skip to Main Content

Do you want your doctor to think for herself?

Medical Ethicist Dr. Steven D. Pearson says definitely not.

Pearson’s opinions help shape policies that become written into law. His mission: To reduce variation in physician behavior. He believes medical care will be better, safer, and more cost-efficient when physicians base clinical judgments on “solid empirical science instead of clinical observation and experience.”

Dr. Pearson’s word choice is key to understanding where he’s coming from—and how your doctor may be required to treat you at your next appointment. Notice, Pearson uses the term “instead of” as if suggesting solid empirical science and personal experience are mutually exclusive and cannot be reconciled. His assumption seems to be that the average physician is incapable of safely assimilating new experiences.

Conformity is Safety

This article is continued below...(scroll down)
Kobe Bryant

It helped. I feel great.

"It’s helped. I feel great."

Kobe Bryant
NBA baskeball player
megyn kelly

This has been life changing

"Let me tell you this has been life-changing. I have all of her books, in audible and ebooks! I have gotten rid of all the hateful 8 oils. I have trained my body to eat its own previously toxic body fat. Download that pod it's a game changer!"

Megyn Kelly
Jesse Watters

Life changing

Deep Nutrition changed my life.

Jesse Watters
Fox News Primetime host

Saved my life

I would like to thank you for literally saving my life. Back in February, I had to be hospitalized while on vacation in Phoenix with an A1C of 11% and had to start taking 2 types of insulin and 2 other meds. I read the Fatburn Fix in April, and followed the program to a tee, and I’m down by 15 pounds, 6.8 A1C, and only one once weekly diabetes medicine. Prior to reading the book, it was almost impossible for me to lose weight as a diabetic. 

Leontyne Tompkins

I feel free

For the last month, I have really been reading all labels on everything. I have completely remove those 8 oils you talk about. I must tell you, I feel great! I have more energy and I am now 197 lbs (have always been around 205 to 210lbs). I eat potatoes with real butter, grass fed steak, pasta with the right toppings. I eat everything! I seem to crave less sugar. I love it! 

Robert Kirkendall

I feel so much better

I had terrible aches and pains everywhere in my body, my hands, shoulders and knees. I feel so much better and the way I feel is motivating me every day! Thank you

Mike Deb Wootan Burcin

Better than ever

I am an anesthesiologist in Orlando and a huge fan of both of your books! I have been incorporating your principles for the last 10 months and feel that my health is better than ever.

Marnie Robinson, MD

My allergies disappeared

The biggest difference for me (and a surprising one) is that my allergies have almost completely disappeared! This is a big deal for me, because I’ve had allergies most of my life and they have often affected what I do which is a teaching music in [a public school district].  In general, I feel much better and have more consistent energy throughout the day.

Erica Turrell

Heart Palpitations have Stopped

I’ve lost 20+ pounds (also fasting 16-24 hours daily) and haven’t had palpitations except for one occasion — I had a mini bag of Fritos for the first time in July. And, I feel better now on a daily basis than I ever did all through college.

Mike Wright
Deep Nutrition and Fatburn Fix reader
Mitzi Wilkinson Champion

I’ve lost over 50 pounds

I’ve lost over 50 pounds. I’m 56 years old. Cutting processed food and unhealthy fats from my diet was one of the first things I did on my health recovery journey...I went cold turkey off the bad oils. Emptied my pantry into the trash and just started eating real food

Mitzi Wilkinson Champion

Knowledge I didn’t know I needed

Your Fatburn Fix book is amazing, my friend. Thank you! I’m an Functional Nutritional Therapy Practitioner and I know my stuff. This is the extra layer of knowledge I didn’t know I needed. Well done!

Jennifer Dillman
Fatburn Fix reader

Lost a solid 20 lbs and my bloodwork is great

I have lost a solid 20 lbs and my bloodwork (after 3 months of eating your way) was even better! I was metabolically healthy (per your book) before I read your book, but barely. Lowering my weight, sealed the deal! I have been talking about you and your book to anyone who will listen...Thank you for all you’ve done and what you continue to do! You are changing lives for the better!

