DO NOT TAKE THESE WARNINGS WITH A GRAIN OF SALT!
The Food and Drug Administration (FDA) recently warned us that we are eating too much salt, but has only recommended
that we reduce the amount of sodium in our diets. In short, we are drowning in a sea of salt and we need our own lifeboats to save ourselves. Five years ago (2016) the FDA issued a draft guidance that set our daily sodium intake at 2300 milligrams, about 1 teaspoon of salt/day. While accepting this guideline from the FDA, the American Heart Association (AHA) recommended that people at high risk of hypertension (high blood pressure) should aim for 1500 milligrams/day. Perhaps in a bow to the reality of our typical high sodium diets brought on mostly by what we eat from a salt-obsessed food industry (70% of the sodium we consume comes from added salt in foods we buy in stores and restaurants), the FDA now is seeking to lower our daily sodium consumption from about 3400 milligrams (mg) to 3000 mg/day, about a 12% reduction over the next 2-3 years.
The AHA immediately challenged the FDA's new guidance by calling the FDA's action a "step forward" but "not low enough", calling for them to strongly recommend a 2300 mg/day maximum. They contend this would prevent almost 1/2 million new cases of cardiovascular disease and save $40 billion in health-care costs over a 20-year period. Will this new guideline work? Janet Woodcock, Acting Director of the FDA, believes it will and said the FDA will closely monitor the actions of industry and "if needed, additional action might
be taken by the agency." Food critics, such as noted author and nutrition researcher, Marion Nestle have savaged the FDA's recommendation stating, "The first issue is that this is voluntary. Food companies don't have to pay any attention to it at all!"
As I have pointed out in my new book, MURDER, INC.: HOW UNREGULATED INDUSTRY KILLS OR INJURES THOUSANDS OF AMERICANS EVERY YEAR...AND WHAT YOU CAN DO ABOUT IT!, the food industry will not voluntarily assume the expense of discontinuing a successful food product or changing the industrial processes needed to reduce the amount of sodium in their food products, once again choosing profits over safety. The FDA must be more aggressive in mandating,
not recommending, limits on salt in foods and then requiring, just as they did with sugar, a more transparent label so the public can actually understand what they are eating.
Since I am somewhat doubtful the FDA will ever adopt sodium mandates, at least in the near future, I believe we have to take action ourselves to protect ourselves and our families. Apparently the FDA agrees because Susan Mayne, who directs the FDA's Center for Food Safety and Applied Nutrition, has said, "We're really relying on the public to ask for these (low-sodium foods) and be positive about them because that will help drive us toward a healthier food supply." In other words, the FDA has told us we are on our own! The trouble with this advice is that sodium is found in virtually everything we eat or drink, and most of us aren't trained in nutrition and food safety. As Yogi Berra used to say, "I don't know what I don't know!" For that reason, as The Warnings Doctor, I will identify at least some of the foods you may want to limit in your diet due to their very high sodium content. I do so with the caveat that we all need sodium in our diet as necessary electrolytes that help balance the fluids in our body as well as playing a key role in normal nerve and muscle function. The challenge we face, especially if we have high blood pressure, is to avoid excessive amounts of sodium, such as that found in the following foods:
- Shrimp. A 3-ounce serving of frozen shrimp has 800 mg of sodium, about 1/3 of your daily minimum; fresh shrimp, however, has only 100 mg of sodium for the same amount.
- Soup. Canned or restaurant soups have at least 700-800 mg/one cup serving. Most restaurant servings are at least 2 cups. Buy only low sodium soups and avoid them at a restaurant.
- Ham. A 3-ounce serving of ham has almost 1200 mg of sodium, and most people eat at least a 6-ounce serving, thus consuming their daily recommended intake of sodium in just one serving of ham. The same could be said for most cold cuts and salami even has almost 1000 mg of sodium in only a 2-ounce serving...and that's without the bread!
- Bread. Most white breads (e.g., Pepperidge Farms Hearty White Bread) have about 1400 mg/2 slice serving. This means that every slice of bread has as much salt as a small bag of potato chips. If you're still doing the math with me and want a salami sandwich on white bread, with 4-ounces of salami, an average serving, you will consume 3400 mg of sodium...and that's not including the 200 mg for the mustard!
- Pizza. Depending on what ingredients you put on your pizza, an average slice of pizza from a restaurant has about 1000 mg of sodium; it's slightly less if your buy a frozen pizza and cook it at home...about 800 mg. Since most of us eat 3 slices at a time, we have equaled or more than exceeded our daily limit of sodium...and that's in addition to the sugar in a slice of pizza, which is the equivalent to the amount found in an oreo cookie.
- Salad Dressing. Most commercially available salad dressings have an average of 500-600 mg of sodium/2 tablespoon serving. If you look hard, you may find low sodium dressings, but an easier solution is to use olive oil and vinegar, both of which are virtually sodium free.
- Processed Cheese. American cheese and Velveeta are the best sellers in this category and can have as much as 1000 mg/serving of just two slices. A better option is to buy lower sodium natural cheeses such as swiss, mozzarella, goat and ricotta which can have as little as 1/4 that amount.
- Sauces. The grand champion of sauces is Soy Sauce which has a whopping 1000 mg of sodium/2 tablespoon serving. Barbecue sauce and tomato sauce are not far behind with almost 800 mg/typical serving. Obviously, the low sodium options of these sauces would be preferable.
- Hot Dogs and Other Processed Meats. Just one hot dog can have as much as 1300-1400 mg of sodium with similar numbers found in other processed meats such as bratwurst and sausages. Avoiding these foods is the best solution.
- Bagels. One bagel has between 400-600 mg of sodium, depending on its flavor. As a Jew this might be heresy, but I am reserving bagels for a once a year treat when I break my Yom Kippur fast.
You can learn more about this topic on my podcast, EXPOSED! In the episode, "Salt Wars: The Battle Over the Biggest Killer in the American Diet / Interview with Michael Jacobson, Ph.D.,"
we pull back the curtain on salt to reveal essential health, nutrition, and food safety tips to help keep you and your loved ones safe.
My list could go on, but this should give you a good head start on lowering the amount of sodium in your diet. Your heart will thank you even if your taste buds will take a little time to adjust.

