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		<title>TIPS FOR ADJUSTING TO STEVIA</title>
		<link>http://dansbullets.com/tips-for-adjusting-to-stevia/</link>
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		<pubDate>Sat, 18 May 2013 20:41:06 +0000</pubDate>
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				<category><![CDATA[Shaklee 180]]></category>

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		<description><![CDATA[From Shirley Koritnik: I know]]></description>
				<content:encoded><![CDATA[<p>From Shirley Koritnik: </p>
<p>I know only a small percentage of the population has a reaction to natural stevia, getting an &#8220;aftertaste,&#8221; and experiencing the aroma and taste as &#8220;odd&#8221; and &#8220;almost chemical.&#8221;  Stevia is totally safe and doesn&#8217;t raise blood sugar, so it&#8217;s a wonderful sweetener, and a wonderful way that SHAKLEE has chosen to sweeten the 180 products.  The aftertaste and aroma are why so many manufacturers are trying to make chemical alterations to stevia, selling stevia imitators.<br />
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I recommend staying away from the imitators since none have long term clinical studies and the chemical alterations could be harmful to us.  Use real stevia.  Don&#8217;t let the imitators&#8217; beautiful ads and packaging sway you. </p>
<p>For most, reactions to stevia in the 180 products go away with continued use, and that&#8217;s SHAKLEE&#8217;s recommendation when you call the health help line&#8211;that the body gets used to stevia and won&#8217;t notice after a time, so just keep using it.  I know continued use helped me&#8211;at least most of the time I no longer notice an unusual aroma and taste, and if I do, I use one of the tips below.  I know the new formula is excellent and worth a little accommodation on the user&#8217;s part.  The results are worth anything that would stop someone from using SHAKLEE 180.<br />
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<strong>In the transition time, and for variety,  these things can help:</strong></p>
<p>Use a blender or blender bottle.  For people mixing up the drinks at the office or away from home, the newer blender bottles with a whisk ball inside from SHAKLEE make the drinks creamier and help the powder dissolve faster. </p>
<p>Making sure the drink is REALLY COLD helps.  Add 4-5 ice cubes one at a time into the blender.  </p>
<p>If someone doesn&#8217;t have an actual blender appliance at work or away from home, a good way to do it is to mix up the drink in the blender bottle and stick it in a freezer for a period of time.  Ice crystals form throughout the drink and make it delightful, especially in the warm weather.</p>
<p>Mix up drinks that are half 180 and half CINCH till getting used to the aroma and taste of the stevia in the 180.  Many distributors still have CINCH in inventory.  Gradually move into all 180.</p>
<p>Use the many recipes!  You can find them in the MY 180 section of the Member Center or in the mobile app when you&#8217;ve purchased either of the 180 kits.  For example, blend in a banana and 1/4 teaspoon peanut butter with the 180 powder and almond milk.</p>
<p>Try different milks in different brands.</p>
<p>Add delightful fruits and mix up with ice in a blender.<br />
Try using ice cold water and adding 3 scoops instead of 2 scoops.  Oddly, 3 scoops seem to cover the stevia presence. </p>
<p>Add one of the better-for-you real-fruit  yogurts. </p>
<p>Some people add extracts from the health food store. My faves are CINNAMON and MAPLE.  You can make a drink that tastes like the Andes chocolate candy with Chocolate 180, Almond Milk, Peppermint Extract&#8230; and a handful of fresh spinach!  (Recipe credit to Linda McDermott and Sandra Wells.) </p>
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		<title>THE EXTRAORDINARY SCIENCE OF  ADDICTIVE JUNK FOOD</title>
		<link>http://dansbullets.com/the-extraordinary-science-of-addictive-junk-food/</link>
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		<pubDate>Sat, 02 Mar 2013 18:53:46 +0000</pubDate>
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				<category><![CDATA[Health & Wellness]]></category>

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		<description><![CDATA[By MICHAEL MOSS Published: February]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2013/03/24sugar1-articleLarge-v3.png"><img src="http://dansbullets.com/wp-content/uploads/2013/03/24sugar1-articleLarge-v3-e1362250474493.png" alt="" title="24sugar1-articleLarge-v3" width="500" height="304" class="alignleft size-full wp-image-4614" /></a><br />
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By MICHAEL MOSS<br />
Published: February 20, 2013</p>
<p>On the evening of April 8, 1999, a long line of Town Cars and taxis pulled up to the Minneapolis headquarters of Pillsbury and discharged 11 men who controlled America’s largest food companies. Nestlé was in attendance, as were Kraft and Nabisco, General Mills and Procter &#038; Gamble, Coca-Cola and Mars. Rivals any other day, the C.E.O.’s and company presidents had come together for a rare, private meeting. On the agenda was one item: the emerging obesity epidemic and how to deal with it. While the atmosphere was cordial, the men assembled were hardly friends. Their stature was defined by their skill in fighting one another for what they called “stomach share” — the amount of digestive space that any one company’s brand can grab from the competition.<br />
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James Behnke, a 55-year-old executive at Pillsbury, greeted the men as they arrived. He was anxious but also hopeful about the plan that he and a few other food-company executives had devised to engage the C.E.O.’s on America’s growing weight problem. “We were very concerned, and rightfully so, that obesity was becoming a major issue,” Behnke recalled. “People were starting to talk about sugar taxes, and there was a lot of pressure on food companies.” Getting the company chiefs in the same room to talk about anything, much less a sensitive issue like this, was a tricky business, so Behnke and his fellow organizers had scripted the meeting carefully, honing the message to its barest essentials. “C.E.O.’s in the food industry are typically not technical guys, and they’re uncomfortable going to meetings where technical people talk in technical terms about technical things,” Behnke said. “They don’t want to be embarrassed. They don’t want to make commitments. They want to maintain their aloofness and autonomy.”</p>
<p>A chemist by training with a doctoral degree in food science, Behnke became Pillsbury’s chief technical officer in 1979 and was instrumental in creating a long line of hit products, including microwaveable popcorn. He deeply admired Pillsbury but in recent years had grown troubled by pictures of obese children suffering from diabetes and the earliest signs of hypertension and heart disease. In the months leading up to the C.E.O. meeting, he was engaged in conversation with a group of food-science experts who were painting an increasingly grim picture of the public’s ability to cope with the industry’s formulations — from the body’s fragile controls on overeating to the hidden power of some processed foods to make people feel hungrier still. It was time, he and a handful of others felt, to warn the C.E.O.’s that their companies may have gone too far in creating and marketing products that posed the greatest health concerns.</p>
<p>The discussion took place in Pillsbury’s auditorium. The first speaker was a vice president of Kraft named Michael Mudd. “I very much appreciate this opportunity to talk to you about childhood obesity and the growing challenge it presents for us all,” Mudd began. “Let me say right at the start, this is not an easy subject. There are no easy answers — for what the public health community must do to bring this problem under control or for what the industry should do as others seek to hold it accountable for what has happened. But this much is clear: For those of us who’ve looked hard at this issue, whether they’re public health professionals or staff specialists in your own companies, we feel sure that the one thing we shouldn’t do is nothing.”</p>
<p>As he spoke, Mudd clicked through a deck of slides — 114 in all — projected on a large screen behind him. The figures were staggering. More than half of American adults were now considered overweight, with nearly one-quarter of the adult population — 40 million people — clinically defined as obese. Among children, the rates had more than doubled since 1980, and the number of kids considered obese had shot past 12 million. (This was still only 1999; the nation’s obesity rates would climb much higher.) Food manufacturers were now being blamed for the problem from all sides — academia, the Centers for Disease Control and Prevention, the American Heart Association and the American Cancer Society. The secretary of agriculture, over whom the industry had long held sway, had recently called obesity a “national epidemic.”</p>
<p>Mudd then did the unthinkable. He drew a connection to the last thing in the world the C.E.O.’s wanted linked to their products: cigarettes. First came a quote from a Yale University professor of psychology and public health, Kelly Brownell, who was an especially vocal proponent of the view that the processed-food industry should be seen as a public health menace: “As a culture, we’ve become upset by the tobacco companies advertising to children, but we sit idly by while the food companies do the very same thing. And we could make a claim that the toll taken on the public health by a poor diet rivals that taken by tobacco.”</p>
<p>“If anyone in the food industry ever doubted there was a slippery slope out there,” Mudd said, “I imagine they are beginning to experience a distinct sliding sensation right about now.”</p>
<p>Mudd then presented the plan he and others had devised to address the obesity problem. Merely getting the executives to acknowledge some culpability was an important first step, he knew, so his plan would start off with a small but crucial move: the industry should use the expertise of scientists — its own and others — to gain a deeper understanding of what was driving Americans to overeat. Once this was achieved, the effort could unfold on several fronts. To be sure, there would be no getting around the role that packaged foods and drinks play in overconsumption. They would have to pull back on their use of salt, sugar and fat, perhaps by imposing industrywide limits. But it wasn’t just a matter of these three ingredients; the schemes they used to advertise and market their products were critical, too. Mudd proposed creating a “code to guide the nutritional aspects of food marketing, especially to children.”</p>
<p>“We are saying that the industry should make a sincere effort to be part of the solution,” Mudd concluded. “And that by doing so, we can help to defuse the criticism that’s building against us.”</p>
<p>What happened next was not written down. But according to three participants, when Mudd stopped talking, the one C.E.O. whose recent exploits in the grocery store had awed the rest of the industry stood up to speak. His name was Stephen Sanger, and he was also the person — as head of General Mills — who had the most to lose when it came to dealing with obesity. Under his leadership, General Mills had overtaken not just the cereal aisle but other sections of the grocery store. The company’s Yoplait brand had transformed traditional unsweetened breakfast yogurt into a veritable dessert. It now had twice as much sugar per serving as General Mills’ marshmallow cereal Lucky Charms. And yet, because of yogurt’s well-tended image as a wholesome snack, sales of Yoplait were soaring, with annual revenue topping $500 million. Emboldened by the success, the company’s development wing pushed even harder, inventing a Yoplait variation that came in a squeezable tube — perfect for kids. They called it Go-Gurt and rolled it out nationally in the weeks before the C.E.O. meeting. (By year’s end, it would hit $100 million in sales.)</p>
