Episode 70

Why Bitterness is Good for You

Published on: 7th March, 2025

The Bitter Truth: Why Bitterness Matters More Than You Think

Have you ever taken a sip of black coffee and immediately regretted it? Or maybe you’ve bitten into a grapefruit and felt like your tongue was under attack? If so, you’re not alone. Bitterness is one of the most misunderstood flavors, but it plays a huge role in our health and survival. From keeping us from eating toxic foods to helping digestion, bitterness has a bigger impact on our bodies than most people realize. So, let’s dive into the bitter truth—why some people hate it, why your stomach can actually taste it, and how it has been used as medicine for centuries.


Why Do Some Foods Taste Bitter?

To begin with, bitterness exists for a reason. In nature, many poisonous plants contain bitter compounds. Long ago, humans who could detect bitterness had a survival advantage. In other words, their ability to taste bitterness kept them from eating something deadly. As a result, our bodies evolved to be extra sensitive to bitter flavors.

However, not all bitter foods are dangerous. Many are incredibly healthy. Take kale, dark chocolate, and turmeric, for example. These foods may taste strong or even unpleasant to some people, but they are packed with antioxidants and nutrients that support overall health.

So, why do some people love bitter foods while others can’t stand them? The answer lies in our genes. Scientists have discovered that a gene called TAS2R38 determines how sensitive we are to bitterness. If you are a super-taster, bitter foods might seem unbearably strong. On the other hand, if you are a non-taster, you may barely notice the bitterness at all.


Your Stomach Can "Taste" Bitterness Too

Interestingly, your tongue isn’t the only part of your body that detects bitterness. Your stomach can taste it as well. But how does that work? Well, your stomach has bitter taste receptors that serve a very important function.

First, these receptors help control digestion. When bitter foods enter your stomach, the receptors slow down gastric emptying. In simpler terms, they make food stay in your stomach longer. As a result, you feel full for a longer period. This is one reason why bitter greens like arugula or dandelion leaves can help with weight management.

Second, these bitter receptors act as bodyguards for your digestive system. If your stomach detects a bitter substance that shouldn’t be there—like a potential toxin—it delays digestion to prevent harmful substances from moving too quickly into your intestines. This process gives your body extra time to neutralize any potential threats.


Bitters: From Medicine to Cocktails

Because of their digestive benefits, bitter herbs have been used in medicine for centuries. In the past, people took bitters—herbal mixtures containing bitter plant extracts—to help with digestion, bloating, and nausea. Some of the most common bitter herbs include:

  • Gentian root – A powerful bitter used to stimulate digestion.
  • Dandelion – Helps with liver function and gut health.
  • Wormwood – Historically used for digestive problems and gut health.
  • Burdock – Supports digestion and has anti-inflammatory properties.

Over time, bitters made their way from medicine cabinets to cocktail bars. During the 1800s, bitters became a key ingredient in alcoholic drinks, including the Old Fashioned and the Manhattan. In fact, some of today’s most famous bitters, like Angostura and Peychaud’s, were originally marketed as health tonics.

But perhaps the most interesting story of all is how gin and tonic became a malaria treatment. In the 19th century, British soldiers stationed in tropical regions were at high risk of getting malaria. The best available treatment at the time was quinine, a bitter compound from the bark of the cinchona tree. However, quinine was extremely bitter and unpleasant to drink on its own. So, soldiers mixed it with sugar, lime, and soda water to make it more palatable. Eventually, someone had the genius idea to add gin, and just like that, the gin and tonic was born.

Even though modern tonic water contains only small amounts of quinine, the drink remains popular today—not as medicine, but as a refreshing cocktail with a fascinating history.


A Word of Caution: Who Should Avoid Bitters?

Although bitters have many health benefits, they aren’t for everyone. Some people should avoid them, including:

  • Pregnant or breastfeeding individuals – Some bitter herbs can have harmful effects during pregnancy.
  • Children – Since bitters are often infused with alcohol, they are not suitable for kids.
  • People with digestive disorders – If you have ulcers, inflammatory bowel disease, or other stomach sensitivities, bitters could make your symptoms worse.

In addition, taking too much of certain bitters can lead to side effects, such as:

Nausea

Cramping

Diarrhea

Gas

Stomach pain

As always, if you’re thinking about adding bitters to your diet, it’s a good idea to check with a doctor first.


