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Dr Mark Porter: The diet that’s almost as good as statins — and I’m proof that it works

AndBreathe

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The following article is from yesterday's Times. As it sits behind a strong pay-wall, I have copied the full article here, but for those with access, the link is: http://www.thetimes.co.uk/tto/health/advice/article4691103.ece .

Before you read on, you have to guess what the diet is.
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Dr Mark Porter: The diet that’s almost as good as statins — and I’m proof that it works

Dr Mark Porter

Published at 12:01AM, February 16 2016


Older folk can expect a longer retirement, according to a new report from Public Health England, which shows that over-65s can look forward to another 20 years on average. Yet to enjoy those extra decades you will need an adequate pension and good health. I can’t help with the former but I do have a useful tip to maintain the latter.

At the beginning of the year I embarked on a six-week trial to see whether cutting back on carbohydrates could improve my poor cholesterol profile. The results are in and I am bowled over. The finer details are in the box below, but these are the headline results: I shed half a stone in weight, my cholesterol level dropped by 20 per cent, my triglyceride level by 30 per cent and, according to the risk calculator favoured by the NHS, my odds of succumbing to an early heart attack or stroke have dropped by nearly 15 per cent. Not quite the benefit you might expect from taking a statin, but as near as dammit.

Now I am well aware that one swallow doesn’t make a summer, and just because cutting back on carbs has had such a significant effect on my blood chemistry, it doesn’t mean it will work as well for you. Yet if you are one of the five million or so middle-aged people like me who, thanks to a combination of poor family history and high cholesterol levels, are eligible for statins, I would urge you to take a close look at your diet first. So what changes did I make, and where have the benefits come from?

First some context. At 6ft 2in and 14 stone, I wasn’t particularly overweight but I had a touch of middle-age spread with a BMI of 26 (25 is the upper limit of healthy). My cholesterol was raised (anywhere between 7.3 and 8 over recent years) and, although I ate a healthy diet, I have a sweet tooth and consumed far too much bread.

The plan was simple. I cut out all fruit juices, bread, cakes, biscuits and confectionery. And I restricted other starchy foods such as rice, pasta and potatoes. I carried on taking one sugar in my coffee and I had a free day on Sundays which, on at least one occasion, included sticky toffee pudding at my local pub. I made no other changes to my diet or lifestyle and the result would qualify at the upper end of what most people would regard as a low-carb diet, but it represented a significant reduction for me.

The resulting improvement in my blood profile could have come about in a number of ways. First, the weight loss will have helped. The drop in triglycerides (high levels of which are a risk factor for heart disease) is a direct result of fewer carbs, but a big reduction in fats may also have helped; I have eaten hardly any butter in the past six weeks. Not only is butter a keen component of my favoured sandwiches and rolls, it also features in many carb-rich foods such as cakes and other treats.

One other unintentional change was that I ended up eating more meat, eggs and cheese. Yet, while you would have expected this to have raised my cholesterol level, the opposite happened. And the latest research reflects this — while eating butter is bad for your cholesterol profile, eggs, cheese and lean meats don’t seem to have much impact.

Until I started this trial I was considering statins — which I have tried in the past — but my cardiovascular risk (qrisk.org) has dropped below the new 10 per cent threshold, so I am not going to worry for now.

My only regret is that I wish I had tried this in my twenties. I have never subscribed to the view that sugar is public enemy no 1 — there is so much more to disease than obesity and one nutrient — but I am a convert to the view that too much sugar and other carbs (which the body converts to sugar) are not good for us. My local bakery and my favoured sandwich shop may regret my decision but it is low carbs for me from now on.

The results at a glance

After six weeks cutting back on carbs my weight fell from 14st to 13st 7lb

My fasting cholesterol level fell from 7.3 to 5.9 and my triglycerides from 2.5 to 1.5

My “good” cholesterol (HDL) fell slightly from 1.3 to 1.2

I did not monitor my blood sugar levels because these have always been well into the healthy range, but those at risk of diabetes should expect a significant drop here too.
 
When Dr Porter announced he was doing this, I commented on the article that maybe he wasn't going low carb enough and I was concerned that he might not see the benefits - I needn't have worried!
 
I don't know whether to laugh, cry or be plain angry!

'Almost as good as statins'? lol statins are evil.
'I'm proof that it works' - yes you and thousands of others who tried it many years before you. :rolleyes: I'm looking forward to him being brave enough to do LCHF next. :D Butter is good for you and your cholesterol Dr Mark!

Thanks @AndBreathe :)
 
When Dr Porter announced he was doing this, I commented on the article that maybe he wasn't going low carb enough and I was concerned that he might not see the benefits - I needn't have worried!

I'm assuming his comments on Twitter? I commented there too.
 
I don't know whether to laugh, cry or be plain angry!

'Almost as good as statins'? lol statins are evil.
'I'm proof that it works' - yes you and thousands of others who tried it many years before you. :rolleyes: I'm looking forward to him being brave enough to do LCHF next. :D Butter is good for you and your cholesterol Dr Mark!

