by Marion Nestle

Currently browsing posts about: MAHA

Apr 7 2026

Dietary guidelines: AHA v. MAHA

The American Heart Association has just published its updated dietary guidelines: The 2026 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association  [the press release is here].

These constitute a firm rebuttal to the MAHA (Make America Healthy Again) guidelines issued in January.

The AHA’s clear and straightforward messages are beautifully illustrated:

The AHA messages particularly differ from the MAHA messages:

  • Protein: Plant rather than animal sources
  • Meat: Lean cuts, avoid processed, limit portions
  • Dairy: Low-fat or fat-free rather than full-fat
  • Fats: Unsaturated rather than saturated; nontropical oils rather than animal fats and tropical oils

The Wall Street Journal summarized the differences in its headline: Heart Association clashes with RFK, Jr over red meat, dairy, and beef tallow.

The recommendations, released Tuesday by the association, contrast with dietary guidelines that the Trump administration introduced earlier this year. The differences add to disagreements between the federal government and mainstream medical groups on medicine and nutrition advice, after the Health and Human Services Department under Health Secretary Robert F. Kennedy Jr., for instance, sought to dial back vaccine recommendations and President Trump told pregnant women to minimize Tylenol use.

In response, senior food advisor to RFK, Jr, Calley Means, posted:

I suppose clashing is a matter of perception, but the differences are real.

Earlier, Calley Means had posted a more gracious response:

Wow!  Applause to the American Heart Association.  Let’s hope its graphic replaces the meat-heavy inverted pyramid and ends up in all the textbooks.

One last point: This is dietary advice for heart disease prevention, but it works for everything else too—obesity, other major chronic diseases, overall longevity, and while it’s at it, planetary as well as human health.

Mar 3 2026

More MAHA hypocrisy in action: Dicamba, Mercury, and PFAS

One of the major items on HHS Secretary Robert F. Kennedy’s agenda has been to get toxic chemicals out of the food supply.

He’s not doing a good job on that.

Last week, I discussed his hypocritical backtracking on glyphosate.

Here, I mention three more:

DICAMBA

The Environmental Protection Agency has announced its reapproval of the pesticide dicamba as a spray on genetically engineered cotton and soybeans—despite how it drifts onto everyone else’s crops, whether growers want it or not.

Federal court decisions in 2020 and again in 2024 said such approvals were unlawful.

As the Center for Food Safety puts it,

Since its first approval in 2016, dicamba drift has damaged millions of acres of farmland and caused devastating damage to orchards, vegetable farms, home gardens, native plants, trees, and wildlife refuges across the country. Experts have found dicamba drift damage to be the worst of any herbicide in the history of U.S. agriculture. Yet the current approval provides even fewer protections from dicamba drift and damage than past approvals.

The first lawsuits have already been filed.

MERCURY

RFK Jr particularly wanted mercury out of fish.

Mercury gets into fish from two sources: volcanos and coal-burning power plants.  We can’t stop volcanos, but we sure could insist that coal-burning power plans clean up their emissions.

No such luck.

The New York Times writes: E.P.A. Plans to Loosen Mercury Rules for Coal Plants, Documents Show

In particular, the administration is taking steps to improve the economics of coal, the most polluting fossil fuel, by rolling back several regulations that would have made it much more expensive, if not impossible, for many coal plants to keep operating. Over the past nine months, the Energy Department has taken the extraordinary step of ordering eight coal-burning units that had been headed for retirement to stay open and keep running….the E.P.A. is arguing that it would reduce “unwarranted costs” for utilities that own and operate coal plants across the country.

The administration is, however, banning mercury from dental fillings (where it s use is declining rapidly and currently accounts for less than 6% of fillings).

PFAS

A report from the National Academies of Sciences says the USDA has plenty of opportunities do so something about PFAS on farmland.

As the New Lede explains, 

On Feb. 13…the House Agriculture Committee released its draft 2026 Farm Bill, which includes language that would permit research grants on the agricultural impacts of PFAS in land exposed to firefighting foams, sewage sludge or compost containing the chemicals…But US Rep. Chellie Pingree from Maine said the draft bill reflected a “willful neglect of the PFAS crisis.”

“The bill acknowledges PFAS contamination on farmland — but then stops at research,” said Pingree. “While further research is a critical component to addressing PFAS contamination on farmland, we also need to support farmers who have already lost their livelihoods, their markets, and their land.”

