Washington Post article by Anahad O’Conner about new study in Circulation.

Popular keto and paleo diets aren’t helping your heart, report says

https://www.washingtonpost.com/well...-heart-health/?

https://www.ahajournals.org/toc/circ/0/0. ( in the footnotes, and then Dr Gardner's supplementary material is an extensive summary of many diets, and their many less well known versions, to match up to 58 studies )

Destined to be controversial, it was in "The 7”, the WaPo's daily summary of top seven news stories. Anahad has written articles in the past more favorable to most versions of low carb. He knows Dr Peter Attia and may be questioning LC based on his own CAC score, quite high CAC for a young man, and Dr Attia's strict CVD recommendations. Dr Attia no longer supports a ketogenic diet nor fasting. The Nutrition 3.0 Chapter in his book Outlive is fascinating. He readily admits diet and nutrition are so poorly understood by science, so emotionally loaded and so muddled by lousy information and lazy thinking that it’s impossible to speak about them in Nuanced terms.

I'm not surprised. The AHA has always been against low-card eating.

Christopher D. Gardner is a known proponent of vegan/plant-based diets. Of course he's "alarmed" at the popularity of anything that involves consumption of animal products.

Biased report, nothing new, stopped reading after the second paragraph.

Yes, those silly people talk about how they lost weight, lowered blood pressure, cleared up health conditions...

How dare they!

Should be posted in the Low-Carb War Zone. The diet wars continue with “experts” shifting when convenient. Attia contradicts himself occasionally, although some of his information has value. He’s now a concierge longevity doctor who supports a combination of lifestyle measures including diet and exercise along with supplements and prescribing medications for the usual symptoms. His clientele must be wealthy to afford his services. What I’ve heard from him is he no longer follows a ketogenic approach or does fasting. Who cares? Over time many of us need to adjust, but for the WaPo article to cite opposition is not exactly true in this case. He’s correct that diet and nutrition science is extremely weak or nonexistent in terms of actionable and factual information.

As for Gardner, hahahahaha, his agenda is overwhelmingly biased and hardly based on science.

Wow.


Yet Dr Westmann has clinical patients on keto. And evaluated keto for some 20 years. Surely heart issues would have become noticeable by now.

Guess its healthier to be 100# over weight than choose keto.

There were other media articles, of note in CNN's is that this color-coded chart is aimed for physicians:



As long as we are willing to accept that a high LDL, ApoB and a CAC score reflects a low carb diet and in no way increases your risk of heart disease, carry on. Dr Attia's "Outlive" book would not give me pass…and maybe in your next check-up telling your doctor you eat paleo won’t either.

Popular keto and paleo diets aren’t helping your heart, report says

After 20 years of what I have often described as low carb paleo it's amazing I'm not dead yet. As far as I know, there is no sign of heart disease either. This article is based on the assumption that the AHA heart healthy recommendations are correct so that there was no way that either paleo or ketogenic diets were going to pass the test. It s propaganda not scientific analysis.

Gardener is dead wrong about chia seeds. They are loaded with oxalate.

Paleo/keto/low carb doctors are becoming more aware of oxalate dangers, as am I, thanks to the books Toxic Superfoods, which essentially uses science to ruin what is left of the food pyramid and the Superfoods craze.

He's right about doctors being ignorant about nutrition, but they don't have to be. The ones who know DASH and not low carb are the real problem.

I get such a comic reaction out of this article. Thanks, Janet, it gave me some levity, which is always good in our serious, polarized world. Bear with my comments below as they are a good way to blow off some steam on this rainy Friday afternoon.

Can't disagree here, but perhaps the concept of achieving health through lifestyle changes could be conveyed to the doctors first. In medical school, they are taught how to prescribe and dispense medicine for a myriad of symptoms and have never been taught that a consistently followed lifestyle including consumption of healthy whole foods and frequent activities and exercise can make a huge difference. That is a concept that many physicians can't explain. Many simply say "eat a healthy diet and move more" but have a hard time explaining what that means and how to do it.

Hardly surprising, I have visited many doctors over the past 25 years right up until the present month who fall into this category.
If they're banging the drum of ignorance and can't provide the guidance a patient needs or are providing the wrong guidance for a particular patient, as there is no one diet suitable for all, then no, please don't bang any nutrition drum. If one reviews those physicians and GPs who have embraced a healthy lifestyle including diet, many came to the realization through some of their patients who were following a well-planned nutrition program that was working far better than prescriptions for achieving health. There are many physicians who are candid about this, but the three who come to mind are Drs. Eric Westman, Mark Cucuzzella and David Unwin. There are many others and these brave souls initially risked their practices by finding alternatives to commonly held standards of care to convey the benefits to their patient communities.

Yes, I believe they mean yet another variation of "Nutrition for Dummies." Why? Because sadly, many physicians are unable to discuss the benefits of heart-healthy nutrients due to their lack of knowledge further clouded by the massive disagreements among the various dietary camps. Confusing, and the food manufacturers fiddle while metabolisms burn . . . and globally our medical bills continue to rise exponentially.

Rob, since that amused you, wait until a doctor pulls this out to talk about your diet.

Health insurance in the US compounds the problem. It takes minutes to write a prescription and much longer to manage a patient's diet with them. Referring to nutritionists, when they are all trained with a vegan bias, is more harmful.

Five a Day was a marketing slogan. The actual science is missing in many cases because bio-availabilty is so rarely considered.

It would be funny if it wasn't so sad. Before taking an oath to first do no harm doctors need to take an oath to first not be stupid.

Step aside "healthywholegrains" ... looks like "healthyplantbasedproteins" has become the new dietary catch phrase du jour

Four decades of recording what I eat has taught me (n=1) that there is a 1:1 correlation between eating "healthyplantbasedproteins" and joint pain. They may be fine for others, but not me.