phoenix said:
Signs
My OH has a horrible familial history of early heart disease so I try to keep up with research. I have read J Moores book and personally feel that his book distorts evidence.
He has a very high total cholesterol level of which one of the very briefly quoted experts he uses in the book said
http://3.bp.blogspot.com/-66n11pqJGyA/U ... +on+TC.jpg
Somehow this gets ignored in his book.
My OH is now 62, for the last 12 years he has taken a fenofibrate. He has had a BMI around 23 with about 14% fat , done a fair amount of exercise.( running up to marathon distance, lots of gardening in a very large garden) He eats a lot of fruit, veg, real whole grains, olive oil, fish, chicken etc . His red meat and sat fat are limited . As a type 1(.5) diabetic I share his lifestyle.
I don't know how long his lifestyle will protect him , I only know that I feel that it is the best sort of diet/lifestyle for him both on terms of quality of life and efficacy so far; he is more than 10 years older than his father and Uncles were when they died. His older brother actually had an MI in his mid 50s, that's what lead to the suggestion that it was a familial condition. He is also still alive with a similar lifestyle. (though a bit less vigorous, he plays lots of golf)
There is obviously no certainty.....
One figure on your results does stand out is your kidney function. I presume your GP is keeping an eye on that.
I was going to answer NeilBlackwood on Sam Felthams N=1. There were several points but I'll leave it at 2 which s probably too many.
1) Nuts were well over 50% of the calories in his diet.
Check the calorific value. This was a well publicised paper (almonds about 30% less than the value that Sam gave them. Older papers also suggest that other nuts may also be less calorific than Atwater values suggest.)
http://ajcn.nutrition.org/content/96/2/296.full
2) the old canard of 3,500 cal =1lb of weight. It's to simplistic, for a light video see
http://www.youtube.com/watch?v=GGP3NbP7O2w
Sorry to hear about your OH's familial history of heart disease Phoenix, I would be doing all I could to research into what diet would be most appropriate for my OH if she were to have cholesterol issues, and thanks for the information.
I've not really been paying attention to total cholesterol levels ever since reading about the HDL/Triglyceride ratio being a more predictable indicator of risk.
I took to twitter to find out what Dayspring has been saying more recently, as the image you posted read '10 months ago'.
Something I've noticed is that Dayspring and Moore have been exchanging tweets for quite a while and although in agreement about most things, they' appear to have different stances on LDL-P size, and acknowledge we don't fully understand the risks/meaning of particle size in different genetic groups:
https://twitter.com/livinlowcarbman/sta ... 0980616193
There was some discussion between Dayspring and Moore whilst Moore was attending a conference @ the American Society of Bariatric Physicians which included Peter Attia (whom I hope will help establish some basic scientific truths -
http://nusi.org/):
https://twitter.com/livinlowcarbman/sta ... 4206202882
From what I understood from the conversation, according to Attia, who currently recommends low carb for 75% of the population with cholesterol issues who are predisposed to become insulin resistant or already have IR/diabetes, the remaining 25% wouldn't need to follow a low carb diet. Along with others, I'm hoping Moore can arrange a debate including Attia and Dayspring to discuss the differences in opinion (Daypring appears to consider Attia in high regard).
There's also an article that Daypring shared regarding low carb, which. in my opinion, rules out all whole grains for diabetics:
https://twitter.com/Drlipid/status/350297269049888768
I'm hoping that NUSI will aid the creation of improved dietary recommendations (which will undoubtedly be different for certain genetic groups) as many scientists belonging to the organisation have differing hypotheses and therefore can hopefully achieve better clarity on common held beliefs regarding what constitutes a healthy diet.
I also wondered if you've read these pages:
http://eatingacademy.com/nutrition/the- ... rol-part-i
Seems to be quite in depth, I've not yet had chance to read all of it, so I'll leave you to take a look over it, if you haven't already.
I've adopted a WAPF / Paleo-esque diet for the previous year or so, because, I believe, despite the fact that some of us humans think we've evolved from the our neanderthals cousins, I doubt our biological processes have evolved to effectively assimilate certain incorrectly prepared grains of various types (hence an increase in gluten intolerance/celiac sensitivity, chrons, IBS etc.) and overly processed vegetable oils that have an alternative use as fuel for diesel engines. Whilst I don't live in the same environment as our ancestors, I've chosen to eat foods closer to what would be available before farming. This includes British seasonal veg and fruit (although obviously farmed) and animal products that are free range where possible. Obviously I can't avoid the fact that nearly all the produce I buy is farmed and therefore isn't going to be a direct equivalent of what our Paleo ancestors would have eaten, because of selective breeding of animals/fruit.
The main differences between what I eat and what's recommended in government dietary guidelines is that I eat a lot fewer carbohydrates (270g recommended, I probably eat less that 50g most days) in all forms, but especially grains of any form. I'm also likely to eat well over the amount of saturated fat recommended by the government, and although I've not been overweight (used to average about 85kg a couple of years or so ago), I've lost a small amount of weight (2kgs) since adopting the diet, I'm don't always eat healthy, I'm just much more mindful of what I eat.
With regards to Sam Feltham's experiment, I hadn't seen the breakdown of foods that he ate over the 21 day LCHF experiment:
http://www.huffingtonpost.co.uk/sam-fel ... 50869.html
I'm quite surprised at the (in my view) large proportion of nut consumption, with nuts being seasonal. He's getting a majority of calories/fat from them (even taking into account the 30% less calorific content), whereas I eat nuts much less regularly, most of my fat will come from fatty meats, butter. ghee, duck fat, coconut oil etc. This is as since I've been researching consumption of omega 6 to omega 3 ratios and how a ratio of 1:1 of omega fats more likely to have been consumed by our ancestors (Vegetable oils being the main culprit:
http://chriskresser.com/how-too-much-om ... ng-us-sick). Now, Sam's experiment (carried out long term) would have likely caused a increase in omega 6:3 ratio, something I'm going to get into discussion with him about, and try to find out it was a deliberate choice or not. Considering he had a greater intake of omega 6 over omega 3, his results are slightly more impressive to me, although I'm now interested to see an experiment following a LCHF diet of a less nutty consistency.
I agree that the calorie principle isn't quite right, which is why I'm interested in a repeat experiment where nuts were featured much less prominently and fat calories came from meat/jars of ghee/coconut oil, that's something I could get into!
Below are a few links here where a couple of doctors have ended up veering towards low-carb or Paleo because standard dietary advice wasn't working for them, and looking around me, it seems a lot of the population seem to having similar symptoms of a biologically inappropriate diet:
http://youtu.be/UMhLBPPtlrY
http://youtu.be/KLjgBLwH3Wc