Conclusion: Embrace the Bitter!

Bitterness may not be everyone’s favorite flavor, but it plays an important role in our health. It helps regulate digestion, protects against harmful substances, and has been used in medicine for centuries. Even though many people find bitter foods challenging at first, the good news is that your taste buds can adapt over time. So, if you want to develop a taste for bitter foods, start small. Add a little lemon or olive oil to bitter greens, try a piece of dark chocolate, or experiment with herbal bitters in your drinks.

Who knows? You might just learn to love the bitter side of life!


References

  1. Beauchamp, G. K., & Mennella, J. A. (2009). The biology of bitter taste. Scientific American, 301(2), 36-43.
  2. Meyerhof, W., Batram, C., Kuhn, C., Brockhoff, A., Chudoba, E., Bufe, B., & Appendino, G. (2010). The molecular basis of bitter taste perception. Trends in Neurosciences, 33(2), 92-101.
  3. Bartoshuk, L. M. (2000). Comparing sensory experiences across individuals: Recent psychophysical advances illuminate genetic variation in taste perception. Chemical Senses, 25(4), 447-460.
  4. Klee, H. J. (2010). Improving the flavor of fresh fruits: Genomics, biochemistry, and biotechnology. New Phytologist, 187(1), 44-56.
  5. Bisset, N. G., & Wichtl, M. (2001). Herbal Drugs and Phytopharmaceuticals. CRC Press.
Transcript
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>> Dr. Terry Simpson: M why is it that some of you gag at Brussels sprouts?

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Okay, maybe that's just me. While others

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munch arugula like it's candy. Today, we're diving

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into the world of bitterness. Why it exists, why your

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stomach can taste it, how bitters went from medicine to

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cocktails, and why gin and tonic isn't

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just a refreshing drink. It's actually

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a medical treatment.

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I am your Chief Medical Explanationist, Dr. Terry Simpson,

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and this is Fork you Fork

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University, where we make sense of the madness, bust

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some myths, and teach you a little bit about food and maybe

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some bitter medicine.

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Bitterness is nature's way of saying,

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hey, maybe you don't want to eat that now. It didn't

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work when mom fed me Brussels sprouts, but it is a,

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uh, built in warning system, like your body's version of

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a car alarm, except instead of just

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annoying you, it's trying to keep you from poisoning

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yourself. Historically,

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many toxic plants have bitter

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compounds. So our ancestors who were pretty good

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at detecting bitterness were less likely to snack

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on something deadly. So congratulations.

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Your picky eating habits might just be a leftover

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survival benefit. I knew those Brussels sprouts

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were not meant for me. But here's where it

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gets weirder. While some bitter compounds

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are toxic, others are packed with health

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benefits. Think of foods like kale,

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coffee, dark chocolate,

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turmeric, all bitter, all loaded with

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antioxidants and nutrients. The problem?

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Not everybody's taste buds

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agree. Have you ever wondered why some people can

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sip black coffee and smile, while others, if you

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give them a cup of black coffee, react like they just licked a

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9 volt battery? It all comes down to

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genetics. In fact, it's a gene called the

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TAS2R, uh, 38, that

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determines whether you're a supertaster, meaning bitter

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flavors hit you like a freight train, or a non

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taster, meaning you're oblivious to

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them. Supertasters experience

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bitterness so intensely that food like Brussels

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sprouts and grapefruit are borderline

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inedible. Non tasters, on the other hand, can drink

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a bitter ipa, beer and black coffee without

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a second thought. And then there's the rest of us. We're all

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somewhere in between, politely tolerating kale in

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the name of health. Now, here's a plot

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twist. Your bitter taste buds

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aren't just on your tongue. Your stomach

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has them too. Yep, your stomach can

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taste bitterness. And when it does, it actually

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reacts when these bitter

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compounds hit these stomach receptors. And that's what the bitter

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tastes are. They slow down

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digestion. Which means that

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bitter foods can help you feel full longer because

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your stomach holds onto them instead of rushing

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them through. This is one of the reasons why a meal

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packed with bitter greens keeps you satisfied with while

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that sugary breakfast cereal leaves you starving an hour

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later. But that's not all. But wait, there's more.

