Fork U with Dr. Terry Simpson

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By: Terry Simpson

Fork U(niversity) Not everything you put in your mouth is good for you. There’s a lot of medical information thrown around out there. How are you to know what information you can trust, and what’s just plain old quackery? You can’t rely on your own “google fu”. You can’t count on quality medical advice from Facebook. You need a doctor in your corner. On each episode of Your Doctor’s Orders, Dr. Terry Simpson will cut through the clutter and noise that always seems to follow the latest medical news. He has the unique perspective of a surgeon w...

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How Breadfruit, Coconuts, and Ancient Polynesian Navigators Conquered the World's Largest Ocean
How Breadfruit, Coconuts, and Ancient Polynesian Navigators Conquered the World's Largest Ocean episode artwork
#151
Today at 7:00 AM

What Would You Pack to Build a Civilization?

We have talked about empires before, from the ancient ones to the British, but nothing prepares you for the vastness of the Pacific Ocean. This was Polynesia, and we are looking at how people built a civilization and what they packed for it.

Someone, somewhere on one of those islands, decided to take a canoe out and explore. Finding another island, or two, or three. Later, someone said,

“Hey, our island is getting crowded; we need to make a new colony somewhere else."

Yo...


Sugar: The Sweet Taste of an Empire
Sugar: The Sweet Taste of an Empire episode artwork
#150
10/22/2026

Think about the last time you put sugar in your coffee or tea, a teaspoon, maybe two. Perhaps you avoided it because someone on the internet told you sugar was poison.

Sugar helped build the British Empire, financed fortunes on both sides of the Atlantic, and contributed to the enslavement of millions of Africans. It made tea palatable to the British, encouraged the development of an extraordinary global trading network, and eventually gave British dentists plenty of work.

It was so valuable that Napoleon made the sugar beet famous, because he didn’t want to im...


How to Spice Things Up
How to Spice Things Up episode artwork
#149
10/16/2026

With all the spices we have access to, it is amazing how bland recipes have become. I have many cookbooks, some from great chefs, television personalities, and friends. What I am always surprised by is how bland the food has become.

People seem to think a bit of salt, pepper, maybe onions, and garlic provide the spices one needs. Perhaps it is because some associate spice with heat. Mostly because many have never experimented with some of those great warm spices available. A pinch of coriander, some freshly ground cumin, a little cardamom, or a touch of...


Tea: The Drink That Built an Empire—and Helped Break One
Tea: The Drink That Built an Empire—and Helped Break One episode artwork
#148
10/08/2026

Tea: The Drink That Built an Empire—and Helped Break One

China had the tea. Britain had the appetite. John Hancock had a business to protect.

British TV - No disaster can happen before a cuppa

Watch almost any British television series, and tea appears whenever you enter someone’s home or office. Tea, apparently, is not only a beverage but also a medication for both mental and physical issues.

Oh, turns out someone has died? Put the kettle on. Yes, at some point, gin or whisky will be invo...


Chocolate: From the Food of the Gods to the Candy Aisle
Chocolate: From the Food of the Gods to the Candy Aisle episode artwork
#147
10/01/2026

MesoAmerica and Chocolate

In our series looking at foods that built civilizations, today we are going to stay in the Americas with chocolate.

Chocolate has been used as currency, consumed by kings, incorporated into religious ceremonies, and prescribed as medicine. Today, it is a multibillion-dollar industry that wants you to believe that eating chocolate is an act of preventive cardiology.

I mean, why not? They convinced us to give chocolate to people we love, eat it when we are happy, when we are sad, when only the dog understands us. Don’t feed ch...


Fear Not the Potato. Fear the Person Who Fears the Potato.
Fear Not the Potato. Fear the Person Who Fears the Potato. episode artwork
#146
09/24/2026

I’ve been doing a series about foods that built civilizations. In this episode, we are talking about the potato.

It is difficult to imagine that thousands of years ago, people constructed large buildings, managed rivers, built monuments, and created art. We have glimpses of these civilizations through stories, archaeology, and the structures they left behind, but much of their history has been lost. Imagine, we don’t even know where Cleopatra or Alexander the Great are buried, yet we know their stories.

