My latest: "A short history of saturated fat: the making and unmaking of a scientific consensus"
Do saturated fats cause heart disease? The science was always weak. Fear of these fats was started by American Heart Assoc. in 1961 based on a flawed study🧵 journals.lww.com/co-endocrinolo…
2. At the time, Heart Assoc had a major undisclosed conflict of interest: it had basically been launched by funding ($20M in today's dollars) from Procter & Gamble, maker of Crisco Oil
Heart Assoc then promoted veg. oils by selling them as "heart healthy," safer than sat fats
3. Despite Heart Assoc advice, he original "core" clinical trials on saturated fats, from the 60s and 70s, could not find an effect of these fats on cardiovascular mortality, total mortality, and for the most part heart attacks or other 'events.'
4. Results from these trials, other studies on sat fats were ignored, suppressed. Eg, the famous Framingham study couldn't find any link between sat fats and heart disease. This govt-funded result was never published.
Another major study w/ contrary results not published for 17y
5. Scientists began to re-examine sat fats in late 2000s, w/ work by @garytaubes, and then my book, the first to bring together the arguments, history, on saturated fats + vegetable oils, exposing how we were misled in being told to trade a natural fat for an industrial product
6. My op-ed in the WSJ was a big factor in prompting a new review on sat fats, by the expert committee in charge of 2015 US Dietary Guidelines. Their intention was to defend the 10% cap on saturated fat, even tho committee head says "there's no magic/data...for the 10%"
7. 2020 Dietary Guidelines expert committee found that 88% of studies in their own review did not support idea of these fats --> heart disease. Yet committee ignored its own data and concluded the evidence against sat fat was "strong." Suppl. material in mdpi.com/2072-6643/13/1…
8."The current challenge is for this new consensus on saturated fats to be recognized by policy makers, who, in the United States, have shown marked resistance to the introduction of the new evidence."--from conclusion of my paper. Also, key points here:
9. Also, not in my paper but important for those who argue that we should cut sat fats anyway, as a prudent measure of prevention. Consider:
Avoiding sat fats can do harm, because you will cut out foods that contain the key nutrients needed for maintaining health...
10....And having healthy children. Nutritionists talk about the "food matrix" in which nutrients are eaten. Sat fats eaten in the context of natural, whole foods, come in tandem with Vitamins, minerals, complete proteins that are essential for life.
11. It's sobering to realize that US policy to cut saturated fats was created for middle-aged men fearful of heart disease. Never considered the potential harms to women, children.
US policy on sat fats never weighed costs vs. benefits and has never reflected the science
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Are low-carb and ketogenic diets safe? Effective? Sustainable?
A new peer-reviewed study that I am the lead author on just dismantled the most common myths, and the findings could change how we treat chronic disease.
Best vs. worst sources of protein, based on how bio-available and complete they are.
Metric used is PDCAAS, bc author says databases he used were limited. Yet DIAAS metric is considered superior and would show even greater disparity between animal vs. plant proteins. These findings are consistent with a large body of literature on this topic.
The US Dietary Guidelines consistently errs in claiming plant proteins having more protein than they do--says the paper.
In the guidelines, "1 oz equivalent" of protein is supposed to have 7g of protein.
USDA says nuts (1 oz), peanut butter (32 g), and beans, peas, and legumes provide this 1-oz equivalent, but they "did not come close to providing the 7 g of protein."
To get that amount of protein, you'd need 1/2 cup nuts, 4.6 tablespoons peanut butter, 0.6 cup beans, according to the paper's data. Remember, all those foods come with a hefty load of starch, which is absent in animal foods.
In sum: the Dietary Guidelines, by putting nuts, seeds, beans, and legumes in its "protein category," falls short of delivering adequate protein to Americans. This means our kids in school, members of the military, women and infant children, and more.
This paper, by Adam Drenoswki, makes the case that dairy is the best source of protein bc it's the cheapest per gram of protein (Study funded by Dairy Management, Inc).
My view is that as a nation, we should try to pay for the highest-quality protein for our growing children in schools. They are our future. School meals are often up to 80% carbohydrates. Any wonder that kids are suffering epidemics of obesity and diabetes? Source: cdn.nutrition.org/article/S2475-…
I've applied to lead the next USDA-HHS Dietary Guidelines for Americans. 🧵
How does this process work? Let me explain (what I know): First, the USDA Secy must be nominated. After that, some combo of this person and the USDA transition team decide on appointments. Mine would not require a Presidential nomination or Senate review. I don't aim to be high-level. I just want to bring evidence to a process devoid of it for the past 45 years.
How am I qualified? I have a PhD in nutrition, focusing on evidence-based nutrition policy (which is what we need!)
I spent the last 10y running a small non-profit dedicated to elevating awareness about the problems with the guidelines. These include the need for a recognized, rigorous methodology for the scientific reviews, far better transparency, and more.
