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Food Pyramid Blues: Influencers are not Scientists
Episode 11115th January 2026 • Fork U with Dr. Terry Simpson • Terry Simpson
00:00:00 00:07:52

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When Influencers Replace Scientists, Everyone Loses

Every few years, nutrition gets a makeover.

First comes a new graphic.

Then comes a new slogan.

Soon after, we hear claims that this time, someone finally figured it all out.

Recently, that makeover arrived in the form of a “reverse food pyramid” and the cheerful phrase “Eat Real Food.” On the surface, that message sounds reasonable. In fact, many doctors have said the same thing for decades.

However, the real problem isn’t the slogan.

Instead, the problem lies in who is now shaping nutrition advice—and who is not.


Yes, Some of the Advice Is Right

To be clear, let’s start with agreement.

Eating real food helps health.

Limiting added sugar makes sense.

Reducing ultra-processed foods improves outcomes.

Importantly, none of this is new.

Doctors, dietitians, and public-health researchers have said these things for years. Because of that, when influencers now say, “See, we were right,” a serious issue appears.

They didn’t discover this information.

They copied it.


The Real Risk Isn’t Agreement

At first glance, agreement sounds harmless.

Nevertheless, agreement becomes dangerous when it turns into ownership.

Once someone believes they have discovered basic nutrition truths, they often assume they can rewrite everything else. As a result, bad ideas slip in quietly, wrapped in confidence instead of evidence.

That shift matters.


Scientists and Influencers Are Not Interchangeable

At this point, we need to say something clearly.

We cannot afford to replace scientists with influencers.

Nutrition science didn’t come from podcasts or social media. Instead, it came from metabolic ward studies, long-term population research, and randomized trials. Moreover, real scientists accept uncertainty. They change their minds when the data changes.

By contrast, influencer culture rewards certainty.

Even worse, confidence often replaces humility.

There is no “Mediterranean diet influencer community.”

Likewise, there is no “DASH diet movement.”

Those dietary patterns exist because scientists studied them, tested them, and measured outcomes over time.

On the other hand, a loud low-carb and carnivore influencer ecosystem does exist. That ecosystem includes brands, supplements, coaching programs, and a strong contrarian identity. Because of that structure, influence—not evidence—often drives the message.


Fiber Versus Saturated Fat: A Telltale Sign

If you want to know whether someone understands nutrition science, ask a simple question:

Which matters more—fiber or saturated fat?

Influencers often say, “Fiber isn’t an essential nutrient.”

Technically, that statement is true in the narrowest sense.

However, context matters.

Fiber supports a healthy gut microbiome.

Additionally, fiber improves insulin sensitivity.

Furthermore, fiber lowers cardiovascular risk.

Finally, fiber supports colon health.

Because fiber feeds beneficial gut bacteria, entire fields of microbiome research depend on it.

Now compare that with saturated fat.

Saturated fat is truly non-essential.

Your body can make all it needs.

No deficiency disease exists from avoiding it.

Even more importantly, excess saturated fat raises LDL cholesterol and worsens artery health. Over time, that increases cardiovascular risk.

So ask yourself this:

Why dismiss fiber as optional while quietly promoting saturated fat?

That choice reflects ideology, not biology.


The Brain Doesn’t Care About Trends

Here’s another reality check.

Your brain—the most important organ you own—relies heavily on polyunsaturated fats. These fats support cell membranes, nerve signaling, and blood flow.

Ironically, these same fats often get labeled “seed oils” and dismissed.

Meanwhile, saturated fat does not belong in high amounts in brain tissue. Worse still, saturated fat can clog the arteries that supply the brain.

Biology does not respond to marketing.

Physiology does not care about popularity.


The “You’re On Your Own” Problem

Another issue deserves attention.

After influencers step into the spotlight and claim credit for old science, they often step away from responsibility. Then they tell the public to “figure it out.”

That approach ignores reality.

Many Americans live in food deserts.

Even more rely on school meals.

Lots of Americans work multiple jobs.

Many lack time, money, or kitchens.

Public health exists because willpower alone does not scale. Without system-level support, advice turns into abandonment.


Agreement Does Not Equal Expertise

Recently, debates around nutrition have highlighted this pattern clearly.

Some influencers argue that because they agree with basic nutrition advice, they deserve authority over the rest of the science. Unfortunately, agreement does not grant expertise.

Copying conclusions does not mean you earned them.

Science rewards method, not confidence.


The Bottom Line

Yes, eat real food.

And clearly, limit added sugar.

Most definitely, reduce ultra-processed foods.

Doctors have said this for years.

However, flipping a pyramid does not change biology.

Likewise, sidelining scientists does not improve health.

Finally, promoting saturated fat while dismissing fiber misleads the public.

People do not fail diets.

Systems fail people.

When we trade evidence for influence, health suffers.


A Final Note

This article provides general education, not personal medical advice. Always talk with your healthcare professional about individual nutrition needs.

At Your Doctor’s Orders, we believe data matter more than dogma, and evidence matters more than trends.

Because when it comes to health, confidence without science is not bold.

It’s risky.

Transcripts

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>> Dr. Terry Simpson: Let me start with something we all can agree on.

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Eat real food, limit added sugar, avoid ultra

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processed junk. Good solid. Correct. Now, here's

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the problem. That advice wasn't discovered last

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week, and pretending it was, while quietly

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sneaking in. Worse advice is how people get hurt

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and how policies don't get made. It's lazy.

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Science and public policy. Today on 4Q, we're

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going to talk about what happens when nutrition

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stops being science and starts being branding. I,

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um, am your Chief Medical Explanationist, Dr.

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Terri Simpson, and this is Fork U Fork University,

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where we make sense of the madness of the Maha

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public policy and teach you a little bit about

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food and medicine. Let's set the table. Literally.

