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Compared With What?

healthresearchmarketing

My mother picked up my ON protein powder and read the label.

Cholesterol: 55 mg. 18% Daily Value.

The Nutrition Facts panel on my Optimum Nutrition Gold Standard protein tub

She was worried. I almost reached for the opposite shortcut: tell her that one number on a protein tub could not decide whether the powder was good or bad.

That sounded smarter. It still was not the question.

My mother had the tub. I had a better-sounding answer. Neither of us had got to the question yet.

The label says 55 mg in one 30.4 g scoop. It tells me what is in that scoop. It does not hand me the conclusion.

Then I noticed how often I do the same thing with research.

“Eggs are high in cholesterol.”

“This vitamin works.”

“Salmon is good for you.”

The sentence might be true. I still might only understand the 表面.

The easy part is the number, chart, or clean good-or-bad conclusion. The harder part is what that result was actually answering: compared with what, for whom, for which outcome, and under what conditions?

Xiaohei compares one protein scoop, one large egg, and a 325 g reference plate of mee goreng India. The cholesterol values are real, but they are not the conclusion.

A study does not simply say that something is good. It studies a particular group of people, against a particular comparison, for a particular outcome, over a particular amount of time. Remove those details and the result becomes much easier to repeat. It also becomes easier to misunderstand.

A KOL post does not need to invent a lie. It can take the useful part of a result, make it big, and let the conditions disappear. That is the 避重就轻 part.

A paper becomes a carousel. The carousel becomes a caption. The caption becomes “this works.”

By then, the sentence may still be technically true. It is just no longer the whole thing.

I used to have a lazy reaction to sponsored research too. If a company paid for it, then obviously the result would favour the company. That is another surface-level answer. Funding is a reason to read more carefully. It is not a substitute for reading.

Now I try to stop before repeating the conclusion and ask a more annoying question: compared with what?

If I cannot answer that, I probably only know the surface.