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Why not focus a bit on how the healthy can stay healthy without drugs? Slide 22 Attia signals his wrong-headedness about this by bringing up the inapt example of Tim Russert. Notice also that these people happened to lose weight. A diet is really bad when LDL goes up even as weight is lost. "Long-term calorie restriction is highly effective in reducing the risk for atherosclerosis in humans." Proceedings of the National Academy of Sciences of the United States of America 101.17 (2004): 6659-6663.I really tried to find a study that gave that same measure they used for the degree of atherosclerosis in that study, carotid intima-media thickness, but in vegetarians. Attia warns us that he had a heart attack even though his LDL cholesterol was low. Read this and notice that Attia is now focusing on people showing up at the hospital in dire straits. Find at Tim Russert does not make for a good example for people not on medication for high cholesterol. He was being treated with drugs to get his LDL that low. Why is Attia writing about his case at “The Eating Academy” if not to confuse and mislead low-carbers? This whole discussion is a disservice to the typical reader at his site. Look at how weight loss affected LDL in this other study.Predictably, the subjects were obese – it is a low-carb study after all. But on low carb, weight loss hardly ever brings with it this benefit. Attia’s chosen study a bit closer we see something interesting.

Attia says that if your LDL particle count is high you are at risk of atherosclerosis.

It represents the probability of avoiding a heart disease event against time.

Again, this is looking at the less-relevant end of the spectrum of heart disease for those of us who are younger and healthier and trying to do a little better than simply avoiding the emergency room. "Media Mulls Russert's Death as Cardiologists Weigh In." Medscape. Slide 24 He gives away what I think is his true purpose in all this when he complains that he doesn’t understand why doctors are still measuring LDL-C. Because he so passionately believes that LDL-C isn’t as good as LDL-P at predicting heart attacks in overweight, insulin resistant people? Slide 25 Attia says we should be focused on dietary interventions that lower LDL-P. It’s a statement that totally undercuts his advocacy for saturated fat. But after all his multiple meandering blog posts – look at Part VIII and you’ll see why I say that – what is the final payoff for his readers? Granted, this was over a longer period of time but the point is, as I’ve said many times, LDL cholesterol is supposed to drop during weight loss in overweight people.

Understand that low carbers are often confronted with frightful LDL cholesterol numbers. What does he want to tell us about eating for heart health at The Eating Academy? Naturally, it’s one that promotes saturated fat and low carb. Lower LDL would be just one sign that they are getting healthier.

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By clicking or navigating the site, you agree to allow our collection of information on and off Facebook through cookies.Learn more, including about available controls: Cookies Policy.In as little as three months, most patients see dramatic improvements in blood sugar control while reducing or eliminating medications, experience clinically significant weight loss, and improve triglycerides. Mc Kenzie AL, Hallberg SJ, Creighton BC, Volk BM, Link TM, Abner MK, Glon RM, Mc Carter JP, Volek JS, Phinney SD. Virta addresses the underlying causes of type 2 diabetes using a highly individualized approach to carbohydrate intake and nutritional ketosis, accounting for each patient’s unique biochemistry, medications, and lifestyle.The Drivers of the Herd, Part 19 The Nu SI Guys, Part 9 (Apo B at the Eating Academy) Slide 3 Dr. As I read it, I imagined his readers wading through it all, hoping for a big payoff with each new post that would affirm their low-carb lifestyle, and then feeling let down when that payoff never came. Malhotra thinks that large LDLs are not atherogenic but he is wrong. Attia, I draw your attention to a passage from the paper he selected to explain this important idea. Just because you didn’t fail a stress test or some other diagnostic procedure doesn’t mean you don’t have atherosclerosis.Peter Attia wrote a long blog series about cholesterol called “The straight dope on cholesterol” that was mostly focused on the subtleties of clinical biomarkers. I hesitated to make a video about his discussion of these biomarkers but here it is. It states that the reason larger LDLs can be dangerous is because they are so loaded with cholesterol. By the time someone is diagnosed for this their cardiovascular health is seriously compromised, with plaques built up over many years.A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes. 2017;2(1):e5 Virta is shifting the conversation from diabetes management to reversal. Most people living with diabetes see their physician every 6-12 months.

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