relatively modest. Interestingly, using a salad spinner also helped remove parasites, although neither method completely eliminated them.</p><p>In other words, washing your produce is still worthwhile because it helps reduce dirt, debris, and some microorganisms. However, washing alone should not be relied upon to completely remove Cyclospora if the produce is contaminated. If you&#8217;d like to read the study for yourself, here&#8217;s the link: <a href="https://cdn.blueberriesconsulting.com/2021/02/foods-10-00481.pdf">https://cdn.blueberriesconsulting.com/2021/02/foods-10-00481.pdf</a></p><h2>Practical Cyclospora Prevention Strategies</h2><p>There are several practical prevention strategies that may help reduce your risk of Cyclospora infection. However, many of them can only go so far if we don&#8217;t yet know exactly what food is responsible for the current outbreak.</p><p>The typical advice from public health authorities includes:</p><ul><li><p>Wash your hands thoroughly before preparing or eating food.</p></li><li><p>Rinse produce under running water, even if it&#8217;s labeled &#8220;pre-washed.&#8221;</p></li><li><p>Use a clean produce brush for firm fruits and vegetables such as cucumbers and melons.</p></li><li><p>Avoid cross-contamination by keeping fresh produce separate from raw meat, poultry, and seafood.</p></li><li><p>Refrigerate perishable foods promptly.</p></li><li><p>Stay informed about recalls and outbreak updates.  </p></li></ul><p><a href="https://www.cdc.gov/cyclosporiasis">The CDC maintains information</a> on current cyclosporiasis outbreaks, including affected states, foods under investigation, and updates as they become available.</p><p>If you live in an area affected by an outbreak, consider avoiding any raw produce that has been identified as a potential source until public health officials declare the outbreak over.</p><p>Health officials often recommend avoiding recalled produce and exercising additional caution with prewashed bagged salads and salad mixes during active outbreaks. Personally, I would also skip self-serve salad bars and grocery store premade salads until the outbreak has been resolved.</p><p>If your diet relies heavily on fresh vegetables, consider purchasing whole produce instead of pre-cut or pre-packaged versions. Buy a whole head of lettuce and discard the outer leaves before washing the remainder.  In general, the less handling produce has undergone before reaching your kitchen, the fewer opportunities there have been for contamination.</p><p>Dr. Steven Goldberg, a primary and urgent care physician and Chief Medical Officer at HealthTrackRx, told <a href="https://www.usatoday.com/story/news/health/2026/07/10/cyclosporiasis-parasite-produce-food-safety/90874792007/">USA Today</a> that blanching and cooking are effective ways to destroy Cyclospora and many other foodborne parasites.</p><p>Freezing is a little more complicated. Cyclospora can survive freezing under some conditions. Research suggests that killing the parasite requires freezing at temperatures between 24.8&#176;F (-4&#176;C) and -4&#176;F (-20&#176;C) for 24 to 48 hours, depending on the temperature reached. Many household freezers and commercial freezing practices may not consistently achieve these conditions throughout the food, so freezing alone should not be relied upon to eliminate the parasite.</p><p>The <a href="https://www.health.ny.gov/diseases/communicable/cyclosporiasis/fact_sheet.htm">New York State Department of Health</a> recommends cutting away damaged or bruised areas of fruits and vegetables before eating them and refrigerating cut, peeled, or cooked produce within two hours. </p><p>Personally, I would take a more cautious approach. If produce is damaged or bruised, I would simply throw it away rather than trimming it. Once produce has been cut, any contaminants on the surface can potentially be transferred deeper into the fruit or vegetable by the knife. For me, it simply isn&#8217;t worth the risk. If you have had explosive diarrhea before, then you know, you don&#8217;t want that again. </p><p>A good example of why freezing isn&#8217;t always the answer occurred during a <a href="https://foodpoisoningbulletin.com/2014/cyclospora-can-survive-freezing-temps/">Cyclospora outbreak linked to a wedding cake in 2000.</a> Imported raspberries from Guatemala were frozen for several days, thawed and incorporated into the cake, then the completed cake was frozen again before serving. Despite all that freezing, people still became ill because the temperatures were apparently not low enough to inactivate the parasite. </p><p>Finally, one of my favorite places to shop is the local farmers market. Get to know your farmer. Ask how they grow their produce, what they use to condition their soil, where their irrigation water comes from, and who harvests their crops. Don&#8217;t be afraid to ask whether they perform any testing for bacterial contamination or what food safety practices they follow. Most reputable farmers are proud to answer those questions, and you&#8217;ll learn a great deal about where your food comes from.</p><h2>Final Thoughts</h2><p><strong>If there is one thing I hope you take away from this article, it is that knowledge truly is power.</strong></p><p>Cyclospora is not a new parasite. It has been causing outbreaks for decades. What changes from year to year is the food involved, where the contamination occurred, and how quickly public health officials can identify the source.</p><p>The good news is that we know a great deal about Cyclospora cayetanensis. We know how it spreads, what the symptoms look like, how it is diagnosed, and that prompt treatment is usually very effective. We also know that staying hydrated, supporting the gut during recovery, and confirming the infection has cleared are important parts of getting well.</p><p>As consumers, we also have a role to play. Get to know where your food comes from. Support local farmers whenever possible. Ask questions about growing practices, irrigation water, and food safety. Stay informed about recalls and outbreaks. If you become ill after eating fresh produce, don&#8217;t dismiss your symptoms. Seek medical attention, ask about appropriate testing, and advocate for yourself if something doesn&#8217;t feel right.</p><p><strong>Remember, not every stomach bug is &#8220;just a stomach bug.&#8221;</strong></p><p>As we&#8217;ve learned, Cyclospora cayetanensis can take days to weeks before symptoms appear, making it easy to overlook what you ate or where your food came from. Knowing that timeline may help you or your healthcare provider connect the dots more quickly.</p><p>Finally, while modern medicine plays a vital role in treating cyclosporiasis, recovery doesn&#8217;t end when the antibiotic prescription is finished. Rebuilding hydration, restoring digestive health, supporting your microbiome, and confirming the infection has been eliminated are all important steps toward complete recovery.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!vbz4!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!vbz4!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!vbz4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1402384,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/207110217?