COMMENT

To state the obvious, what all this tells us is that when public (or even personal) health comes up against corporate health, corporate profits win.

Make America Healthy Again?  American corporations, yes,  American citizens?  Not so much.

Feb 26 2026

Op-ed: Can the Food Justice Movement and MAHA Find Common Ground?

Nick Freudenberg and I wrote this op-ed for Civil Eats to start a discussion of what we think is a topic that needs it.

Can the Food Justice Movement and MAHA Find Common Ground? A cross-cutting food justice movement could improve our diets, food systems, and health.

By Marion Nestle and Nicholas Freudenberg

February 23, 2026

During the past year, the Make America Healthy Again (MAHA) movement attracted positive public and media attention and provoked widespread discussion of the importance of diet to health. As academics who have written about and participated in food-and-diet advocacy for several decades, we have rarely witnessed such spirited public debate about the connections between the well-being of the American population and the system that produces the food we eat.

The food justice movement, which  emerged from the social movements of the 1960s, has long focused on reforming the food system and improving diets. Organizations  such as HEAL Food AllianceCommunity Food AdvocatesFood Chain Workers Alliance, and the National Black Food and Justice Alliance have fought for broad goals such as building more collective power to improve food policies and systems, changing food and farming practices to reduce pollution and carbon emissions, and making healthier food choices available to people of color. Together with local campaigns, these national organizations have also worked to win more specific changes such as making school lunches healthier and free for all children and increasing job benefits for low-wage food workers.

While the food justice and MAHA movements hold many of the same goals, they differ deeply in other ways. We believe food-justice advocates could benefit from a clearer understanding of where their objectives and approaches overlap but also diverge from those of MAHA, as well as a more defined strategy for how to interact with the movement and decide which MAHA messages to amplify and which to subject to public debate.

“Successful movements build power by winning over new constituencies in working toward common goals; the potential for forging a shared action plan is worth pursuing.”

What do food justice advocates and MAHA supporters have in common? Both believe that the current U.S. food system and the diets it produces contribute to poor health, especially as compared to other countries. Both believe that the profit-seeking and market practices of food and beverage producers, fast food chains, and food marketers actively promote chronic disease, obesity, premature death, and preventable illness.

Both agree that food companies must change their marketing practices, especially to children, and limit chemicals, dyes, and additives in food products. Both also agree that improvements in the rules for school food and federal food assistance programs can lead to improvements in diets and health.

How do the movements differ? Whereas food-justice activists stress the need for collective and public action and make reducing inequities in healthy food access a top priority, MAHA followers emphasize the importance of individual and parental responsibility for diet and health, even for the disadvantaged. While the social justice side views profit-driven markets as a key cause of the nation’s food and health problems, most MAHA leaders (if not its rank-and-filers) endorse market-based solutions to food and health problems.

The two movements also disagree on what constitutes evidence for changing policy. MAHA distrusts established science and often rejects the scientific process that most independent researchers and food justice advocates believe constitutes the basis for policy. By relying on “mom influencers” rather than scientists, MAHA adherents show their belief in the power of narratives of personal experience. And by using  evidence gathered by non-mainstream investigators, they tap into public distrust of established science.

Fifteen years ago, the food writer Michael Pollan wrote that food movements of the day were a “big lumpy tent”  in which the various factions beneath it sometimes worked at cross-purposes. We recognize that this remains true for the food justice movement. It is also true for the MAHA movement.

Today’s MAHA movement includes activist parents fighting to improve school food and get rid of pesticides, wellness industry influencers and entrepreneurs like Calley and Casey Means, anti-vaxxers, and, of course, President Donald Trump and Health and Human Services Secretary Robert F. Kennedy Jr. Its contributors include major corporations and right-wing leaders.

In 2024, the  largest contributor to the group’s super-PAC, the MAHA Alliance,  was Elon Musk and his SpaceX, together contributing $6 million—and this year the MAHA Center, headed by Tony Lyons, a major financial supporter of RFK Jr.’s presidential campaign, funded the controversial  Mike Tyson “Eat Real Food” Super Bowl ad for a reported $8 million. Whether the private interests of wellness entrepreneurs like the Means, and billionaires like Musk, will take precedence over the MAHA mom influencers remains to be seen.