<p>According to the sources I spoke with, Sanger began by reminding the group that consumers were “fickle.” (Sanger declined to be interviewed.) Sometimes they worried about sugar, other times fat. General Mills, he said, acted responsibly to both the public and shareholders by offering products to satisfy dieters and other concerned shoppers, from low sugar to added whole grains. But most often, he said, people bought what they liked, and they liked what tasted good. “Don’t talk to me about nutrition,” he reportedly said, taking on the voice of the typical consumer. “Talk to me about taste, and if this stuff tastes better, don’t run around trying to sell stuff that doesn’t taste good.”</p>
<p>To react to the critics, Sanger said, would jeopardize the sanctity of the recipes that had made his products so successful. General Mills would not pull back. He would push his people onward, and he urged his peers to do the same. Sanger’s response effectively ended the meeting.</p>
<p>“What can I say?” James Behnke told me years later. “It didn’t work. These guys weren’t as receptive as we thought they would be.” Behnke chose his words deliberately. He wanted to be fair. “Sanger was trying to say, ‘Look, we’re not going to screw around with the company jewels here and change the formulations because a bunch of guys in white coats are worried about obesity.’ ”</p>
<p>The meeting was remarkable, first, for the insider admissions of guilt. But I was also struck by how prescient the organizers of the sit-down had been. Today, one in three adults is considered clinically obese, along with one in five kids, and 24 million Americans are afflicted by type 2 diabetes, often caused by poor diet, with another 79 million people having pre-diabetes. Even gout, a painful form of arthritis once known as “the rich man’s disease” for its associations with gluttony, now afflicts eight million Americans.</p>
<p>The public and the food companies have known for decades now — or at the very least since this meeting — that sugary, salty, fatty foods are not good for us in the quantities that we consume them. So why are the diabetes and obesity and hypertension numbers still spiraling out of control? It’s not just a matter of poor willpower on the part of the consumer and a give-the-people-what-they-want attitude on the part of the food manufacturers. What I found, over four years of research and reporting, was a conscious effort — taking place in labs and marketing meetings and grocery-store aisles — to get people hooked on foods that are convenient and inexpensive. I talked to more than 300 people in or formerly employed by the processed-food industry, from scientists to marketers to C.E.O.’s. Some were willing whistle-blowers, while others spoke reluctantly when presented with some of the thousands of pages of secret memos that I obtained from inside the food industry’s operations. What follows is a series of small case studies of a handful of characters whose work then, and perspective now, sheds light on how the foods are created and sold to people who, while not powerless, are extremely vulnerable to the intensity of these companies’ industrial formulations and selling campaigns.<br />
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<strong>‘In This Field, I’m a Game Changer.’</strong></p>
<p>John Lennon couldn’t find it in England, so he had cases of it shipped from New York to fuel the “Imagine” sessions. The Beach Boys, ZZ Top and Cher all stipulated in their contract riders that it be put in their dressing rooms when they toured. Hillary Clinton asked for it when she traveled as first lady, and ever after her hotel suites were dutifully stocked.</p>
<p>What they all wanted was Dr Pepper, which until 2001 occupied a comfortable third-place spot in the soda aisle behind Coca-Cola and Pepsi. But then a flood of spinoffs from the two soda giants showed up on the shelves — lemons and limes, vanillas and coffees, raspberries and oranges, whites and blues and clears — what in food-industry lingo are known as “line extensions,” and Dr Pepper started to lose its market share.</p>
<p>Responding to this pressure, Cadbury Schweppes created its first spin­off, other than a diet version, in the soda’s 115-year history, a bright red soda with a very un-Dr Pepper name: Red Fusion. “If we are to re-establish Dr Pepper back to its historic growth rates, we have to add more excitement,” the company’s president, Jack Kilduff, said. One particularly promising market, Kilduff pointed out, was the “rapidly growing Hispanic and African-American communities.”</p>
<p>But consumers hated Red Fusion. “Dr Pepper is my all-time favorite drink, so I was curious about the Red Fusion,” a California mother of three wrote on a blog to warn other Peppers away. “It’s disgusting. Gagging. Never again.”</p>
<p>Stung by the rejection, Cadbury Schweppes in 2004 turned to a food-industry legend named Howard Moskowitz. Moskowitz, who studied mathematics and holds a Ph.D. in experimental psychology from Harvard, runs a consulting firm in White Plains, where for more than three decades he has “optimized” a variety of products for Campbell Soup, General Foods, Kraft and PepsiCo. “I’ve optimized soups,” Moskowitz told me. “I’ve optimized pizzas. I’ve optimized salad dressings and pickles. In this field, I’m a game changer.”</p>
<p>In the process of product optimization, food engineers alter a litany of variables with the sole intent of finding the most perfect version (or versions) of a product. Ordinary consumers are paid to spend hours sitting in rooms where they touch, feel, sip, smell, swirl and taste whatever product is in question. Their opinions are dumped into a computer, and the data are sifted and sorted through a statistical method called conjoint analysis, which determines what features will be most attractive to consumers. Moskowitz likes to imagine that his computer is divided into silos, in which each of the attributes is stacked. But it’s not simply a matter of comparing Color 23 with Color 24. In the most complicated projects, Color 23 must be combined with Syrup 11 and Packaging 6, and on and on, in seemingly infinite combinations. Even for jobs in which the only concern is taste and the variables are limited to the ingredients, endless charts and graphs will come spewing out of Moskowitz’s computer. “The mathematical model maps out the ingredients to the sensory perceptions these ingredients create,” he told me, “so I can just dial a new product. This is the engineering approach.”</p>
<p>Moskowitz’s work on Prego spaghetti sauce was memorialized in a 2004 presentation by the author Malcolm Gladwell at the TED conference in Monterey, Calif.: “After . . . months and months, he had a mountain of data about how the American people feel about spaghetti sauce. . . . And sure enough, if you sit down and you analyze all this data on spaghetti sauce, you realize that all Americans fall into one of three groups. There are people who like their spaghetti sauce plain. There are people who like their spaghetti sauce spicy. And there are people who like it extra-chunky. And of those three facts, the third one was the most significant, because at the time, in the early 1980s, if you went to a supermarket, you would not find extra-chunky spaghetti sauce. And Prego turned to Howard, and they said, ‘Are you telling me that one-third of Americans crave extra-chunky spaghetti sauce, and yet no one is servicing their needs?’ And he said, ‘Yes.’ And Prego then went back and completely reformulated their spaghetti sauce and came out with a line of extra-chunky that immediately and completely took over the spaghetti-sauce business in this country. . . . That is Howard’s gift to the American people. . . . He fundamentally changed the way the food industry thinks about making you happy.”</p>
<p>Well, yes and no. One thing Gladwell didn’t mention is that the food industry already knew some things about making people happy — and it started with sugar. Many of the Prego sauces — whether cheesy, chunky or light — have one feature in common: The largest ingredient, after tomatoes, is sugar. A mere half-cup of Prego Traditional, for instance, has the equivalent of more than two teaspoons of sugar, as much as two-plus Oreo cookies. It also delivers one-third of the sodium recommended for a majority of American adults for an entire day. In making these sauces, Campbell supplied the ingredients, including the salt, sugar and, for some versions, fat, while Moskowitz supplied the optimization. “More is not necessarily better,” Moskowitz wrote in his own account of the Prego project. “As the sensory intensity (say, of sweetness) increases, consumers first say that they like the product more, but eventually, with a middle level of sweetness, consumers like the product the most (this is their optimum, or ‘bliss,’ point).”</p>
<p>I first met Moskowitz on a crisp day in the spring of 2010 at the Harvard Club in Midtown Manhattan. As we talked, he made clear that while he has worked on numerous projects aimed at creating more healthful foods and insists the industry could be doing far more to curb obesity, he had no qualms about his own pioneering work on discovering what industry insiders now regularly refer to as “the bliss point” or any of the other systems that helped food companies create the greatest amount of crave. “There’s no moral issue for me,” he said. “I did the best science I could. I was struggling to survive and didn’t have the luxury of being a moral creature. As a researcher, I was ahead of my time.”</p>
<p>Moskowitz’s path to mastering the bliss point began in earnest not at Harvard but a few months after graduation, 16 miles from Cambridge, in the town of Natick, where the U.S. Army hired him to work in its research labs. The military has long been in a peculiar bind when it comes to food: how to get soldiers to eat more rations when they are in the field. They know that over time, soldiers would gradually find their meals-ready-to-eat so boring that they would toss them away, half-eaten, and not get all the calories they needed. But what was causing this M.R.E.-fatigue was a mystery. “So I started asking soldiers how frequently they would like to eat this or that, trying to figure out which products they would find boring,” Moskowitz said. The answers he got were inconsistent. “They liked flavorful foods like turkey tetrazzini, but only at first; they quickly grew tired of them. On the other hand, mundane foods like white bread would never get them too excited, but they could eat lots and lots of it without feeling they’d had enough.”</p>
<p>This contradiction is known as “sensory-specific satiety.” In lay terms, it is the tendency for big, distinct flavors to overwhelm the brain, which responds by depressing your desire to have more. Sensory-specific satiety also became a guiding principle for the processed-food industry. The biggest hits — be they Coca-Cola or Doritos — owe their success to complex formulas that pique the taste buds enough to be alluring but don’t have a distinct, overriding single flavor that tells the brain to stop eating.</p>
<p>Thirty-two years after he began experimenting with the bliss point, Moskowitz got the call from Cadbury Schweppes asking him to create a good line extension for Dr Pepper. I spent an afternoon in his White Plains offices as he and his vice president for research, Michele Reisner, walked me through the Dr Pepper campaign. Cadbury wanted its new flavor to have cherry and vanilla on top of the basic Dr Pepper taste. Thus, there were three main components to play with. A sweet cherry flavoring, a sweet vanilla flavoring and a sweet syrup known as “Dr Pepper flavoring.”</p>
