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Ophelia Gurin
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I started getting questions about Netflix\u2019s new gut-health documentary before it even came out. The trailer for \u201CHack Your Health: The Secrets of Your Gut\u201D was pushed to multiple people in my life (including me), presumably based on our past viewing habits\u2014I don\u2019t typically watch things like that for fun, but I\u2019ve been using my account for research purposes recently, so now I\u2019m getting served all the wellness-y stuff. But it was also pushed to family members who don\u2019t really go for that sort of thing, so maybe the algorithm is casting a wider net with this one.
Given the questions plus my general interest in gut health, I decided to watch this doc. I was ready for it to be full of overblown rhetoric about the gut\u2019s role in well-being, but the hype was even more egregious than I\u2019d anticipated\u2014and with a level of casual fatphobia that felt out of place in 2024.
The film opens with Giulia Enders, a telegenic German medical doctor and researcher who is arguably the world\u2019s biggest hyper of gut health, walking through a field of tall grass with a telescope. As we watch her set it up and peer through the lens, she explains in voiceover that humans have made incredible discoveries about this planet and even visited the moon, but that \u201Chardly anyone has really adventured into their own gut.\u201D
Despite the relative newness of gut research, she and the other featured experts are surprisingly confident in their claims. Within the first minute, we hear that the gut can determine whether we are \u201Coverweight\u201D or \u201Cobese,\u201D whether we get diseases like heart disease, autism, depression, anxiety. There\u2019s footage of people eating fast food, meat, and soda, intercut with celebrities making wellness claims and four \u201Cregular people\u201D expressing confusion about what to eat and how to be healthy. Then, the chorus of gut researchers, fronted by Enders, chimes in: looking at all of these issues through the lens of the gut makes everything clear. As the opening song crescendos, Justin Sonnenburg, another famous researcher and purveyor of gut-health hype, delivers the film\u2019s thesis: the gut is \u201Cthe center of a biomedical revolution.\u201D
Of course, the gut microbiome is a hot area of research, and there may well be some cause for excitement. There is some observational evidence showing correlations between gut microbes and certain health outcomes, and while it\u2019s still far too early to make the kinds of causal claims that get thrown around in the doc, I\u2019m sure it\u2019s an exhilarating time to be a researcher in this area\u2014designing studies, testing theories, exploring what feels like a whole new universe. The film does a good job of capturing that heady feeling.
There are other things to like about it, too. The production values are great, as you\u2019d expect from Netflix. There\u2019s cute stop-motion animation with little woolen dolls and animals\u2014though unfortunately it\u2019s sometimes deployed in wildly weight-stigmatizing ways, like showing creatures blowing up like balloons and rolling away after eating certain foods. My favorite part was the four featured non-experts\u2014particularly Maya Okada Erickson, a Michelin-starred pastry chef with an eating disorder, who is thoughtful about how her fear of food could play a role in her digestive issues, and who candidly says that the experts\u2019 recommendations of foods to eat and avoid probably won\u2019t be helpful given her tendency toward obsessiveness. I wish the film spent more time with these people and showed them getting some real help for their issues\u2014three of the four seem to be struggling with some degree of disordered eating, and one has a history of chronic dieting.
Instead, the health claims really dominate this doc, which I think is to its detriment. There are too many to address here today, and I\u2019ll likely continue to unpack some of them in my ongoing coverage of gut health. But today I want to focus on two claims: that the microbiome determines your weight, and that it can dictate what diseases you get. Both of these claims conflate correlation and causation, and neither is based on solid science. In fact, it\u2019s surprising just how shaky the evidence for them really is.
All this was a welcome sign that Netflix has put its Q2 2022 subscriber dip firmly behind it as it now focuses upon becoming a truly global subscription video on demand (SVOD) provider. However, clamping down on password sharing and rolling out its ad-supported hybrid SVOD tier (Netflix Basic with Ads) are stepping stones towards profitability rather than market dominance. In Q4 2023, Netflix is still overwhelmingly an on-demand scripted drama and film distributor, although big strides have been made since lockdown in factual and in reality programming. What Netflix lacks, and what its D2C big-bang rivals such as Amazon Prime Video, Max, and Peacock are increasingly deploying, are the twin cornerstones of the traditional pay-TV content line up: sports and news.
Sport, therefore, remains the next untapped opportunity for Netflix, and in many ways, it is a more natural (an apolitical) alternative to news. Expect Netflix to double down on this as a strategic priority going into 2024.
Melngailis would eventually claim that Strangis, a gambler, duped her into believing that if she endured a series of humiliating tests, including sending him money, she and her dog would become immortal.
And this is what bothers me. If she had stuck with her original legal team, who had built a defense around abuse and coercion claims against Strangis, the course of her life might be far different now. At the least, she might have been perceived less as the vegan Bernie Madoff and more as a mentally and physically injured survivor.
It was up to me and the magazine of course how much credence to give to this general idea in the specific Melngailis case. Tendy was taking a risk giving me access. Many others in the media were blasting Melngailis. But my editor Mark Rozzo and I did find the coercive control argument credible and included it.
But the media was not the only angle Tendy was working. In court pleadings, she sent transcripts of harsh conversations between Melngailis and Strangis to the Brooklyn judge presiding over the criminal case.
Melngailis has offered little explanation of why she switched from a strong female with a great reputation to a man known for helping Gotti beat three charges of murder conspiracy. She has told me that she was not completely aware of all the angles Tendy was pursuing and was frustrated that jail time seemed inevitable.
Lichtman did not continue to try to push the sex crimes charges, and Melngailis was not interested in that either. Lichtman was relying on a method that had worked for him before to lessen time his clients would have to spend behind bars, focusing, he told me in a 2017 interview, on restitution.
In the end, Melngailis, represented by Lichtman, pleaded guilty to three felonies: second degree grand larceny and criminal tax fraud and first degree scheme to defraud. She agreed to four months in jail and about $1 million in restitution. Strangis received a year and was also on the hook for the restitution.
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