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Tags: buoyant, carbohydrates, cholesterol, dense, hdl, large, ldl, saturated fat, small, truth
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What a fantastic video presentation! Your information about Lp(a) measurements in the more informative nmol/l is good to know, as are your recommendations for tests and where to have them done. I hope to link to this post sometime soon. Thanks!
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Very nice way of presenting the cholesterol myth. Taking your Vap-test results as the basis was a good idea. It is a shame most doctors do not yet know, what you presented here. I made a video that goes very good with your video. It looks at the matter, more form the standpoint of preventing and curing atherosclerosis and thrombosis. VBR and Thanks for the info.
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Great videos,very informative. I’ll definitely share them with my friends and family. I Just had one issue that maybe you could help me clarify. So I understand that there’s no correlation between cholesterol in the diet and heart disease. But there is a correlation between certain types of cholesterol in the blood and heart disease, like high levels of the small, dense LDL are connected to an increased risk of heart attacks. So then what causes your HDL, and two different types of LDL to increase or decrease? The cholesterol in your diet doesn’t necessarily effect the levels of these different types of cholesterol in your blood right? I believe you addressed this in your cholesterol series, I should probably go back and read it. But is it right to say that cholesterol in the diet doesn’t effect heart disease but certain levels of certain types of cholesterol in the blood can lead to heart disease? Thanks a bunch!
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What a load of crap. I can’t believe you people buy into this bullshit. I well-worded article and slick presentation cannot undo decades of well-research facts. This type of garbage is doing a disservice to everyone who is gullible enough to buy into this stupidity…but I guess that ‘s Darwinism in action. Keep up the good work.
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I think the author of this article is absolutly wrong. He/she should read: The China Study, by Dr. T. Collin Campbell, and Dr. Esselstyn’s: Reversing Heart Disease, additionally, Dr. McDougle and nutritionist Novack vehemently disagree with the conclusions by this author, whomever it is.
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That is an outstanding presentation Chris! Well done and thank you for taking the time to post such a brilliant resource.
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@Bobby D
No, “Darwinism in action” would be what we (you) have been doing to ourselves for the past half century by listening to the advice that has has us abandon what we’ve been eating for the past thousands. Is it really coincidence that diabetes and heart disease rates have skyrocketed after embarking on our low fat, high carb craze? -
Your video presentations on the cholesterol myth were great. I am very interested in having the VAP test done, but the website you mentioned (http://www.privatemdlabs.com) does not do business in three states, (NJ,NY & RI) because of some billing laws. I live in NJ and would like to get the VAP test. Do you know of any other way for me to get it done without asking a doctor? I am working with a good doctor now who would probably do it if I asked, but that means I have to schedule another appointment which is costly. I was hoping to do it online by myself. Any suggestions would be aprreciated.
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Good job with the videos, they are good quality and easy to listen to. Fat has been given a bad image for quite a while, it’s time to get over that.
I don’t believe that there is something inherently problematic with carbohydrates, quality (i.e. processed vs. unprocessed) seems to me to be the most important factor. Cultures have done well on various macronutrient ratios but those that stay away from refined foods are much better off. In particular, tubers seem to be well tolerated by many without the issues that some people have with grains. Fruits are also highly nutritious carbohydrate sources. -
Thanks for the well done presentation Chris. I wish more people would take this advice and information seriously.
I’ve also been enjoying your podcasts recently. Keep up the good work!
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I shared this out on facebook and twitter. We’ll see if any of my friends give it a look. It’s nice to have someone besides me supporting the “fat is not the enemy” anti-conventional wisdom side of the argument.
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Hi Chris,
I’m glad to see you experimenting with different media and overall it’s a great presentation. But I have a problem with your speaking voice – I don’t find it very engaging! I was excited to see your earlier podcast with Stephan, but I couldn’t get through more than a couple minutes of listening to your voices.
I don’t think it would take much to liven it up – you’re clearly intelligent and well-informed and the only thing lacking is a stronger connection with the listener. I imagine that you’re visualizing an individual listener when you speak, but maybe if you tried addressing an imaginary roomful of people you could put some more life into it. Step back from the microphone a bit and don’t be afraid to speak up.
It sounds like you’re reading – maybe having some notes more roughly sketched out rather than a fully-written text would help bring some spontaneity. Alternatively, you could rehearse your text a few times so you can speak parts of it from memory.
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Great work, as usual, Chris.
For those who do not wish to go through the trouble or expense of measuring their LDL subfractions, an alternative is available.
Take your triglyerides divided by your HDL cholesterol. If this ratio is less than 3.8, you are likely to have the Pattern A, beach balls. Greater than 3.8 is not good, and you need to look carefully at your diet.
Again:
TG/HDL < 3.8 is Pattern A–good!
TG/HDL > 3.8 is Pattern B–bad!
http://www.ajconline.org/article/S0002-9149%2805%2902214-9/abstract
see also:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/
I tried to explain this to my doctor, when he told me I need to start taking Crestor (a statin). Needless to say, I declined his offer. -
Thanks for the very informative videos! I have not made up my mind on the issues addressed, but appreciate your well-reasoned viewpoint.
Btw, I have no problem with your voice, but the captions on the first video are a riot! -
Great videos!
In my experience, 95% of those who post negative comments on these statements are vegetarians or statin pushers who are scared sh**less by the prospect of the truth coming out to the general public.