This heterogeneity poses both an opportunity and a challenge to those seeking alliances, raising the question: Is it possible to build on commonalities given the deep differences and this era’s sectarianism and polarization? We believe the food justice movement should pursue this chance for new partnerships, despite the risks in this path. Successful movements build power by winning over new constituencies in working toward common goals; the potential for forging a shared action plan is worth pursuing. To do so, we suggest six actions for food-justice advocates.

  1. Talk to MAHA activists.The groups should create forums and spaces where they can discuss commonalities and differences openly without insulting or disrespecting those who differ. Open discussion is a prerequisite for exploring the possibility of shared goals.
  2. Argue with respect.We acknowledge the risks of attempting to work with and win over MAHA supporters. In some cases, we will have to agree to disagree. In others, we will forcefully debate in public settings. In all situations, we must not lose sight of common goals or conflicting values.  By listening carefully to MAHA arguments, food justice proponents can better understand its supporters’ worldviews and engage them in finding opportunities for joint action.
  3. Develop a common agenda of legal and regulatory reforms. The two movements’ shared distrust of corporations—and the legal and political systems in which Big Business exerts undue influence—present important opportunities for winning public support. Can the two groups establish clear goals for legal and regulatory reforms in food, agriculture, pesticides, and other industries? These could include strategies to reduce theconflicts of interestthat enable corporations to profit from public harm and promote new evidence-based and public-serving transparency rules for businesses, universities, and government. One example—agreeing that government has the right to set policies to keep toxic substances out of our food supply and the duty to enforce these policies—would be a big step forward.
  4. Provide a clear rationale for a focus on food equity. A food system that offers healthy food to the well-off but not others can never make America healthier. To enlist MAHA followers in making the entire food system more equitable will require winning their support for reducing current socioeconomic, racial/ethnic, and gender inequities in access to healthy food and other basic human needs. It will require proposing they consider the “sum of us” argumentthat, for example, stronger food regulations and healthier supermarket food benefits all of us, not just the most disadvantaged.
  5. Encourage MAHA followers to question the moral commitments and policies of MAGA and its leaders. The cruelty, corruption, disregard for science, and disdain for democracy that characterize MAGA leaders (but not necessarily MAHA followers) dismay Americans of varied political beliefs.

Last week, President Trump issued an executive order promoting production of glyphosate (Roundup), the widely used herbicide, claiming the weedkiller was needed to protect national economic and food security. Signaling the fragility of the MAHA/MAGA alliance, Vani Hari, an influential MAHA grassroots leader, told The Guardian, “This executive order reads like it was drafted in a chemical company boardroom. Calling it ‘national defense’ while expanding protections for toxic products is a dangerous misdirection. Real national security is protecting American families, farmers, and children.”

MAHA followers could also examine the conflicts of interests of their own wellness-industry aligned leaders. A MAHA/MAGA alliance is not inevitable. By finding specific and appealing ways to win over MAHA followers who genuinely want a healthier nation and food system, the food justice movement may help to build the political power needed for transformative changes.

  1. Study successful MAHA initiatives. MAHA’s use of personal stories and narratives, its capture of public attention, its acceptance of internal differences in opinion, and its successes in rural communities are accomplishments worth emulating. MAHA has been strikingly effective in bringing public attention to our nation’s food system and food policies. Finding ways to capture the bully pulpit of public attention without ceding to the pulpits of bullies could provide lessons for other current political struggles. The food justice movement can extract relevant lessons from these experiences.

In our view, the prospect of a cross-cutting food justice movement that brings in new supporters and builds political power to win new measures to improve diets, food systems, and health is a risk worth exploring. At best, the food justice movement might open new doors for alliances between MAHA followers and activists in movements for environmental justice, women’s health, or universal health care.

Given the different worldviews of MAHA and food justice advocates, we are under no illusion that this process will inevitably or easily lead to meaningful changes in diet, food policy, or health. But we do believe that silence due to fear of criticism or conflict wins nothing. With eyes wide open, we invite others to join in the exploration of new principled alliances.