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!vbz4!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 424w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 848w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!vbz4!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6a98519f-ebf0-4204-a249-6ff150fe9182_1920x1080.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>At Label to Table, our goal has never been to create fear.  Our goal is to help you understand it. When we know better, we ask better questions and we choose better. . We become better advocates for ourselves and for the people we love.</p><p>Please share this with others so they can make informed choices and advocate on behalf of themselves or a loved on. </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/p/cyclospora-outbreak-what-is-the-diarrhea-parasite-going-around?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/p/cyclospora-outbreak-what-is-the-diarrhea-parasite-going-around?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p>Until next time...</p><p>Question the norm, trust your wisdom and sage with sass and grace. </p><p>Let me know, have you had the symptoms of cyclosporiasis symptoms? </p><p>Have a great week, </p><p>~Karen </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><p></p><div class="install-substack-app-embed install-substack-app-embed-web" data-component-name="InstallSubstackAppToDOM"><img class="install-substack-app-embed-img" src="https://substackcdn.com/image/fetch/$s_!REE8!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fbd6c27e4-0cb4-4962-8831-b7764d6b66fa_524x480.png"><div class="install-substack-app-embed-text"><div class="install-substack-app-header">Get more from Karen Langston in the Substack app</div><div class="install-substack-app-text">Available for iOS and Android</div></div><a href="https://substack.com/app/app-store-redirect?utm_campaign=app-marketing&amp;utm_content=author-post-insert&amp;utm_source=karenlangston" target="_blank" class="install-substack-app-embed-link"><button class="install-substack-app-embed-btn button primary">Get the app</button></a></div>]]></content:encoded></item><item><title><![CDATA[Label to Table: Soy Lecithin, Color Added Salmon; Duped by Greenwashed Labeling! ]]></title><description><![CDATA[Have you wondered what exactly is soy lecithin? Is it safe? Have you checked the ingredients on your salmon? is there colouring added? I was duped by Greenwashed labeling! Read, Watch, Listen in.]]></description><link>https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin</link><guid isPermaLink="false">https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin</guid><dc:creator><![CDATA[Karen Langston]]></dc:creator><pubDate>Thu, 09 Jul 2026 11:02:29 GMT</pubDate><enclosure url="https://api.substack.com/feed/podcast/204995388/3ba4e0915a149bae4e6870c24fda6f00.mp3" length="0" type="audio/mpeg"/><content:encoded><![CDATA[<p>Welcome in fascinating sagers to another Label To Table.</p><p>This week on a previously live Label to Table, Danni McFarland and I dug into two ingredients that catch even seasoned label readers off guard. One hides in plain sight across processed foods and supplements. The other shows up where most people never think to check ingredients at all. Both conversations point back to the same theme: how marketing language and regulatory loopholes shape what ends up in our bodies. We have to look past the pretty pictures and greenwashing. </p><h2>New Here? </h2><p>And, if you have stumbled across this post and are thinking, I need to be a part of this community, well, you can. Hit the button below and welcome. I pop a fresh post into your inbox each Monday morning at 4 am Pacific. So, grab your favourite brew and sit awhile or fight traffic while listening in and get back to zen.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><p>And a super duper special thank you to those of you who joined us live for this edition of Label To Table that I can&#8217;t find who was with us. The only one I know for sure is <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;6024d4ea-fd4a-4588-8f14-31205182fe1f&quot;}" data-component-name="MentionToDOM"></span>  Thank you!</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KPdV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KPdV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!KPdV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1>SHOW NOTES</h1><h2>Soy Lecithin in Processed Foods and Supplements with Danni</h2><p><span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!rmJf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fadae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;15768801-66a3-448a-92a1-f2d8bea8d584&quot;}" data-component-name="MentionToDOM"></span> opened the conversation by unpacking soy lecithin, an ingredient many people recognize but rarely understand. Soy lecithin appears everywhere because it functions as an emulsifier, improving texture and mouthfeel in products like salad dressings, sauces, baked goods, ice cream, protein powders, and even certain teas. Its widespread use makes it easy to overlook, especially since it often sounds harmless or even beneficial.</p><p>Lecithin refers to phospholipids, fat like molecules that come from oil. In the case of soy lecithin, it is a byproduct of soybean oil processing. During the degumming phase of oil extraction, phospholipids are separated from crude soybean oil, sometimes using hexane. Water is added to hot oil, the phospholipids absorb the water, and the mixture is centrifuged to separate the components. In some cases, acetone is used to speed up drying before the lecithin is processed into powders or granules for food use.</p><p>What stood out most is that soy lecithin is essentially a waste product that found a profitable second life. Because soybeans are heavily genetically modified and sprayed with pesticides, soy lecithin carries those concerns with it. Danni emphasized that soy is also a phytoestrogen, which can influence hormone balance in sensitive individuals, whether that influence is perceived as positive or negative.</p><p>Another issue Danni raised is labeling. Products may now state that they contain bioengineered ingredients, but they rarely specify which ingredient that is. In many cases, soy lecithin is the likely source, leaving consumers to guess. While a small amount on occasion may not cause immediate harm, repeated exposure through a standard processed diet can add up quickly.</p><p>Danni also addressed sunflower lecithin as an alternative. While it is generally processed more cleanly and sunflowers are typically non GMO, sunflower lecithin is still a byproduct of oil processing. Herbicides and pesticides can still be involved, and any spraying during crop termination can concentrate residues in the seeds. It may be a better option, but it is not a free pass. Her core message was awareness. Knowing why lecithin is there, how much you are consuming, and how often it shows up across foods and supplements allows you to make more informed choices.</p><p><strong><a href="https://backtobasicsnutrition.substack.com/">For more on soy lecithin hop on over to Danni&#8217;s page to subscribe.</a> </strong></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!wgy5!