As European powers conquered Indigenous peoples, their languages, cultures, and oral traditions were...


The Fish that Built America
The Fish that Built America episode artwork
#145
09/17/2026

In our series about foods that built civilization, we talked a lot about grains, from wheat to corn to rice. Today, we are taking you to the ocean, with the civilizations that salmon built.

From California to the interior of Alaska, salmon, a staple, allowed people to settle into villages, develop complex social networks, art, and trade routes. Those trade routes are as large as the ones in the Mediterranean. Some tribes built communal homes and developed complex art and language. Some were Seafaring tribes with canoes up to 60 feet long that traveled across oceans.

...


The Three Sisters
The Three Sisters episode artwork
#144
09/10/2026

Corn, beans, and squash, the three sisters, were the Native Americans’ crop, providing a stable source of calories, protein, and farming from Canada through South America. They allowed civilization to go from a hunting people to those who built cities that rivaled Europe and pyramids equal to the marvels seen in Egypt. The rise of civilizations has a pattern: grow a stable crop that allows people to survive, and go from nomads to develop complex societies.

In our series of foods that built civilizations, we turn to the Americas before Europeans arrived.

Long before Europeans ar...


Fear Not Rice: It Built a Civilization
Fear Not Rice: It Built a Civilization episode artwork
#143
09/03/2026

If you spent time in the low-carb world, rice is about as welcome as a toxic waste dump. It is part of those dreaded whites: white flour, white sugar, and white rice. All a part of the reason we are fat, diabetic, and have every disease one can think of.

But then, if you get out and see the world, you will realize that people eat rice daily, are thin as a rail, relatively healthy, and have some of the longest lives on the planet.

Today, we will make sense of the madness of rice.<...


Beer, Bread, Cheese — and Penicillin
Beer, Bread, Cheese — and Penicillin episode artwork
#142
08/27/2026

When we talk about the microbiome, people think about the colon and trillions of microorganisms. Have you ever considered that humans have other interactions with microbiomes that occur with our cooking? On this week’s episode of FORK U, we continue with our series “Food That Made Civilization.” The topic is Fermentation.

How Fermentation Built Civilization

We were selecting a microbiome without knowing it. Bacteria, yeast, and molds. Feed the ones that worked, keep the conditions they liked, and do it again.

Your grandmother may have kept the bowl that made better...


Salt: From the Roman Legion to Your Electrolyte Packet
Salt: From the Roman Legion to Your Electrolyte Packet episode artwork
#141
08/20/2026

Salt: From the Roman Legion to Your Electrolyte Packet

You've probably heard that Roman soldiers were paid in salt—and that this is where we get the word salary. It's a great story. It's also almost certainly not true.

The Romans had money. We find Roman coins throughout the former empire, including around military forts such as those along Hadrian's Wall, and we have evidence that Roman soldiers were paid in money. What we do have is an ancient linguistic connection between the Latin sal, meaning salt, and salarium, which eventually gives us salary. Somewhere al...


Coffee Woke Civilization
Coffee Woke Civilization episode artwork
#140
08/13/2026

How a tiny seed changed the way we work, think, meet, and start the day

Bread gave civilization calories. Beans gave it protein. Olive oil gave it light. Coffee gave civilization somewhere to meet—and a reason to stay awake.

Coffee came late to Western civilization. The Greeks didn't have it. The Romans didn't have it. Even Galileo had to stay awake at night looking through his telescope without the help of an espresso machine. Historians no longer like the old idea of the “Dark Ages,” and for good reason. But I have my own...


The Benevolent Bean: Civilization's Forgotten Protein
The Benevolent Bean: Civilization's Forgotten Protein episode artwork
#139
08/06/2026

For years, beans have suffered from an image problem.

They've been called "the poor man's meat," joked about for causing gas, and often relegated to the side of the plate. Yet for thousands of years, beans, lentils, chickpeas, and peas—collectively known as pulses—were among the most important foods on Earth.

If bread supplied the calories that built cities, beans supplied much of the protein that sustained them.

Long before protein powders and high-protein snack bars, civilizations from Rome to India relied on pulses as an everyday source of nourishment. The Roman labo...


