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Sharon McDowell-Larsen, PhD's avatar

Hi Alex—this is a thoughtful and well-researched article. I especially appreciate that you challenge the persistent myth that plant proteins are “incomplete.” Plant foods contain all nine essential amino acids—and all 20 amino acids used by the human body—although the relative amounts vary among foods. (Along those lines, you may be interested in this review by Gardner et al. https://academic.oup.com/nutritionreviews/article/77/4/197/5307079)

I would, however, question the assertion that plant proteins are inherently less digestible. The DIAAS system, which attempts to account for digestibility and amino acid availability, has significant limitations. Much of the underlying research uses animal models and uncooked, isolated foods—conditions that do not reflect how humans typically eat. The methodology also applies assumptions derived largely from animal proteins that may underestimate the value of plant proteins. Additional limitations are discussed in this review (https://link.springer.com/article/10.1007/s13668-020-00348-8). When people consume a varied diet containing complementary plant foods, overall protein quality can achieve a DIAAS above 90.

Muscle protein synthesis studies also have important limitations when used to determine long-term protein needs or outcomes. Most measure the acute response to a single meal, which may not reflect what happens after the body adapts to a dietary pattern. For example, this study found that although acute MPS was initially higher with an omnivorous diet, the difference disappeared after 10 days. (https://www.sciencedirect.com/science/article/pii/S002231662401246X?via%3Dihub) The authors concluded that plant-based protein sources did not compromise daily MPS rates compared with an isocaloric, isonitrogenous omnivorous diet in older adults.

I wholeheartedly agree with your “food first” approach. The food matrix and the broader dietary context matter—particularly for long-term health. Whole foods provide far more than protein. That said, of the protein sources you highlighted, only legumes and tofu provide meaningful fiber and many of the health-promoting compounds, including polyphenols, that are largely absent from animal-derived protein sources.

Fiber, polyphenols, and the gut microbiome may be an overlooked part of the muscle-health equation. Research in this area is emerging and worth considering, especially in the broader context of skeletal health and function. In animal models, postbiotics—compounds produced when beneficial gut microbes ferment fiber—have been shown to stimulate MPS, reduce inflammation, improve insulin sensitivity, and enhance endurance. Each of these effects could potentially support muscle preservation, although evidence in athletes remains limited. I discuss this developing research in more detail here: Is Fiber the New Protein? https://sharonmcdowelllarsen.substack.com/p/is-fiber-the-new-protein?r=3mc502

Protein adequacy is an important but complex subject. We need more studies examining whole-food protein sources, particularly in highly active individuals. We also need to move beyond short-term MPS measurements and study the outcome that ultimately matters most to athletes: performance. Unfortunately, those data remain sparse. So far, the evidence consistently suggests that when athletes already consume adequate or even minimal protein, increasing carbohydrate availability is generally more effective for improving endurance performance.

Thank you for your thoughtful work—and for considering another perspective.

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