I hope you’ll set aside any biases you may be starting with and appreciate this powerful example.
2/ if you follow me, you know how much I value respectful debate, and I would be giving the video a thumbs up on that alone.
This shouldn’t just be happening between communities, but within them as well.
3/ I hope you’ll consider watching this (as I will), and evaluating the debate based not on your existing dietary opinion, but the data and reasoning presented (as I will).
Stay engaged, but please be respectful — we need a lot more of these dialogs, especially in 2020 :) :) :)
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1/Last weekend at @MetabolicSummit was incredible. Really fantastic speakers and guests discussing metabolism research around microbiome, circadian cycles, muscle mass and longevity (shout out @DrRagnar) and yes, even #LMHRs got lots of airtime (props to @bschermd & @JaimeSeeman)
3/ Also, the Gala event Saturday night was bitter sweet opening with a recent, yet very inspiring interview from @DrSarahHallberg before her passing, but ending with a packed dance floor and music to finish the night.
2/ ... Hence the importance of the #LMHRstudy (still recruiting, btw -- see LMHRstudy.com for details)
In the mean time, we regularly and often emphasize everyone should work with their doctor and understand the guidelines recommend against high cholesterol...
3/ ... There are many like this pt who are in the unusual position of having a severe medical condition that appears to be uniquely resolved through a very carb restricted diet.
With respect, the patient didn't immediately refuse any form of treatment...
1/4 Retweeting via @Lpa_Doc -- click within to read 3 part thread. 👇
Also, per our video abstract:
"We remind viewers that existing guidelines and every major scientific institution around heart disease strongly advises against high cholesterol levels."
2/4 And,"While these data on our patient are comprehensive and provide potential new insights, they are limited in scope and timespan. It’s certainly possible this patient is an outlier, or that their progression of plaque will take place later, or many other such possibilities."
3/4 In short, while we appreciate the opportunity to explore the Lipid Energy Model (#LEM paper forthcoming) and share novel data (such as this case study), we continue to emphasize this is uncharted territory and largely considered substantially risky within Lipidology.
2/4 ... "This proportion was similar to that in patients with lower LDL-C levels. Third, CCTA-ascertained absence of CAC indicated no detectable plaque in 86.8% of patients, including those with LDL-C levels greater than 190 mg/dL."
3/4 To be sure -- "However, the prevalence of noncalcified plaque increased with higher LDL-C levels."
This isn't too surprising where not stratifying for metabolic health and other such higher associative indicators at those levels...
2/ A lot of people wanted greater specificity on what I meant by "rich" -- I left this more to the reader's interpretation. IMO, I'd have thought this would be in a highest quantile, such as top 1/3rd or 4th of typical aggregate diet.
3/ @MichaelMindrum mentioned the poll results might skew a bit too much toward expectation of SFA not causing CVD given those likely following my account -- I don't disagree.
Hence my interest in direct study on health conscious populations consuming high SFA (like many #LMHRs)