Seven blind men.
One elephant.
Go to a nutritionist with fatigue and you get a nutrition plan. Go to a surgeon and you get a date for surgery. Each of them is competent. Each is holding one part of a very large animal. This is a framework for finding out which part your problem is actually in — and it tells you, at every step, how confident you should be.
Start with one layer
Send me a layer and I will send back the short guide to it — what it covers, what the evidence says, and the one change worth making first.
No list has been set up behind this form yet. When it is, you will get the guide and nothing else.
The framework, one layer at a time
Read it from the bottom up. The layers ascend from body to mind — and away from evidence. The colour lightens as the certainty does.
Claims you can check. Cited, and open to being proved wrong.
An argument under construction. Labelled every time it appears.
Knowledge that arrives through practice, not reading. Described, not dressed up as science.
Latest writing
The number a whole field carried for forty years
I told audiences for years that you are ninety percent bacteria. It came from one back-of-the-envelope estimate made in 1972, and it survived four decades because everybody cited everybody else. The real answer is roughly one to one — and how that happened is more interesting than the number ever was.
The five ideas that do most of the work
Everything in the framework rests on a handful of images. If you only ever read one part of this site, read these.
Eight places to look
Symptoms are few; illnesses are many. A headache can come from nine different layers. Rather than asking which specialist to see, ask which layer this is coming from — and work through them in order.
Things that are not true
Including several I said myself, on a stage, with confidence. The test of whether someone is reasoning or rationalising is whether they have ever had to abandon something they liked.
Shaded entries are corrections to my own published claims
One thing, right now
No programme, no protocol, nothing to buy. Each of these takes under a minute to understand and can be started today. Pick the easiest bale.
General information, not medical advice. If you take prescribed medication, are pregnant, have a history of disordered eating, or are managing a diagnosed condition, check with your doctor before changing anything here — particularly anything involving fasting.
What actually changed my mind
Frameworks do not convince anyone. People do. These are the episodes that moved me further than any paper I have read.
Questions, answered in public
Send a question. Selected ones get answered here, where everyone can read the answer and everyone can disagree with it.
This is not a consultation and answers are not medical advice. Nothing here is confidential — questions may be published. If something is urgent, or you are in distress, please contact a doctor rather than a website.
Four books, two of them finished
Each one came out of a gap — something the science had not caught up with, or something I had got wrong and needed to correct in public.