Onphel

@LDLSkeptic @robynrdobbins @realDaveFeldman @DoctorTro You, @LDLSkeptic, Dr. Ali, @eatmostlyfatali, and Dr. Malcolm Kendrick, @malcolmken, are my heroes. I wondered why the three of you have not been on Dave's recent podcast. Thank you for all you do.

@robynrdobbins @realDaveFeldman @DoctorTro I'm very glad to have helped with your LDL concerns. Dr. Ali is not only brilliant, he's a scholar and a hero of mine. Yes, it's been 15 years since I first covered deception and misinformation in diet and heart disease guidance. youtube.com/watch?v=3vr-c8…

#CholesterolCodeMovie is out with 100’s of rave reviews on Amazon, but watching it was bittersweet for me. Sweet because I have great admiration for @realDaveFeldman because he took an observation, his own elevated LDL-cholesterol on #LCHF, and turned it into a phenomenon, the #LMHR, which identified a subset of metabolically healthy people with very high LDL. The film shows the great value of the ketogenic diet for mental and physical health, treating not only epilepsy and diabetes (@drjenunwin; @drericwestman @lowcarbGP), but also ulcerative colitis, autoimmune diseases (@nicknorwitz @MikhailaFuller) and psychiatric disorders (@georgiaedeMD; @chrisPalmerMD @matthewbaszucki). It is impressive that Dave worked with cardiologists (@BudoffMd @AdrianSotoMota) to secure funding to study the arteries of 100 LMHRs, which found no association between their LDL-C/ApoB levels and the extent of their plaque. This is a truly remarkable feat especially considering Dave is an outsider to medical research. For this accomplishment Dave deserves massive kudos. The bitter part for me is how the fear of high LDL pervades the documentary. Dave interviewed some MDs about this issue, e.g., @bscherMD, @DoctorTro, Arthur Agatson, MD, and they expressed mild skepticism about the importance of cholesterol in causing heart disease. However, they left it unresolved as to whether metabolically healthy people on a ketogenic diet may suffer an early death from heart disease because of their high LDL. I was dismayed to see that one #LMHR with a ketogenic diet-induced remission of her depression symptoms added carbs to her diet to “improve”, i.e., lower, her LDL. When her depression returned with the reintroduction of carbs, she reluctantly eliminated the carbs, accepting the possibility that the keto diet resolved her psychiatric condition, but at a cost of raising her LDL and therefore increasing her risk of developing heart disease. Similarly, the type 1 diabetic boy on keto diet had very high LDL, and the issue that was left unresolved as to whether this metabolically healthy child will die of heart disease at an early age. To his credit, Dave raised the issue of the greater risk of heart disease from insulin resistance compared to high LDL. Nevertheless, LDL was still presented as a biomarker of great concern. What I found disappointing is that Dave traveled the world to interview people, but he didn’t speak with even one of the many MDs and scientists that have challenged the notion that high LDL/ApoB, alone, is atherogenic. Some of those MD/scientists are Uffe Ravnskov, MD, Malcolm Kendrick, MD, Folkert van Bruggen, MD, Paul Rosch, MD, Nadir Ali, MD, Michel DeLorgeril, MD, Sherif Sultan, MD, Blair O'Neill, MD, @BenBikmanPhD @DrPaulMason @Alabdulgaderaa @ifixhearts @FatEmperor @zoeharcombe @ProfTimNoakes @MaryanneDemasi @SinatraMD @DwightLundell and others, including me. It is unfortunate that so many people who have systematically reviewed the literature, many of whom have published papers and books addressing LDL concerns and have concluded that the fear over high LDL is not justified, were not invited to share their findings in the film. There were aspects of LDL concerns expressed in the film that could’ve been addressed by any of the MD/scientists mentioned above. For example, Dave stated that people with the rare genetic anomaly, familial hypercholesterolemia (FH), who have extremely high LDL from birth, have heart attacks and death in young children. He further noted that “FH is the strongest case to support the hypothesis that LDL independently causes heart disease”. However, it has been repeatedly shown that, as a group, people with heterozygous FH have a normal lifespan (which preceded statin development). It has also been shown that elderly FH people have a lower rate of death from cancer and infection, and a normal rate of CVD death, compared to the general population. What about the people with FH who die young? We have published papers demonstrating that the FH individuals who experience coronary events at an early age have high levels of clotting factors, independent of their LDL level. Homozygous FH, which has been characterized solely as a lethal extremely high LDL disease, is similar to heterozygous FH because it is also a disease that includes a high level of at least one clotting factor (fibrinogen), which may explain why these people die young. The potential deleterious actions of excess clotting factors in people with homozygous FH has been ignored in favor of blaming their premature death on their high LDL. It is unfortunate that the highly atherogenic effect of hypercoagulation, in the FH population as well as the general population, was not addressed in the film. Finally, what was also not addressed in the film is the evidence that metabolically healthy (LMHR-like) people with high LDL have a much lower rate of coronary events than metabolically unhealthy people with equally high LDL. It was also disappointing to me to see in the film that one #LMHR takes a statin despite the finding that there is no benefit of statin treatment in metabolically healthy (LMHR-like) people with very high LDL. Some of these findings are provided in my presentation at Dave’s #CoSci meeting: youtube.com/watch?v=BWxMKi… Once again, I’m a great admirer of Dave Feldman and all that he has accomplished with his personal journey addressing his own high LDL on #LCHF and his study of LMHRs. However, in my opinion, the #CholesterolCodeMovie should’ve had 3 components. The first is the great benefit of the ketogenic diet for mental and physical health. The second is the concern with extremely high LDL in a subset of people following the keto diet. The third should’ve been perspectives from world-class scientists explaining why high LDL in metabolically healthy people would not be expected to cause CVD. It is unfortunate that only the first two components were included in the film, leaving the issue of concerns with high LDL, and why LDL did not correlate with arterial plaque, unresolved. @DiljanMansoor @markkaplan20 @KenDBerryMD @PeterJAnderson_ @ApoDud @dramerling @ElieJarrougeMD @JeffryGerberMD @TuitNutrition @bigfatsurprise @GrassBased @shashiiyengar @drozcanyuce @SbakerMD @DominicDAgosti2 @ElieJarrougeMD @grahamsphillips