Thanks @AndBreathe :)

Zand, surely it's a step in the right direction, and good to see it being tried, at least, by someone not supposedly backed into a corner by diabetes or another health condition.

As you may be aware, I don't talk a lot, face to face about my diet or the reasons for it, but when I do, folks sometimes say the likes of: "Well, that's OK for diabetics, but I'm a normal person. It would never work for me. Whatevervastin works fine for me...."

I think sometimes the major battles are won in small "hand-to-hand" skirmished, by the right people, in the right places. I'm not saying this guy is IT, but he is rated as being sane, and has a voice in a non-Red-Top paper. Nothing wrong with the red tops, if that's what anybody wants to read, but it's easy to discredit much on there when any sensible editorial could be battling with "Aliens Ate My Hedgehog", or the like, for column inches.

I'll be happy to take this one as a tine hand-to-hand skirmish with an OK outcome.
 
@AndBreathe yes of course it's a step in the right direction, and you're right people will listen to him whereas they won't listen to me. It's just a shame that he has still only grasped the low carb bit of the message that's all. Never mind, that's more butter and cream for the rest of us. :cool:
 
Never mind, that's more butter and cream for the rest of us.
ALthough @zand, as some have found, large volumes of butter and cream can push up those pesky levels that you don't want, so pushing them for everyone may not be the most effective route!
 
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ALthough @zand, as some have found, large volumes of butter and cream can push up those pesky levels that you don't want, so pushing them for everyone may not be the most effective route!
Which pesky levels? BG or cholesterol? I haven't found that fat adversely affects either of these.
 
Well Dr Porter expected that increased meat and eggs would do that too, and was surprised that it didn't.
Quite. there seems to be a difference in processing between eating straight fat and fat and protein, and some people's bodies cope better than others.
 
I have followed LCHF since last May and my cholesterol levels haven't gone up at all from eating higher fat in my diet. Butter, cheese, bacon, cream, pork scratchings etc have had no impact whatsoever in making my cholesterol go up. The only increase was one that was point one when they tested me AFTER I had eaten breakfast and drunk several cups of coffee as I wasn't told cholesterol was being tested and therefore hadn't fasted. The tiny amount it went up was jumped on by the nurse and a fasting test ordered for tomorrow as she says my reading of 5.8 (or 5.9 without fasting ) is far too high. This is despite being told that it was fine previously at 5.8. The upshot is now that they are trying to force me on to statins. I informed her that I am very aware that statins actually raise BG levels and therefore refuse to take them. As they are telling me I am pre diabetic and at high risk of developing full blown type 2 I think my decision to avoid statins is a sensible one as the rise they could cause could easily push me over into diabetic levels. I will continue to eat LCHF regardless of any argument or risk factor they throw at me as they seriously don't seem to have a clue. To congratulate me on getting my HbA1c back down in to non diabetic levels within 3 months is all very nice but to refuse to listen to HOW I did it is down right negligence and ignorance. They use old fashioned methods and ideas to treat diabetics and are in fact probably causing more complications and unnecessary medications to be taken by giving incorrect advice. Their ''healthy plate'' way of eating is in fact pure poison to so many of us and will never be used by me and I am sure many others. The sooner they wake up to the benefits of LCHF way of eating, the better
 
The great message it that it only takes 6 weeks to make a substantial difference. That's the bit that will appeal to the masses.
 
@Gezzabelle I read somewhere that for women the total cholesterol figure that gave the lowest all casue mortality rate was 5.6. Your figure of 5.8 or 5.9 is not very high, it's about right. :)
 
@Gezzabelle I read somewhere that for women the total cholesterol figure that gave the lowest all casue mortality rate was 5.6. Your figure of 5.8 or 5.9 is not very high, it's about right. :)
Exactly.....and 5.8 is in fact, the national average for cholesterol. When I get my results in a weeks time I can already sense there is going to be conflict with my practice nurse but on this one, I think my own knowledge and gut instinct is going to win. I refuse to take any medication that not only has lots of nasty side effects but is also proven to raise BG.
 
Exactly.....and 5.8 is in fact, the national average for cholesterol. When I get my results in a weeks time I can already sense there is going to be conflict with my practice nurse but on this one, I think my own knowledge and gut instinct is going to win. I refuse to take any medication that not only has lots of nasty side effects but is also proven to raise BG.
Totally agree with your stance on this.
 
At least the man's mind is even slightly more ajar than so many medics we encounter.

@Southport GP - did you see the article?
 
At least the man's mind is even slightly more ajar than so many medics we encounter.

@Southport GP - did you see the article?
They just need to open their minds and accept that higher fat is not as bad as previously thought. If only they would listen to us and ask us how we are achieving our lower BG levels....they could save the NHS an awful lot of money on drugs being handed out ....we are living proof LCHF works...we just have to make them see it.
 
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