> What I've Learned. WHY Sugar Is as Bad as Alcohol (Fructose, The Liver Toxin). YouTube, <https://www.youtube.com/watch?v=f_4Q9Iv7_Ao>. Accessed 16 Aug. 2021.
# WHY Sugar is as Bad as Alcohol (Fructose, The Liver Toxin)
> This video shows how Sugar leads to the same problems as Alcohol by examining the Biochemistry.
- Robert Lustig: "Sugar is Poison"
- When you eat white bread, this happens:
- Glucose stimulates pancreas
- Insulin is released
- Glucose becomes glycogen in the liver
- The rest becomes pyruvate → mitochondria → used to produced ATP
- Remaining pyruvate becomse citrate, then through *de novo lipogenesis* is converted to Acyl-CoA then **VLDL** (very low-density lipoprotein) which is stored in your fat tissue
- Only 20% of glucose reaches the liver while 80% of ethanol does
- Alcohol is basically overloading your liver
- Ethanol doesn't need insulin to get into the cell, it just diffuses in there and becomes acetaldehyde
- Acetaldehyde generates **reactive oxygen species**, which damage proteins in the body, can cause cancer, and are thought to be the key factor in aging
- Antioxydants deal with ROSs, that's why they are supposed to combat aging
- Acetaldehyde is converted to acetate → mitochondria
- Acetate generates citrate → a lot of VLDL
- Some of the Acyl-CoA is also exported as **free fatty acids**, causing muscle insulin resistance
- Some of the fat will stay in the liver as a lipid droplet → fatty liver disease
- Ethanol, ROSs and Acyl-CoA activate the JNK-1 enzyme, which causes inflammation, further damaging the liver and promoting insulin resistance
- Sugar is made of 50% glucose and 50% fructose
- Almost 100% of fructose is metabolized by the liver
- It gets metabolized down to pyruvate → mitochondria
- Same circuit as ethanol, except fructose forms xylulose 5-phosphate, which further stimulates de novo lipogenesis
- Fructose is also converted to fructose 1-phosphate, which produces uric acid
- Uric acid raises your blood pressure → hypertension
- Damon Gameau, *That Sugar Film*