<p>Finding the bliss point required the preparation of 61 subtly distinct formulas — 31 for the regular version and 30 for diet. The formulas were then subjected to 3,904 tastings organized in Los Angeles, Dallas, Chicago and Philadelphia. The Dr Pepper tasters began working through their samples, resting five minutes between each sip to restore their taste buds. After each sample, they gave numerically ranked answers to a set of questions: How much did they like it overall? How strong is the taste? How do they feel about the taste? How would they describe the quality of this product? How likely would they be to purchase this product?</p>
<p>Moskowitz’s data — compiled in a 135-page report for the soda maker — is tremendously fine-grained, showing how different people and groups of people feel about a strong vanilla taste versus weak, various aspects of aroma and the powerful sensory force that food scientists call “mouth feel.” This is the way a product interacts with the mouth, as defined more specifically by a host of related sensations, from dryness to gumminess to moisture release. These are terms more familiar to sommeliers, but the mouth feel of soda and many other food items, especially those high in fat, is second only to the bliss point in its ability to predict how much craving a product will induce.</p>
<p>In addition to taste, the consumers were also tested on their response to color, which proved to be highly sensitive. “When we increased the level of the Dr Pepper flavoring, it gets darker and liking goes off,” Reisner said. These preferences can also be cross-referenced by age, sex and race.</p>
<p>On Page 83 of the report, a thin blue line represents the amount of Dr Pepper flavoring needed to generate maximum appeal. The line is shaped like an upside-down U, just like the bliss-point curve that Moskowitz studied 30 years earlier in his Army lab. And at the top of the arc, there is not a single sweet spot but instead a sweet range, within which “bliss” was achievable. This meant that Cadbury could edge back on its key ingredient, the sugary Dr Pepper syrup, without falling out of the range and losing the bliss. Instead of using 2 milliliters of the flavoring, for instance, they could use 1.69 milliliters and achieve the same effect. The potential savings is merely a few percentage points, and it won’t mean much to individual consumers who are counting calories or grams of sugar. But for Dr Pepper, it adds up to colossal savings. “That looks like nothing,” Reisner said. “But it’s a lot of money. A lot of money. Millions.”</p>
<p>The soda that emerged from all of Moskowitz’s variations became known as Cherry Vanilla Dr Pepper, and it proved successful beyond anything Cadbury imagined. In 2008, Cadbury split off its soft-drinks business, which included Snapple and 7-Up. The Dr Pepper Snapple Group has since been valued in excess of $11 billion.<br />
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<p><strong>‘Lunchtime Is All Yours’</strong></p>
<p>Sometimes innovations within the food industry happen in the lab, with scientists dialing in specific ingredients to achieve the greatest allure. And sometimes, as in the case of Oscar Mayer’s bologna crisis, the innovation involves putting old products in new packages.</p>
<p>The 1980s were tough times for Oscar Mayer. Red-meat consumption fell more than 10 percent as fat became synonymous with cholesterol, clogged arteries, heart attacks and strokes. Anxiety set in at the company’s headquarters in Madison, Wis., where executives worried about their future and the pressure they faced from their new bosses at Philip Morris.</p>
<p>Bob Drane was the company’s vice president for new business strategy and development when Oscar Mayer tapped him to try to find some way to reposition bologna and other troubled meats that were declining in popularity and sales. I met Drane at his home in Madison and went through the records he had kept on the birth of what would become much more than his solution to the company’s meat problem. In 1985, when Drane began working on the project, his orders were to “figure out how to contemporize what we’ve got.”</p>
<p>Drane’s first move was to try to zero in not on what Americans felt about processed meat but on what Americans felt about lunch. He organized focus-group sessions with the people most responsible for buying bologna — mothers — and as they talked, he realized the most pressing issue for them was time. Working moms strove to provide healthful food, of course, but they spoke with real passion and at length about the morning crush, that nightmarish dash to get breakfast on the table and lunch packed and kids out the door. He summed up their remarks for me like this: “It’s awful. I am scrambling around. My kids are asking me for stuff. I’m trying to get myself ready to go to the office. I go to pack these lunches, and I don’t know what I’ve got.” What the moms revealed to him, Drane said, was “a gold mine of disappointments and problems.”</p>
<p>He assembled a team of about 15 people with varied skills, from design to food science to advertising, to create something completely new — a convenient prepackaged lunch that would have as its main building block the company’s sliced bologna and ham. They wanted to add bread, naturally, because who ate bologna without it? But this presented a problem: There was no way bread could stay fresh for the two months their product needed to sit in warehouses or in grocery coolers. Crackers, however, could — so they added a handful of cracker rounds to the package. Using cheese was the next obvious move, given its increased presence in processed foods. But what kind of cheese would work? Natural Cheddar, which they started off with, crumbled and didn’t slice very well, so they moved on to processed varieties, which could bend and be sliced and would last forever, or they could knock another two cents off per unit by using an even lesser product called “cheese food,” which had lower scores than processed cheese in taste tests. The cost dilemma was solved when Oscar Mayer merged with Kraft in 1989 and the company didn’t have to shop for cheese anymore; it got all the processed cheese it wanted from its new sister company, and at cost.</p>
<p>Drane’s team moved into a nearby hotel, where they set out to find the right mix of components and container. They gathered around tables where bagfuls of meat, cheese, crackers and all sorts of wrapping material had been dumped, and they let their imaginations run. After snipping and taping their way through a host of failures, the model they fell back on was the American TV dinner — and after some brainstorming about names (Lunch Kits? Go-Packs? Fun Mealz?), Lunchables were born.</p>
<p>The trays flew off the grocery-store shelves. Sales hit a phenomenal $218 million in the first 12 months, more than anyone was prepared for. This only brought Drane his next crisis. The production costs were so high that they were losing money with each tray they produced. So Drane flew to New York, where he met with Philip Morris officials who promised to give him the money he needed to keep it going. “The hard thing is to figure out something that will sell,” he was told. “You’ll figure out how to get the cost right.” Projected to lose $6 million in 1991, the trays instead broke even; the next year, they earned $8 million.</p>
<p>With production costs trimmed and profits coming in, the next question was how to expand the franchise, which they did by turning to one of the cardinal rules in processed food: When in doubt, add sugar. “Lunchables With Dessert is a logical extension,” an Oscar Mayer official reported to Philip Morris executives in early 1991. The “target” remained the same as it was for regular Lunchables — “busy mothers” and “working women,” ages 25 to 49 — and the “enhanced taste” would attract shoppers who had grown bored with the current trays. A year later, the dessert Lunchable morphed into the Fun Pack, which would come with a Snickers bar, a package of M&#038;M’s or a Reese’s Peanut Butter Cup, as well as a sugary drink. The Lunchables team started by using Kool-Aid and cola and then Capri Sun after Philip Morris added that drink to its stable of brands.</p>
<p>Eventually, a line of the trays, appropriately called Maxed Out, was released that had as many as nine grams of saturated fat, or nearly an entire day’s recommended maximum for kids, with up to two-thirds of the max for sodium and 13 teaspoons of sugar.</p>
<p>When I asked Geoffrey Bible, former C.E.O. of Philip Morris, about this shift toward more salt, sugar and fat in meals for kids, he smiled and noted that even in its earliest incarnation, Lunchables was held up for criticism. “One article said something like, ‘If you take Lunchables apart, the most healthy item in it is the napkin.’ ”</p>
<p>Well, they did have a good bit of fat, I offered. “You bet,” he said. “Plus cookies.”</p>
<p>The prevailing attitude among the company’s food managers — through the 1990s, at least, before obesity became a more pressing concern — was one of supply and demand. “People could point to these things and say, ‘They’ve got too much sugar, they’ve got too much salt,’ ” Bible said. “Well, that’s what the consumer wants, and we’re not putting a gun to their head to eat it. That’s what they want. If we give them less, they’ll buy less, and the competitor will get our market. So you’re sort of trapped.” (Bible would later press Kraft to reconsider its reliance on salt, sugar and fat.)</p>
<p>When it came to Lunchables, they did try to add more healthful ingredients. Back at the start, Drane experimented with fresh carrots but quickly gave up on that, since fresh components didn’t work within the constraints of the processed-food system, which typically required weeks or months of transport and storage before the food arrived at the grocery store. Later, a low-fat version of the trays was developed, using meats and cheese and crackers that were formulated with less fat, but it tasted inferior, sold poorly and was quickly scrapped.</p>
<p>When I met with Kraft officials in 2011 to discuss their products and policies on nutrition, they had dropped the Maxed Out line and were trying to improve the nutritional profile of Lunchables through smaller, incremental changes that were less noticeable to consumers. Across the Lunchables line, they said they had reduced the salt, sugar and fat by about 10 percent, and new versions, featuring mandarin-orange and pineapple slices, were in development. These would be promoted as more healthful versions, with “fresh fruit,” but their list of ingredients — containing upward of 70 items, with sucrose, corn syrup, high-fructose corn syrup and fruit concentrate all in the same tray — have been met with intense criticism from outside the industry.</p>
<p>One of the company’s responses to criticism is that kids don’t eat the Lunchables every day — on top of which, when it came to trying to feed them more healthful foods, kids themselves were unreliable. When their parents packed fresh carrots, apples and water, they couldn’t be trusted to eat them. Once in school, they often trashed the healthful stuff in their brown bags to get right to the sweets.</p>
<p>This idea — that kids are in control — would become a key concept in the evolving marketing campaigns for the trays. In what would prove to be their greatest achievement of all, the Lunchables team would delve into adolescent psychology to discover that it wasn’t the food in the trays that excited the kids; it was the feeling of power it brought to their lives. As Bob Eckert, then the C.E.O. of Kraft, put it in 1999: “Lunchables aren’t about lunch. It’s about kids being able to put together what they want to eat, anytime, anywhere.”</p>