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!wgy5!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 424w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 848w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!wgy5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg" width="1621" height="2337" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:2337,&quot;width&quot;:1621,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:612484,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/204995388?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc89703c2-6470-4035-8c4a-548f48a22e66_1632x2585.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!wgy5!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 424w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 848w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!wgy5!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F6d0c986f-a2ec-4504-a23c-1616d94cb199_1621x2337.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h2>Farmed Salmon with Color Added and Seafood Labeling with Karen </h2><p>I shared a personal experience that caught me completely off guard. I purchased a package of Norwegian Atlantic salmon that appeared clean, sustainable, and high quality based on its branding, color palette, and certification language. I cooked it, enjoyed the rich fatty taste, and even shared some with my cats. Then I noticed something I had never seen before. My pan and sponge turned pink during cleanup.</p><p>That moment sent me back to the packaging. Buried beneath the species name <em>Salmo salar</em> was a phrase and this was not good. How could I have missed the color added? I felt duped, and honestly, upset, especially because I had fed it to my cats. Most people never think to check ingredient labels on single ingredient foods like meat or fish. I usually do, and somehow this still slipped through.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!wKm1!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!wKm1!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 424w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 848w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 1272w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!wKm1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png" width="1252" height="614" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:614,&quot;width&quot;:1252,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:677622,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/204995388?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!wKm1!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 424w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 848w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 1272w, https://substackcdn.com/image/fetch/$s_!wKm1!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fed167be0-fb47-4c2b-bcf7-274280ce0b4b_1252x614.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a><figcaption class="image-caption">From DoorDash</figcaption></figure></div><h2> How Does Farmed Salmon get its colour</h2><p>Wild salmon get their natural reddish to pink hue from eating krill, plankton, and crustaceans rich in astaxanthin. This pigment binds with muscle tissue through constant movement as salmon swim against strong currents. Farmed salmon, crowded into pens with limited movement, would naturally be pale or gray. Because consumers expect pink fish, color is added either through feed or after harvest.</p><p>In this case, the label did not disclose what type of coloring was used or how it was applied. It simply said color added. I want to know because astaxanthin can be naturally derived from microalgae or synthetically produced from petroleum sources. The synthetic version is cheaper and more common in conventional aquaculture. Based on the price point and retailer brand, I strongly suspect the synthetic form was used, though the label does not require that distinction.</p><p>The sustainability language raised more questions. This salmon was farmed in Norway, processed in Germany, and shipped to the United States. While there is traceability and some level of third party oversight, it is difficult to reconcile that supply chain with the consumer understanding of sustainability. Farmed Atlantic salmon also comes with known concerns around antibiotics, disease management, environmental waste, and impacts on wild salmon populations.</p><p>One important point is that listing the species name helps prevent seafood fraud, which is a real issue. That transparency is a positive step. Still, without clarity around coloring agents and feed composition, consumers are left with incomplete information.</p><p>What this experience reinforced for me is how powerful marketing cues are. Blue and white packaging, sustainability seals, and phrases like responsibly farmed or Norwegian salmon shape assumptions. Even professionals can be misled. The responsibility ultimately falls on us to slow down and read every line, even in places we least expect it.</p><h2>How Ingredient Awareness Shapes Health Choices</h2><p>Both conversations circled back to the same reality. Ultra processed ingredients often replace real food while creating textures and flavors that keep us buying more. Over time, these choices influence hormone balance, gut health, inflammation, and overall vitality. Cleaning up the diet alone can lead to noticeable improvements before supplements ever enter the picture.</p><p>Food companies are not incentivized to make this easy. Labels change, formulations shift, and ingredients are added without fanfare. That is exactly why Label to Table exists. To pause, decode, and translate what those labels are actually telling us. <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!rmJf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fadae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;4cdc379b-1167-4a6d-a268-568f761edc6f&quot;}" data-component-name="MentionToDOM"></span>  and I translate the science so you can choose with clarity rather than fear. Small shifts create real change when they are grounded in understanding.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!en2a!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!en2a!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!en2a!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!en2a!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!en2a!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p> If you have a product or ingredient you&#8217;d like us to decode on a future episode, leave a voicemail on my dedicated podcast line at (656) 222 0848 (no one answers, promise ) or message me in the show notes. This is Label to Table, where we question the norm, encourage you to trust your wisdom, and make small shifts that create a big impact.</p><p>We will see you next week, </p><p>~Karen</p><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin/comments"><span>Leave a comment</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/p/salmon-color-additive-soy-lecithin?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p>]]></content:encoded></item><item><title><![CDATA[Label to Table: rBST and Sucralose Decoded]]></title><description><![CDATA[Decoding what's on your plate, your skin and in your space with Danny & Karen. All that and more. Read, Watch, Listen in.]]