High-Value Life GuideLife's expensive mistakes
中文

Policy, legal and insurance guides primarily concern mainland China. Scope and sources ↗

Back to the life guide

Chapter 6 / Complete chapter

The Anti-Checklist

All 35 guides. Open a guide for the full benefits, conditions and references.

Search this chapter →
Chapter cartoon · view illustration
Chapter 6 editorial cartoon: Before the sales pitch, show the source. Enlarge illustration
Before the sales pitch, show the source.

Zoom in, then swipe to move around the picture.

Loading full-size illustration…

Editorial cartoon · Chapter 6Before the sales pitch, show the source.

Original illustration with Chinese lettering; the English dialogue is below. Humour is a reading aid, not evidence.

English dialogue
  • Everybody loves it!
  • I'd like to read the original.

Don’t take multivitamins for longevity or heart protection

Over 14000 male doctors took multivitamins for eleven years. The number of serious heart and vascular problems, as well as deaths, was virtually ident…

Cost
They cost roughly 0.5 to 2 yuan per day, or 200 to 700 yuan per year. Taking them requires…
Benefit
The PHS II trial enrolled 14641 male doctors and followed them for a median period of 11.2…

Don’t take regular fish oil capsules to prevent heart disease

Two large trials enrolled 26000 and 15000 people with diabetes respectively. For those who took 1 gram of fish oil daily, the rates of major cardiovas…

Cost
It costs roughly 1 to 3 yuan per day, or 400 to 1000 yuan per year. Taking it requires no …
Benefit
The VITAL trial included 25871 participants who took 1 gram of fish oil daily for a median…

Don’t give vitamin D supplements to people who already have enough

For people who already have adequate vitamin D, taking supplements for 5 years yields identical rates of cancer, cardiovascular disease, and death as …

Cost
Roughly 0.2 to 0.5 yuan per day, or 100 to 200 yuan per year. That’s not much money, but t…
Benefit
The VITAL trial followed 25,871 participants who took 2,000 IU of vitamin D daily for a me…

Don’t take antioxidant supplements to prevent cancer (beta-carotene, vitamin E, vitamin A)

This isn’t just ineffective — it’s actually harmful. A review of 78 randomized controlled trials involving nearly 300000 people found that those takin…

Cost
Roughly 0.5 to 2 yuan per day. For smokers, the real cost is a higher risk of lung cancer.
Benefit
Cochrane analyzed 78 randomized controlled trials with 296707 participants. Overall, those…

Don’t expect glucosamine/chondroitin to treat knee osteoarthritis

In a major clinical trial for knee osteoarthritis over 24 weeks, dummy pills alone produced pain relief in 60.1% of patients. Adding glucosamine or ch…

Cost
Roughly 2–5 RMB per day, or 700–1800 RMB per year.
Benefit
As noted above, glucosamine and chondroitin showed minimal benefits compared to placebo. T…

Don’t rely on vitamin C to prevent colds

A combined analysis of 29 controlled trials shows that daily vitamin C intake hardly reduces the likelihood of catching a cold. Taking it after sympto…

Cost
Each effervescent tablet costs roughly 1–2 yuan; annual expense ranges from 300 to 700 yua…
Benefit
Cochrane’s pooled analysis of 29 trials with 11306 participants indicates that regular vit…

Don’t get a whole-body PET-CT or tumor marker panel if you have no symptoms

Screening completely healthy people most often yields false alarms. In one study, 86% of 1192 symptom-free individuals had at least one “abnormality” …

Cost
A whole-body PET-CT costs roughly $7000–$10000 per scan and exposes you to ionizing radiat…
Benefit
The USPSTF, which evaluates preventive measures in the U.S., assigned a D rating to CA-125…

Don’t expect fitness trackers or smartwatches to help you lose weight

471 overweight adults followed the same diet and exercise plans. The group wearing fitness trackers lost just 3.5 kilograms over two years, while the …

Cost
Devices cost between 200 and 2000 RMB. Plus, you have to constantly pay attention to the d…
Benefit
The IDEA trial involved 471 overweight or obese adults and lasted 24 months. All participa…

Don’t pay a premium for organic food just to be “healthier”

When we combine 17 studies done on humans with 223 studies analyzing food composition, there’s no solid evidence that organic food is significantly mo…

Cost
Typically 1 to 3 times the price of regular versions of the same foods.
Benefit
One systematic review brought together 17 human studies and 223 studies on food compositio…

Don’t take probiotics long-term if you have no gut problems

A review of clinical trials conducted on healthy adults shows that probiotics don’t bring about lasting changes in gut bacteria; once you stop taking …

Cost
Roughly 2–5 RMB per day, or 700–1800 RMB per year.
Benefit
This review concludes that there’s no solid proof that probiotics can produce lasting alte…