<p>Kraft’s early Lunchables campaign targeted mothers. They might be too distracted by work to make a lunch, but they loved their kids enough to offer them this prepackaged gift. But as the focus swung toward kids, Saturday-morning cartoons started carrying an ad that offered a different message: “All day, you gotta do what they say,” the ads said. “But lunchtime is all yours.”</p>
<p>With this marketing strategy in place and pizza Lunchables — the crust in one compartment, the cheese, pepperoni and sauce in others — proving to be a runaway success, the entire world of fast food suddenly opened up for Kraft to pursue. They came out with a Mexican-themed Lunchables called Beef Taco Wraps; a Mini Burgers Lunchables; a Mini Hot Dog Lunchable, which also happened to provide a way for Oscar Mayer to sell its wieners. By 1999, pancakes — which included syrup, icing, Lifesavers candy and Tang, for a whopping 76 grams of sugar — and waffles were, for a time, part of the Lunchables franchise as well.</p>
<p>Annual sales kept climbing, past $500 million, past $800 million; at last count, including sales in Britain, they were approaching the $1 billion mark. Lunchables was more than a hit; it was now its own category. Eventually, more than 60 varieties of Lunchables and other brands of trays would show up in the grocery stores. In 2007, Kraft even tried a Lunchables Jr. for 3- to 5-year-olds.</p>
<p>In the trove of records that document the rise of the Lunchables and the sweeping change it brought to lunchtime habits, I came across a photograph of Bob Drane’s daughter, which he had slipped into the Lunchables presentation he showed to food developers. The picture was taken on Monica Drane’s wedding day in 1989, and she was standing outside the family’s home in Madison, a beautiful bride in a white wedding dress, holding one of the brand-new yellow trays.</p>
<p>During the course of reporting, I finally had a chance to ask her about it. Was she really that much of a fan? “There must have been some in the fridge,” she told me. “I probably just took one out before we went to the church. My mom had joked that it was really like their fourth child, my dad invested so much time and energy on it.”</p>
<p>Monica Drane had three of her own children by the time we spoke, ages 10, 14 and 17. “I don’t think my kids have ever eaten a Lunchable,” she told me. “They know they exist and that Grandpa Bob invented them. But we eat very healthfully.”</p>
<p>Drane himself paused only briefly when I asked him if, looking back, he was proud of creating the trays. “Lots of things are trade-offs,” he said. “And I do believe it’s easy to rationalize anything. In the end, I wish that the nutritional profile of the thing could have been better, but I don’t view the entire project as anything but a positive contribution to people’s lives.”</p>
<p>Today Bob Drane is still talking to kids about what they like to eat, but his approach has changed. He volunteers with a nonprofit organization that seeks to build better communications between school kids and their parents, and right in the mix of their problems, alongside the academic struggles, is childhood obesity. Drane has also prepared a précis on the food industry that he used with medical students at the University of Wisconsin. And while he does not name his Lunchables in this document, and cites numerous causes for the obesity epidemic, he holds the entire industry accountable. “What do University of Wisconsin M.B.A.’s learn about how to succeed in marketing?” his presentation to the med students asks. “Discover what consumers want to buy and give it to them with both barrels. Sell more, keep your job! How do marketers often translate these ‘rules’ into action on food? Our limbic brains love sugar, fat, salt. . . . So formulate products to deliver these. Perhaps add low-cost ingredients to boost profit margins. Then ‘supersize’ to sell more. . . . And advertise/promote to lock in ‘heavy users.’ Plenty of guilt to go around here!”</p>
<p> <code></code><br />
<strong>‘It’s Called Vanishing Caloric Density.’</strong></p>
<p>At a symposium for nutrition scientists in Los Angeles on Feb. 15, 1985, a professor of pharmacology from Helsinki named Heikki Karppanen told the remarkable story of Finland’s effort to address its salt habit. In the late 1970s, the Finns were consuming huge amounts of sodium, eating on average more than two teaspoons of salt a day. As a result, the country had developed significant issues with high blood pressure, and men in the eastern part of Finland had the highest rate of fatal cardiovascular disease in the world. Research showed that this plague was not just a quirk of genetics or a result of a sedentary lifestyle — it was also owing to processed foods. So when Finnish authorities moved to address the problem, they went right after the manufacturers. (The Finnish response worked. Every grocery item that was heavy in salt would come to be marked prominently with the warning “High Salt Content.” By 2007, Finland’s per capita consumption of salt had dropped by a third, and this shift — along with improved medical care — was accompanied by a 75 percent to 80 percent decline in the number of deaths from strokes and heart disease.)</p>
<p>Karppanen’s presentation was met with applause, but one man in the crowd seemed particularly intrigued by the presentation, and as Karppanen left the stage, the man intercepted him and asked if they could talk more over dinner. Their conversation later that night was not at all what Karppanen was expecting. His host did indeed have an interest in salt, but from quite a different vantage point: the man’s name was Robert I-San Lin, and from 1974 to 1982, he worked as the chief scientist for Frito-Lay, the nearly $3-billion-a-year manufacturer of Lay’s, Doritos, Cheetos and Fritos.</p>
<p>Lin’s time at Frito-Lay coincided with the first attacks by nutrition advocates on salty foods and the first calls for federal regulators to reclassify salt as a “risky” food additive, which could have subjected it to severe controls. No company took this threat more seriously — or more personally — than Frito-Lay, Lin explained to Karppanen over their dinner. Three years after he left Frito-Lay, he was still anguished over his inability to effectively change the company’s recipes and practices.</p>
<p>By chance, I ran across a letter that Lin sent to Karppanen three weeks after that dinner, buried in some files to which I had gained access. Attached to the letter was a memo written when Lin was at Frito-Lay, which detailed some of the company’s efforts in defending salt. I tracked Lin down in Irvine, Calif., where we spent several days going through the internal company memos, strategy papers and handwritten notes he had kept. The documents were evidence of the concern that Lin had for consumers and of the company’s intent on using science not to address the health concerns but to thwart them. While at Frito-Lay, Lin and other company scientists spoke openly about the country’s excessive consumption of sodium and the fact that, as Lin said to me on more than one occasion, “people get addicted to salt.”</p>
<p>Not much had changed by 1986, except Frito-Lay found itself on a rare cold streak. The company had introduced a series of high-profile products that failed miserably. Toppels, a cracker with cheese topping; Stuffers, a shell with a variety of fillings; Rumbles, a bite-size granola snack — they all came and went in a blink, and the company took a $52 million hit. Around that time, the marketing team was joined by Dwight Riskey, an expert on cravings who had been a fellow at the Monell Chemical Senses Center in Philadelphia, where he was part of a team of scientists that found that people could beat their salt habits simply by refraining from salty foods long enough for their taste buds to return to a normal level of sensitivity. He had also done work on the bliss point, showing how a product’s allure is contextual, shaped partly by the other foods a person is eating, and that it changes as people age. This seemed to help explain why Frito-Lay was having so much trouble selling new snacks. The largest single block of customers, the baby boomers, had begun hitting middle age. According to the research, this suggested that their liking for salty snacks — both in the concentration of salt and how much they ate — would be tapering off. Along with the rest of the snack-food industry, Frito-Lay anticipated lower sales because of an aging population, and marketing plans were adjusted to focus even more intently on younger consumers.</p>
<p>Except that snack sales didn’t decline as everyone had projected, Frito-Lay’s doomed product launches notwithstanding. Poring over data one day in his home office, trying to understand just who was consuming all the snack food, Riskey realized that he and his colleagues had been misreading things all along. They had been measuring the snacking habits of different age groups and were seeing what they expected to see, that older consumers ate less than those in their 20s. But what they weren’t measuring, Riskey realized, is how those snacking habits of the boomers compared to themselves when they were in their 20s. When he called up a new set of sales data and performed what’s called a cohort study, following a single group over time, a far more encouraging picture — for Frito-Lay, anyway — emerged. The baby boomers were not eating fewer salty snacks as they aged. “In fact, as those people aged, their consumption of all those segments — the cookies, the crackers, the candy, the chips — was going up,” Riskey said. “They were not only eating what they ate when they were younger, they were eating more of it.” In fact, everyone in the country, on average, was eating more salty snacks than they used to. The rate of consumption was edging up about one-third of a pound every year, with the average intake of snacks like chips and cheese crackers pushing past 12 pounds a year.</p>
<p>Riskey had a theory about what caused this surge: Eating real meals had become a thing of the past. Baby boomers, especially, seemed to have greatly cut down on regular meals. They were skipping breakfast when they had early-morning meetings. They skipped lunch when they then needed to catch up on work because of those meetings. They skipped dinner when their kids stayed out late or grew up and moved out of the house. And when they skipped these meals, they replaced them with snacks. “We looked at this behavior, and said, ‘Oh, my gosh, people were skipping meals right and left,’ ” Riskey told me. “It was amazing.” This led to the next realization, that baby boomers did not represent “a category that is mature, with no growth. This is a category that has huge growth potential.”</p>
<p>The food technicians stopped worrying about inventing new products and instead embraced the industry’s most reliable method for getting consumers to buy more: the line extension. The classic Lay’s potato chips were joined by Salt &#038; Vinegar, Salt &#038; Pepper and Cheddar &#038; Sour Cream. They put out Chili-Cheese-flavored Fritos, and Cheetos were transformed into 21 varieties. Frito-Lay had a formidable research complex near Dallas, where nearly 500 chemists, psychologists and technicians conducted research that cost up to $30 million a year, and the science corps focused intense amounts of resources on questions of crunch, mouth feel and aroma for each of these items. Their tools included a $40,000 device that simulated a chewing mouth to test and perfect the chips, discovering things like the perfect break point: people like a chip that snaps with about four pounds of pressure per square inch.</p>
<p>To get a better feel for their work, I called on Steven Witherly, a food scientist who wrote a fascinating guide for industry insiders titled, “Why Humans Like Junk Food.” I brought him two shopping bags filled with a variety of chips to taste. He zeroed right in on the Cheetos. “This,” Witherly said, “is one of the most marvelously constructed foods on the planet, in terms of pure pleasure.” He ticked off a dozen attributes of the Cheetos that make the brain say more. But the one he focused on most was the puff’s uncanny ability to melt in the mouth. “It’s called vanishing caloric density,” Witherly said. “If something melts down quickly, your brain thinks that there’s no calories in it . . . you can just keep eating it forever.”</p>