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Those stomach taste buds also act as

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bodyguards against potential foodborne

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threats. If your stomach detects

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something bitter, especially if it wasn't supposed to be

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bitter, it pumps the brakes on digestion.

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The idea is to keep those potentially harmful

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compounds from reaching the small intestine too quickly,

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where they can do damage. Think of it like airport security.

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Before anything moves on, your stomach is running a

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background check. So imagine this.

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These bitter compounds have something deadly in

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them, and your stomach is going to create more

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acid and not let things through. And that

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acid is going to try and destroy that, whether it's a bacteria

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or a virus or whatever. And if it doesn't

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let it through like it's truly a bad bug,

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you will end up bloating and bloating and bloating and getting more

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nauseated. And finally, your stomach will expel

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them violently. We call that vomiting.

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Speaking of bitterness and digestion, let's talk about

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bitters. You know those little bottles that the

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bartenders dramatically shake into your Old

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Fashioned, or in my case, a Manhattan. Before

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bitters were the secret ingredient in cocktails, they were

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actually medicine. Yep. Bitters started

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out as, as an herbal remedy for digestive

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issues. And they've been used for centuries to

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help with bloating, nausea, and sluggish

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digestion. Monks in the Middle ages created

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bitter herbal tonics to help with digestion.

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Basically, it was an early form of Pepto

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Bismol, but with more wormwood

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and fewer weird pink bubbles. By the 1800s,

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bitters had become, uh, a staple for apothecaries, early

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pharmacies. And people would take a few drops of them before meals

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as a digestive to aid in digestion. And

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some of those famous brands of bitters today, like

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Angostera or Peychaud's, were originally sold as

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health tonics before bartenders figured out they could

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make that alcohol taste even better.

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And here's why they bitter compounds

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in these herbal extracts activate those

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stomach taste receptors we talked about earlier,

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delaying gastric emptying and helping break

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down food more efficiently. So while today

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you might think of bitters as a fancy cocktail ingredient, they

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actually have a long history of keeping people's

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digestive enzymes in check. It's

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medicine with a side of booze. What's not to

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love. And during prohibition,

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in New Orleans, or New Orleans if you happen

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to be from there, bitters were held by pharmacies

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and people would actually be able to legally buy

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bitters as their medicine. You

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know, get drunk on, uh, the government's time.

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But now let's talk about a bitter drink that was actually

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used as medicine. Gin and tonic. Now,

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I'm not telling you to replace your multivitamins with happy hour,

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but back in the day, gin and tonic wasn't just a

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refreshing cocktail, it was a

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legitimate treatment for malaria. So here's how it

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happened. In the 1800s, British soldiers and

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colonists in tropical regions were getting absolutely

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wrecked by malaria. And the best known

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treatment at the time was quinine, a bitter

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compound found in the bark of a tree.

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Quinine was incredibly effective at treating and

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preventing malaria. But there was a problem.

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It tasted awful. Imagine

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chewing aspirin mixed with tree bark and

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regret. So to make it more

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palatable, they mixed it with sugar, lime

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soda, water, and thus tonic water was

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born. But British soldiers weren't about to drink

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just tonic water. So they did what any

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reasonable person would do. They added gin. The

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result? The drink that kept malaria at

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bay while also making colonial life slightly

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more tolerable. Missing old England. And just like that,

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the gin and tonic became the most functional

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cocktail in history. The 4 o'clock

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high tea in many of the tropical

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sites, Africa, India was replaced

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with gin and tonics. Now, before you go

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prescribing yourself gin and tonic for medical reasons, let me

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clarify. Modern tonic water contains

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trace amounts of quinine, and malaria prevention

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has come a long way since then, but they still use it as an

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excuse to order at the bar. I'm drinking this one for historical

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and medicinal purposes.

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Finally, quinine also has a use in

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heart medicine and it's used for cardiac

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arrhythmias. Some of us are

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allergic to quinine. And if I were to

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drink a, ah, gin and tonic, for example, with normal

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quinine or some of the quinine filled ones like Indian

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fever, I will actually have fevers

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from that. Today's

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malarial parasites, by the way, are mostly

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resistant to quinine. So we just don't use it for that

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anymore.

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So before you start adding bitters to everything, let's go over some ground rules.