I spoke to Congress about the need for a review of the guidelines, which had never been done. Ultimately, Congress mandated 2 reviews by the Nat'l Academies of Sciences, with a $2M allocation. Findings of these reports are stunning. They say that without reform, our guidelines are not "trustworthy." nutritioncoalition.us/the-process-of…
The Academies made 11 recommendations to USDA to upgrade the guidelines and USDA did not fully implement even one of them. nutritioncoalition.us/news/usda-fail…
I also worked with top academics, including 5 members of former Dietary Guidelines expert committees, to document the problems with the guidelines in papers, including one published in a journal of the Nat'l Academies (PNAS Nexus). USDA staff wrote a paper labeling our findings "Misinformation."
Another paper I co-authored reported that 95% of the expert committee for the currrent guidelines had at least one tie with food/pharma. This number has been widely cited! Additional unpublished data is here: nutritioncoalition.us/conflicts-of-i…
The basic story here is that nearly all the large, NIH-funded clinical trials on diet and disease for the past 80 years--many $$billions spent--have been suppressed and ignored. It's not that clinical trials can't be done, as many claim, but rather that the science has been canceled.
For my book, The Big Fat Surprise, I extensively documented the systematic corruption of nutrition science by food/pharma and the cancellation of this, fundamentally important evidence.
That book was a NYTimes and international bestseller, was named a Best Book of the year by the Economist, WSJ, Mother Jones and others. And, it was given strong reviews by 3 top medical journals: the BMJ, the Lancet, and the American Journal of Clinical Nutrition
The Lancet: "Gripping narrative…this is a disquieting book about scientific incompetence, evangelical ambition, and ruthless silencing of dissent that has shaped our lives for decades…researchers, clinicians, and health policy advisors should read this provocative book."
In trying to shed light on these problems, I was myself subject to cancellation campaigns
I became the subject of the single largest retraction effort in recent history aimed at a scientific journal. That campaign tried to get my detailed critique of the 2015 US Dietary Guidelines withdrawn from the BMJ (a cover story). Yet it ultimately failed. The BMJ did not retract, and the EIC wrote a strong editorial in my defense.
Mainstream journalists have repeatedly made ad-hominem attacks, accusing me of working for/with the meat industry, which has never been true (and no evidence ever cited).
In 2004, when I investigated seed oils and industry's efforts to bully scientists critical of these oils for Gourmet magazine, its advertiser, Procter & Gamble (maker of Crisco oil) threatened the magazine with pulling all of its advertising if the story ran. Ruth Reichl, then EIC, stood up to P&G and published it. In her memoirs, she calls this one of the proudest moments of her career. (P&G has been a major player in pushing the American Heart Association to recommend seed oils--going back to 1948, when the company gave American Heart the equivalent of $20M in today's dollars)
Defenders of the status quo, who dominate our media, our public health groups in DC and most university nutrition departments, including Harvard, Stanford and NYU, have successfully suppressed challenges to the guidelines.
And so, this faulty policy remains enshrined still today.
Whatever your views on the election, now is the time to reverse chronic disease in America. We have a chance. @RobertKennedyJr @NicoleShanahan
The single most important thing we can do is to fix the US Dietary Guidelines for Americans--by far the most powerful lever affecting what Americans think is healthy (and what is fed in schools, on military bases, and all federal programs)
The Guidelines have failed us:
The Dietary Guidelines have clearly not protected our health. We don't need to assess why.
The National Academies of Sciences has already studied the problem (mandated by Congress, with a $2M allocation). They found that the guidelines "lacked scientific rigor," do not use a "verified methodology," and are not "trustworthy." nutritioncoalition.us/the-process-of…
The Guidelines recommend:
--6 servings of grains a day, including 3 servings of refined grains
--Up to 10% of calories as sugar (sugar is unlimited in school lunches)
--seed oils over whole, natural fats
--seed oils over whole, natural fats
Want to know a lie bigger than Biden being “sharp as a tack”?
The one that red meat causes diabetes
A new study is the latest to make this claim. (NYTimes reports)
Like 2+2=5, this claim is unhinged from fundamental facts 🧵
Fact #1: This inconvenient truth
Fact #2:
The formal way to diagnose diabetes is elevated blood sugar (A1c). What causes high blood sugar? Eating sugars + starches
Red meat contains no sugar or starch
Thus, red meat cannot cause diabetes
(yes, v. high protein consumption will elevate blood glucose but nowhere near as much as carbs)
One year ago, dozens of headlines splashed news about a "keto-like" diet causing heart disease
This came from a press release by the Amer. College of Cardiology, on data that had been presented at their conference but not published--not even a pre-print; study not registered 1/
@ACCinTouch
I wrote about this at the time:
All links, statement from ACC, attempts to interview the researchers here.
(need to scroll half-way down the article) 2/shorturl.at/myzGT
A year later, there's still nothing published, not even a pre-print🤔
Press releasing unpublished data is poor practice. Rules out the possibility of critique by other researchers--bc data not available.
Could be seen as a PR stunt 3/