Thread by @realDaveFeldman

1/ #ReminderThread -

One thing that still surprises me is when I'm tweeting or retweeting opinion, articles, etc that are generally pro #LDL #Cholesterol-lowering or LDL-as-problematic (such as recently) I get some pushback...

2/ If you've followed me a long time, you should know this is something I'm proactive about doing -- in fact, I'm more active at doing it now than ever.

If you've only heard the ⬆️LDL isn't-so-bad case, please hear out the mainstream case on how ⬆️LDL *is* bad...
#NoEchoChambers

3/ If you somehow hadn't already heard, I literally spearheaded a crowdfunding campaign for an IRB-approved study with longitudinal CCTAs to track plaque development

Why? Because we don't know what the risk levels are for this context. If we did, there'd be no need for the study

4/ Yes, I'm interested in cholesterol levels and how they are affected by metabolic fat-adaptation, and with that specific context I'm "cautiously optimistic" with regard to risk. But is that anywhere close to "confidently certain"?

Here's a more explicit breakdown w @Lpa_Doc 👇

5/ Let me repeat that for extra emphasis, "it's certainly possible it is very dangerous" for those of us allowing for high LDL as a result of metabolic fat adaptation.

The default opinion of conventional medicine could be right and should be considered...

6/ Also worth revisiting 13/14/15 of my pinned About Me tweet.

But even better, please visit @DrNadolsky's article on The Case for Lower LDL on Low Carb here: cholesterolcode.com/guest-post-the…

7/ If I can get you to at least read one short thread I posted recently (okay, "short" for me), consider this one (7 tweets):

https://twitter.com/realdavefeldman/status/1406104364331143170?s=21

8/ And again, be likewise aware of #PlantBasedKeto (or at least, mostly plant-based) where wishing to be low carb, yet trying to lower LDL. (typically effective)

(Side note: I'll be doing a #FiberExperiment soon as I think fiber has a much bigger impact than previously assumed)

9/ Point is -- there's a lot that is unknown with this new context of LDL rising on a ketogenic diet, but the possibility of it being substantially causal in a rapid rise of atherosclerosis could be exactly right, and our LMHR study may provide strong evidence on this.

10/ Critics giving me pushback (whatever I'm posting) is something I'm definitely used to.

But this thread is for the supporters of my work. By this point, no one should be surprised by this -- even if I did a dozen of these kinds of tweets in a row.

11/ ... Which is kinda what this is. It's an important reminder.

If there were a Twitter competition for accounts that most re/tweet opinions and analysis counter to their own*, I'd want to be a strong contender.

(*Ideally, constructive & productive challenge, of course)