Olive Oil: One of the First Medicines
Olive Oil: One of the First Medicines episode artwork
#138
07/30/2026

Olive Oil: The Original Superfood

Before electricity lit our homes, olive oil did.

For thousands of years, olive oil was far more than something people poured over bread. It fueled lamps, preserved food, moisturized skin, and was used in religious ceremonies. Long before it became a staple of the Mediterranean diet, it helped build civilization.

Today, we think of olive oil as healthy. The fascinating part is that people believed it was medicinal long before they understood cholesterol, inflammation, or blood pressure. Sometimes medicine begins with observation. The science simply catches...


Cheese - Transforming Milk into Delicious
Cheese - Transforming Milk into Delicious episode artwork
#137
07/23/2026

Cheese: Humanity's Greatest Delicious Accident

What if one of the world's favorite foods happened by accident?

That's probably how cheese began.

Nobody knows exactly who made the first cheese. Maybe it was a shepherd carrying milk in a bag made from a sheep's stomach. The milk warmed in the sun, natural rennet in the stomach lining began to separate the curds from the whey, and suddenly milk had become something entirely different.

Instead of throwing it away, someone tasted it.

Transforming Cheese

Cheese is another example of...


Bread Built Civilization
Bread Built Civilization episode artwork
#136
07/16/2026

For years, bread has been the villain of social media.

Scroll for a few minutes, and you'll find someone telling you bread causes obesity, diabetes, inflammation, or that humans were never meant to eat it.

History tells a different story.

Bread didn't weaken civilization.

Bread helped build it.

From Grass to Greatness

Imagine the first person who looked at wild grass and wondered whether those tiny seeds could become food.

Nobody knows exactly how bread was invented. Maybe someone mixed crushed grain with...


Soup: The Mediterranean Diet in a Bowl
Soup: The Mediterranean Diet in a Bowl episode artwork
#135
07/09/2026

Soup: The Mediterranean Diet in a Bowl

Over the past few weeks, many of us have been looking at our refrigerators a little differently. News about Cyclospora, E. coli, and other foodborne outbreaks has made people nervous about fresh vegetables and herbs. At the same time, grocery stores are filled with expensive electrolyte drinks, protein broths, and wellness beverages promising to keep us healthy. However, there is a much simpler solution that has been around for thousands of years.

Make soup.

It may sound almost too simple, but soup remains one...


How Cooking Made Us Human
How Cooking Made Us Human episode artwork
#134
07/02/2026

Fire didn't just change dinner. It changed us.

If I asked you what made us human, you might say language. Or tools. Maybe agriculture. All of those changed our species, but I think one discovery came even earlier—and it may have been the most important of all.

Fire.

Not because it kept us warm.

Not because it frightened predators.

But because it cooked dinner.

At first glance, that might seem like an odd claim. After all, cooking is something we do every day without much thought. Ho...


The Bank of Muscle: Your Retirement Account Isn't Your 401(k)
The Bank of Muscle: Your Retirement Account Isn't Your 401(k) episode artwork
#133
06/25/2026

The Bank of Muscle: Why Your Real Retirement Account Isn't Your 401(k)

I used to think retirement planning was all about money. Put enough away, let compound interest do its thing, and someday you'll enjoy the rewards. As I've gotten older, however, I've come to appreciate another form of savings that may be just as important.

It's your muscle.

Nobody reaches eighty-five and wishes they had less of it. Instead, people wish they could get out of a chair more easily. They wish they could carry groceries, travel, garden, and play with grandchildren...


Did the Food Pyramid Make America Fat?
Did the Food Pyramid Make America Fat? episode artwork
#132
06/19/2026

If you read some low-carb sites, or Gary Taub's books, you will find the contention that the food pyramid - the last one being in 2011 - put America into a low fat, high carb diet responsible for today's obesity. That the government food pyramid misled a generation of people, and because we faithfully follow it, we became fat.

The problem is, that isn't the case, but I want to go back in time and see why we have those government issued guidelines, and see where we are today.

Dietary Recommendations

The first major...