Don’t force yourself to take cold showers just to “boost immunity”

In a large clinical trial, individuals who took cold showers reported 29% fewer sick days, yet their total days missed due to illness remained unchang…

Cost
No cost at all. It requires enduring discomfort for 30 to 90 seconds each day; staying con…
Benefit
A randomized controlled trial conducted in the Netherlands enrolled 3018 participants. Aft…

Don’t buy products marketed for detox, colon cleansing, enzymes, or alkaline water

One review examined whether there is any evidence supporting detox diets. It concluded that while the detox industry is huge, there is very little cli…

Cost
Several hundred to several thousand yuan. Fasting as a way to “detox” can even lower blood…
Benefit
That same review reiterated that despite the rapid growth of the detox market, there is al…

Don’t force yourself to drink water just to hit “8 glasses a day”

Some people have tried to trace the origin of the “8 glasses a day” rule, but no studies supporting it have ever been found. On the contrary, surveys …

Cost
No cost at all. It does require some time and effort to remember to drink, and you’ll like…
Benefit
One literature review specifically examined the “8×8” rule — that is, 8 glasses a day, eac…

Don’t spend money on fortune‑telling, tarot, or astrology to make decisions

There’s a classic classroom experiment: students receive a “personality analysis” that is identical for everyone, yet most find it very accurate. This…

Cost
It costs nothing. The hard part is giving up a quick shortcut for making choices and havin…
Benefit
In that same experiment, students rated the generic personality analysis they received aft…

Don’t buy blue-light-blocking glasses to “protect your vision,” and don’t believe claims that staring at screens for months will ruin your eyes — but severe eye pain, redness, and swelling require immediate medical attention.

Blue-light-blocking lenses provide no real benefit. Skipping them saves you money, and there’s no evidence they reduce eye strain or protect the retin…

Cost
These glasses cost nothing, and you’ll also avoid paying the extra few hundred to a few th…
Benefit
A 2023 Cochrane systematic review analyzed 17 randomized controlled trials, each enrolling…

Don’t treat blood donation as a health habit: claims that it “detoxifies, lowers cholesterol, and prevents heart attacks” lack randomized trial support, while frequent donation truly causes iron deficiency

The idea that donating blood helps “detoxify,” lowers cholesterol, or prevents heart attacks is not reliable. Those conclusions stem from observationa…

Cost
There is no monetary cost. A single donation — including registration, drawing blood, and …
Benefit
The Kuopio study in Finland followed 2862 men aged 42–60 for nearly nine years. In the 24 …

Don’t rely on generic health check packages to prevent disease; instead, get the evidence‑based screenings appropriate for your age and gender.

People who regularly undergo generic health checks have the same mortality rates as those who don’t, including deaths from cardiovascular disease and …

Cost
There’s no cost at all; you even save hundreds to thousands of yuan each year by avoiding …
Benefit
The 2019 update of a Cochrane systematic review included 17 randomized controlled trials. …

Don’t start taking uric‑acid‑lowering drugs just because a checkup shows high uric acid but you’ve never had symptoms

People whose uric acid levels are high but who’ve never had gout attacks or tophus deposits mainly gain peace of mind from taking uric‑acid‑lowering d…

Cost
There’s no cost at all; you also avoid long‑term medication expenses, regular follow‑ups, …
Benefit
The 2020 gout guidelines from the American College of Rheumatology address asymptomatic hy…

Don’t have a gallbladder removed prophylactically just because an ultrasound found gallstones but you’ve never felt any pain

For people with gallstones but no pain, roughly 80% remained symptom-free over the next nine years. Without any intervention, only about 0.1% to 0.3% …

Cost
There’s no cost at all — you even avoid the expense of general anesthesia and a hospital s…
Benefit
In Italy, the MICOL study followed 11,229 people aged 29 to 69 using ultrasound screening.…

Don’t cut calcium out to prevent kidney stones

People who’ve had calcium oxalate stones are often advised to limit calcium intake, but randomized trials show the opposite. A study with 120 men who …

Cost
No cost at all. In fact, it’s easier — no need to constantly watch what foods contain calc…
Benefit
This five‑year randomized trial enrolled 120 men with recurrent calcium oxalate stones and…

Don’t buy crystals, bracelets, or Pixiu figurines for “good luck,” “wealth attraction,” or “health benefits”

There is absolutely no verifiable evidence supporting claims that wearing such items can change one’s fate, attract wealth, or improve health. These a…

Cost
There is no monetary cost involved. The only requirement is to avoid listing “good luck,” …
Benefit
Classic classroom experiments demonstrate that when participants receive the same generic …