@MigraineBook @BiggestComeback Cheers

@BiggestComeback I totally agree! I eat the same everywhere if better choices are not available. And since McDonalds is in many countries, I often end up at McDonalds in other countries as well.

I assure you I’m not posting this as an ad for McDonald’s. I’m posting it because this has saved me from making much worse decisions more times than I can count. When I’m traveling, working an event, stuck in a hotel, or short on time, this is one of my emergency buttons: • Burger patties • Cheese (I know. Leave it off if you don’t want it.) • Pickles (I know. Leave it off if you don’t want it.) • Onions (I know. Leave it off if you don’t want it.) • Water or black coffee • Back to work Is it grass-fed ribeye with pasture-raised eggs cooked at home? No. Is it a hell of a lot better for me than grabbing a bag of chips, cookies, candy, seed oils, flour, and sugar from the nearest convenience mart? Absolutely. And this is the part people miss. For me, staying on track isn’t about “calories.” When I keep added sugar, processed carbs, grains, seed oils, and hyper-palatable junk out of my diet, my hunger, cravings, body weight, and body fat all regulate at a completely different level. When I let those foods back in, it’s not one innocent snack. It can become a cascade. More hunger. More cravings. More negotiating. More “I’ll get back on track tomorrow.” I know because I lived it. So no, this isn’t my ideal meal. But it keeps me on my path. Sometimes the win is not finding the perfect food. Sometimes the win is finding the “good enough” option that prevents the spiral.

@KenDBerryMD @HealthRanger Carbs pevent starvation @KenDBerryMD ? Bread certainly was a tremendous food for my weight gain, development of T2DM and hypertension.

@HealthRanger Pumpernickel bread is great for preventing starvation.

We all seriously need to learn about the amazing superfood of genuine pumpernickel bread. It's an amazing innovation that helped feed a civilization and even helped win wars. (infographic)

@SBakerMD Yes, more meat and offals.

Do you need supplements on a carnivore diet? 👀

Grains became a staple food thanks to all the doctors’ and dietitians’ advice to eat them, and lo and behold, I developed NAFLD, started gaining weight, my arthritis worsened, and I developed diabetes, hypertension, and severe depression. All of it is gone now, first through a meat-based ketogenic diet and now through a high-fat plant free carnivore diet.