Missy Cramer
FatBurn Fix reader

Lost 20 lbs I could never shed

I love your Fatburn Fix!  Has helped me so so much!  I have had the dreaded weight all my life - 20 or so pounds I could never shed.  I have lost that now. I only eat 2 meals a day lunch and dinner with a glass of milk or cappuccino around 4 to hold me over. No snacking and not bad oils.  It has been the key to unlocking my fatburn.  I work out in the am and believe I am burning fat for energy not from food!

Lauren Smith

I feel great

My waist is four inches smaller. I feel great and many of the minor aches and pains that I had (knees and lower back) are gone. Also, my muscle tone is amazing, even though I have not increased my workout routine.

Richard Janelle
Completed Dr Cate's online course
Kent Matthes

The go-to for strength and conditioning coaches

Whenever I advise my clients about eating to perform I go straight to what I have learned from Dr. Cate. Her book Deep Nutrition has become the go-to for strength and conditioning coaches across the country.

Kent Matthes
Major League Baseball Agent with WME Sports
Ken D Berry

Dismantles the lie

Dr. Cate dismantles the lie that seed oils are healthy, which may the biggest lie about nutrition and health because it’s so insidious.  

Ken D Berry, MD
Author of Lies My Doctor Told Me
Dr. Drew Pinsky

She knows the chemistry

Dr. Cate alerts us to the harms of seed oils and she’s convincing because she knows the chemistry better than anyone.

Dr. Drew Pinskey, MD
Globally recognized internal medicine and addiction medicine specialist, media personality, LoveLine Host, and New York Times bestselling author
Kelly Starrett

No one is better at communicating nutritional truth

Dr. Cate has had the single greatest impact on how we talk to people about fueling for both performance or durability. While we all are a little unique, the foundational principles of human nutrition are immutable. If you are looking to create a more durable, resilient body, no one is better at communicating nutritional truth than Dr. Cate.

Dr. Kelly Starrett
Physiotherapist coach and New York Times and Wall Street Journal bestselling author
Brian Lenkzes

Highly recommend The Fatburn Fix

Dr. Shanahan has had a significant impact on my practice of medicine. I am known as a Low Carb Doctor, but I never really appreciated the negative effects of processed seed oils on the health of my patients. I highly recommend The Fatburn Fix to my patients and have a loaner copy in my waiting room. It is amazing how quickly blood sugars and overall health improves with cutting seed oils. It is not just about the carbs!

Dr. Brian Lenkzes, MD
CEO of LowCarbMD San Diego, co-host of Low Carb MD Podcast and host of Life's Best Medicine Podcast
Chris Kaman

Respected in the sports world

Dr. Cate reordered my diet when I was with the L.A. Lakers, and the benefits, for me personally, were felt immediately and have served me to this day. I’ve come to take real food so seriously I started a small family farm. I know of no M.D./nutritionist more respected in the sports world than Dr. Cate Shanahan.

Chris Kaman
NBA Player
Mark Sisson

Brought seed oil issue front and center

Cate brought the seed oil issue front and center. Healthy fats matter. So much so that I created an entire product line to swap out bad fats with good.

Mark Sisson
Founding Father of the Primal/Paleo Movement
Dallas Hartwig

Optimal health starts with food

If you want to understand how optimal health starts with food, start with Dr. Cate. Her book Deep Nutrition leaves you with an appreciation of the profound relationship between our genes and the planet, inspiring us to be good shepherds of both.

Dallas Hartwig
Attribution author of The Whole 30
Dwight Howard

Helped me with endurance

Deep Nutrition really helped me with endurance. I started to feel better as a player. I was able to run more, I was able to be more active …and I just decided to keep going with it to this day.

Dwight Howard
NBA Player
Paul Grewal

Silver bullet for me

Dr Cate’s teachings helped me lose 60 pounds like it was nothing. It was like a silver bullet for me.

Paul Grewal, MD 
Dr Grewal Internal Medicine, MD, author of Genius Foods
Joesph Mercola

Radically improve your health…

Dr. Shanahan has provided a solid reference that deserves a place in the library of anyone who is seriously interested in nutrition. Her perspective on the vital role that healthy fat has in our diet is novel and, if implemented, can radically improve your health.

