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Two things can be harmful at once.

I am curious which is worse in terms of contribution to modern chronic metabolic disease.

In the case of ultra-processed/refined oils though, there is an argument to be made that these are novel foods that humans never ate until very recently. There aren't any old people who have been eating them their whole lives in the quantities we do now. This is probably true for industrially refined sugar too, but sugar is a more complex story since people have been concentrating plant sugars for a lot longer than they've been industrially refining oil for food.

I'm not defending sugar though to be clear - I strictly avoid it and even avoid fruit juice and such. I know empirically for myself I feel terrible if I eat very much sugar. I also feel terrible if I eat much refined oil and I strictly avoid that too.

They can also tend to be harmful in combination, such as in the case of relatively unstable unsaturated fatty acids going on to be glycated in the presence of sugars (some moreso than others); it wouldn't surprise me at all if there were examples such as this which fuelled a significant proportion of all "diseases of civilization".
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Really? I don't know exactly how long people have been eating oil from olive, flax seed, sesame, coconut or palm nut, but I believe not under 6000–7000 years. But yeah, not the stuff we eat today.
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