The Scientists Who Built the Modern Snack
The Scientists Who Built the Modern Snack episode artwork
#131
06/11/2026

How We Eat

Most of us think we know what we eat. However, nutrition researchers have learned a frustrating lesson over the years: asking people what they ate yesterday is often less accurate than anyone would like. Although food diaries and surveys can provide useful information, memories are imperfect, snacks are easily forgotten, and portion sizes tend to grow smaller in retrospect. Consequently, some of the most important nutrition research takes place in a setting that is both expensive and surprisingly simple—a metabolic ward, where every meal is prepared, every serving is weighed, and every leftover bi...


Taste Buds Everywhere: Your Body's Hidden Food Sensors
Taste Buds Everywhere: Your Body's Hidden Food Sensors episode artwork
#130
06/04/2026

Taste Isn't What You Think It Is

Most people believe taste happens on the tongue. That idea seems obvious because food enters the mouth, the tongue recognizes flavors, and the brain decides whether something tastes good or bad. However, modern science has revealed a much more fascinating story. Taste receptors are scattered throughout the body, including the stomach, intestines, airways, pancreas, and even tissues associated with the nervous system. Consequently, what we call taste is actually part of a much larger surveillance system that helps us detect nutrients, toxins, microbes, and potential threats before they become serious...


Diabetes, Weight Loss, Remission or Cure
Diabetes, Weight Loss, Remission or Cure episode artwork
#129
05/28/2026

Type 2 Diabetes, Bariatric Surgery, Fasting, and GLP-1s: What We Finally Learned About a Disease We Thought We Understood

For years, I watched something happen in bariatric surgery that made very little sense, according to the medical textbooks of the time.

Patients with type 2 diabetes would undergo surgery, and within days, their blood sugars would improve dramatically. Some would leave needing far less insulin. Others would stop insulin entirely. Many of them would eventually remain off diabetes medications for years.

Now here is the important part:

They had not yet lost...


The Science of Hangovers: Why Most “Cures” Fail
The Science of Hangovers: Why Most “Cures” Fail episode artwork
#128
05/21/2026

The Science of Hangovers: Why Your “Cure” Probably Doesn’t Work

You wake up thirsty.

Then, almost immediately, you realize your head hurts. Your stomach feels unstable. The room is too bright. Your mouth tastes like regret and old wine corks. Furthermore, your intestines suddenly decided today is the day they become extremely efficient.

In other words, you have a hangover.

Now, hopefully, this is not a regular occurrence. Nevertheless, most adults eventually experience one. The evening starts innocently enough: good friends, great conversation, maybe a cocktail before dinner. Then, however, anothe...


Why Food Became Engineered to Defeat You
Why Food Became Engineered to Defeat You episode artwork
#127
05/14/2026

The “Real Food” Protein Bar

There may be no phrase in modern nutrition more ridiculous than this:

“Real food protein bar.”

And yet, somehow, we are expected to nod seriously when someone says it.

Recently, internet nutrition personality Paul Saladino introduced what he described as his best “real food” protein bar. While I have nothing personal against the man. I admire the confidence required to sell twelve protein bars for forty-four dollars while talking about ancestral living.

Because let’s be honest for a moment.

Protein bars are the modern...


What I Eat on a GLP-1 And Why It Changes
What I Eat on a GLP-1 And Why It Changes episode artwork
#126
05/07/2026

Let’s Start With What Nobody Tells You

When people start a GLP-1, they are told what to avoid. What side effects to expect, and sometimes how much protein they should be eating. While that information has its place, it misses the part that actually changes your day-to-day life. Because what really shifts is not just how much you eat, but also how you experience it.

At first, that change can feel subtle, almost easy to miss. Because nothing dramatic happens overnight. Although for me it did. In addition, over the course of a few da...


GLP-1 The First Month: Tips for the new user
GLP-1 The First Month: Tips for the new user episode artwork
#125
04/30/2026

It’s not a straight line. It’s not a diet. And it’s definitely not what you expect.

I started my journey on a GLP-1 in October 2024. While my doctor did what good doctors do—he gave me the warnings, the precautions, the usual advice about what to avoid and watch for—I quickly realized something was missing. No one really told me what it would feel like. More importantly, no one explained that this first month doesn’t unfold in one neat, predictable way, but instead moves along several paths depending on the person, their biology, the...