Dr. Joseph Mercola
Author of Fat for Fuel and Founder of
Dave Aspery

Pull up a chair…

I have based my work on the idea that getting the right kinds of healthy fats into your body and avoiding the worst fats is essential to optimal health. I've interviewed dozens of the world's top experts about this, and I know of no one who speaks more eloquently on this topic than Dr Cate. If she’s talking fats, pull up a chair. Take notes.

Dave Asprey
Author of the Bulletproof Diet

The key to unlocking my fatburn

I love your Fatburn Fix!  Has helped me so so much!  I have had the dreaded weight all my life - 20 or so pounds I could never shed.  I have lost that now. I only eat 2 meals a day lunch and dinner with a glass of milk or cappuccino around 4 to hold me over. No snacking and not bad oils.  It has been the key to unlocking my fatburn.  

Lauren Smith

Saved my life

I would like to thank you for literally saving my life. Back in February, I had to be hospitalized while on vacation in Phoenix with an A1C of 11% and had to start taking 2 types of insulin and 2 other meds. I read the Fatburn Fix in April, and followed the program to a tee, and I’m down by 15 pounds, 6.8 A1C, and only one once weekly diabetes medicine. 

Leontyne Tompkins

> Tears of joy

 I'm crying tears of joy and appreciation for all you've done for me and my health! Without Deep Nutrition and Fatburn Fix, I would literally still be in the vicious cycle I'd been fighting all my life! In a nutshell - I am no longer a compulsive overeating addict suffering under the crushing 'thumb' of all food and alcohol.     

Penni Wicks


According to Dr. Pearson, all doctors should treat people with the same diagnosis—say high cholesterol, or cancer—the same way, and their treatment plans should be based entirely on published protocols and guidelines. He suggests doctors rely not on their own experience, but on “solid empirical science.” He claims that individuals are not capable of generating, evaluating, or implementing “solid empirical science” and that only consensus panels and groups of experts can create “solid empirical science.” Furthermore, he characterizes behavior of those doctors who prefer to interpret data themselves rather than accept the interpretation of consensus panels, as “deviant.”

Finally, Dr. Pearson acknowledges that consensus panels are frequently comprised of doctors on pharmaceutical company payrolls and this conflict of interest might present problems. Nevertheless, he characterizes currently available guidelines as “solid.”

Consensus is Truth

Dr. Pearson supported provisions in the new healthcare reform bill that will fund “physician variation” studies to single out doctors who are deviating from expert group opinions more than others.

If you are the kind of person who wants to see an independently minded physician who treats you as an individual rather than a disease state to be fitted into a predetermined algorithm, you might not like the direction medicine will be headed if people like Dr. Pearson have their way. On the other hand, maybe you would rather your doctor concern himself more with what disease category or categories to place you in, and endeavor to adhere closely to guidelines and algorithms as possible.

If you’ve read this site or any of my books, you know what side I’m on. However, maybe the Robot-doctor is what this country really needs. I want to know what you think. Send me your comments and tell me whether, the next time you or your child gets sick, you’d rather make an appointment with a Robot-Doctor, or the old-fashioned kind—the one encouraged to think for herself. Please post your comments!

With over two decades of clinical experience and expertise in genetic and biochemical research, Dr. Cate can help you to reverse metabolic disease and reshape your body.

Please note: Please do not share personal medical information in a comment on our posts. It will be deleted due to HIPAA regulations.

This Post Has 8 Comments

  1. Will do. I still have a bit of time to mull it over!

    I definitely wasn’t referring to anything hocus pocus or to wacky when I said alternative. I just meant an alternative career. I have been thinking something along the lines of clinical nutrition, then I could still approach treating disease and dysfunction.

  2. And your second posting, about insurance, regulation, and so on is another common complaint I hear from fellow doctors and totally agree with. But what isn’t getting worse? Even real estate agents in Aspen are having to cut back. If it gets really bad, I’ll go work for a company that takes care of all that regulation, like Kaiser, or the VA.

    I’d love it if you let us know what you decide to do!

