The problem here is broken nutritional epistemology and lack of education. Remember that as recently as the early 1970s, it was broadly promoted, almost as a nootropic. In my home town in Australia it was common to add spoonfuls of sugar over breakfast cereal, Nutella and Milo (chocolate milk drink) were promoted as healthy sports foods for children, and a tablespoon of sugar (I know!!) was promoted as a good way to fix hiccups. My mother was ostracised by the other mothers at my school (in the early 00's, not the 70s) for not giving me Nutella, Chocolates, Lollies etc in my lunch.

I'm not making excuses here - it's more that unless you come from a privileged or niche background, especially before the internet, you would think this is normal. Imagine as a woman going to your GP doctor for a checkup in the 1980s and having them suggest you start eating spoonfuls of pure refined white sugar to help you control your appetite. Similar modern examples include the popularity of "Bubble tea" which should almost be regarded as a poison

It's not that its hard to find non-sugar food - it's hard to KNOW that's what you're meant to do, even in the most educated first world countries.

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