What whole food became a staple for your health? Dr. Eric Berg, DC, not MD; information only

@SamaHoole It must be the plant toxins that are mixed into the chopped-up meat, fat, and offal. The @WHO lists plants as a primary source of natural toxins in human food, yet they push for the whole world to eat toxic plant foods.

"Unprocessed meat is fine. Processed meat is bad." Quick question. What is it about the processing that makes it toxic? Is it the act of grinding? Is the mince in your fridge a public health emergency? Is pemmican, the food that kept Arctic explorers alive on three-month sledging journeys, a slow-acting poison? Is the salt-cured ham hanging in a Spanish farmhouse for two years killing the family that has been eating it for generations? Or is it the nitrates? The nitrates that do not survive your stomach acid. The nitrates your own salivary glands produce in larger quantities than a slice of bacon contains. The nitrates that beetroot is celebrated for and bacon is condemned for, in the same magazine, on facing pages. Or is it the WHO classification? The one that lumped every cured meat on earth, regardless of ingredients, regardless of source, regardless of preparation, into a single category based on relative risk increases so small that the same statistical method would flag drinking tea, sitting near a window, and being Welsh. In reality, if you find a sausage with three ingredients, all of which your grandmother would recognise, you are eating one of the most nutrient-dense, shelf-stable, convenient foods ever invented. Pemmican kept entire civilisations alive. Biltong runs on salt and air. A decent butcher's sausage runs on the pig. Processed is doing a lot of work in that sentence. Most of it dishonestly. Read the ingredients. That is the whole test.

@DoctorTro Cheers

How is it possible that I have maintained a 150lb weight loss for 8 years & I’ve NEVER COUNTED A CALORIE I’m also eating much MORE fatty meat, & much LESS fruit, LESS ❤️ heart-healthy whole grains & I’ve consistently skipped “the most important meal of the day” I’m puzzled 🤔

@dr_ericberg No audio

Here’s the ugly truth about avocados (that you won’t like): I used to think they were the most amazing superfood you could possibly eat. I even recommended them to my patients… Until I found this out: 🧵

@SBakerMD @eatmostlyfatali cardiologist Nadir Ali, MD

Tag the guest you want to see on the podcast in the comments!

@SBakerMD Paul saladino

Had to laugh at this one

@ScottAppliedSci @Carl0vj3 Only a dumbfuck would have such an interest. Wake the fuck up. Get out of your inferiority complex. If you’re ignorant of what that means, it’s when you feel the need to look down on others just to make yourself feel superior. That, dumbfuck, is your inferiority complex.

Porridge for breakfast does NOT cause type 2 diabetes. Anyone who tells you it does is grossly mistaken.

@ScottAppliedSci @Carl0vj3 Only a fuckhead like you have such inferiority complex to see this shit stain. You'll become big, when you have less ignorance.

@onphel @Carl0vj3 Yes, I agree, but there is still hope for you.

@ScottAppliedSci @Carl0vj3 Currently ignorant as fuck

@Carl0vj3 The answer is no. My honest take is that carbs are a complete non-issue. This is a tested idea and we know they’re irrelevant.

@nutrition_facts Yes, Big Food and Big Pharma will lose billions.

Step on a scale after a week eating low-carb, and it's easy to see why low-carb diets are so popular. But what’s happening inside the body tells a different story. Learn more at see.nf/ketodiets1 and see.nf/ketodiets2.

@KP24 Nothing is healthier than fatty beef. Why? It has all the essential amino acids, fatty acids, vitamins, and minerals, and does not have non-essential carbohydrates or any toxins like plant foods.

How?

@HRH_Ted Hear hear

There is in fact NO acceptable evidence extant ANYWHERE that Apo B 'drives' atherosclerosis. This is utter garbage. BTW: why are we platforming or paying any attention to this utter cunt Attia?

@WhovaSupport Update doesn't work on Galaxy S26 Ultra.

@dr_ericberg Eliminate plant foods.

What’s one thing you stopped doing that improved your health?

@SBakerMD Yep, eat the wrong foods all day, and yet the innocent meat and salt get blamed.

The American diet in a nutshell: eat all day, never move, blame genetics.

@ValerieAnne1970 It's the same with anyone pushing the false narrative that saturated fat is unhealthy. Wake up.

"Each and every person pushing COVID vaccines is GUILTY of mass negligent HOMICIDE." ~Dr. Peter McCullough, MD