Being a Foodie on a GLP-1
Being a Foodie on a GLP-1 episode artwork
#124
04/24/2026

Why GLP-1 Made Me Love Food More—Not Less

From beetroot pasta to backyard salsa, this wasn’t about eating less. It was about finally tasting more.

I want to tell you about two people on a GLP-1.

First, there’s me.

I’ve been on a maintenance dose—7.5 mg of Zepbound—for a while now. And recently, I went to an incredible Michelin-star restaurant. Now, at one point during that meal, I said something that surprised even me.

The beetroot pasta was one of the best dishes I had...


The Peptide Bazaar: Real Medicine vs. Vials from the Internet
The Peptide Bazaar: Real Medicine vs. Vials from the Internet episode artwork
#123
04/16/2026

The word “peptide” is doing too much work

Let’s start with the simplest truth.

A peptide is just a chain of amino acids—like pearls on a necklace. That’s it. Nothing mystical. Nothing magical.

However, structure matters. Sequence matters. Biology cares deeply about both.

Because of that, some peptides are extraordinarily powerful. Others are biologically interesting. And a growing number are simply… marketed.

That last category is where things get messy.

Before the hype, there was a miracle

Now rewind to a hospital w...


Fat Shaming and GLP-1 - It's Biology
Fat Shaming and GLP-1 - It's Biology episode artwork
#122
04/09/2026

The Chorus of “Just Eat Less”

Spend a few minutes on social media, and you will hear it. On Bill Maher's podcast the other day, I heard it. Two people who know less about GLP-1 drugs than almost anyone, opining about how GLP-1s are horrific.

Bill Maher says, “Just eat less.”

Jillian Michaels warns that GLP-1 medications are dangerous. Did she even graduate from college?

Meanwhile, a rotating cast of gym bros, coaches, and influencers insists that anyone using these medications is taking the easy way out.

At first gl...


Menopause: Estrogen Effects Satiety
Menopause: Estrogen Effects Satiety episode artwork
#121
04/02/2026

Menopause, Hunger, and the Brain: Why It Feels Different

Menopause changes more than temperature control. It reshapes how the brain handles hunger, fullness, and the quiet signals that guide eating. As a result, many women notice something unsettling. The same meals no longer satisfy. Hunger arrives sooner. Food feels louder.

For years, we blamed metabolism. We told women their bodies were simply slowing down. While that explanation sounds scientific, it misses the most important part of the story.

The brain has changed.


A Pattern You Can’t Ignore


Henry VIII, the Brain, and the Obesity
Henry VIII, the Brain, and the Obesity episode artwork
#120
03/26/2026

The Madness of King Henry VIII—and What We Got Wrong About Obesity


The King We Forgot

There is a moment in history that most of us think we understand. King Henry VIII—large, immobile, temperamental—has become almost a caricature of excess. We picture a man who simply ate too much, moved too little, and paid the price. It is a tidy story. Unfortunately, it is also likely the wrong one.

Before the 1530s, Henry was something very different. He was athletic, charismatic, and energetic. He hunted, he jousted, he pla...


The Carnivore Priesthood
The Carnivore Priesthood episode artwork
#119
03/19/2026

When Beef Becomes Belief: The Carnivore Priesthood

Nutrition debates rarely begin with money. Yet money almost always explains how they spread.

That fact explains much of the modern carnivore movement.

At first glance, the carnivore diet appears to be a radical nutritional idea: eat beef, organs, and animal fat while avoiding vegetables, grains, legumes, and most fruits. Advocates often present the idea as a return to ancestral eating. According to the story, prehistoric humans thrived on meat, and modern illness appeared only after plants and processed foods entered the menu.

However...


Minnesota Starvation Experiment: Food Noise, Science
Minnesota Starvation Experiment: Food Noise, Science episode artwork
#118
03/05/2026

The Minnesota Starvation Experiment: What Hunger Does to the Human Mind

Every few years, someone announces the solution to weight loss.

Eat less.

Fast longer.

Cut carbs.