<p>As for their marketing troubles, in a March 2010 meeting, Frito-Lay executives hastened to tell their Wall Street investors that the 1.4 billion boomers worldwide weren’t being neglected; they were redoubling their efforts to understand exactly what it was that boomers most wanted in a snack chip. Which was basically everything: great taste, maximum bliss but minimal guilt about health and more maturity than puffs. “They snack a lot,” Frito-Lay’s chief marketing officer, Ann Mukherjee, told the investors. “But what they’re looking for is very different. They’re looking for new experiences, real food experiences.” Frito-Lay acquired Stacy’s Pita Chip Company, which was started by a Massachusetts couple who made food-cart sandwiches and started serving pita chips to their customers in the mid-1990s. In Frito-Lay’s hands, the pita chips averaged 270 milligrams of sodium — nearly one-fifth a whole day’s recommended maximum for most American adults — and were a huge hit among boomers.</p>
<p>The Frito-Lay executives also spoke of the company’s ongoing pursuit of a “designer sodium,” which they hoped, in the near future, would take their sodium loads down by 40 percent. No need to worry about lost sales there, the company’s C.E.O., Al Carey, assured their investors. The boomers would see less salt as the green light to snack like never before.</p>
<p>There’s a paradox at work here. On the one hand, reduction of sodium in snack foods is commendable. On the other, these changes may well result in consumers eating more. “The big thing that will happen here is removing the barriers for boomers and giving them permission to snack,” Carey said. The prospects for lower-salt snacks were so amazing, he added, that the company had set its sights on using the designer salt to conquer the toughest market of all for snacks: schools. He cited, for example, the school-food initiative championed by Bill Clinton and the American Heart Association, which is seeking to improve the nutrition of school food by limiting its load of salt, sugar and fat. “Imagine this,” Carey said. “A potato chip that tastes great and qualifies for the Clinton-A.H.A. alliance for schools . . . . We think we have ways to do all of this on a potato chip, and imagine getting that product into schools, where children can have this product and grow up with it and feel good about eating it.”</p>
<p>Carey’s quote reminded me of something I read in the early stages of my reporting, a 24-page report prepared for Frito-Lay in 1957 by a psychologist named Ernest Dichter. The company’s chips, he wrote, were not selling as well as they could for one simple reason: “While people like and enjoy potato chips, they feel guilty about liking them. . . . Unconsciously, people expect to be punished for ‘letting themselves go’ and enjoying them.” Dichter listed seven “fears and resistances” to the chips: “You can’t stop eating them; they’re fattening; they’re not good for you; they’re greasy and messy to eat; they’re too expensive; it’s hard to store the leftovers; and they’re bad for children.” He spent the rest of his memo laying out his prescriptions, which in time would become widely used not just by Frito-Lay but also by the entire industry. Dichter suggested that Frito-Lay avoid using the word “fried” in referring to its chips and adopt instead the more healthful-sounding term “toasted.” To counteract the “fear of letting oneself go,” he suggested repacking the chips into smaller bags. “The more-anxious consumers, the ones who have the deepest fears about their capacity to control their appetite, will tend to sense the function of the new pack and select it,” he said.</p>
<p>Dichter advised Frito-Lay to move its chips out of the realm of between-meals snacking and turn them into an ever-present item in the American diet. “The increased use of potato chips and other Lay’s products as a part of the regular fare served by restaurants and sandwich bars should be encouraged in a concentrated way,” Dichter said, citing a string of examples: “potato chips with soup, with fruit or vegetable juice appetizers; potato chips served as a vegetable on the main dish; potato chips with salad; potato chips with egg dishes for breakfast; potato chips with sandwich orders.”</p>
<p>In 2011, The New England Journal of Medicine published a study that shed new light on America’s weight gain. The subjects — 120,877 women and men — were all professionals in the health field, and were likely to be more conscious about nutrition, so the findings might well understate the overall trend. Using data back to 1986, the researchers monitored everything the participants ate, as well as their physical activity and smoking. They found that every four years, the participants exercised less, watched TV more and gained an average of 3.35 pounds. The researchers parsed the data by the caloric content of the foods being eaten, and found the top contributors to weight gain included red meat and processed meats, sugar-sweetened beverages and potatoes, including mashed and French fries. But the largest weight-inducing food was the potato chip. The coating of salt, the fat content that rewards the brain with instant feelings of pleasure, the sugar that exists not as an additive but in the starch of the potato itself — all of this combines to make it the perfect addictive food. “The starch is readily absorbed,” Eric Rimm, an associate professor of epidemiology and nutrition at the Harvard School of Public Health and one of the study’s authors, told me. “More quickly even than a similar amount of sugar. The starch, in turn, causes the glucose levels in the blood to spike” — which can result in a craving for more.</p>
<p>If Americans snacked only occasionally, and in small amounts, this would not present the enormous problem that it does. But because so much money and effort has been invested over decades in engineering and then relentlessly selling these products, the effects are seemingly impossible to unwind. More than 30 years have passed since Robert Lin first tangled with Frito-Lay on the imperative of the company to deal with the formulation of its snacks, but as we sat at his dining-room table, sifting through his records, the feelings of regret still played on his face. In his view, three decades had been lost, time that he and a lot of other smart scientists could have spent searching for ways to ease the addiction to salt, sugar and fat. “I couldn’t do much about it,” he told me. “I feel so sorry for the public.”</p>
<p><code></code><br />
<strong>‘These People Need a Lot of Things, but They Don’t Need a Coke.’</strong></p>
<p>The growing attention Americans are paying to what they put into their mouths has touched off a new scramble by the processed-food companies to address health concerns. Pressed by the Obama administration and consumers, Kraft, Nestlé, Pepsi, Campbell and General Mills, among others, have begun to trim the loads of salt, sugar and fat in many products. And with consumer advocates pushing for more government intervention, Coca-Cola made headlines in January by releasing ads that promoted its bottled water and low-calorie drinks as a way to counter obesity. Predictably, the ads drew a new volley of scorn from critics who pointed to the company’s continuing drive to sell sugary Coke.</p>
<p>One of the other executives I spoke with at length was Jeffrey Dunn, who, in 2001, at age 44, was directing more than half of Coca-Cola’s $20 billion in annual sales as president and chief operating officer in both North and South America. In an effort to control as much market share as possible, Coke extended its aggressive marketing to especially poor or vulnerable areas of the U.S., like New Orleans — where people were drinking twice as much Coke as the national average — or Rome, Ga., where the per capita intake was nearly three Cokes a day. In Coke’s headquarters in Atlanta, the biggest consumers were referred to as “heavy users.” “The other model we use was called ‘drinks and drinkers,’ ” Dunn said. “How many drinkers do I have? And how many drinks do they drink? If you lost one of those heavy users, if somebody just decided to stop drinking Coke, how many drinkers would you have to get, at low velocity, to make up for that heavy user? The answer is a lot. It’s more efficient to get my existing users to drink more.”</p>
<p>One of Dunn’s lieutenants, Todd Putman, who worked at Coca-Cola from 1997 to 2001, said the goal became much larger than merely beating the rival brands; Coca-Cola strove to outsell every other thing people drank, including milk and water. The marketing division’s efforts boiled down to one question, Putman said: “How can we drive more ounces into more bodies more often?” (In response to Putman’s remarks, Coke said its goals have changed and that it now focuses on providing consumers with more low- or no-calorie products.)</p>
<p>In his capacity, Dunn was making frequent trips to Brazil, where the company had recently begun a push to increase consumption of Coke among the many Brazilians living in favelas. The company’s strategy was to repackage Coke into smaller, more affordable 6.7-ounce bottles, just 20 cents each. Coke was not alone in seeing Brazil as a potential boon; Nestlé began deploying battalions of women to travel poor neighborhoods, hawking American-style processed foods door to door. But Coke was Dunn’s concern, and on one trip, as he walked through one of the impoverished areas, he had an epiphany. “A voice in my head says, ‘These people need a lot of things, but they don’t need a Coke.’ I almost threw up.”</p>
<p>Dunn returned to Atlanta, determined to make some changes. He didn’t want to abandon the soda business, but he did want to try to steer the company into a more healthful mode, and one of the things he pushed for was to stop marketing Coke in public schools. The independent companies that bottled Coke viewed his plans as reactionary. A director of one bottler wrote a letter to Coke’s chief executive and board asking for Dunn’s head. “He said what I had done was the worst thing he had seen in 50 years in the business,” Dunn said. “Just to placate these crazy leftist school districts who were trying to keep people from having their Coke. He said I was an embarrassment to the company, and I should be fired.” In February 2004, he was.</p>
<p>Dunn told me that talking about Coke’s business today was by no means easy and, because he continues to work in the food business, not without risk. “You really don’t want them mad at you,” he said. “And I don’t mean that, like, I’m going to end up at the bottom of the bay. But they don’t have a sense of humor when it comes to this stuff. They’re a very, very aggressive company.”</p>
<p>When I met with Dunn, he told me not just about his years at Coke but also about his new marketing venture. In April 2010, he met with three executives from Madison Dearborn Partners, a private-equity firm based in Chicago with a wide-ranging portfolio of investments. They recently hired Dunn to run one of their newest acquisitions — a food producer in the San Joaquin Valley. As they sat in the hotel’s meeting room, the men listened to Dunn’s marketing pitch. He talked about giving the product a personality that was bold and irreverent, conveying the idea that this was the ultimate snack food. He went into detail on how he would target a special segment of the 146 million Americans who are regular snackers — mothers, children, young professionals — people, he said, who “keep their snacking ritual fresh by trying a new food product when it catches their attention.”</p>