></description><link>https://karenlangston.substack.com/p/rbst-and-sucralose</link><guid isPermaLink="false">https://karenlangston.substack.com/p/rbst-and-sucralose</guid><dc:creator><![CDATA[Karen Langston]]></dc:creator><pubDate>Thu, 02 Jul 2026 11:02:48 GMT</pubDate><enclosure url="https://api.substack.com/feed/podcast/204558632/c42cfe5fa584672a04c90a4bd4b1fd3a.mp3" length="0" type="audio/mpeg"/><content:encoded><![CDATA[<p>Welcome in fascinating sagers to another previously live recorded Label To Table. </p><p>What happens when zero sugar promises collide with real world biology? This week on Label to Table, we are decoding two grocery store darlings that affect blood sugar, gut health, hormones, and long term risk. From sugar free Oreos marketed as mindful indulgence to a yogurt label that suddenly reveals its dark little secret, this episode is a masterclass in trusting your body over branding.</p><p>And, if you have stumbled across this post and are thinking, I need to be a part of this community, well, you can. Hit the button below and welcome. I pop a fresh post into your inbox each Monday morning at 4 am Pacific. And a previously recorded Label to Table on Thursdays, same time. So, grab your favourite brew and sit awhile or fight traffic while listening in and get back to zen.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><p>And a super duper special thank you to those of you who joined us live for this edition of Label To Table. I was not able to capture everyone who was on live with us except for <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;03ca39e2-8fc2-42a2-9996-3ef30c0ebcda&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kristin Rapinac&quot;,&quot;id&quot;:322547068,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5263fed2-4ee3-4a98-9d90-0f304c9f4d7b_512x512.jpeg&quot;,&quot;uuid&quot;:&quot;76746f9e-144b-4b1c-ab70-ee5245fbb745&quot;}" data-component-name="MentionToDOM"></span>, <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kate Y&quot;,&quot;id&quot;:21702215,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:null,&quot;uuid&quot;:&quot;94e4f788-cebc-4e40-a33b-2c6a90f7c0e4&quot;}" data-component-name="MentionToDOM"></span> and <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Robert Feivor&quot;,&quot;id&quot;:61754168,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/43ee9740-c89c-4c57-ac24-7c57ccef67ac_1280x960.jpeg&quot;,&quot;uuid&quot;:&quot;50dd6838-e253-4545-86c1-28cea8f03648&quot;}" data-component-name="MentionToDOM"></span>. Thank you to you all that did join us live. </p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!KPdV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!KPdV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!KPdV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!KPdV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc187a6e5-9ade-4b02-8ae2-e4b7cb4eaf5a_1920x1080.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h1>SHOW NOTES</h1><h2>Zero Sugar Oreos and the Promise of Mindful Indulgence</h2><p>This week on Label to Table, my cohost <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!rmJf!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fadae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;a2463639-9327-4f72-9159-f8a68d7a245a&quot;}" data-component-name="MentionToDOM"></span> and I dove into a headline that sounds like a win for health conscious shoppers at first glance. Oreo announced the launch of Zero Sugar Oreos in the United States, positioning them as a permanent addition designed for what the company calls mindful indulgence. As soon as Danni shared the news, it raised immediate red flags for both of us, not because of the cookie itself, but because of what replaces the sugar.</p><h2>What&#8217;s Really in Zero Sugar Oreos</h2><p>Danni walked us through the ingredient list driving these new products, focusing on sucralose, also known as Splenda. Sucralose is marketed as a zero calorie sweetener derived from sugar, invented in the 1970s and approved decades ago, with the claim that it passes through the body unchanged and does not affect blood sugar. The chemical reality, as Danni explained, tells a different story. Sucralose is created by replacing parts of the sugar molecule with chlorine, making it something the body does not recognize as food. While it is promoted as safe and stable, especially for baking, that stability is part of the problem.</p><h2>How Sucralose Disrupts Appetite and Digestion</h2><p>Drawing from her training and experience, Danni shared how sucralose use has long been associated with digestive disruption, liver stress, and unintended metabolic consequences. Although it does not raise blood sugar the way sugar does, it interferes with appetite signaling and satiety hormones, which can drive increased hunger and overeating. She also pointed out that the bulk of products sold as Splenda are not pure sucralose, but largely maltodextrin, a carbohydrate that can cause digestive distress and has a high glycemic impact.</p><p><strong>For more on this episode hop on over to Danni&#8217;s page. Oh be sure to subscribe.</strong></p><div class="embedded-publication-wrap" data-attrs="{&quot;id&quot;:1415212,&quot;embedding_publication_id&quot;:null,&quot;name&quot;:&quot;Back To Basics of Nutrition&quot;,&quot;logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!hqH_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d5a78f0-6528-42bf-afe6-02a602355191_500x500.png&quot;,&quot;base_url&quot;:&quot;https://backtobasicsnutrition.substack.com&quot;,&quot;hero_text&quot;:&quot;In today's fast-paced world, we're constantly bombarded with nutrition information.  Good and bad.  This newsletter aims to cut through the noise, and strip away the complexities to return to the fundamentals of healthy living. &quot;,&quot;author_name&quot;:&quot;Danni Macfarland&quot;,&quot;show_subscribe&quot;:true,&quot;logo_bg_color&quot;:&quot;#fff7ed&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="EmbeddedPublicationToDOMWithSubscribe"><div class="embedded-publication show-subscribe"><a class="embedded-publication-link-part" native="true" href="https://backtobasicsnutrition.substack.com?utm_source=substack&amp;utm_campaign=publication_embed&amp;utm_medium=web"><img class="embedded-publication-logo" src="https://substackcdn.com/image/fetch/$s_!hqH_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d5a78f0-6528-42bf-afe6-02a602355191_500x500.png" width="56" height="56" style="background-color: rgb(255, 247, 237);"><span class="embedded-publication-name">Back To Basics of Nutrition</span><div class="embedded-publication-hero-text">In today's fast-paced world, we're constantly bombarded with nutrition information.  Good and bad.  This newsletter aims to cut through the noise, and strip away the complexities to return to the fundamentals of healthy living. </div><div class="embedded-publication-author-name">By Danni Macfarland</div></a><form class="embedded-publication-subscribe" method="GET" action="https://backtobasicsnutrition.substack.com/subscribe?"><input type="hidden" name="source" value="publication-embed"><input type="hidden" name="autoSubmit" value="true"><input type="email" class="email-input" name="email" placeholder="Type your email..."