However I wouldn’t advocate eating lots of bacon too fast. A recent meta-analysis by Harvard scientists (http://www.hsph.harvard.edu/news/press-releases/2010-releases/processed-meats-unprocessed-heart-disease-diabetes.html) indicates that eating too much processed meats (sausages, bacon, deli meats) can raise the risk of heart disease and diabetes.
On the bright side, there was no association of unprocessed meat consumption with chronic disease. It’s not about the fat or red meat people, and hopefully scientists will not make the mistake of lumping processed and natural foods together in future studies. -
Chris…i watched this as i ate my two fresh pastured eggs and drank a full glass of raw unpasteurized milk with 4.3% butterfat cream (YUM!)…and laughed the entire time. My wife who works at a local hospital as an occupational therapist was listening in…she says, “So everything the heart Doc’s have been telling us for years is a load of ….” My reply, “Yeah, pretty much.” Her reply, “Well, it is just one test and one opinion.” My thought, kinda hard to argue with the inverse proportions of entire populations and heart disease vs. cholesterol levels.
Well done sir!
My encouragement to the masses of Healthy Skeptic readers…if you haven’t done so already, run out and buy the nearest copy of Julia Child’s ‘Mastering the Art of French Cooking”…life is so much the better with butter, cream, and cheese! -
So what are the Aborigines doing or eating that’s giving them heart disease?
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We discussed that processed meats study on lowcarber.org: http://forum.lowcarber.org/showthread.php?t=412279
We thought up a couple of possible reasons for the result:
1. The problem is with all processed foods, including grains and vegetables – but the study didn’t count other processed food.
2. Processed foods like sausage, lunchmeat and hot dogs are more likely to be eaten with bread than fresh meats are. It’s possible that people filling out the food frequency questionnaires didn’t mention the bun when they said they ate a hamburger or a hot dog. -
Are saturated fats inherently unharmful/beneficial, or are they unharmful/beneficial only in the presence of a low-carb diet?
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What I meant was, can saturated fats be harmful (i.e., the mainstream view) in the presence of refined carbs and sugars, or are they simply unharmful or even beneficial no matter what?
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Off topic: I very much look forward to reading what you have to say about nitrates not being a risk for cancer. I also wonder whether you’ll address this Japanese prospective cohort study looking at CVD, cancer and salt intake among the Japanese, who consume large amounts of salt in pickled and cured foods. It suggests that nitrates may play a role in cancer. I haven’t read the whole study, so don’t know about confounders, but thought I’d point it out in case you hadn’t seen it!
Also, I think you voice was just fine in your presentations. -
Wow. I had no idea. Thanks so much for the link.
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Both videos were excellent. Thank you.
I just had a standard lipid panel with results similar to yours: triglycerides 57, HDL 71, and total cholesterol 217. (My PCP, who happens to be a cardiologist, offered me a statin prescription but I said no thanks.)
Could you explain the VLDL Calculation they do on a standard panel? Is it useful? Mine was 11.
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Chris,
Have you read Gary Taubes’ excellent book, “Good Calories, Bad Calories”? Your videos were like a cliffs notes version; great work!
I have been tinkering with the diet you lay out in the second video for a couple of years. One thing I’ve noticed is that my digestive system seems to… “slow down” quite a bit when I’m ingesting primarily fats and proteins. Consequently, I’ve tried to eat a ton of fibrous greens alongside my fats.
Do you know of any research that’s looked at the (what I would assume are deleterious) effects of “irregularity” due to insufficient fiber, stemming from a fat/protein based diet? This topic is obviously not as fun to think/talk about as the causes of CHD, but seems to me to be hugely important. Sorry if this is off topic and/or TMI! -
Awesome presentation Chris. I’m going to forward to people I know. (And congratulations on your high total cholesterol!)
One technical question: The presentation implies (probably for the sake of simplicity) that LDL isn’t supposed to enter the intima of the blood vessels, and that mostly the small dense LDL do so. Though, isn’t the situation rather like a “flux” of cholesterol being delivered (by LDL) and removed (by HDL) in and out of the intima as appropriate to maintain the blood vessel wall? If so, then one may wonder why LDL particles and especially small dense LDL get stuck in the intima (evolutionary design flaw? a result of oxidation?) so that the atherosclerotic process can get started. Do you have any thoughts (or good sources) on this?
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Very nice videos, excellent ‘Beyond Bullet Points’ http://www.beyondbulletpoints.com/ use of visuals.
One way to make it more engaging would be if you had another person to dialog with – ask questions back and forth. Won’t save you much time though!
GGE = GRADIENT Gel Electrophoresis, http://www.ivdtechnology.com/article/gradient-gel-electrophoresis-clinical-evaluation-heart-disease-risk
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Western processed foods may have influenced the rate of heart disease in Aborigines to a degree; however, as the rate of heart disease is approximately double that of the rest of Western civilization, there’s obviously something else WAY out of whack there. Not fully exploring that data point is bothering me.. Otherwise, I liked the presentation.
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@LB:
Just to play devil’s advocate: if traditional food sources were replaced entirely by cheap and accessible western staples (read: highly refined carbohydrates), wouldn’t a 2x (or more) increase in CHD be in line with expectations? I know a lot of work has been done on the Pima Indians over the last several decades; they might be an example of this. -
SV, I’d expect heart disease rates to come into line with the rates of Western culture, not go so far beyond it. And why did I say 2x? It looks more like 5x or 6x.
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