People used to eat waaaay more sugar. 3000-4500 cal / day was normal in France a hundred years ago. A lot of that was refined sugar.

What their food didn't have was:

- the extra, hidden starches that high fructose corn syrup, for example, has and on which gut bacteria go bonkers, giving you a truckload of endotoxins to deal with

- the phyto-estrogens in everything

- the unsatured fats at insane ratios

- BPA's and a bunch of other nearly untraceable toxic byproducts of current manufacturing tech

- being irradiated with a spectrum of new/strong emf's that interact with it at a cellular level

Some of the most healthy tribes have been living high-starch, high-collagen lives.

Dextrose is a sugar that doesn't even make it to your gut bacteria because it is directly absorbed. It has been used a healing agent for that reason. Very clean way to gain energy.

Clean sugar isn't a problem ,unless you lack the cofactors needed for its combustion. But that list of cofactors is waaay shorter than anything else you'd choose to consume for energy anyway.

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They had bad teeth, tho. 😂

People consumed more alcohol, as well, which is fermented sugar.

Ale was a common breakfast because it was fast, gave energy, and didn't need to be cooked.

You also have to differentiate what the sugar was in. Sugar cookies and chocolate milk and etc. used to be more nutrient-dense and that probably outweighed the effect of the sugar.