Cut fat.

Cut something.

Naturally, the advice usually comes with a tone of moral certainty. If you are hungry, the implication goes, you simply lack discipline.

However, long before social media, diet influencers, and the phrase food noise entered the modern vocabulary, scientists ran an extraordinary experiment that revealed something profound about hunger.

Rather...


From Gila Monster to GLP-1 Revolution
From Gila Monster to GLP-1 Revolution episode artwork
#117
02/26/2026

Meanwhile, in a Laboratory

In 1990, researchers isolated a peptide from Gila monster venom. Two years later, work from the Bronx VA Medical Center described exendin-4, a molecule that resembled human GLP-1 but lasted far longer in circulation.

Human GLP-1 survives only minutes before the body breaks it down. Exendin-4 resisted that breakdown. That difference changed everything.

Soon afterward, the first GLP-1 receptor agonist reached patients under the brand name Byetta. At the time, physicians used it to treat diabetes. No one called it a weight-loss drug. No one predicted it would reshape obesity...


Protein Panic: How Much Do You Really Need?
Protein Panic: How Much Do You Really Need? episode artwork
#116
02/19/2026

Protein Panic: How Much Do You Really Need?

Everywhere you look, protein has become a competition.

Scroll long enough and you will believe muscle disappears if you eat less than 150 grams a day. Meanwhile, influencers debate leucine thresholds like they’re trading baseball cards. As a result, ordinary meals now feel like math problems.

However, biology does not require panic.

Protein matters. Yet adequacy differs from excess. And importantly, most people eating real food already meet their needs.

So let’s slow down.


First, What...


Mexican Food Is Healthy. The Taco Took the Blame.
Mexican Food Is Healthy. The Taco Took the Blame. episode artwork
#115
02/12/2026

Why Traditional Mexican Food Is Healthy — and How America Got It Wrong

Every time someone says Mexican food is unhealthy, I know exactly what they’re picturing.

They aren’t picturing Mexico.

They’re picturing an American taco: a hard shell or a fluffy white flour tortilla, fatty hamburger, sour cream, a thin smear of salsa that contributes almost nothing except salt, and a yellow substance legally allowed to be called cheese.

After eating that, they naturally conclude Mexican food is the problem.

That conclusion doesn’t come from biology. I...


Keep Your Poop in a Group
Keep Your Poop in a Group episode artwork
#114
02/05/2026

Why Fiber Fails to Impress—and Why That’s the Point

Fiber has a public relations problem. Unlike supplements or extreme diets, fiber does not promise instant transformation. Instead, it works slowly, predictably, and quietly. Because of that, people rarely notice it when it’s doing its job well. However, that very boredom is precisely why fiber matters.

When fiber intake is adequate, digestion functions normally, blood sugar behaves more consistently, and bowel habits stay predictable. As a result, there is no drama to post on social media. Consequently, influencers move on. Meanwhile, the science stays...


How GLP-1 Quiets Food Noise
How GLP-1 Quiets Food Noise episode artwork
#113
01/29/2026

Food Noise Isn’t Hunger — and Why Broccoli Never Fixed the Brain

Food noise does not announce itself politely. Instead, it hums in the background, persistent and exhausting. For years, patients tried to describe it. Meanwhile, medicine largely ignored it. Recently, however, GLP-1 receptor agonists forced the conversation into the open.

I did not understand food noise myself until it stopped.

About twelve hours after my first GLP-1 injection, I stood in my kitchen waiting for baked salmon to finish cooking. Nothing dramatic happened. No emotional moment followed. Still, something felt different. The inte...


Whole Milk Isn’t the Fix—Feeding Kids Is
Whole Milk Isn’t the Fix—Feeding Kids Is episode artwork
#112
01/22/2026

Whole Milk Is Back in Schools


But Hungry Kids Are Still the Real Problem

Whole milk is back in school cafeterias.

As a result, a lot of people are celebrating. Some are calling it a victory for nutrition. Others are calling it common sense. Meanwhile, a few are even calling it a breakthrough.

However, that excitement misses the point.

Because the biggest problem facing kids in school today is not milk fat.

Instead, the real problem is hunger.


First...