Second edition
Corrections: what the first edition got wrong
This is the register of claims the first edition got wrong and the second edition corrects. It is kept in public, on its own page, because a book that revises itself quietly is harder to check.
This edition corrects the first in more than sixty places. The biggest reversals are argued in the chapters themselves, and Chapter 38 makes a case study of several. The rest are listed here, briefly, for readers of the first edition. Where a correct figure is given, the chapter named carries its source.
Report an error or a newer study through the contact form. A confirmed error is added here rather than quietly edited away.
Claims reversed
18Chronic back pain is not a modern disease
The first edition said it was. The Tsimane of Bolivia, forager-horticulturalists with no office chairs, report more pain than several comparison populations, and chronic pain at rates within the range of industrialized countries. What changed is what comes after the pain: disability.
ADHD medication is not a last resort
In Swedish national registries, starting medication was associated with lower death rates over two years.
Melatonin is not an established anti-cancer agent (Chapter 22),
and the link between night shifts and breast cancer rests on more than the single study the first edition used.
Your lifestyle does not write itself into your grandchildren
In humans, the evidence for inheriting a grandparent's experiences through epigenetic marks is weak.
Fasting has not been shown to switch on autophagy in the human brain
There is no validated way to measure autophagy in a living person.
Polyvagal theory is contested, not established
Topic 38: The Case Against This BookTopic 39: The Unified Field of Mismatch
"Most of the body's serotonin is made in the gut" does not explain mood
Gut serotonin does not cross into the brain.
Topic 38: The Case Against This BookTopic 39: The Unified Field of Mismatch
Seed oils
The first edition blamed them for inflaming the body and making the gut lining leak. The fats people eat did change, enormously; that seed oils make the gut leak is not established.
Wild plants do not carry two to ten times the vitamins of crops
The study cited compared garden crops in 1950 and 1999.
Consumer haplogroups do not shape your heart, your response to dairy or your sensitivity to seasonal light
The Toba eruption did not cause a human population bottleneck
People at South African sites lived through it.
Mismatch is not one problem expressed through thirty systems
The systems are linked, and inflammation is one interacting cause among several, not a single root.
Loneliness is not proven to cause disease through cortisol and inflammation
That pathway is a proposal with observational support.
The body does not read an absence of touch as a threat signal
The evidence is narrower: touch of the right kind is followed by lower cortisol and heart rate.
The boredom-to-creativity chain is not in the imaging literature
Helminth therapy did not work in larger trials
Early small trials were promising; larger placebo-controlled trials in Crohn's disease found no benefit.
Central sensitization is not permanent
The pain system can stay turned up a long while, but the change is reversible.
Ancestral injuries did not simply heal or kill
Many people lived on with lasting damage, cared for by others.
Advice withdrawn or changed
3Bedroom temperature
The first edition told readers to keep the bedroom at 18 to 19°C (64 to 66°F). Neither paper it cited contains that number.
Topic 41: The Handrail II: Light, Sleep, Temperature, Nature
A dopamine "fast"
Anna Lembke recommends 30 days away from a compulsive behavior, not 24 to 72 hours.
Cold showers
The trial the first edition cited cut days absent from work by 29%, not days of illness, which did not change.
Topic 41: The Handrail II: Light, Sleep, Temperature, Nature
Figures corrected
35DNA to the sun and back (Prologue)
Not "more than 600 times": most of the body's cells are red blood cells with no DNA. Dozens of round trips.
Neanderthal ancestry
About 1 to 2% outside Africa, not 1 to 4%.
Tibetans on the plateau
Permanent settlement is conventionally dated to about 3,600 years ago, with seasonal use far earlier, not "roughly 25,000 years".
Gut microbes and their hosts
Shared descent over about 15 million years, not 90 million.
Mean age at first birth in the US
27.5 in 2023, not 30.4.
Menopause in other animals
Not only humans, orcas and pilot whales: five toothed whales, and wild chimpanzees at Ngogo in Uganda.
Grandmothers and grandchild survival
No single "10%" figure exists in the study cited.
Brown fat
After six weeks of daily mild cold, the extra heat it produced rose by roughly 180 calories a day, not 200 to 400.
Vitamin D deficiency by race
In the national survey cited, 82.1% of Black Americans and 30.0% of white Americans were deficient.
Synthetic chemicals
The "700,000 to 2.1 million" figure had no source; about 350,000 are registered for commerce.
The brain in sleep
Brain cells do not shrink by 60%; in mice, the space between them grows by about 60%, and even that model is disputed.
"One trillion smells"
The estimate depends heavily on the analysis used to make it.
Opioid deaths
About 806,000 Americans from 1999 to 2023, not "over 500,000".
Foragers' lifespans
Adults who survive childhood often live into their late sixties and seventies, a decade or so short of industrialized populations, and far fewer children reach adulthood. Nor were heart attacks unknown: about a third of ancient mummies scanned for the purpose showed hardened arteries.