<p>He explained how he would deploy strategic storytelling in the ad campaign for this snack, using a key phrase that had been developed with much calculation: “Eat ’Em Like Junk Food.”</p>
<p>After 45 minutes, Dunn clicked off the last slide and thanked the men for coming. Madison’s portfolio contained the largest Burger King franchise in the world, the Ruth’s Chris Steak House chain and a processed-food maker called AdvancePierre whose lineup includes the Jamwich, a peanut-butter-and-jelly contrivance that comes frozen, crustless and embedded with four kinds of sugars.</p>
<p>The snack that Dunn was proposing to sell: carrots. Plain, fresh carrots. No added sugar. No creamy sauce or dips. No salt. Just baby carrots, washed, bagged, then sold into the deadly dull produce aisle.</p>
<p>“We act like a snack, not a vegetable,” he told the investors. “We exploit the rules of junk food to fuel the baby-carrot conversation. We are pro-junk-food behavior but anti-junk-food establishment.”</p>
<p>The investors were thinking only about sales. They had already bought one of the two biggest farm producers of baby carrots in the country, and they’d hired Dunn to run the whole operation. Now, after his pitch, they were relieved. Dunn had figured out that using the industry’s own marketing ploys would work better than anything else. He drew from the bag of tricks that he mastered in his 20 years at Coca-Cola, where he learned one of the most critical rules in processed food: The selling of food matters as much as the food itself.</p>
<p>Later, describing his new line of work, Dunn told me he was doing penance for his Coca-Cola years. “I’m paying my karmic debt,” he said.</p>
<p>This article is adapted from “Salt Sugar Fat: How the Food Giants Hooked Us,” which will be published by Random House this month.</p>
<p>Michael Moss is an investigative reporter for The Times. He won a Pulitzer Prize in 2010 for his reporting on the meat industry.</p>
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		<title>SO GOD MADE A FARMER</title>
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		<description><![CDATA[In case you missed it]]></description>
				<content:encoded><![CDATA[<p>In case you missed it &#8230; the best Superbowl commercial of all time. Maybe the best commercial of all time. This is the real America. The one I miss. The one I worry about more every day. Maybe it&#8217;s my age, but you can have Go Daddy and all the other suggestive, tawdry, party focused ads — and half-time shows that show too much — and only serve to contribute to the decline of the American family. I&#8217;ll take cleaner, more wholesome, gentler, kinder, free-er, America that I grew up in.   </p>
<p>God looked down and said I need a man who&#8217;ll walk his talk. A man who will get up early every morning with a mission to tell the world about the greatness and goodness of America. So God made Paul Harvey. </p>
<p>   <code></code><br />
<code></code></p>
<p> <iframe width="500" height="281" src="http://www.youtube.com/embed/AMpZ0TGjbWE?rel=0" frameborder="0" allowfullscreen></iframe></p>
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		<title>THE SKILLS THAT MAKE AN ENTREPRENEUR</title>
		<link>http://dansbullets.com/the-skills-that-make-an-entrepreneur/</link>
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		<pubDate>Wed, 19 Dec 2012 21:14:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Building Your Team]]></category>
		<category><![CDATA[Personal Growth]]></category>

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		<description><![CDATA[by Bill J. Bonnstetter Harvard]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/12/20121210_3.jpg"><img src="http://dansbullets.com/wp-content/uploads/2012/12/20121210_3-e1355951629161.jpg" alt="" title="20121210_3" width="500" height="185" class="alignleft size-full wp-image-4605" /></a><br />
<code></code><br />
by Bill J. Bonnstetter<br />
Harvard Business Review	</p>
<p>Entrepreneurial-minded people (and the ideas they generate) are extremely valuable to an organization. At our research firm, we recently conducted a multi-variable analysis of a group of serial entrepreneurs and identified five personal skills that clearly make them unique. &#8220;Personal skills&#8221; — often classified as &#8220;soft skills&#8221; — develop slowly over time, and we used them to help identify what job-related activities a person has developed. We primarily looked at people who started multiple businesses and experienced both success and failure.<span id="more-4604"></span></p>
<p>After assessing the subjects on their personal skills and comparing their performance against a control group, we found a certain set of skills were the most predictive of an entrepreneurial mindset. In fact, by examining these five distinct personal skills alone, we were able to predict with over 90 percent accuracy people who would become serial entrepreneurs.</p>
<p><strong>Persuasion</strong><br />
The quality serial entrepreneurs displayed above others was persuasion, or the ability to convince others to change the way they think, believe or behave. Persuasion for this study was defined as the ability to persuade others to join the mission. In the study, this was uncovered by ranking on a scale of 1 to 6 prompts such as: &#8220;I have been recognized for my ability to get others to say yes,&#8221; or &#8220;I have a reputation for delivering powerful presentations.&#8221; Unquestionably entrepreneurs need to excel at persuasion, whether to recruit a team or get buy-in from investors and stakeholders.</p>
<p><strong>Leadership</strong><br />
Perhaps not surprisingly, leadership is also one of the five areas where entrepreneurs excelled. In this study, good leaders were defined as having a compelling vision for the future, i.e., surveyors who highly ranked prompts such as: &#8220;In the past, people have taken risks to support my vision, mission or goals,&#8221; or &#8220;I have been criticized for being too competitive.&#8221; Serial entrepreneurs ranked both of these prompts highly. For people with an entrepreneurial mind-set, their strength of vision is usually tied to a product or service that provides solutions to challenges, even when the general public is not aware the challenge exists.</p>
<p><strong>Accountability</strong><br />
Entrepreneurial-minded people also display personal accountability. We defined personal accountability as demonstrating initiative, self-confidence, resiliency and a willingness to take responsibility for personal actions. Subjects with strong personal accountability highly ranked prompts such as: &#8220;I have been recognized for achieving results when others could not,&#8221; or &#8220;I have been criticized for holding people accountable for their actions.&#8221; As evidenced by these prompts, people who are personally accountable look at obstacles as a part of the process and, rather than give up, they are energized by them. From this we can gather, individuals who blame others for their failures display a significant lack of personal accountability and will most likely stall in any entrepreneurial effort.</p>
<p><strong>Goal Orientation</strong><br />
Goal orientation is another critical skill for entrepreneurial-minded people. In the study, goal orientation was defined as energetically focusing efforts on meeting a goal, mission, or objective (which closely paired with leadership, as it is described above). More entrepreneurs generally agreed with the statements: &#8220;I am known for overcoming significant obstacles to reach goals,&#8221; or &#8220;I am most productive when working closely with others to achieve goals.&#8221; As mentioned above, it&#8217;s important that entrepreneurs have a strong sense of what their goal is, because their product or service depends on it. Identifying and advocating for the goal allows them to influence others and gain their support.</p>
<p><strong>Interpersonal Skills</strong><br />
The final identifying skill is a mastery of interpersonal skills, the glue that holds the other four skills together. They include effectively communicating, building rapport, and relating well to all people, from all backgrounds and communication styles. In the study, people who excelled here agreed with: &#8220;My ability to get along with people has been a key to my greatest accomplishments,&#8221; or &#8220;I am known for my ability to calm people who are emotionally upset.&#8221; Without interpersonal skills, an entrepreneur would be limited to relating only to those who share their exact communication style, thus restricting her ability to convey her vision and goals.</p>
<p>In contrast to ephemeral notions that entrepreneurial success comes as a result of perfect timing meeting brilliant ideas in a cosmic moment of alignment, this research indicates entrepreneurially successful people are successful for a reason — that many of them highly display certain personal skills. And while this research identifies these skills, it should be pointed out these five attributes are not inherent. They can be learned and developed, especially early in life, and further honed throughout an entrepreneur&#8217;s career.</p>
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		<title>SHAKE, SHAKE&#8230; BUSTED</title>
		<link>http://dansbullets.com/shake-shake-busted/</link>
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		<pubDate>Tue, 04 Dec 2012 18:40:01 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Dr. Steven Chaney]]></category>

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		<description><![CDATA[I came across an interesting]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/12/tier3Hero.jpg"><img class="align center size-full wp-image-4595 aligncenter" title="tier3Hero" src="http://dansbullets.com/wp-content/uploads/2012/12/tier3Hero.jpg" alt="" width="358" height="288" /></a></p>
<div style="clear: both;"></div>
<p><code></code><br />
I came across an interesting article in NUTRA Ingredients-USA.com (November 27, 2012 edition) the other day.</p>
<p>You&#8217;ve probably seen the Sensa ads. You just shake these &#8220;magic&#8221; crystals on your food and the pounds melt away. And, by the way, it&#8217;s not salads they are shaking the crystals on. It&#8217;s pizza, hamburgers, French fries and the like.<span id="more-4591"></span> </p>
<p>The &#8220;magic&#8221; crystals are made from maltodextrin (a carbohydrate derived from starch), tricalcium phosphate, natural and artificial flavors, soy and milk ingredients. The manufacturer claims that these crystals suppress appetite and lead to weight loss.</p>
<p>Supposedly, these claims are supported by two clinical studies showing, for example, that people using the Sensa crystals lost an average of 30 pounds over six months while the control group only lost two.</p>
<p>Now if you think these claims sound too good to be true, you aren&#8217;t alone. California District attorneys filed a false advertising lawsuit against the manufacturer of Sensa crystals, and last week the manufacturer agreed to settle and pay $800,000 in civil penalties and $105,000 in restitution to California consumers.</p>
<p>According to NUTRA-Ingredients-USA-com, it turns out that neither of the clinical studies was good enough to be published in a peer-reviewed scientific journal. And, the lead researcher for one of the studies admitted in a deposition that she had no scientific training and was not qualified to conduct a nutrition intervention study.</p>
<p>So another great sounding ad bites the dust. There is no magic formula or magic ingredient that will just make the pounds melt away. The physiological equation has not changed. Weight loss occurs when calories out exceed calories in. And permanent weight loss requires lifestyle changes.</p>
<p>The weight loss industry is rife with grandiose claims and hype. Just remember the old saying if it sounds too good to be true, it probably isn&#8217;t.</p>