><input type="submit" class="button primary" value="Subscribe"></form></div></div><h2>When Diet Marketing Backfires</h2><p>What struck me most during Danni&#8217;s segment was how familiar this pattern feels. We have seen this before with low fat foods and diet products that promised control but delivered confusion to the body. Zero sugar marketing creates the illusion of safety while keeping people locked into the same eating habits, often with greater consequences later.</p><p>That conversation set the stage perfectly for what I covered next, because ingredient labels do not just hide sweeteners. They also hide decisions made much earlier in the food chain.</p><h2>RBST Milk and Dairy Labels Changed With Karen</h2><p>After Danni&#8217;s breakdown of artificial sweeteners, I shifted the conversation to a question sent in by our community about dairy labeling, specifically RBST. A listener noticed that her favorite plain Greek yogurt had quietly changed its packaging. What used to be a loud declaration about milk from cows not treated with RBST had been reduced to a small disclaimer tucked off to the side. The product itself had not changed, but the way the information was presented certainly had.</p><h2>What RBST Is and How It&#8217;s Used in Dairy</h2><p>RBST stands for recombinant bovine somatotropin, a synthetic version of a hormone cows naturally produce to regulate milk production. This engineered hormone was approved in the United States in the early 1990s and used to increase milk output by injecting cows every two weeks during their lactation cycle. While regulatory agencies have repeatedly stated that milk from RBST treated cows is safe for human consumption, the story becomes more complicated when you look at the ripple effects.</p><h2>Animal Health, Antibiotics, and Dairy Quality</h2><p>From the animal side, RBST use has been linked to higher rates of mastitis, increased antibiotic use, mobility problems, and reproductive issues in cows. That alone raises ethical and quality concerns. From the human side, the issue centers on insulin like growth factor one, or IGF one. Milk from RBST treated cows has been shown to contain higher levels of this growth factor, which is naturally present in dairy but elevated with hormone use.</p><h2>IGF One, Digestion, and Hormone Signaling</h2><p>The official stance has long been that IGF one is broken down during digestion and rendered inactive. However, research discussed during the show suggests that this breakdown is not as complete as once assumed and that IGF one can be absorbed through the intestinal wall. Elevated circulating IGF one levels have been associated with increased risks for certain cancers, including breast, prostate, and colorectal cancer, particularly when digestive integrity is compromised.</p><h2>Why Digestive Health Changes the Equation</h2><p>What makes this especially concerning is how common digestive dysfunction has become. When digestion is impaired, absorption patterns change, and compounds assumed to be harmless can behave very differently in the body. Hormones are signals, and when we repeatedly expose hormone sensitive tissues to growth signals, there are consequences worth paying attention to.</p><h2>Why RBST Is Still Legal in the United States</h2><p>RBST has been banned in many countries, including Canada, the European Union, Australia, and Japan, yet it remains legal in the United States. Organic dairy standards prohibit its use, which is why choosing organic milk avoids this particular issue. As for labeling, companies are allowed to state that their milk comes from cows not treated with RBST only if they include an FDA mandated disclaimer claiming no significant difference between treated and untreated milk. Over time, many brands have minimized this language, not because the issue disappeared, but because label space is valuable and consumer attention shifts.</p><h2>What Ingredient Labels Don&#8217;t Tell You</h2><p>What this entire discussion reinforces is that ingredient decoding is not just about what is added to food. It is also about how that food was produced, what signals it carries into the body, and how marketing language can distract from meaningful distinctions.</p><h2>Why We Should Read Labels </h2><p>Whether we are talking about zero sugar cookies or dairy hormones, the common thread is this. The body is constantly interpreting signals from what we eat. When those signals are confusing, synthetic, or mismatched with what the body expects, systems compensate in ways that often show up as digestive distress, weight changes, or hormonal imbalance. Marketing evolves faster than physiology, and glossy claims do not equal nourishment.</p><p>That is why Danni and I do this work. We read the fine print so you do not have to guess. We translate the science so you can choose with clarity rather than fear. Small shifts create real change when they are grounded in understanding.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!en2a!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!en2a!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!en2a!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3319213,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/185338730?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!en2a!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 424w, https://substackcdn.com/image/fetch/$s_!en2a!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 848w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1272w, https://substackcdn.com/image/fetch/$s_!en2a!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd1dc14fa-03ef-43c7-a4bc-300ee7bc746f_1920x1080.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p> If you have a product or ingredient you&#8217;d like us to decode on a future episode, leave a voicemail on my dedicated podcast line at (656) 222 0848 (no one answers, promise ) or message me in the show notes. </p><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p>This is Label to Table, where we question the norm, encourage you to trust your wisdom, and make small shifts that create a big impact.</p><p>We will see you next week, </p><p>~Karen</p>]]></content:encoded></item><item><title><![CDATA[Decoding the New Food Pyramid Recommendations ]]></title><description><![CDATA[Listen now | Plus we take on a guest to help her with her migraines all that and more. Read, Watch, Listen in.]]