I've often seen the argument that high saturated fat in isolation will not increase athlerosclerosis, since while it increases LDL it does not increase very small LDL particles which are known to be the most likely to cause plaque

Unfortunately, this does not seem to be the case
This study looked at the effects of a high saturated fat diet on LDL particle size and found that while it had no effect on very large or very small particles, it did still increase small and medium particles
journals.plos.org/plosone/articl…
Like many aspects of nutrition the issue of particle size is a spectrum

While the increase from very high saturated fat inake is made up of larger particles, the high number of particles overall will offset this significantly
The worst case scenario would still be the combination of multiple risk factors (processed sugar, smoking, excessive fatty red meat, etc), but this is still good to keep in mind

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More from @ck_eternity_

15 Dec 21
Most people see a meteor as the ultimate symbol of mass extinction, in reality though we should be looking at oxygen the same way

The first major extinction event on earth was known as the great oxidation event and occurred as a result of increased O2 in the atmosphere

(thread)
At this point the earth was still covered in single-celled organisms

Opportunistic cyanobacteria developed photosynthesis as a way to leverage the abundant CO2 in the atmosphere for energy production, however the fundamental metabolism of other cells wasn't configured for this
Molecular oxygen is highly reactive with certain forms of minerals, particularly the water-soluble ferrous form of iron

This reactivity leads to the creation of a cascade of free radicals in response to the formation of iron oxide, I've discussed this often in health/disease
Read 12 tweets
25 Nov 21
Have you ever notice you get really sleepy after a big Thanksgiving meal?

This is what I like to call the "Thanksgiving dinner effect," it occurs as a result of a large meal containing high carbs and protein, particularly turkey

(thread)
Turkey is one of the foods highest in the amino acid tryptophan, which also happens to be the precursor to the neurotransmitters serotonin and melatonin

Tryptophan > 5HTP > serotonin > melatonin
For this cascade to occur in the brain, tryptophan must first cross the blood brain barrier, which regulates which substances enter the nervous system

Amino acids are able to pass through it, but particularly if insulin is present at the same time
ncbi.nlm.nih.gov/pmc/articles/P…
Read 6 tweets
23 Nov 21
While anemia is a risk factor for hair loss, interestingly enough so is iron overload

One of the first symptoms of hereditary hemochromatosis is hair loss, and this even seems to occur via similar mechanisms to androgenic alopecia
Androgen receptor activation in the scalp seems to trigger hair loss either partially or primarily via a signaling cascade involving TGF-beta

I've found a number of studies linking androgen receptor activation and TGF-beta in general, and they seem to potentiate each other
My impression is that this depends on the tissue the receptor is present in, having more influence in scalp and prostate, but not as much in other tissues

It may even explain why AR activation promotes body hair growth by not scalp hair growth, though this is mostly speculation
Read 8 tweets
22 Nov 21
Alzheimer's disorder is often referred to as a metabolic disorder ("type III diabetes"), but I've come to view it as a circadian disorder

Disrupted circadian rhythm = rapid insulin resistance, combined with inability to clear amyloid plaques with glymphatic function impaired
This is in combination with other factors of course, neurodegeneration doesn't develop overnight

It does raise the question of how crucial of a role melatonin and sunlight play in the prevention of neurodegeneration, I'll link a few interesting articles below
Melatonin regulates Aβ production/clearance balance and Aβ neurotoxicity: A potential therapeutic molecule for Alzheimer's disease
pubmed.ncbi.nlm.nih.gov/33254429/
Read 5 tweets
16 Nov 21
Normally in undermethylation we see decreased levels of serotonin and dopamine activity at their receptors, since higher levels of DNA methylation can inhibit the reuptake of these neurotransmitters

This "mimics" the effects of SSRIs and DRIs to some extent

(thread)
However this can also be paired with more adrenaline and noradrenaline through a separate mechanism, where methyl groups are required to metabolize adrenaline

Because of this when methyl groups are depleted we see lower levels of metanephrine, an adrenaline metabolite
One of the main causes of niacin toxicity is the depletion of methyl groups, since niacin forms methyl-nicotinamide in the liver

This is paired with more adrenaline/noradrenaline, less betaine (a methyl donor in the liver), and high levels of homocysteine
nature.com/articles/hr201…
Read 13 tweets
16 Nov 21
Niacin deficieny causes tryptophan to be funneled away from serotonin production into endogenous niacin production

Some of the intermediates in the conversion are neurotoxic, especially quinolinic acid which imitates excess glutamate Image
This is often implicated in schizophrenia pathology

These intermediates are created due to lack of niacin stemming from dietary deficiency or higher demand to drive essential reactions like NAD+ creations
Reducing the formation of quinolinic and kynurenic acids is also one of the mechanisms through which niacin supplementation significantly improves some cases of schizophrenia

This seems to be especially useful in cases of overmethylation
Read 4 tweets

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