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Okay, maybe not literally. The New Dietary

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Guidelines and the Upside Down Pyramid have been

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sold as a breakthrough, a reset, a, uh, moment of

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truth. And to be fair, some of what they're saying

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is right. Ultra processed food has some problems.

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Added sugar should be limited and most people

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should eat more whole foods. I've said that for

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years. So is almost everybody in the world of

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nutrition. But when influencers say, see, we were

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right all along, my response is simple. You didn't

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discover it, you copied it. Here's the danger.

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It's not that they agree with the obvious stuff,

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it's that they think they discovered it. Because

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once you convince yourself you're the discoverer,

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you also convince yourself you're qualified to

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rewrite the rest of the science. And that's where

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things go off the rail. You cannot replace

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scientists with influencers. Let me say that

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again. We can't afford to replace scientists with

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influencers. Nutrition science didn't come from

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podcasts. It came from metabolic wards, from

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cohort studies, from randomized trials, from

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people being willing to have boring, cautious, and

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sometimes wrong experiments. And just to be clear,

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there isn't a Mediterranean diet influencer

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community. There's no dash diet movement. But

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there are scientists and there are physicians and

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there are registered dietitians that understand

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nutrition. By contrast, there is a loud, low carb

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and carnivore influencer ecosystem, complete with

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brands, supplements, coaching programs, and

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contrarian identity. The difference matters

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because influence is not evidence. If you want to

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know if someone understands nutrition science or

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is just cosplaying it, ask them which matters

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more, fiber or saturated fat? And here's what the

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influencer crowd loves to say. Fiber isn't an

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essential nutrient. Now, technically, that's true

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in the narrowest biochemical sense, but it's

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misleading because fiber is essential. If you like

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a healthy gut microbiome, better. Insulin

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sensitivity, lower Cardiovascular risk and normal

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colonic function. Fiber feeds the bacteria that

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regulate inflammation and the metabolism. The

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entire field of research exists because of this.

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Uh, contrast that with saturated fat. Saturated

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fat is truly non essential. There is no deficiency

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disease from not eating it. Your body makes all it

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needs, and excess saturated fat raises LDL

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cholesterol, worsens arterial health, and

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increases cardiovascular risk. So ask why is fiber

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dismissed as optional while saturated fat non

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essential and harmful in excess is quietly

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rehabilitated? That's not science. That is

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ideology. And here's another simple brain. The

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most important organ you own is largely made of

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polyunsaturated fats. Yep, the same fats that are

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called seed oils. Now, you don't want saturated

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fat replacing the fats in those cell, uh,

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membranes. But if you eat enough saturated fat, it

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will. And you definitely don't want saturated fat

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clogging the arteries supplying the brain. Unless

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stroke and cognitive decline are part of your

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plan. Biology doesn't care about your podcast

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downloads. It doesn't care how good looking you

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are without a shirt. It cares about what you put

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into your body. And if you put enough saturated

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fat going to replace cell membranes with saturated

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fat instead of polyunsaturated fat, they will

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become stiffer and harder and much more difficult

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for you to negotiate life. I had an exchange

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recently with Kali Means that illustrates the

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problem perfectly. His argument, in essence, was

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the government is finally calling out sugar and

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processed food and you should get behind that. And

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my answer is simple. We already did years ago.

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But. But when you act like you discovered it, you

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also act like you're qualified to rewrite

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everything else. And that's when bad ideas sneak

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in. Agreeing with the basics doesn't earn you the

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keys to the lab. Now, here's the part that really

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bothers me. After influencers took the place of

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scientists, after they reframed the message and

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claimed credit, they effectively said, okay,

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America, you're on your own now. Eat real food.

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Figure it out. Take responsibility. Now that's

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easy if you're wealthy, mobile and online. It's

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not so easy if you live in a food desert, rely on

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school lunches, or work two jobs. Public health

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exists because the willpower doesn't scale. And

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here's the bottom line. Let me make it really

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clear. Yes, eat real food. Yes, limit sugar. Yes,

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minimize ultra processed food. We agree. But don't

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pretend you discovered it. Don't replace science

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with influencers. And don't sneak saturated fat

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back while dismissing fiber. Because when

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confidence replace evidence, people don't get

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healthier. They just get misled on 4Q. We believe

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food should be delicious, practical and grounded

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in evidence. And evidence doesn't care who said it

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first, only whether it works. Data beats dogma,

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science beats slogans, and health doesn't improve

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when we trade researchers like Dr. Hall for

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influencers like Cali Memes. This has been

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researched and and written by me, Dr. Terry

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Simpson. And while I am a board certified

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physician and certified in culinary medicine, I am

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not your doctor. When you seek to make changes to

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your diet, please see a registered dietitian and a

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board certified physician. Not some eastern

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trained person and certainly not a chiropractor.

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All things audio have been done by our friends at

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Simpler media and the pod God himself, Mr. Evotera

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and you can find blog and further information on

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my substack@drsimpson.com and

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yourdoctorsorders.com and for Q.com did you get

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enough.coms there? Because we like dot coms

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apparently. Anyway, have a good week everybody and

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remember illegitimi non carborundum. All right,

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Ebo, what do you think? I think that instead of

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going to a doctor now we should just go to

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influencers, health coaches and gym bros.

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>> Speaker B: Well you're the one with the giant TikTok

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following influencer. Also, what the hell was that

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Harry Potter sounding stuff at the end there? Oh,

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and then there's this.

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>> Dr. Terry Simpson: And increases cardiovascular risk. Risk. And

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increases cardiovascular risk. I wonder if Ivo's

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gonna leave that in.

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>> Speaker B: Oh you do, do you? No you don't. And he's not.

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