AMA #77: Dietary fiber and health outcomes: real benefits, overhyped claims, and practical applications
Peter Attia
Nov 10, 2025
Mindsip insights from this episode:
Understand diverse fiber functions for optimal digestion
Fibers are not all the same; some primarily bulk up stool, some support the microbiome through fermentation, and others form a gel to slow digestion.
Question fiber dogma based on weak evidence
The general consensus that more fiber is always better is almost entirely based on epidemiological studies, which are often confounded by healthy user bias and cannot prove causation.
Choose whole oats over instant oatmeal for fiber benefits
Heavily processed oats, such as those in instant oatmeal, lose the beneficial resistant starch capacity that is found in whole or minimally processed oats.
Incorporate viscous fibers to blunt blood sugar spikes
Viscous, soluble fibers like beta-glucan in oats and psyllium husk absorb water to create a gel in the gut, which can slow gastric emptying and blunt blood sugar spikes.
Create resistant starch by cooling cooked starchy foods
You can create RS3 resistant starch, a beneficial type of fiber, by cooking starchy foods like potatoes or rice and then cooling them in the refrigerator overnight.
Feed gut bacteria with prebiotic fibers for health benefits
Fermentable fibers, also known as prebiotics like inulin and pectin, are broken down by gut bacteria to produce beneficial short-chain fatty acids such as butyrate.
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