Thread by @DaveKeto

1/ This is especially important timing.

As many of you know, we're conducting a study on #LMHRs (link later in thread) who not only have extremely high #LDL #Cholesterol, but many (likely most) have diets quite contrary to this advice by the @American_Heart.

Let's unpack...

https://twitter.com/TamarHaspel/status/1455577371784982528

2/ First, and most importantly, we do not know what the outcome of this prospective study is. So while I'll be outlining commonalities we observe with #LMHRs, this isn't an explicit endorsement of the diet nor any altered lipid levels as a result.

With that said...

3/ We have a lot of data between our standing survey, submissions to CholesterolCode.com, and CC and LMHR Facebook groups (7.7k and 7.5k members, respectively).

Diets are often:
1) Low to no fruits & veg
2) Low to no grains
3) High animal protein
4) Low in plant oils

4/ @NutritionMadeS3 points to an especially strong statement in the paper:

https://twitter.com/NutritionMadeS3/status/1455768027086086155?s=20

I'm a bit surprised by this statement given how much data we have with @virtahealth at this point, particularly with regard to high risk populations and ASCVD outcomes on #keto.

5/ But that said, it's certainly true we don't have data on *low risk* populations and progression of #atherosclerosis, particularly longitudinal, where consuming a diet considered suboptimal (or even overtly dangerous) by many nutrition experts today.

6/ Hence the importance of the #LMHRstudy.

It's well past time we look to the populations of interest directly.

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<Naturally, I should insert the obligatory plug here: please contribute to CitizenScienceFoundation.org to complete our funding for this study - we're almost there!>