Anxiety
The first edition said generalized anxiety disorder affects about 6% of the world. The World Health Organization puts anxiety disorders of every kind together at about 5.8%; generalized anxiety disorder alone is far rarer, about 1.8% of adults in a given year.
Hallmarks of aging
Twelve since 2023, not nine.
Stress and cellular aging
The famous "9 to 17 extra years" of telomere aging compared the most and least stressed mothers in one small study, not caregiving mothers with childless women.
Magnesium
About half of Americans eat less than the average requirement, which is not the same as clinical deficiency, and standard water treatment generally leaves minerals in tap water.
Overdrinking
It does not "paradoxically impair cellular hydration": it dilutes the blood and makes cells swell.
Nasal nitric oxide
The first edition said it raises oxygen uptake by 10 to 15%. The one small study behind the figure found skin oxygen readings about 10% higher in six of eight volunteers.
Steps
Americans average about 5,100 steps a day by step counter, not "fewer than 4,000". No study supports the first edition's forecast that self-driving cars would end walking within 20 years.
Topic 40: The Handrail I: Move, Eat, DrinkTopic 44: The Luxury Trap Accelerates
Milk digestion
Lactase persistence took thousands of years to spread, not "about 300 generations", and its timing tracked famine and disease rather than milk drinking.
Screen time
US tweens averaged 5 hours 33 minutes and teens 8 hours 39 minutes of entertainment screen media a day in 2021.
Teen mental health
The first edition's "50 to 150%" figure was tied to no dataset anyone could check.
Loneliness and mortality
The figures were attributed to the wrong studies.
Spouses' gut microbes
The similarity tracks living together and closeness, not shared meals.
The screen-before-bed experiment
Published in 2015, with the tablet's light peaking at 452 nm.
Sleep loss and immune cells
One short night cut natural killer cell activity by about a quarter, not 70%, and a normal night restored it.
Hunter-gatherer children's play
The "four to seven hours a day" figure could not be traced to a primary study, and neither could the claim that outdoor play fell by half between 1955 and 2005.
Time outdoors and cortisol
Visits of 20 to 30 minutes gave the biggest cortisol drop per minute spent, not the biggest drop overall.
Phone checks
The "96 times a day" figure comes from a three-day survey run for a device-insurance company, not from measurement.
Heart rhythm in hunter-gatherers
Heart-rate variability appears never to have been measured in them, so the ancestral level is unknown.
Body fat
No primary source exists for the first edition's comparison of hunter-gatherer and modern body-fat percentages.
Doggerland
The first edition tied its drowning to the Storegga Slide tsunami; a 2024 model suggests much of it was lost earlier.
A fast fitness gain
No trace could be found of the 2005 paper the first edition credited with a rise in aerobic capacity in six to eight weeks.
Attributions and sources corrected
15Who named mismatch
Daniel Lieberman popularized the idea. S. Boyd Eaton and Melvin Konner proposed it in 1985 and, with Marjorie Shostak, called it a "mismatch" in 1988.
The first edition's opening quotation
attributed to Lieberman cannot be found in his work and has been dropped.
Persistence hunting
David Carrier proposed it; Louis Liebenberg documented the hunts.
The East Side Story
was presented as fact. A hominin roughly seven million years old, found in Chad far west of the Rift Valley, undermined it.
The knee
Four-legged animals do have the ligament the first edition said "barely exists" in them: in dogs, injuring it is among the most common orthopedic problems.
Birth and the pelvis
The first edition credited Holly Dunsworth's team with the pelvis-versus-brain explanation of early birth; their paper argues close to the opposite, that the mother's energy budget sets the timing.
Light skin
does not absorb more ultraviolet light; it lets more through.
"Vanishing caloric density"
is the food scientist Steven Witherly's phrase, and his example was Cheetos.
The gut microbe survey
compared Guahibo Amerindians, rural Malawians and US city dwellers, not the Hadza and the Yanomami.
The squatting study
was about bowel movements, not hip angles in chairs.
The nose-plug experiment
had two participants, the author James Nestor and Anders Olsson.
"200,000 nerve endings in the sole of each foot"
is folklore with no primary source.
The exercise meta-analysis
the first edition cited was three different papers merged into one, and the minutes it recommended come from modern cohorts, not from any ancestral pattern.
The venue decibel table
could not be traced to the World Health Organization source it was credited to.
Women's and men's stress responses
The claim that women's stress systems react more to social threats and men's to achievement rested on one study of 50 students. Pooled across 34 studies, men's cortisol ran higher.
How to use this page
Each correction carries its own link, so a single one can be cited without citing the rest. Where a corrected figure is given, the reference topic named beside it carries the source.
The recommendations that survived the revision, and how strong the evidence behind each one is, are in the evidence register.