dr roth ⓀⒸ Profile picture
Sep 18, 2020 32 tweets 7 min read Read on X
A pinned tweet to collect the best of my TL, such as it is.

Hope this helps.
Need a place to stash #microbiome stuff, so here's the holder thread:

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More from @mrc314

Jul 22
So my lady friend eats a quite varied diet. Mostly whole foods, but some processed. Lots of veggies, some fruit, a little red meat, often fish, eggs, cheese, poultry, yogurt. She has bacon for breakfast two or so days a week, and I'm talking 4-6 rashers. 1/n
She has bread nearly every meal, enjoys pasta, rice, quinoa, beans, potatoes, nuts, seeds, and occasionally ice cream, fudgsicles, and milk (yuck) chocolate. She has juice for breakfast (no more than 8oz). 2/n
She eats what she wants, when she wants. She doesn't count anything. She's 75 and still has an hourglass figure. Her weight has been steady since she was 20 (save for her pregnancies). She's strong and very active, full of energy. 3/n
Read 5 tweets
Jun 25
I am fully aware of the discussion on lowering LDL-C, and avoiding statins, PCSK9i, and all cholesterol-lowering drugs. I'm also aware that sky-high LDL-C on a carnivore or VLCD can be mitigated by adding a few high-quality whole food carbs into the diet. No need to rehash
that in this thread.

Here's my n=1 results from adding more carbs into my diet, and taking only 10mg ezetimibe daily. Please recall I suffered a stress-related stroke in late January, have intracranial arterial stenosis, and am having trouble controlling my BP, which I also
attribute mostly to stress. I'm awaiting a colonoscopy biopsy to determine if I have microscopic colitis (presumably also stress-related). The procedure was postponed because anesthesiology won't approve going forward until I am 6 months post stroke. I can't get to the bottom
Read 9 tweets
Mar 3
Ten years ago this week, I quit heavily drinking alcohol cold turkey and quit eating carbs. I weighed 256lb (I'm ~5'11'"), waist:hip was 1.16, and waist:height was 0.7, trigs were 393. I had gout, depression, hypertension, anxiety, asthma, zero energy, metabolic syndrome, 1/n
and couldn't walk from my garage to my shed and back. I was on 7 prescription drugs and several OTC. I was miserable and was planning on not making it to age 56. After decades of ADA/AHA/DGA-approved low-fat, five-a-day, healthy whole grain, limit saturated fat, eat the 2/n
rainbow, moderation required, seven meals a day, your body needs sugar, willpower-driven, breakfast is the most important meal of the day eating I was totally wrecked. 3/n
Read 16 tweets
Nov 22, 2023
Looking … Image
Looking … Image
Still looking … Image
Read 5 tweets
May 19, 2023
Many times over the decades (since 1974), I've been right where I am today: At a low, nearly optimal weight after a fairly profound weight loss. Before 2014, I reduced weight via calorie restriction and willpower. It's a miserable process rife with hunger and (unknown to me Image
at the time, negative metabolic and physical changes). After 2014, when I went lower carb, I could still restrict calories, but with a higher protein, higher fat, lower carb diet, there was much less hunger. But my weight still yo-yoed because when I wasn't consciously
restricting calories to lose weight, I still didn't really understand how to eat. The difference between today and all the prior instances is that I finally know how to eat: when to eat and when not to, what to eat, and why. I look forward to meals (strange, I know, for
Read 6 tweets

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