I think you make valid points with regard to a diet community having bad actors that can reflect on it, @jerryteixeira -- but I'd push back that one has to tow the party line on high fat and/or high meat in #keto or get hammered.
2/ I myself have brought up #PlantBasedKeto many times over to raise awareness, even though I try to avoid the diet debates. But I've not suffered any repercussions from the keto community.
3/ DietDoctor.com is arguably the largest resource for #LowCarb diet, and in the last couple years have put out a great deal more material on higher protein with lower fat as a diet direction option. Many low carbers prefer this emphasis over higher fat as a %
4/ Consider the upcoming #LowCarbDenver conference and the invited speakers (including yours truly). It's actually a pretty heterogenous group.
Honestly, I can't think of any "party line" with this roster -- even regarding low carb. lowcarbconferences.com
5/ Anyway, I look forward to chatting with you about this in more depth.
I think this is a structural problem with social media as often there isn't as much interest by the moderates in correcting assumptions of greater extremism by the most active on these platforms.
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For one, this editorial is the first of its kind to gather MDs and PhDs together to help develop a clinical position on the #LMHR phenotype and importance of expanding research around this phenomenon.
That's hard to understate!
3/ Typically, there have been just two positions on the topic of high LDL on keto, particularly LMHRs.
- Conventional: LMHR *must* lower LDL/ApoB
- LH skeptic: LMHR can ignore LDL/ApoB
This editorial concludes those with high LDL-c/ApoB from keto "should consider" lowering.
I was originally shooting for a few weeks away, but it stretched into two months.
Honestly, I have to really credit @MichaelMindrum for inspiring me to really commit to this. It was easier than I assumed given the ongoing research efforts.
3/ The #LMHRstudy is nearing recruitment completion!
That said - we still have some participants to go to put us over the top!
So again, *please* visit LMHRstudy.com to see if you or someone you know is eligible for the study.
You / someone you know:
👉Had LDL 160 or under before keto
👉LDL increased to 190 or more on keto
👉HDL 60 or more
👉Triglycerides 80 or below
👉2 or more years on keto
While much of the feedback on @nicknorwitz’s new paper (below) has been positive, there have been some with concerns regarding use of CGMs for @harvardmed students in this context.
2/4 Assume the entire experiment was performed in an identical manner save one change:
Instead of using CGMs, the students simply did a high frequency of finger stick blood tests through a glucose monitor (glucometer), effectively getting likewise results to those reported.
3/4 Would this one alteration alleviate much of the concern about the CGM use?
1/ Yes, the topic of a "hyper-response" with high #LDL#Cholesterol (LDLc) on #keto has been coming up a lot this summer, particularly for #LMHRs -- and that's a good thing. More discussion and research desired!
I'll try to unpack the key differences in 3 standing hypotheses...