></description><link>https://karenlangston.substack.com/p/decoding-the-new-food-pyramid-recommendations</link><guid isPermaLink="false">https://karenlangston.substack.com/p/decoding-the-new-food-pyramid-recommendations</guid><dc:creator><![CDATA[Karen Langston]]></dc:creator><pubDate>Mon, 02 Feb 2026 11:01:43 GMT</pubDate><enclosure url="https://api.substack.com/feed/podcast/184707077/2c7b19229ea71eed336b08683e04509f.mp3" length="0" type="audio/mpeg"/><content:encoded><![CDATA[<p>Welcome in fascinating Sagers, </p><p>This episode on decoding the food pyramid is VERY long! I did not want to cut it into 3 parts. Consider it a special edition. &#127793; </p><div class="native-video-embed" data-component-name="VideoPlaceholder" data-attrs="{&quot;mediaUploadId&quot;:&quot;ba921fbb-e36d-4a62-9cfa-4f20215114cf&quot;,&quot;duration&quot;:null}"></div><p>This week on Label to Table, my cohost <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Danni Macfarland&quot;,&quot;id&quot;:129299842,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/adae26f0-f725-4cf5-b9fc-eddb3880ce74_826x827.jpeg&quot;,&quot;uuid&quot;:&quot;e67e412c-4bb4-4592-8dce-1aba21272296&quot;}" data-component-name="MentionToDOM"></span> and I dug into the newly released 2026 food pyramid and what it really means beyond the headlines. We talked about why this update feels different, how it could reshape not just personal eating habits but government funded food programs, and where we still see gaps and contradictions. The conversation took an unexpected and timely turn when decided to get spontanious and invited <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kristi Keller &#127464;&#127462;&quot;,&quot;id&quot;:165322060,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!TdHE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0bee1713-6b2a-45fa-bbb6-e9437756af86_316x326.png&quot;,&quot;uuid&quot;:&quot;f0b719a4-0b2e-4bf4-bc0b-0324123668ed&quot;}" data-component-name="MentionToDOM"></span> to join us live to share her experience with chronic migraines and menopause, opening the door to a deeper discussion about glucose regulation, gut health, and real world application. What followed was an honest, practical, and unscripted decode of where nutrition guidance may finally be catching up with what many of us have been teaching for years.</p><p>I also wanted to say a big thank you to those of you who joined us live; </p><p><span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Corie Feiner&quot;,&quot;id&quot;:113514488,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!oij6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F85667997-0163-4948-aaeb-4b88821704f6_3024x3024.png&quot;,&quot;uuid&quot;:&quot;19180cfd-1990-4edd-bdbe-e595778255cf&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Cliff Bellweather&quot;,&quot;id&quot;:355632544,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!EooO!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0402d31b-e763-46f5-a587-7c0c7309a268_1327x1327.jpeg&quot;,&quot;uuid&quot;:&quot;64422766-5313-48d7-aa8a-066732c6415d&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kristi Keller &#127464;&#127462;&quot;,&quot;id&quot;:165322060,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!TdHE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0bee1713-6b2a-45fa-bbb6-e9437756af86_316x326.png&quot;,&quot;uuid&quot;:&quot;1f15cacd-7d13-44e2-a68e-795dc60fcfd5&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;f039511a-9e60-48e5-9492-b095f64b6eb5&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Mollie Lyon&quot;,&quot;id&quot;:108763659,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/f7ea8546-304d-463f-b1d9-b6a97c048759_1168x1168.jpeg&quot;,&quot;uuid&quot;:&quot;1db6c4e0-8ab9-427a-922a-b2eb28b48bec&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;A Second Cup&quot;,&quot;id&quot;:410017908,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/713574e4-b6ee-483c-9d57-369fea764af7_522x522.png&quot;,&quot;uuid&quot;:&quot;81af9a4d-5cc3-42b2-ac75-92e36b93968f&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Corey Sweet&quot;,&quot;id&quot;:118590822,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/ad67cdb2-8a00-4c78-b32f-9b08c04e48b8_748x748.jpeg&quot;,&quot;uuid&quot;:&quot;606b037a-e3d9-44b6-831d-a4fe6b06985a&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Richard Hogan, MD, PhD(2), DBA&quot;,&quot;id&quot;:205390666,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/72418c7e-2ff8-42f3-8082-f652baac5b4d_1024x1024.png&quot;,&quot;uuid&quot;:&quot;9dd633f6-783f-4e52-98a9-1197f8b5cb65&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Lana Jean Telles&quot;,&quot;id&quot;:320754699,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/f2b1c42b-0941-4ce9-a940-f04bf6e6a056_721x721.png&quot;,&quot;uuid&quot;:&quot;41dfe0d8-d9c6-4eac-b2cf-c470172c5b24&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Brandon Ellrich&quot;,&quot;id&quot;:105832636,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!IGYP!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F34ffadb4-c3c9-4b41-ac0d-2150aaa26824_661x661.jpeg&quot;,&quot;uuid&quot;:&quot;dc1fea07-41a3-46c1-9381-3436273c4b68&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Amy Jay&quot;,&quot;id&quot;:72888239,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5f6afb9f-017a-496c-983b-ef49e8a4c5e0_826x826.jpeg&quot;,&quot;uuid&quot;:&quot;6fbcebfa-4cc1-48ff-a84d-81af89828d05&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Gayle Beavil, MA, BEd, CAPP &#127464;&#127462;&quot;,&quot;id&quot;:218812910,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8b8ca1fd-221f-494d-a8ef-0945fc5a0d7f_2316x2316.jpeg&quot;,&quot;uuid&quot;:&quot;d207303b-c471-435b-bde7-fe4755a8b372&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Nolan Bechtold&quot;,&quot;id&quot;:106912266,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/0b291046-f6ea-4833-bb26-dfe730d4e318_826x826.jpeg&quot;,&quot;uuid&quot;:&quot;772366ef-ff82-4012-a4a1-8d817a4b2ed5&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Nance Jacobs&quot;,&quot;id&quot;:362610669,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/a1bd141f-f0df-4017-88dc-8075cf5fd041_96x96.jpeg&quot;,&quot;uuid&quot;:&quot;bc843217-19fb-4ba6-9387-f1a2649a2c83&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Being Human&quot;,&quot;id&quot;:58074926,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3eeec47b-be3d-4e22-aa8f-c27f4a19c3e4_1628x2235.jpeg&quot;,&quot;uuid&quot;:&quot;f68effd4-29b8-4b55-a252-c0ab8a197505&quot;}" data-component-name="MentionToDOM"></span> (love that name) <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Kurtis&quot;,&quot;id&quot;:1194731,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/215cda0c-d913-4c0e-a42c-d026e571d521_756x758.jpeg&quot;,&quot;uuid&quot;:&quot;d119c9c9-a8a7-4df8-b494-b49853053bf5&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;GeorgeCarlinWasRight&quot;,&quot;id&quot;:16692388,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:null,&quot;uuid&quot;:&quot;9b2dabf7-f5c8-4e71-a79b-ed8f2d91c6fe&quot;}" data-component-name="MentionToDOM"></span> (funny) <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;R.V. Hughes&quot;,&quot;id&quot;:3078620,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d40a3118-4bcb-40ef-8195-c36694ce76f8_1080x1080.jpeg&quot;,&quot;uuid&quot;:&quot;b107581a-821b-4f8f-9088-917eeb841162&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Zach K&quot;,&quot;id&quot;:5522488,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c84ecdcb-37b2-43fe-8071-c862ad39b76e_512x512.jpeg&quot;,&quot;uuid&quot;:&quot;de3981a6-6295-4ef2-94cc-83962ac3ba69&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Robert Feivor&quot;,&quot;id&quot;:61754168,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/43ee9740-c89c-4c57-ac24-7c57ccef67ac_1280x960.jpeg&quot;,&quot;uuid&quot;:&quot;91b672a4-6d60-427a-a1d0-e13145d6257f&quot;}" data-component-name="MentionToDOM"></span> @James <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Niko