<p>To Your Health! Dr. Stephen G Chaney</p>
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		<title>HOW JUST 2.5 MINUTES OF INTENSE EXERCISE A DAY CAN MAKE YOU SLIM!</title>
		<link>http://dansbullets.com/how-just-212-minutes-of-intense-exercise-a-day-can-make-you-slim/</link>
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		<pubDate>Fri, 26 Oct 2012 19:47:58 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Relevant Articles]]></category>

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		<description><![CDATA[The Daily Mail: 25 October]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/10/article-0-031963A60000044D-106_634x286.jpg"><img src="http://dansbullets.com/wp-content/uploads/2012/10/article-0-031963A60000044D-106_634x286-e1351280861402.jpg" alt="" title="article-0-031963A60000044D-106_634x286" width="500" height="225" class="alignleft size-full wp-image-4583" /></a><br />
<code></code><br />
The Daily Mail: 25 October 2012</p>
<p>Can&#8217;t find the time to get to the gym or don’t want to go for a jog in the rain? You may finally have run out of excuses.<br />
<code></code><br />
Scientists say that intense exercise for just two and a half minutes a day could help keep the pounds off.<br />
<code></code><br />
A study shows that concentrated effort can burn as many as 200 extra calories, provided the spurts are broken up with longer periods of easy recovery.<br />
<code></code><br />
No pain, no gain: During the study the men did 30 seconds of high intensity exercise, followed by four minutes of rest.<span id="more-4582"></span></p>
<p>It is the latest evidence to support High Intensity Training, whereby a number of short bursts of intense exercise are teamed with short recovery breaks in between.<br />
<code></code><br />
Although HIT is not new, recent research suggests it can deliver the same physical benefits as  traditional endurance training.<br />
<code></code><br />
Researcher Kyle Sevits said: ‘Research shows that many people start an exercise programme but just can’t keep it up.<br />
<code></code><br />
‘The biggest factor people quote is that they don’t have the time to fit in exercise. We hope if exercise can be fitted into a smaller period of time, they may give it a go.’<br />
<code></code><br />
Although official guidelines state adults should do 150 minutes of moderate, or 75 minutes of vigorous, exercise a week, three out of four Britons fail to achieve this.<br />
<code></code><br />
During the three-day study, five healthy men, all between the ages of 25 and 31, lived in a sealed off room so that their oxygen, carbon dioxide and water levels could be monitored to calculate how many calories they burnt.<br />
<code></code><br />
They were also given a diet precisely tailored to meet their energy requirements. For two of the days, they spent most of their time in sedentary activities, such as using a computer.<br />
<code></code><br />
On the last day they performed five 30-second sprint workouts at high resistance on a stationary bicycle.</p>
<p><code></code><br />
More&#8230;</p>
<p>Why you may NEVER shed those extra pounds: Being overweight can flick a switch that keeps you fat forever<br />
Just two glasses of wine a day can nearly HALVE the number of brain cells we produce.<br />
<code></code><br />
Each burst was separated by a four-minute period of recovery in which the men pedalled slowly with little resistance.<br />
The results found the volunteers burned an extra 200 calories on average over the workout day.<br />
<code></code><br />
Although the researchers cannot prove the technique leads to weight loss, it suggests that intense, but brief, bursts of exercise could help people maintain their weight.<br />
<code></code><br />
Mr Sevits, of Colorado State University, which conducted the research, said burning an extra 200 calories a couple of times a week could combat average weight gain of a couple of pounds each year.<br />
<code></code><br />
‘Motivating yourself can be very hard. The way this could work in the real world is with the guidance of a personal trainer,’ he added.<br />
<code></code><br />
Experts believe HIT improves insulin sensitivity, which is important for keeping blood glucose levels stable, possibly because it uses more muscles than conventional aerobic training.<br />
<code></code><br />
It may also help to break down stored glucose in muscles.<br />
<code></code><br />
But scientists warn not everyone responds to this form of training because genes play a part in determining whether you gain any benefit.<br />
<code></code><br />
Anyone with medical conditions should seek medical advice before undertaking it, they added.</p>
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		<title>40% OF AMERICANS HAVE $500 OR LESS IN SAVINGS</title>
		<link>http://dansbullets.com/40-of-americans-have-500-or-less-in-savings/</link>
		<comments>http://dansbullets.com/40-of-americans-have-500-or-less-in-savings/#comments</comments>
		<pubDate>Fri, 26 Oct 2012 14:03:46 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Relevant Articles]]></category>

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		<description><![CDATA[By John Ostapkovich PHILADELPHIA (CBS)]]></description>
				<content:encoded><![CDATA[<p>By John Ostapkovich</p>
<p>PHILADELPHIA (CBS) — A survey of about 1,100 Americans finds that more than 4-in-10 respondents admit they don’t have more than $500 in readily accessible savings.</p>
<p>The survey is a kind of departure for CreditDonkey.com, a website that compares credit card deals. Not respondents all were poor. Some had big houses, big mortgages or 401(k)s, but still no more than five Benjamins to rub together right now.</p>
<p>Jill Michal, president and CEO of the United Way of Greater Philadelphia and Southern New Jersey, reacts to the lack of liquid assets.</p>
<p>“It doesn’t shock me, but it does scare me. You know, we often say that the reason so many people fall off the edge in a tough economy is that they’re standing way too close to it, and I think this is a perfect demonstration of that.”</p>
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		<title>GENERATION X NOW MOST WORRIED ABOUT RETIREMENT</title>
		<link>http://dansbullets.com/generation-x-now-most-worried-about-retirement/</link>
		<comments>http://dansbullets.com/generation-x-now-most-worried-about-retirement/#comments</comments>
		<pubDate>Fri, 26 Oct 2012 13:40:17 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Relevant Articles]]></category>

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		<description><![CDATA[By Allison Linn, TODAY A]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/10/th-1.jpeg"><img src="http://dansbullets.com/wp-content/uploads/2012/10/th-1.jpeg" alt="" title="th-1" width="229" height="81" class="alignleft size-full wp-image-4571" /></a>By Allison Linn, TODAY</p>
<p>A survey released Monday shows that Americans aged 35 to 44 are now the most worried about financing their retirement, a stark turnaround from 2009, when people in that age group were among the least worried about money for retirement.<br />
<code></code><br />
The survey, from Pew Social and Demographic Trends, appears to reflect the lasting impact of the long economic downturn: In general, people of all ages are more pessimistic about retirement than they were three years ago, the researchers found.<br />
<span id="more-4567"></span><br />
About 38 percent of the more than 2,500 people Pew surveyed said they are not that confident they have enough income and assets for retirement. That’s up from 25 percent in 2009, when the nation&#8217;s economy officially came out of recession.<br />
<code></code><br />
<strong>Pew Research Center</strong><br />
Gen X has grown the most worried about retirement.<br />
<code></code><br />
The Pew report found that 49 percent of those 35 to 44 were either not too or not at all confident that they would have enough money to live on in retirement, compared with just 20 percent who had that concern in 2009.<br />
<code></code><br />
The Pew researchers said one reason the Gen-Xers may be feeling doubtful about retirement is that they are less likely to have retirement accounts. The percentage of people ages 35 to 44 who have a retirement account has fallen 9 percentage points between 2001 and 2010, to 52 percent, according to Pew&#8217;s analysis of government data.<br />
<code></code><br />
Gen X also may be feeling gloomy because they’ve lost so much wealth in recent years.<br />
<code></code><br />
A Census Bureau study released a few months ago found that those in the 35-44 bracket experienced the biggest percent decline in median household net worth between 2005 and 2010.<br />
<code></code><br />
Median net worth for those households declined 59 percent during that period, from $80,521 in 2005 to $33,200 in 2010. The figures are adjusted for 2010 dollars.<br />
<code></code><br />
The Census Bureau report also found that 45- to 54-year-olds saw the biggest hit in terms of actual dollars lost during between 2005 and 2010.<br />
<code></code><br />
People in that age group also are feeling much more pessimistic about retirement than they were three years ago, the Pew researchers found.<br />
<code></code><br />
About 43 percent of 45-to 54-year-olds said they feeling less than confident about their chances of having enough to live on in retirement, compared with 33 percent who felt that way three years ago.<br />
<code></code><br />
The most optimistic group were people over age 65, but even they have grown more antsy. About 28 percent of people who fall in the traditional retirement age window said they were not very confident of having enough retirement savings to live in, compared with 19 percent who felt that way three years ago.</p>
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		<title>THE RIGHT THING TO DO</title>
		<link>http://dansbullets.com/the-right-thing-to-do/</link>
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		<pubDate>Thu, 11 Oct 2012 14:15:16 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Roger Barnett]]></category>

		<guid isPermaLink="false">http://dansbullets.com/?p=4562</guid>
		<description><![CDATA[Terry Waghorn Accelerating Innovation Forbes]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/10/terrywaghorn_136.jpg"><img src="http://dansbullets.com/wp-content/uploads/2012/10/terrywaghorn_136.jpg" alt="" title="terrywaghorn_136" width="136" height="136" class="alignleft size-full wp-image-4563" /></a>Terry Waghorn<br />
<code></code><br />
Accelerating Innovation<br />
Forbes<br />
10/10/2012<br />
<code></code><br />
<code></code></p>
<p>Roger Barnett is CEO of Shaklee, a nutrition and personal care products company founded in 1956 on the principle, “follow the laws of nature and you’ll never go wrong.” Shaklee was one of the first companies to remove water-polluting phosphates from its cleaning products and became the first carbon neutral certified company in the world in 2000. Barnett spoke to Momentum andTerry Waghorn of Forbes recently about Shaklee’s role as a sustainability innovator.</p>
<p><span id="more-4562"></span><br />
<code></code><br />
<strong>Q: You have said you want Shaklee to be the first corporation to win a Nobel Peace Prize – for eradicating child malnutrition. Tell us about that.</strong></p>
<p>My goal is for Shaklee to be the first company to solely win the Nobel Peace Prize. In 2004 Wangari Maathai won it for the Green Belt movement, which paid people 8 cents per tree to plant trees and as a result planted 30 million trees and helped people take control of their lives using financial incentives to improve the environment. In 2006 Muhammad Yunus and Grameen Bank won it for microloans, which help create sustainability. Without income or sustainability you can’t have the basis for peace. The third layer is health. From my perspective, because Shaklee is about health and also provides income opportunities to people at scale―in the millions―and also is about sustainability products, that would be the natural next step, to look at someone contributing to health and income and sustainability at the same time.</p>
