 The rise of ultra-processed foods and beverages in low- and middle-income countries, LMIX, is contributing to the global epidemic of non-communicable diseases, NCDs. As the sales of these products continue to grow, the authors of this study have identified several factors that enable big food companies to dominate the LMIC markets. These include the establishment of global production and hyper-local distribution networks, aggressive marketing strategies, and the co-option of civil society organizations. To combat the growing influence of big food, the authors propose the creation of an expanded global network of driven and passionate individuals with diverse skills, as well as greater government leadership. This article was authored by Rob Moody, Elizabeth Bennett, Edwin Kwan, and others.