Henrichon&quot;,&quot;id&quot;:51336672,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://bucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com/public/images/972ad1b2-96ff-478f-a3a0-1d3e28a3169b_279x280.jpeg&quot;,&quot;uuid&quot;:&quot;55d1ae13-9015-4249-b4aa-91a6c8783acf&quot;}" data-component-name="MentionToDOM"></span> </p><p>Also a big welcome to new subscribers <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Nadia&quot;,&quot;id&quot;:354050732,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:null,&quot;uuid&quot;:&quot;c517c678-8c23-4c27-8ab5-848d4a404584&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Karen&quot;,&quot;id&quot;:152208356,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4c7ddb91-3794-4fca-b4b2-9a71587d0187_4032x3024.jpeg&quot;,&quot;uuid&quot;:&quot;8a706a25-0877-4063-bda6-885802eeee51&quot;}" data-component-name="MentionToDOM"></span> <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Matt Hill&quot;,&quot;id&quot;:148732271,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b86b5a91-1d58-4865-b71b-2db7bd48c86a_2250x2250.png&quot;,&quot;uuid&quot;:&quot;8bc08872-8014-4d8e-a93a-518579f1129d&quot;}" data-component-name="MentionToDOM"></span> thank you for joining the community. If you are new here, welcome and I do hope you will join us as well. </p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><div><hr></div><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!pEkV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!pEkV!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!pEkV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/d8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:231022,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://karenlangston.substack.com/i/184707077?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!pEkV!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pEkV!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd8828c2f-3c72-4729-90f5-c991411ca1ec_1456x819.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p><strong>Are you curious?</strong></p><p>If you have a product or ingredient for us to decode? Leave a voicemail at (656) 222-0848 or message me in the show notes. We would love to hear from you.</p><div><hr></div><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p>Check out Danni McFarland&#8217;s publication Back to Basics Nutrition</p><div class="embedded-publication-wrap" data-attrs="{&quot;id&quot;:1415212,&quot;embedding_publication_id&quot;:null,&quot;name&quot;:&quot;Back To Basics of Nutrition&quot;,&quot;logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!hqH_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d5a78f0-6528-42bf-afe6-02a602355191_500x500.png&quot;,&quot;base_url&quot;:&quot;https://backtobasicsnutrition.substack.com&quot;,&quot;hero_text&quot;:&quot;In today's fast-paced world, we're constantly bombarded with nutrition information.  Good and bad.  This newsletter aims to cut through the noise, and strip away the complexities to return to the fundamentals of healthy living. &quot;,&quot;author_name&quot;:&quot;Danni Macfarland&quot;,&quot;show_subscribe&quot;:true,&quot;logo_bg_color&quot;:&quot;#fff7ed&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="EmbeddedPublicationToDOMWithSubscribe"><div class="embedded-publication show-subscribe"><a class="embedded-publication-link-part" native="true" href="https://backtobasicsnutrition.substack.com?utm_source=substack&amp;utm_campaign=publication_embed&amp;utm_medium=web"><img class="embedded-publication-logo" src="https://substackcdn.com/image/fetch/$s_!hqH_!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F4d5a78f0-6528-42bf-afe6-02a602355191_500x500.png" width="56" height="56" style="background-color: rgb(255, 247, 237);"><span class="embedded-publication-name">Back To Basics of Nutrition</span><div class="embedded-publication-hero-text">In today's fast-paced world, we're constantly bombarded with nutrition information.  Good and bad.  This newsletter aims to cut through the noise, and strip away the complexities to return to the fundamentals of healthy living. </div><div class="embedded-publication-author-name">By Danni Macfarland</div></a><form class="embedded-publication-subscribe" method="GET" action="https://backtobasicsnutrition.substack.com/subscribe?"><input type="hidden" name="source" value="publication-embed"><input type="hidden" name="autoSubmit" value="true"><input type="email" class="email-input" name="email" placeholder="Type your email..."><input type="submit" class="button primary" value="Subscribe"></form></div></div><h1>Show Notes </h1><h2>2026 food pyramid guidelines</h2><p>On this episode of Label to Table, I sat down with my cohost, Danni McFarland, and we unpacked the buzz around the new 2026 food pyramid and what it signals culturally, not just nutritionally. We framed it as a shift back toward basics, real food, fewer ultra processed staples, and more personalization, with the reminder that no guideline can do the work of self awareness and individual experimentation for you.</p><h2>new dietary guidelines 2026 and government funded programs</h2><p>Danni and I talked about how these guidelines ripple beyond personal choice because government funded systems often follow them, including school lunch programs, SNAP related food programs, and even military food provisioning. That is why the updated pyramid feels more consequential than a graphic on a website because it can change what gets purchased and served at scale.</p><h2>protein recommendations 2026 food pyramid</h2><p>One of our biggest takeaways was the increase in recommended protein, moving from the long standing 0.8 grams per kilogram to a higher target range we discussed as 1.2 to 1.5 grams per kilogram. We treated this as a meaningful correction, especially for muscle, metabolism, and resilience, and we also warned that food companies will try to capitalize on &#8220;protein everything&#8221; marketing.</p><h2>full fat dairy guidelines</h2><p>Another headline change we focused on was the return of full fat dairy as a recommendation, which felt like a long overdue move away from fat free products that often replace fat with fillers and texture additives. We tied this to satiety and real food simplicity, and I kept coming back to the bigger theme: swapping &#8220;diet&#8221; versions for whole versions often reduces ingredient chaos.</p><h2>reduced carbohydrates food pyramid inversion</h2><p>We also noted the pyramid&#8217;s &#8220;flip&#8221; and the reduction in carbohydrate servings from older guidance toward a lower range we discussed as 2 to 4 servings per day, along with specific callouts that de emphasize white bread, packaged breakfast foods, tortillas, crackers, cookies, and other refined staples. We talked about how this felt more like a return to traditional carbs, like sourdough and rice, rather than a broad endorsement of flour based foods.</p><h2>saturated fat 10 percent limit and healthy fats</h2><p>While the updated pyramid nodded to cooking fats like olive oil, butter, and tallow, we questioned the continued cap of 10% of calories from saturated fat because it can read like a mixed message when fat is also positioned as supportive for brain and hormone health. We emphasized context and quality, and we both acknowledged this may be a political compromise rather than a physiological ideal.