Thanks to NetGalley for a copy of this book in exchange for an honest review.
2 stars, maybe 2.5
Gastroenterologist Brennan Spiegel introduces us to a sort of unifying theory of human health: gravity intolerance. He claims that many disparate ailments that have been studied and diagnosed in isolation are a part of this more comprehensive issue that reframes how we look at our health. Everything from IBS to vertigo are not merely the sum of their parts, but place people on a spectrum based on how well their bodies are able to handle living in Earth's gravity.
This is an interesting way of viewing many aspects of human health, and there is some sense to the logic here that is undeniably compelling. However, I can't help but feel like Spiegel is shoehorning all of this together in order to suit his theory. One thing he says that I absolutely agree with is that medicine and health care should be holistic—far too often diseases and ailments are viewed as siloed incidents to be treated separately while the body is clearly one big complex system. Is the solution to look at it through the lens of gravity? Maybe. But we must be careful not to allow the framework presented here to be the guiding factor in and of itself.
Declaring people who suffer from things like IBS, GERD, dysautonomia, chronic fatigue, fibromyalgia, anxiety, vertigo, etc. to have "gravity intolerance" is like saying a fish with fin rot has "water intolerance." This framework is problematic because the explanatory umbrella is far too broad—correlation is not causation—and it lacks falsifiability.
Even if he is just arguing for us to think about our health in a slightly different way, he undermines this somewhat by citing dubious studies and treatments that have yet to be rigorously tested.
Brain-body integration gastroenterology and neurology is absolutely a thing and an important field of study, but that doesn't mean that some unifying theory of health can rest on a vague and amorphous concept of "gravity intolerance" on its own without a more solid theoretical framework.
Spiegel organizes each section into some basic science/medical introductions followed by stories about people who suffer from some form of "gravity intolerance" and their medical history. These stories can be very interesting (such as the "hypermobility disorder leads to IBS" thing). He closes chapters by recapping what was discussed and what some potential treatments/conclusions are. First of all, the introduction is way too long. He spends far too much time repeating himself and his theory over and over. I get that this must be aimed at grade school or high school students with the repetition and recitation in each chapter, but it makes reading/listening to this book very tedious.
He also recaps his treatments for various ailments in the closing chapter of the book which, again, feels redundant. To his credit, I found his writing to be clear and his explanations fitting for a very broad audience.
I guess I just feel like this book's theory is still half-baked. There's some interesting stuff here, and the factoids and high-level lessons are good. Once you get into the weeds, though, things become less clear in spite of the author's best efforts.