  3. Hmmm..

    I think if I had to do it over again, I would be better off if I’d skipped college completely and become a real estate agent in Aspen, CO. 🙂

    Seriously, though, I’ll tell you what I think, I’m not sure it’s wise for me to even try to tell you what I think you should do, so I’ll try not to!

    I enjoyed medical school because I felt like we were all part of “team science” and there was a big enough bunch of us that I could find several like minded friends who weren’t in it all for the money or the prestige (we all went into primary care, naturally) but for the connection to deeper truths about the world and wanted to really be able to help people. All of them have become extraordinary doctors.

    I’m sure you would meet people like that in medical school, too, but now since you (and maybe even several of them) would have this background of deeper knowledge I think you could do more with your careers.

    The alternative practices do not have access to insurance payments. If that changes and they do get access, I think it is likely the reimbursement will be like what the massage therapists tell me: Not often worthwhile.

    Alternative therapies have fewer standardized ways of making diagnoses, which impairs the communication process between practitioners, which can stall the progress of moving the science forward, and their therapies cannot be standardized as readily: how do you tell a flower to make exactly 10ng/ml of it’s active ingredient? I know what side effects drugs can cause. I have no way of knowing what side effects many supplements can cause. As a scientist, this makes medicine more appealing for me personally, warts and all.

    Any science can be corrupted by greed. Any job can become a daily grind. But the more people doing the same thing are on the same page, the more fun it will be and the more good we can do. So come on in and join the party!

  4. Also, some of the doctors I worked with at a family practice clinic actually tried to steer me away from medical school, saying they have seen things growing worse for doctors over the years, and that things will only continue to get worse (they talked about insurance, work hours, ability to prescribe what they want, pay, etc). Have you seen this over your career ?

  5. Over my undergraduate career, reading different works by people like Weston price, your book deep nutrition, and other works, I have fallen in love with learning about nutrition, traditional eating and its ability to heal people of many conditions.

    I was accepted to medical school and granted a year deferral. During this time, and the times I spent previously shadowing doctors, working in practices, etc, the less I have been excited about going to medical school. I am just completely turned off by the lack of knowledge of proper nutrition, and the way doctors just seem to treat symptoms and push pills.

    I am questioning whether going to medical school would be he right thing. I realize you teach alternative approaches and traditional nutrition in your practice, but do you think if you could go back in time would you do anything different career wise knowing what you know now, and possibly being able to save the trouble of going through 4 years of med school, residency, accumulating lots of debt, etc? Would I be better off just doing something like becoming a certified clinical nutritionist, or should I stay the course and slug out med school and residency so I can work in some kind of alternative practice afterwards. Who knows, maybe they will start having more alternative and holistic residencies in the future.



  6. We can thank the NIH and their new training grants for this attitude. Under the mantra of “bench to bedside”, the NIH funds med schools now through grants, not for interns/residents but for research: an NIH-funded Clinical and Translational Science Institute should be popping up near you if one hasn’t already. These beasts are massive, requiring inter-institutional cooperation, in addition to bringing together “public-private partnerships” and … voila… patents and patients. At an opening of one of these centers, I heard that now everybody in my state would be a potential candidate for a clinical trial.

  7. I don’t know who this guy thinks he is, but maybe he could look up the root for the word “ethicist”, which is from the greek, ethikos. I forget what it means, but I know for sure that it definitely don’t mean selling your educaition to the highest bidder! THINK FOR YOURSELVES EVERYBODY!!! DO YOUR OWN RESEARCH!!!


  8. I cannot believe that big-pharm hires these “medical ethicists” to try to rationalize their campaign to get doctors to prescribe more and more drugs! I know she didn’t say that, but in my opinion, that’s probably what’s going on.

    My relationship with my doctor is based on trust. And I trust that he’ll tell me what he believes is the best course of action, whether or not some algorithm tells him to do something different. I trust that he’s aware of the algorithm and has considered it before advising me.

    What’s next? Before you know it, they’ll be bribing doctors to prescribe more of the drugs they tell them to, or cut their pay whenever their “deviant.” This all makes me so angry!

Note: Please do not share personal information with a medical question in our comment section. Comments containing this content will be deleted due to HIPAA regulations.

Leave a Reply

Your email address will not be published. Required fields are marked *

Back To Top