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The more interesting debate is about overall health outcomes. Even the most ardent low-cholestrol folks are forced to admit that this link between higher LDL (particularly the big "fluffy" stuff) and heart disease exists.

There are two really interesting things, however.

1. The link between dietary saturated fats and increased LDL isn't nearly as strong as those earlier studies suggest. This is certainly supported by my own anecdotal evidence: My LDL levels went way down when I moved to a higher fat diet.

2. Some studies have suggested that controlling for all natural deaths that OUTCOMES on higher fat diets are better, meaning people on those diets tend to live longer. It appears that cancer rates are reduced for those eating higher saturated fat diets for one thing.

This is all outlined in "Good Calories, Bad Calories", and there is a wealth of study to support the idea.

I recently was seated with a prominent nutrition researcher at a local university. His take was interesting. Essentially he laid out why these studies are very difficult (as your cited book did). He said there are two clear things that comes up in research time and time again:

- Many preservatives, particularly the high sodium nightmares found in processed foods, are pretty bad for you. - Sugar is the devil. Studies have suggested time and time again that it's sugar that is responsible for elevated LDL levels. Worse yet sugar promotes higher levels of very dense LDL which is a huge risk factor for heart disease.

He recommends a whole food diet. Basically don't worry so much about what your eating and more about how fresh it is. The shorter the time between something living and the time you eat it the better. The fewer steps it takes for something to be prepared the better.

Calories still count of course, but I've essentially been following that idea for awhile. I eat more fruits and vegetables and I've drastically cut my sugar intake. I eat more steak and pizza (made from high quality and fresh ingredients) than the ADA would like. My blood chemistry levels have been amazing ever since.



Even the most ardent low-cholestrol folks are forced to admit that this link between higher LDL (particularly the big "fluffy" stuff) and heart disease exists

I'm not a researcher, but I have been hanging around /r/advancedfitness a lot. What I seemed to understand is that the ratio of triglycerides to LDL to HDL is what is an indicator of heart disease.


> I eat more fruits and vegetables and I've drastically cut my sugar intake.

Fruits are quite sugary - do you limit yourself to one, two portions a day? Is fructose 'better' than sucrose/HFCS?


Good post, I just want to add something:

Some fruits have lots of sugar, like apples, grapes and watermelon.




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