Don’t expect shopping to lift your mood or boost your sense of self-worth

On average, people who place a higher value on money and material possessions report lower levels of happiness. This conclusion comes from pooled anal…

Cost
No cost at all. The hard part is resisting the urge to buy things when you’re feeling down…
Benefit
This meta-analysis combined data from 259 independent studies, covering a total of 753 eff…

Don’t believe that “willpower is like a muscle that runs out after use”

The popular idea is that after doing something that requires self‑control, it becomes easier to give in to temptation later on, so we should “save” ou…

Cost
No cost at all. All that needs changing is the way we talk about it.
Benefit
In a multi‑lab preregistered replication study, 23 labs with 2,141 participants followed S…

Don’t expect skipping breakfast or the 16:8 intermittent fasting method to help you control your weight; instead, pick a meal timing you can stick to long-term.

Popular belief holds that skipping breakfast leads to overeating at lunch and dinner, ultimately increasing total daily calorie intake. Research does …

Cost
There’s no monetary cost. What you save is the mental energy you’d otherwise spend worryin…
Benefit
Let’s first address the claim that skipping breakfast causes people to eat more later in t…

Don’t believe claims that masturbation harms health or that abstaining improves wellbeing; what really matters is whether it interferes with sleep, work, or relationships.

No credible research shows masturbation harms health. One large U.S. study found men who ejaculated more often had roughly 20% fewer cases of prostate…

Cost
Zero. You save money you’d otherwise spend on dubious “kidney‑tonic” remedies, “abstinence…
Benefit
A U.S. study followed 31,925 men through 2010, asking each to report how often they ejacul…

Don’t spend money on “sexual orientation conversion” or “gay conversion therapy,” and don’t send your family members to such programs.

After reviewing relevant research, an expert panel from the American Psychological Association concluded that these conversion efforts cannot change a…

Cost
No cost at all. What you save is the money you would otherwise spend on conversion clinics…
Benefit
The 2009 APA task force report states that attempts to change sexual orientation “are unli…

Do not expect "proper lifting technique" or manual handling training to prevent back pain; real prevention comes from reducing lifted load and frequency, combined with regular exercise

Workers who undergo training in "correct lifting posture" experience just as much back pain as those who receive no training. People who flex their sp…

Cost
Zero financial cost. You stop stressing over whether your back is bent while lifting and a…
Benefit
A Cochrane systematic review pooling 9 randomized trials with 20,101 employees evaluated m…

Do not rely on AI chatbots to independently diagnose medical conditions or resolve legal disputes; verify primary citations before seeking care, litigating, or spending money

When provided with a complete, structured medical record, large language models identify the underlying illness over 90% of the time. However, when ev…

Cost
Zero financial cost. Verification requires a few minutes to half an hour to request the sp…
Benefit
In a 2026 preregistered randomized study published in Nature Medicine involving 1,298 UK l…

Do not stop saving money on the premise that "anyone could die at any moment so spend it all now"; roughly 90% of thirty-year-olds survive to age sixty

According to World Health Organization life tables for China, approximately 92% of thirty-year-olds survive to age 60, and over half live past age 80.…

Cost
Zero financial cost. What is required is pausing when the thought arises ("who knows if I'…
Benefit
According to the World Health Organization (WHO) Global Health Observatory 2023 life table…

Do not undergo arthroscopic debridement or partial meniscectomy for gradual knee pain in older adults (osteoarthritis or degenerative meniscal tears); prioritize weight loss and quadriceps strengthening first

For middle-aged and older adults suffering from gradual degenerative knee pain, undergoing arthroscopic joint "cleanup" or partial meniscus resection …

Cost
Zero cost for surgery, avoiding 2 to 6 weeks of postoperative rehabilitation downtime. Req…
Benefit
Regarding osteoarthritis, a landmark 2002 NEJM trial randomized 180 knee osteoarthritis pa…

Do not expect melatonin to cure chronic insomnia; it advances sleep onset by an average of only 7 minutes—prioritize cognitive behavioral therapy for insomnia instead

For individuals struggling with insomnia, taking melatonin advances sleep onset by an average of roughly 7 minutes and extends total sleep duration by…

Cost
Zero financial cost; saves money spent on ongoing commercial melatonin purchases. The diff…
Benefit
A 2013 meta-analysis pooled 19 randomized, placebo-controlled trials involving 1,683 parti…

Do not demand intravenous (IV) drips for common colds or uncomplicated fevers, and never receive seasonal IV infusions to "flush" or "clear" blood vessels

Provincial health departments have explicitly designated common colds and uncomplicated viral pharyngitis as conditions where outpatient intravenous i…

Cost
Zero financial cost; saves money spent on clinic drip fees and hours spent sitting in infu…
Benefit
In 2017, the Guangdong Provincial Health and Family Planning Commission issued directives …