Feb 24 2026

60 Minutes: RFK Jr on non-regulation of ultra-processed food

On February 15, CBS News’ Bill Whitaker interviewed RFK Jr, former FDA Commissioner David Kessler, and journalist Michael Pollan about ultra-processed foods and what to do about them.
As far as I am concerned, this is the money quote:
This is classic RFK Jr: put everything on personal responsibility, never mind how hard it is for people to resist eating unhealthfully in today’s food environment.
As I explained last August, David Kessler gave RFK Jr a gift.  He sent him a letter presenting a  Citizen’s Petition arguing that if the FDA wanted to help people reduce consumption of ultra-processed foods, all it had to do was to define ultra-processed foods as Not GRAS.
The FDA is required to respond to citizens’ petitions within 180 days.
During the 60 Minutes program, RFK Jr said:
We will act on– on David Kessler’s petition. And the questions that he’s asking are questions that FDA should’ve been asking a long, long time ago.
“Act on?”  What does this mean?
Will the FDA act to regulate ultra-processed foods?
I will believe it when I see it.
Feb 23 2026

MAHA hypocrisy in action: glyphosate

RFK Jr may have lied to the Senate about vaccines, but it is now evident that he also lied to his supporters about getting toxic chemicals out of the food supply.

Let’s start here: 

Well, it wasn’t his USDA (he’s Secretary of HHS), apparently.

Now we have President Trump’s executive order: PROMOTING THE NATIONAL DEFENSE BY ENSURING AN ADEQUATE SUPPLY OF ELEMENTAL PHOSPHORUS AND GLYPHOSATE-BASED HERBICIDES.

There is no direct one-for-one chemical alternative to glyphosate-based herbicides.  Lack of access to glyphosate-based herbicides would critically jeopardize agricultural productivity, adding pressure to the domestic food system, and may result in a transition of cropland to other uses due to low productivity.  Given the profit margins growers currently face, any major restrictions in access to glyphosate-based herbicides would result in economic losses for growers and make it untenable for them to meet growing food and feed demands.

Never mind the multiple independent research studies and judgment by cancer experts of the World Health Organization that glyphosate is potentially carcinogenic (see account in The New Lede).

Never mind that Bayer, which bought Monsanto and now owns glyphosate, just said it would put $7.5 billion into settling lawsuits over it.

Never mind that glyphosate is in everything, including bread.

Hypocrisy alert: RFK Jr now says he supports the president’s decision on glyphosate.

No wonder we are seeing fabulous satires like this one:

Resources

And now, RFK Jr’s defense posted on X:

Unfortunately, our agricultural system depends heavily on these chemicals. The U.S. represents 4% of the world’s population, yet we use roughly 25% of its pesticides. If these inputs disappeared overnight, crop yields would fall, food prices would surge, and America would experience a massive loss of farms even beyond what we are witnessing today. The consequences would be disastrous.

Disastrous for whom, exactly?

Feb 10 2026

The Super Bowl ads: Processed food kills

I guess I have to say something about the Super Bowl ads.

Much as I am in favor of eating real food and reducing ultra-processed foods, I was trained in science.  I would never go as far as this astonishing Super Bowl ad featuring Mike Tyson.

The scientist in me says yes, diets high in ultra-processed foods promote poor health and raise the risk of chronic disease and overall mortality, but no single food or food category is going to do that alone.

The sociologist in me appreciates that Mike Tyson has a powerful redemption story: His sister died at 25 from a heart attack caused by obesity, he has a weight problem, is now a vegan, and is atoning for his conviction as a rapist.

Coming from him, “Processed Food Kills” and “Eat Real Food” are powerful messages.

The Super Bowl venue ensures that they will reach a wide audience.

MAHA endorses these messages Even on taxicabs.

So do food advocates, although some of us wish so much of the burden of healthy eating did not fall on individuals.  As I like to put it, trying to eat healthfully in today’s food environment means that you are fighting an entire food system on your own.

Michael Jacobson, former founding director of the Center for Science in the Public Interest adds:

Another ad that will run during the Super Bowl is an amusing Pepsi ad that attacks Coke. That ad immediately reminded me of CSPI’s classic The Real Bears video (almost 3 million views!) that used polar bears to attack Coke (but did not promote Pepsi!).

How much to Super Bowl ads cost?

A minimum of $8 million.  Why are they worth it?  See this contextual analysis: shared experience.

Who paid the $8 million for this one?  The MAHA Center, according to this analysis.

Think of that when you watch the other food ads, courtesy of the New York Times.