</p><h2>gut health microbiome fermented foods and fiber</h2><p>The inclusion of gut health was a standout for both of us, with mention of the microbiome, fermented foods, and fiber as part of &#8220;getting healthy again.&#8221; I connected this to the larger truth I see every day: digestion is not a side note, it is the front door to how the whole system behaves.</p><h2>grass fed grass finished beef and regenerative agriculture</h2><p>I added an important nuance here because &#8220;meat&#8221; is not a single category in real life, and I want to see clearer emphasis on grass fed, grass finished, and humane, regenerative practices rather than feedlot systems. We talked about differences commonly associated with pasture raised beef, including fatty acid profiles and the reduced likelihood of routine antibiotics and growth hormones, and I called out greenwashing where animals are grass fed early but grain finished later.</p><h2>processed foods big food marketing and ingredient transparency</h2><p>Danni and I leaned into the idea that industry responds to demand, not compassion, and that consumers create change with their pocketbook. We described how brands often roll out parallel versions of the same product with trend friendly claims, and we warned that the next wave will likely be aggressive protein marketing that looks virtuous on the front while staying suspicious on the back label.</p><h2>bioharmony glucose regulated meals and menopause nutrition</h2><p>I tied the pyramid&#8217;s structure to what I am seeing as a larger 2026 wellness language shift, including terms like bioharmony and &#8220;glucose regulated meals,&#8221; which is essentially low glycemic eating with a new outfit on. I also connected higher protein, adequate fats, and vegetables to supporting women through menopausal transitions, including temperature regulation and mood stability, through better glucose control and microbiome support.</p><h2>migraines and nutrition surprise guest Christy Keller</h2><p>Mid episode, the conversation took an impromptu turn when our surprise guest, Christy Keller, joined live to talk about chronic migraines, (well, we encouraged her to come on) menopause related changes, medication side effects, and whether food could help when elimination diets had not. Danni and I talked through practical nutrition angles including increasing supportive fats (like coconut oil), reviewing hydration and electrolyte balance, checking nutritional status and tracking patterns with a food and symptom log to identify triggers or additive exposures. I really hope Kristi decides to journal for a couple of weeks and get to know how her food maybe triggering symptoms. </p><h2>pyramid inversion implications and listener question</h2><p>After Christy hopped off, we went right into a great listener question from <span class="mention-wrap" data-attrs="{&quot;name&quot;:&quot;Betty Boldbrew&quot;,&quot;id&quot;:355366831,&quot;type&quot;:&quot;user&quot;,&quot;url&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!-RHD!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F8f35cea0-df8c-4917-bee9-853582525953_1432x1449.jpeg&quot;,&quot;uuid&quot;:&quot;d07a7f96-7ad0-4c43-9aa2-b7155badad06&quot;}" data-component-name="MentionToDOM"></span> , who asked how concerned we are about the pyramid inversion and what the &#8220;flip&#8221; might mean. I shared that I&#8217;m about a 7 out of 10 in a positive direction, and Danni agreed, with the big caveat that I still want to see more emphasis on grass fed and finished, pasture raised, bring back the raanchers who never stopped doing this, and organic and higher quality sourcing in the actual guidance.</p><h2>GLP 1 medications and weight loss drugs</h2><p>From there, I talked about what I believe the real ripple effect could be if people genuinely follow this new structure, especially the lower carb and glucose focused approach. I said it could put pharmaceutical companies on edge because better glucose management can reduce the demand for GLP 1 weight loss drugs, and I clarified what I mean when I say GLP 1, which is the category that includes medications like Ozempic and Wegovy. I also think it will also think it will affect the anti anxiety and anti depressant medications as eating this way helps reduce nutritional deficiencies. </p><h2>glucose management A1C and metabolic health</h2><p>I also connected the pyramid shift to what many of us have been teaching for years: better glucose regulation tends to mean lower A1C, steadier energy, better hormone output, and clearer thinking. My point was that this isn&#8217;t just about shrinking a waistline, it&#8217;s about improving how the body runs and how the brain feels day to day.</p><h2>clarity energy and awareness shift</h2><p>Then I took it a step further and shared my belief that when symptoms calm down and the body isn&#8217;t stuck in survival or protection mode, people get more mentally clear and more aware, and they start wanting better for themselves. I said I think we may see a bigger awareness shift this year if people actually adopt these changes, because when you feel better, you think differently, and when you think differently, you make different choices.</p><p>We wrapped up by coming back to the heart of the show, reading labels, questioning the norm, and making small shifts that add up. A big thank you to Christy Keller for jumping on so spontaneously. </p><p>Label to Table with Danni &amp; Karen is a weekly decode of ingredients. We read the fine print on what goes on your plate, your skin, and in your space, translate the science, and help you choose with confidence so you can sage with sass and grace. Join us every Wednesday </p><ul><li><p>&#9202;9 am Pacific</p></li><li><p>&#9202;10 am Mountain</p></li><li><p>&#9202;11 am Central</p></li><li><p>&#9202;12 pm Eastern</p></li></ul><h2><strong>Are you curious?</strong></h2><p>If you have a product or ingredient for us to decode? Leave a voicemail at (656) 222-0848 or message me in the show notes. We would love to hear from you.</p><div class="directMessage button" data-attrs="{&quot;userId&quot;:101276243,&quot;userName&quot;:&quot;Karen Langston&quot;,&quot;canDm&quot;:null,&quot;dmUpgradeOptions&quot;:null,&quot;isEditorNode&quot;:true}" data-component-name="DirectMessageToDOM"></div><p>Please remember, small shifts, big impact. You deserve to feel strong, vibrant, and capable, because you are. Stay well, and until next time, question the norm, trust your wisdom, and elegantly and unapologetically roar.</p><p>And most of all, Lady, keep being fascinating and sage with sass and grace in everyday life.</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe now&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/subscribe?"><span>Subscribe now</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://karenlangston.substack.com/?utm_source=substack&amp;utm_medium=email&amp;utm_content=share&amp;action=share&quot;,&quot;text&quot;:&quot;Share Hey Lady, You Are Fascinating&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://karenlangston.substack.com/?utm_source=substack&amp;utm_medium=email&amp;utm_content=share&amp;action=share"><span>Share Hey Lady, You Are Fascinating</span></a></p><p>We will see you next week, </p><p>Karen</p>]]></content:encoded></item></channel></rss>