<p><code></code></p>
<p>Q: Health is the foundation of Shaklee. Preventable chronic disease is at an all-time high in North America, yet science is better than ever. What factors are causing this scenario?</p>
<p>I think there is a growing awareness for prevention to be a salvational principle for our health care system here in North America and around the rest of the world. Economic pressures are going to force that as health care costs continue to escalate and if left unchanged will become too great a burden on our country. So the bottom line will drive a very positive outcome―a focus on lifestyle and nutrition that will allow people to live more active, productive lives for longer. And it is my great hope that Shaklee can help be an agent of change by sharing and educating people about prevention.</p>
<p><code></code><br />
<strong>Q: Why did Shaklee choose to become carbon neutral?</strong></p>
<p>Shaklee was founded on the principle of living in harmony with nature in 1956. Each and every decade the company has tried to make that founding principle real, tangible and relevant. So in the ’60s we were the first to take phosphates out of laundry detergent and dishwasher detergent. Then we pioneered the idea of superconcentration―as a result, in just the past few years, we’ve saved enough plastic bottles that if you laid them end to end they would go around the Earth more than 29 times. In the ’80s we sponsored expeditions to the North Pole to measure the impact of climate change.</p>
<p>In the ’90s we planted a million trees. In 2000 we wanted to show leadership for this decade, so we became the first company in the world to be Climate Neutral certified so as to leave no footprint on this planet. In order to do that we had to first help create a certification organization, then measure and quantify our carbon emissions. Then we went to local cities and created our own offset projects. We thought that, leading the way in becoming carbon neutral, we could get our corporate brothers and sisters to follow. We’re not the biggest company in the world, but we think we can lead by example.</p>
<p>We just did it because it was the right thing to do. But one of the interesting things is that we sort of measured the extra loyalty factor that we think accrues to Shaklee as a result of being a mission-oriented company. Our average tenure of distributor is 11 years.</p>
<p>Our average customer has four to five times the retention rate of other companies in our industry. We attribute a lot of that to our values. Therefore, we feel in retrospect that there has actually been a very big economic benefit as a result of doing things for the right reasons.</p>
<p><code></code><br />
<strong><br />
Q: What do you say to people who contend you can’t be green and be profitable?</strong></p>
<p>I’m hoping that argument is starting to disappear. When we look at our business and the incremental loyalty we attribute to being a mission-driven company, we believe that we have generated an extra $1 billion of sales over the lifetime of our company. I also think a lot of companies are realizing that the analysis of measuring carbon inputs and outputs has resulted in a significant reduction in the costs in the system.</p>
<p>I also believe being sustainable and green is increasingly becoming the ante of being in the business. It is not sufficient to be green; if the product doesn’t work as well, then you’re out of business. And I don’t believe consumers are willing to pay a premium for it. However, I believe that a green product with the same price and performance will always win against a nongreen product. At least in our case, it’s been a huge benefit to our bottom line.</p>
<p><code></code></p>
<p><strong>Q: What’s next?</strong></p>
<p>We have a continuous cycle of innovation. Our next general big push from product innovation will try to address the preventable side of where we are on the product health front―rising costs and rising health factors like obesity and diabetes. We’re trying to help people avoid that by being leaner and healthier. The flip side is that there is undernutrition, something which in our society should not exist. Unlike cancer or other kinds of disease where we don’t have the cure, we have the technology to deliver micro- and macronutrients on a very affordable basis at scale.</p>
<p>In the developing world, I think the Shaklee distribution model can solve the “last mile of distribution” problem to move this from a clinic-based model to a Social Marketing™ based model. It provides income and financial incentives for people to go educate others and therefore learn themselves. Scaling up that model is where I hope Shaklee can play a role over the next decade.</p>
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		<title>THE SWINE FLU IS COMING!</title>
		<link>http://dansbullets.com/the-swine-flu-is-coming/</link>
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		<pubDate>Tue, 18 Sep 2012 16:02:00 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Dr. Steven Chaney]]></category>

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		<description><![CDATA[We are again hearing reports]]></description>
				<content:encoded><![CDATA[<p><a href="http://dansbullets.com/wp-content/uploads/2012/09/swine-flu_2179497b.jpg"><img src="http://dansbullets.com/wp-content/uploads/2012/09/swine-flu_2179497b-e1347984075509.jpg" alt="" title="swine-flu_2179497b" width="500" height="257" class="alignleft size-full wp-image-4559" /></a><br />
<code></code><br />
We are again hearing reports of a possible swine flu pandemic. At this point several cases of swine flu have been reported. The individuals who came down with swine flu all had direct contact with pigs, and all of the cases have been mild so far.</p>
<p>However, we are being urged to get swine flu shots, and some of you have been asking my opinion. With that in mind, I am repeating the column I wrote several years ago at the height of the last swine flu epidemic.</p>
<p>&#8220;The swine flu vaccine will be available soon and many of you are asking me three questions:<span id="more-4555"></span></p>
<p>Is it safe? Is it effective? Should I get swine flu shots?</p>
<p>There is a lot of hype on both sides of the issue, so let me give you some straight talk about safety and effectiveness so that you can use to make up your own mind about whether you want to get a swine flu shot.</p>
<p><strong>Let&#8217;s talk about safety first.</strong></p>
<p>You may have heard reports that both the British Health Protection Agency and the US Centers For Disease control have sent out letters to neurologists in Britain and the US asking them to look out for an increase in a brain disorder called Guillian-Barre Syndrome &#8211; and to notify their respective governments of all cases of this disease that they diagnose in patients that have received the swine flu shot.</p>
<p>Just in case you are not intimately acquainted with Guillian-Barre Syndrome, it is a disease that attacks the lining of the nerves, leaving them unable to transmit signals to the muscles. This can cause partial paralysis and, if it affects the lungs, can be fatal.</p>
<p>Now that sounds downright scary. But let me tell you the rest of the story. The concern of the British and US governments is based solely on the fact that a similar swine flu vaccine killed more people than it helped in the US in 1976.</p>
<p>Shortly after swine flu vaccinations started in 1976 people started coming down with Guillian-Barre Syndrome. By the time vaccinations were halted 10 weeks later, 500 people had developed the disease and 25 people had died &#8211; more than were killed by the virus itself.</p>
<p>It was estimated that one in 80,000 people who were given that swine flu shot developed Guillian-Barre Syndrome, compared to the one in a million who develop the disease when given most seasonal flu shots.</p>
<p>However, I want to emphasize that there is no direct evidence that the current swine flu shot increases the risk of Guillian-Barre Syndrome more than the regular seasonal flu shots.</p>
<p>The British and US governments simply view their warning letters to neurologists as a reasonable precaution under the circumstances.</p>
<p>In short, the risk of developing Guillian-Barre Syndrome or some other serious complication (miscarriages and sudden death are the other complications of most flu vaccines) from the swine flu shot is probably very, very small. It may be no greater than the one in a million chance of developing the disease that is associated with most flu vaccines &#8211; but it is not zero.</p>
<p><strong>Now let&#8217;s turn to the issue of effectiveness. </strong></p>
<p>There are several things that you should know about the effectiveness of the swine flu shot.</p>
<p>In the first place, there has been an active debate in the scientific community as to whether one shot or two shots will be required to give adequate protection against the swine flu.</p>
<p>Some scientists still think that two shots would be the better option. However, stocks of swine flu vaccine are limited so the recommendation is probably going to be for one shot so that as many people can be immunized as possible.</p>
<p>Secondly, you should know that the swine flu vaccine offers no protection against the seasonal flu and vice versa. Since both strains of flu will be around this fall &#038; winter you need to be vaccinated against both if you really want to avoid the flu.</p>
<p>Finally, there is an interesting age distribution in regard to the susceptibility to the swine flu. It turns out that it is the young people who are most susceptible to the swine flu.</p>
<p>Those of us who are over 50 were apparently exposed to something similar to the current swine flu virus in the past, so we have some residual immunity.</p>
<p>That&#8217;s important because it turns out that the swine flu virus is no more deadly than the usual seasonal flu virus. What that means is that the age group that is most susceptible to the swine flu is also the age group for which the swine flu is most likely to be merely a 3 to 5 day inconvenience.</p>
<p>However, there are people for whom the swine flu, or any other type of flu, can be deadly. The people at highest risk are young children, pregnant women, the elderly, people with compromised immune systems, and people with pre- existing diseases like diabetes.</p>
<p>And here&#8217;s the interesting part. These are also the people for whom the flu shot is not very effective. The best way to protect these people is to immunize everybody else so that they never get exposed.</p>
<p>The bottom line is that most immunizations make great sense from a public health perspective to protect high risk individuals, which is why they are so strongly supported by the medical community.</p>
<p>However, for healthy individuals with strong immune systems and no pre-existing diseases the risk-benefit ratios are a not so clear cut. Sometimes the risks can outweigh the benefits.</p>
<p>That brings me to the last question &#8211; should you get a swine flu shot?</p>
<p>If you are a healthy individual that is a very personal decision, and I won&#8217;t presume to make it for you. I&#8217;ve just given you some facts that you may not have known about to ponder as you make that decision.</p>
<p>For people who are at risk for developing severe complications from the swine flu itself (young children, pregnant women, the elderly, people with compromised immune systems, and people with pre- existing diseases like diabetes) this is a decision that you should make in consultation with your physician.&#8221;</p>
<p>To Your Health!<br />
Dr. Stephen G Chaney</p>
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