Recent budget cuts at the Health and Safety Science Services (HSSS) have sent shockwaves through the scientific and public health communities, threatening the very infrastructure designed to protect us from disease outbreaks, food contamination, and medical crises. These cuts have affected food inspectors, vaccine scientists, Alzheimer’s researchers, and experts studying bird flu, among others—positions that are essential to ensuring public safety and advancing critical medical research. The consequences of these decisions will be dire, potentially reversing years of progress and exposing society to increased health risks.

As Elon Musk's Department of Government Efficiency (DGE) pushes for sweeping reforms and cost-cutting across federal agencies, concerns are mounting over the impact on critical public safety roles. Among the most alarming areas affected is the Federal Aviation Administration (FAA), where staff reductions may threaten the lives of millions of air travelers. The DGE, established with a mandate to streamline government operations and reduce bureaucratic waste, has come under fire for its aggressive downsizing tactics. Critics warn that essential safety personnel, including air traffic controllers, are being cut under the guise of efficiency, leaving the nation's airspace dangerously understaffed.

Biden Administration former Surgeon General, Vivek Murthy, on his way out of office, issued a Surgeon General's Advisory calling for new warnings on alcoholic beverages related to the cancer risk from consuming alcoholic beverages. Given that most individuals are unaware of the connection that consumption of alcoholic beverages can increase the risk for at least seven types of cancer, Murthy said in his advisory: "Given the conclusive evidence on the cancer risk from alcohol consumption and the Office of the Surgeon General's responsibility to inform the American public of the best available scientific evidence, the Surgeon General recommends an update to the Surgeon General's warning label for alcohol-containing beverages to include a cancer risk warning."

In my best-selling book, Murder, Inc.: How Unregulated Industry Kills or Injures Thousands of Americans Every Year...And What You Can Do About It , I propose a safety triad consisting of three components: manufacturers, regulators and consumers. All three must function properly in order to keep us safe. Manufacturers must produce and market safe (or safe as possible) products and warn us about any potential hazards so that we can make informed choices about whether or not to purchase their product and/or how to use it safely. Regulators , by imposing and implementing necessary rules and regulations, should hold manufacturers accountable for the above stated actions and to endure that they engage in "principled disclosure" by warning us about any potential hazards and dangers associated with their products. And, finally, Consumers , especially in the absence of well-meaning manufacturers or competent, well-intentioned regulators, must be highly diligent by researching products and learning about potential hazards prior to buying and/or using them. All three, manufacturers, regulators and consumers, must perform their jobs or the safety triad may fail to protect us and our loved ones. Think of a three-legged stool that distributes the weight of a person sitting on the stool, equally among the three legs. But what would happen if we leaned heavily to one side of the stool, essentially spreading the weight that was once borne by three legs to the two legs remaining braced to the floor. Unfortunately the third leg is no longer contributing to the stability of the stool, which may actually collapse because the two remaining legs may not be able to handle the amount of weight that was intended to be equally distributed among all three legs.

