1/ Respectful rebuttal 🧵:

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.

Some examples...
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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More from @realDaveFeldman

Nov 8
🚨New #LMHR Editorial in JCL!🚨

🙏Please RT🙏

- Cautious consideration for #LMHRs
- Calls for patient-centered approach
- Calls for more research on #LMHRs(!)

AND we raised money from the LMHR community to make this *open access*.

Let's unpack... /1 authors.elsevier.com/a/1g22A6tb2E2O…
2/ So why is this a big deal?

Two reasons:

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.
Read 10 tweets
Nov 1
🙌 Okay, it's Nov 1 -- I'm back! 🙌

A catch up 🧵

✅ Social Media Hiatus was nice (I recommend)

#LMHRstudy near recruitment goal

✅ 3 new research endeavors in works!

✅ Possible film project next year

Read on for the unpacking... /1
2/ The Social Media Hiatus...

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. Image
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.
Read 5 tweets
Aug 28
1/ Two things..🧵

1️⃣ We need to complete registration!

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

Go to LMHRstudy.com & see if u/they qualify
2/ Participants get:

🧬 Genetic testing

🩸Wide spectrum bloodwork

🫀 Advanced #CCTA scans

🚨🚨🚨YOU can help us get our target of 100 participants. Please do!

👉👉👉LMHRstudy.com
3/ Please consider:

✅ Retweeting this tweet thread

✅ Sharing this thread or its contents in #Keto and #Carnivore #Facebook groups

✅ Sharing on #Instagram

✅ ... and, of course, you may already know people personally who fit this profile -- please reach out to them!
Read 5 tweets
Aug 19
1/4 Curiosity thread 🧵
(with a poll)

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.

So I want to ask a couple questions…
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?
Read 4 tweets
Aug 2
Four part true/false #poll, with an open question at the end…

1/ True or False

If someone said they get 35% or less of their fat calories from saturated fat, you would consider them on a “low saturated fat diet”
2/ True or False

If someone said they get 10% or less of their fat calories from saturated fat, you would consider them on a “low saturated fat diet”
3/ True or False

If someone said they get 35% or less of their total calories from carbohydrates, you would consider them on a “low carb diet”
Read 5 tweets
Jul 31
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...
2/ Conventional: higher LDLc "hyper-response" (HR) mainly due to higher consumption of saturated fat (SF)

@DrNadolsky hypothesis: HR due to higher SF, but also genetics

Me: HR affected by many things, but generally more influenced by Lipid Energy Model (LEM) than SF or genetics
3/ Starting with a few key influences we all agree on...

These things likely have a significant detectable increase on LDL compared to reverse:

1) Swapping unsaturated fat with SF
2) Reducing fiber
3) Less resistance training
Read 8 tweets

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