Michael Hunter, MD on Medika Life

The Silent Additive: What Singapore Street Food Taught Me About Ultra-Processed America

I ate five meals a day in Malaysia and lost weight. It wasn’t how much I ate in the U.S. that harmed me. It was what.

I Ate More. I Weighed Less.

In Malaysia, I ate like a poet unchained.

Noodles in the morning.

Spiced broth at noon.

Chicken glazed with soy and garlic by nightfall.

I sat on plastic stools under humming fans.

I picked up late-night snacks from carts where the only menu was memory and steam.

I ate more than usual.

I felt full every day.

A hidden gem in Kuala Lumpur’s Chinatown, DA BAO serves modern street food in a space that blends history, grit, and culinary charm.

But when I returned home, the scale surprised me.

Two pounds lighter.

My steps had not changed.

My sleep was the same.

I tracked nothing.

I restricted nothing.

Yet somehow, my body felt clearer, lighter, and calmer.

That was the moment I understood.

The issue was not how much I had been eating.

It was what I had been eating.

Here’s the bar of my Penang hotel:

Inside The Blue Mansion in George Town, Penang (Malaysia), this hidden bar blends Straits Chinese design and cocktail sophistication in a space steeped in history and color.

The Research Now Makes It Obvious

A major review published in Nature Reviews Endocrinology confirmed what I had already suspected.

Ultra-processed foods, often called UPFs, are not just harmless conveniences.

They actively promote overeating, disrupt metabolism, and increase the risk of obesity and chronic disease.

Researchers reviewed decades of data.

Their conclusions were clear:

  • UPFs override your sense of fullness
  • They damage the gut microbiome
  • They interfere with hormones like insulin and leptin
  • They promote chronic inflammation
  • They increase the risk of early death

These are not neutral calories.

They are chemical provocations.

→ Want to know which “health facts” are wrong?

Download my free guide: Debunked: 7 Health “Facts” That Are Quietly Hurting You

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From Preservation to Manipulation

A century ago, food processing helped prevent disease.

Preservatives and fortification solved real problems like spoilage and vitamin deficiencies.

But today’s ultra-processed foods are something else entirely.

They are stripped of fiber and water.

They are saturated with sugar and salt.

They are softened or crisped for speed.

They require little chewing and deliver maximum pleasure in minimal time.

These are not foods made to nourish.

They are products made to disappear.

The NOVA classification system breaks food into four levels of processing — a simple visual framework to identify which items are most likely to harm your health.

What I Noticed in Malaysia

In Penang and Singapore, I kept waiting for the usual signs.

Cravings.

Energy crashes.

That pull toward sugar at night.

None of them came.

In a Malaysian temple, rows of red clay bowls hold the residue of devotion — ash, incense, and flame etched into their surfaces by time and prayer.

Instead, I ate whole and real foods.

Greens stir-fried in oil.

Fish with bones intact.

Rice, fruit, spice, and broth.

Even the desserts had substance.

Even the snacks had structure.

And every bite required chewing.

What Ultra-Processed Foods Really Do

The review and related studies show that UPFs:

  • Speed up how fast we eat
  • Bypass satiety signals
  • Starve the beneficial bacteria in the gut
  • Trigger a hormonal imbalance
  • Promote low-grade inflammation
  • Crowd out nutrient-rich foods

One U.S. study linked high UPF intake to more than 120,000 preventable deaths each year.

Another found strong associations with cardiovascular disease, type 2 diabetes, and cognitive decline.

This finding is not just about gaining weight.

It is about how these foods affect nearly every system in the body.

Ultra-processed foods are arranged for maximum temptation — engineered textures, colors, and calories designed to override satiety and fuel overconsumption.

Labels Lie. Chemistry Tells the Truth.

UPFs often pretend to be healthy.

They say low-fatgluten-freeplant-based, or high-protein.

But flip the package and the label tells a different story.

You’ll find artificial flavors, gums, starches, stabilizers, and sweeteners you can’t pronounce.

You’ll find them in:

  • Protein bars
  • Ready-to-drink shakes
  • Flavored yogurts
  • Cereal with cartoon characters
  • Shelf-stable snacks that never spoil

These foods don’t just deliver calories.

They confuse your hunger.

They dull your instincts.

They keep you coming back.

What I Now Tell My Patients

Instead of strict food rules, I offer simple replacements.

  • Eat foods with fewer than five ingredients
  • Choose oats over cereal
  • Choose fruit over a bar
  • Choose nuts over crackers
  • Cook when you can, even if it’s just olive oil, garlic, and greens

Real food asks you to chew.

It slows you down.

It satisfies you in a way engineered foods cannot.

You don’t need to be perfect.

You only need to shift direction.

Letting Go Is Hard for a Reason

Manufacturers design ultra-processed foods to be addictive.

They melt in your mouth.

They hit the same reward centers as nicotine.

They are easy to chew and hard to resist.

They make you eat faster and feel less full.

More than half of all calories in the American diet now come from ultra-processed foods — a powerful force behind habitual overeating and long-term health decline.

This is not a failure of willpower.

This is a feature of the product.

Start small:

  • Replace soda with sparkling water and lime
  • Prep one simple meal a week
  • Add a vegetable to each dinner
  • Keep one snack unprocessed

The smallest shift creates momentum.

And momentum is what makes change last.

Final Thoughts: Hunger Is a Signal

In Malaysia, I stopped thinking about food.

I didn’t count macros.

I didn’t obsess over protein.

I ate when I was hungry and stopped when I was full.

Because the food I was eating allowed me to stop.

When I walked through the airport food court back home, everything looked different.

It wasn’t the smell that hit me.

It was the stillness.

The silence.

Petronas Towers at night, Kuala Lumpur — strength and stillness beneath Malaysia’s iconic skyline.

The lifelessness of boxes filled with shelf-stable meals and snack bars designed by chemists, not chefs.

And I realized something.

Hunger is not always a request for food.

Sometimes, it is a call for something real.

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Author bio: I am a radiation oncologist who writes daily about longevity, cancer prevention, and the small habits that change health trajectories. I’m a physician and writer who helps people understand how everyday habits shape long-term health. I believe food should fuel, not fool, the body.

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Michael Hunter, MD
Michael Hunter, MD
I received an undergraduate degree from Harvard, a medical degree from Yale, and trained in radiation oncology at the University of Pennsylvania. I practice radiation oncology in the Seattle area.

Michael Hunter, MD

I received an undergraduate degree from Harvard, a medical degree from Yale, and trained in radiation oncology at the University of Pennsylvania. I practice radiation oncology in the Seattle area.

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