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Bitter bitters are not for everyone. In fact, for some people, they

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do more harm than good. Who should avoid

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bitters? Pregnant and breastfeeding

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individuals. Bitters contain compounds that can be harmful

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during pregnancy and they're infused with alcohol.

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They're not baby friendly children Again, they're alcohol

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based, not the children. So don't

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mix those into your kids. Grape juice or apple

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juice. People with gastrointestinal disease. So

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if you have ulcers, inflammatory bowel disease, or any condition that makes

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your gut sensitive, bitters can actually

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worsen the irritation. They can cause

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nausea, cramping, diarrhea, gas, and a sore stomach.

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In other words, bitters can be great for digestion if

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your digestion system is in good shape. But if you're dealing

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with some gut issues, maybe skip the bitters and talk to

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your doctor before adding that routine. So

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what have we learned today? Bitterness. One of the

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tastes on the taste bud exists to protect us. But

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not all bitter foods are bad. Some

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people taste bitterness more than others. Those are supertasters. Your

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stomach can taste it too. And bitters have been used in medicine for centuries.

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Oh, and gin and tonic started as a malarial treatment.

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So really drinking one is just historical

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appreciation. Finally, a note to my

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all famous Brussels sprouts. Brussels sprouts were

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crossbred, so the Brussels sprouts that you

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taste today are unlike the brussels sprouts

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I grew up with back in the 60s and

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70s. Those Brussels sprouts were extremely bitter. The ones

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today are far more sweet and more palatable.

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Although I still have that sense of dread

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whenever I see a Brussels sprout on my plate.

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Anyway, if you love the food science without the flub,

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subscribe to my substack on T.

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Simpson.substack.com and do check out

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the blog associated with

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this@yourdoctorsorders.com

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all right. Eating smarts always in

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style. This podcast was researched and directed by

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me, Dr. Terri Simpson. And uh, while I am a doctor, I am

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not your doctor. This is for information and hopefully

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some educational purposes. If you need a doctor, please see

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a board certified western trained doctor. I don't see private

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patients off my podcast. Please don't see a chiropractor or some

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eastern guy trained in the dark arts. This pod

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is distributed by my friends at Simpler Media. Shout out to

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my good friend the pod God, Mr. Evotera.

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Alright, have a sweet and maybe a bitter

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week.

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Hey Ivo, you know, in the old days when I enjoyed a Good

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Man Patins, the bitters just had to be perfect.

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Not too few, but there never

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seemed to be too many. And I recall

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you teaching me a little bit about bitters in

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beers. Uh, that was a few years ago, my

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friend. I think we've

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gotten old.

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>> Speaker B: Well, that's the damn truth. Although I

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wonder, do the hops in beer. The

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bittering agent.

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>> Dr. Terry Simpson: Hmm. Hm.

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>> Speaker B: Somehow slow down the aging process.

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More research needed, clearly. Cheers.

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About the Podcast

Fork U with Dr. Terry Simpson
Learn more about what you put in your mouth.
Fork U(niversity)
Not everything you put in your mouth is good for you.

There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner.

On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon who has spent years doing molecular virology research and as a skeptic with academic credentials. He’ll help you develop the critical thinking skills so you can recognize evidence-based medicine, busting myths along the way.

The most common medical myths are often disguised as seemingly harmless “food as medicine”. By offering their own brand of medicine via foods, These hucksters are trying to practice medicine without a license. And though they’ll claim “nutrition is not taught in medical schools”, it turns out that’s a myth too. In fact, there’s an entire medical subspecialty called Culinary Medicine, and Dr. Simpson is certified as a Culinary Medicine Specialist.

Where today's nutritional advice is the realm of hucksters, Dr. Simpson is taking it back to the realm of science.

About your host

Profile picture for Terry Simpson

Terry Simpson

Dr. Terry Simpson received his undergraduate, graduate, and medical degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. Until he found he liked people more than petri dishes. Dr. Simpson, a weight loss surgeon is an advocate of culinary medicine, he believes teaching people to improve their health through their food and in their kitchen. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcolm Baldrige award for healthcare in 2018 and 2011 for the NUKA system of care in Alaska and in 2013 Dr Simpson won the National Indian Health Board Area Impact Award. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.”