If you are one of the millions of Americans who recently purchased one of several Boar's Head Deli Products, you may have bought a product containing deadly listeria bacteria. At least nine people have died and 57 have been hospitalized from a listeria outbreak linked to deli meat, according to the Centers for Disease Control and Prevention. In late July, Boar’s Head, a deli meat and cheese company, expanded a previously announced recall to include at least 7 million pounds of deli products the company says may have been contaminated by listeria amid a nationwide outbreak. The recall spans 71 products and includes meat meant to be sliced at retail delis along with prepackaged meat and poultry products sold at retail locations, according to the U.S. Department of Agriculture.

In my best-selling book, Murder, Inc.: How Unregulated Industry Kills or Injures Thousands of Americans Every Year...And What You Can Do About It (Hartford, Ct.:PYP Press, 2020), I discuss the need for "principled disclosure" from corporations about potential hazards that could hurt or kill us. I also discuss the role we as consumers play by seeking information about those hazards and finally, the role various regulatory agencies must play to initiate and enforce meaningful regulations on industry so that they do, indeed, engage in "principled disclosure" (i.e., tell the truth). In order to carry out its mandate, any regulatory agency or department charged with the responsibility of protecting the general public or consumers or workers and so on, must be empowered to both set the safety and hazard warnings rules and take aggressive, impactful action when they are not followed. Unfortunately, the U.S. Supreme Court, in a landmark 6-3 vote last month, overturned a 60-year old decision, colloquially known as "Chevron", which has the potential to undermine our government's regulatory agencies' ability to hold corporations accountable. What is the Chevron Decision and how could it impact your safety and well-being? In a unanimous ruling, the Supreme Court ruled against energy giant, Chevron, who challenged the Clean-Air Act, and instructed lower courts to defer to federal agencies when laws passed by Congress are not crystal clear. The 40-year-old decision has been the basis for upholding thousands of regulations by dozens of federal agencies, but has long been a target of conservatives and business groups who argue that it grants too much power to the executive branch, or what some critics call the administrative state. In the decades following the ruling, Chevron has been a bedrock of modern administrative law, requiring judges to defer to agencies’ reasonable interpretations of congressional statutes. But the current high court, with a 6-3 conservative majority has been increasingly skeptical of the powers of federal agencies. With a closely divided Congress, presidential administrations have increasingly turned to federal regulation to implement policy changes. Federal rules impact virtually every aspect of everyday life, from the food we eat and the cars we drive to the air we breathe and homes we live in. For example, the Biden administration has issued a whole host of new regulations on the environment, including restrictions from emissions at power plants and from vehicle tailpipes. Those actions and others could be opened up to legal challenges if judges are allowed to discount or disregard the expertise of the executive-branch agencies that put them into place. When you consider who was advocating for the overturn of Chevron, it does not bode well for consumers and their safety: groups representing the gun industry and other businesses such as tobacco, agriculture, timber and homebuilding, were among those pressing the justices to overturn the Chevron doctrine and weaken government regulation. Can you imagine the FDA being defanged by Chevron-influenced lawsuits to the point where tobacco could sell their products to teens or resume advertising on television, a practice banned by Congress since 1970. Or imagine OSHA (Occupational Safety and Health Administration) regulations being stripped away that protect worker safety? Or a CPSC (Consumer Product Safety Commission) challenged on its stringent toy regulations that are aimed at infant choking hazards? Or a Department of Agriculture no longer able to inspect meat with the rigor that industry now faces? Or a NHTSA (National Highway Traffic Safety Administration) no longer able to regulate the safety of our automobiles, especially now as we address the feasibility and safety of self-driving vehicles?

CNN recently featured its medical expert, neurologist Sanjay Gupta, narrating a very thorough documentary entitled "The Last Alzheimer's Patient" which, over a 5 year period, collected data on the latest research related to dementia, highlighting advances in new medications as well as in lifestyle changes, both of which offer promising developments that may, in some cases, reverse or, at least stop the advance of Alzheimer's, the most common form of dementia. What is Alzheimer's Disease (AD)? According to the Yale School of Medicine, AD "is a progressive disorder that damages and destroys nerve cells in the brain. Over time, the disease leads to a gradual loss of cognitive functions, including the ability to remember, reason, use language, and recognize familiar places. It can also cause a range of behavioral changes."