And then there’s this.  MAHA sure does have a terrific graphic designer.  If only calories didn’t matter…

Jan 27 2026

My latest publication: BMJ editorial on the dietary guidelines

Politics trump science in new US dietary guidelines Evidence takes a backseat to conflicting interests in the latest health mandates

BMJ 2026;392:s143 doi: https://doi.org/10.1136/bmj.s143 

The new dietary guidelines1 and food pyramid2 issued by the US Departments of Health and Human Services and Agriculture have been met with great fanfare and furore.34 Under the aegis of “make America healthy again,” their overall message is the sensible, “Eat real food.” Among the actual guidelines, three repeat longstanding advice: “Eat the right amount for you,” “Focus on whole grains,” and “Eat vegetables and fruits throughout the day.” The guidelines reiterate longstanding recommendations to limit sugars and saturated fat to 10% of calories, and sodium to 2300 mg/day. But for the first time, they also include food processing: “Limit highly processed foods, added sugars, and refined carbohydrates.” Although this guideline does not use the term “ultraprocessed,” that is what it means; it calls for limits on petroleum based dyes and artificial sweeteners, flavours, and preservatives.5 So far, so good.

But then come four additional guidelines: “Prioritise protein foods at every meal,” “Consume dairy,” “Incorporate healthy fats,” and “Limit alcoholic beverages.” These redefine protein to favour meat rather than plant consumption, prioritise full fat rather than low fat dairy foods, specify butter and beef tallow as examples of healthy fats, and omit warnings about alcohol as a cancer risk. This reverses decades of heart health advocacy.

Questionable provenance

Most troubling is the lack of due process, dismissal of scientific consensus, and overt conflicts of interests in producing these guidelines, despite stated promises that they would reflect “gold standard science” and would not reflect corporate interests.6 Since 1980, the production of the guidelines has followed a two to three year process: a scientific report is written by the Dietary Guidelines Advisory Committee, the report is used to develop the guidelines, and a food guide is based on the guidelines. When I was a member of the committee in 1995, we set the research questions, reviewed the research, wrote the scientific report, and wrote the guidelines. Later, the departments of health and agriculture jointly took over all stages except the research review, allowing politics to overpower the science.

For these new guidelines, the agencies rejected the scientific report commissioned during the Biden presidency7 and appointed their own committee, giving it only three months to produce its 90 page report and 418 page appendix.89 Although the agencies insisted that these guidelines would not reflect industry influence and would be free of conflicts of interest, they kept neither promise. Most members of the research committee reported financial ties to food companies with vested interests in dietary advice; four members, for example, reported financial relationships with beef, pork, and dairy trade associations.910

One lawsuit is already charging the agencies with disregarding congressionally mandated processes for preparing the guidelines and, instead, relying on the recommendations of a “hastily assembled … panel of meat, dairy, and fat diet industry insiders,”11 whose names were revealed only on publication of their report. Who wrote the guidelines and designed the pyramid remains undisclosed.

Previous guidelines emphasised the benefits of diets based on lean meats, low fat dairy products, and plant sources of protein.12 These do the opposite. Although they say, “Every meal must prioritize high-quality, nutrient-dense protein from both animal and plant sources,” animal sources clearly come first, making protein seem a euphemism for meat. The guidelines recommend increasing protein intake from 0.8 g/kg body weight to 1.2 to 1.6 g/kg, despite current US consumption levels already being close to 1.2 g/kg, two thirds of which comes from meat.13 Furthermore, there is scarce evidence that exceeding current levels provides additional benefit.14 Adhering to higher protein goals while keeping saturated fat to 10% of calories will be challenging.

The messages about meat and full fat dairy are explicitly evangelical.7 Health and human services secretary, Robert F Kennedy Jr, posted on X, “Beef is BACK.” He and agriculture secretary, Brooke Rollins, appear on X with milk moustaches promoting full fat dairy. It too is “BACK,” supported by a new law requiring whole milk to be offered in schools.15 As for alcohol, health official Mehmet Oz said, “I don’t think you should drink alcohol, but it does allow people an excuse to bond and socialise, and there’s probably nothing healthier than having a good time with friends in a safe way.”16 Such messages minimise the risks of alcohol to health and society.17

The idea behind these messages is that eating real food and avoiding ultraprocessed food will achieve satiety and promote health, which they well might.51819 But largely plant based diets benefit health—and the environment.2021 In contrast, meat and dairy production pollute the environment, release greenhouse gases, and raise issues of animal welfare and worker safety.2223 These guidelines ignore such issues.

Also omitted is any discussion of the resources needed to follow such advice. Real food is more expensive than ultraprocessed foods and requires cooking skills, kitchens, equipment, and time. Not everyone has such things, but the agencies explicitly reject equity as a consideration.7 These guidelines also must be understood within the context of the current dismantling of the US public health system. We need public health to support diets that really can promote human and environmental health.

Footnotes

  • Competing interests: MN has no competing interests with food and beverage companies; she earns royalties from books and honorariums from lectures about the politics of food.

  • Provenance and peer review: Commissioned, not externally peer reviewed.

References

  1. ↵ HHS, USDA. Dietary guidelines for Americans, 2025-2030. https://cdn.realfood.gov/DGA.pdf
  2. ↵ HHS, USDA. Real food starts here. https://realfood.gov/
  3. ↵ USDA. Kennedy, Rollins unveil historic reset of U.S. nutrition policy, put real food back at center of health. Press release, 7 Jan 2026. https://www.usda.gov/about-usda/news/press-releases/2026/01/07/kennedy-rollins-unveil-historic-reset-us-nutrition-policy-put-real-food-back-center-health
  4. ↵ Tanner J. Experts reveal greatest concerns with RFK Jr.’s new dietary guidelines. The Hill 17 Jan 2026. https://thehill.com/policy/healthcare/5692009-experts-reveal-greatest-concerns-with-rfk-jr-s-new-dietary-guidelines/
  5. Monteiro CA, Louzada MLC, Steele-Martinez E, et al. Ultra-processed foods and human health: the main thesis and the evidence. Lancet 2025;406:2667-84. doi:10.1016/S0140-6736(25)01565-X.
  6. ↵ HHS. Fact sheet: Trump administration resets US nutrition policy, puts real food back at the center of health. 2026. https://www.hhs.gov/press-room/fact-sheet-historic-reset-federal-nutrition-policy.html
  7. ↵ Scientific Report of the 2025 Dietary Guidelines Advisory Committee. 2025. https://www.dietaryguidelines.gov/sites/default/files/2024-12/Scientific_Report_of_the_2025_Dietary_Guidelines_Advisory_Committee_508c.pdf
  8. ↵ HHS, USDA. The scientific foundation for the dietary guidelines for Americans. 2026. https://cdn.realfood.gov/Scientific%20Report.pdf
  9. ↵ HHS, USDA. The scientific foundation for the dietary guidelines for Americans Appendices. 2026. https://cdn.realfood.gov/Scientific%20Report%20Appendices.pdf
  10. ↵ Cueto I. Behind new dietary guidelines: Industry-funded studies, opaque science, crushing deadline pressure. Stat News 17 Jan 2026. https://www.statnews.com/2026/01/17/new-food-pyramid-behind-the-scenes-dietary-guideline-development/
  11. ↵ Physicians Committee for Responsible Medicine. Petition for investigation and administrative action. 2026. https://pcrm.widen.net/s/p6qggt8j6n/dietary-guidelines-usda-hhs-complaint-physicians-committee-for-responsible-medicine
  12. ↵ US Government. Previous editions of the Dietary Guidelines for Americans.https://www.dietaryguidelines.gov/about-dietary-guidelines/previous-editions
  13. ↵ Hoy MK, Clemens JC, Moshfegh AJ. Protein intake of adults in the US: what we eat in America, NHANES 2015-2016. Food surveys research group dietary data brief No 29. 2021. https://www.ncbi.nlm.nih.gov/books/NBK589212/
  14. ↵ USDA. Whole Milk for Healthy Kids Act of 2025—implementation requirements for the national school lunch program. 2026. https://www.fns.usda.gov/nslp/wmfhka-implementation
  15. ↵ Rabin RC. New dietary guidelines abandon longstanding advice on alcohol. New York Times 7 Jan 2026. https://www.nytimes.com/2026/01/07/health/dietary-guidelines-alcohol.html
  16. ↵ Centers for Disease Control and Prevention. Alcohol use and your health. 2025. https://www.cdc.gov/alcohol/about-alcohol-use/index.html
  17. ↵ Dicken SJ,
Jan 16 2026

The MAHA Dietary Guidelines VII: The Documents

A brief note about the political history of the dietary guidelines.  When I was on the Dietary Guidelines Advisory Committee in 1995, our committee selected the topics for review, reviewed the science, wrote the scientific report, and wrote the dietary guidelines.  We did the whole thing, except for the USDA’s food guide pyramid.   For this version, HHS and USDA ignored the scientific report and appointed a committee to do the rest.  They got all this done in a year, which must have been one big rush.

The press release

This was confusing because its list of recommendations differs from those in the actual guidelines, does not use the term “Eat Real Food,” and does not list the accompanying documents.

  • Prioritize protein at every meal
  • Consume full-fat dairy with no added sugars
  • Eat vegetables and fruits throughout the day, focusing on whole forms
  • Incorporate healthy fats from whole foods such as meats, seafood, eggs, nuts, seeds, olives, and avocados
  • Focus on whole grains, while sharply reducing refined carbohydrates
  • Limit highly processed foods, added sugars, and artificial additives
  • Eat the right amount for you, based on age, sex, size, and activity level
  • Choose water and unsweetened beverages to support hydration
  • Limit alcohol consumption for better overall health

Fact Sheet

This sends up red flags.  Anytime I hear suggestions that everything you thought you knew about nutrition is wrong, I think uh-oh.  Science doesn’t work that way.  But these guidelines are not about science.  They are about politics.  They say Americans are sick

because their government has been unwilling to tell them the truth. For decades, the U.S. government has recommended and incentivized low quality, highly processed foods and drug interventions instead of prevention. Under the leadership of President Trump, the government is now going to tell Americans the truth.

Vast numbers of nutrition scientists have been lying about healthy diets?  Seems unlikely.

Dietary Guidelines for America 2025-2030

The only place where the message “eat real food” appears is in the secretaries’ introduction: “The message is simple: eat real food.”  Weirdly, that political message is not part of the actual guidelines.  These are:

  • Eat the right amount for you
  • Prioritize protein foods at every meal
  • Consume dairy
  • Eat vegetables & fruits throughout the day
  • Incorporate healthy fats
  • Focus on whole grains
  • Limit highly processed foods, added sugars, & refined carbohydrates
  • Limit alcoholic beverages

Press conference video

You can watch HHS and USDA official enthuse about the new guidelines and pyramid.

Eat Real Food: The Interactive Website

Here, at last, is where you get the real-food message: “whole, nutrient-dense, and naturally occurring.”  It is also where you get a sense of the guidelines’ priorities: “Every meal must prioritize high-quality, nutrient-dense protein from both animal and plant sources” (meat and full-fat dairy come first).  The site provides links to the scientific reports and the servings document, and also a Q & A.

The Scientific Foundation for The Dietary Guidelines of America

This 90-page document was produced by a committee appointed by HHS and USDA to redo the work of the Scientific Advisory Committee because “Equity considerations and public policy preferences pervaded the DGAC Report. The Committee consistently advocated plant-based dietary patterns, deprioritized animal-sourced proteins, and favored high linoleic acid vegetable oils.” Instead, this committee is ostensibly “free from ideological bias, institutional conflicts, or predetermined conclusions.” The report lists their ties to meat, dairy, and other food associations with vested interests in what the guidelines might say.  There’s some surprising stuff in here: “Supporting testosterone health in men.”

Scientific Foundation Appendices

This is 418 pages of research review.  For this, I am taking the easy way and quotinKevin Klatt’s detailed analysis.

Their whole basis is that nutrition is the key determinant of chronic disease risk, that you need to take personal responsibility to reduce your risk and that you’ve been lied to by past administrations who’s recommendations caused your health issues….There is no illusion from reading the Review and Appendix that the DGAs resulted from a rigorous and transparent process that pre-registered questions to be addressed, reviewed the data, and got the experts in a room to set down a common measuring stick by which they’re assessing the evidence- the approach is little more than a gish gallop to support the preformed conclusions that the HHS Secretary, MAHA advocates and influencers have been pushing since the moment they got into office. 

Daily Servings by Calorie Level

This one came as a surprise.  I wish it had been included with the guidelines because it specifies what the guidelines actually mean in practice.

South Park’s take on this

History of the Dietary Guidelines and Pyramid

My version of this history

I have written extensively about dietary guidelines and food guides on this site since the 2010 guidelines and pyramid.  Search for either term.  Here is a selection of my academic papers on the topic.

Other views