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Research and Development Service, J.A. Haley Veterans Hospital

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1 Research and Development Service, J.A. Haley Veterans Hospital
Myths and Misinformation About Saturated Fat and Cholesterol: How Bad Science and Big Business Created the Obesity Epidemic David Diamond, Ph.D. Departments of Psychology, Molecular Pharmacology and Physiology, University of South Florida and Research and Development Service, J.A. Haley Veterans Hospital

2 Bad News: Abnormal Blood Lipids
Triglycerides (mg/dl) Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

3 Bad News: Abnormal Blood Lipids
Total/HDL Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

4 The Solution: Diet Changes and Exercise
Total/HDL Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

5 Diet Skinless Chicken, Low Fat Foods (Cheese, Yogurt), Olive Oil, Bread, Vegetables, Fruit, Nuts, Cereal, Potatoes Total/HDL Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

6 Diet Skinless Chicken, Low Fat Foods (Cheese, Yogurt), Olive Oil, Bread, Vegetables, Fruit, Nuts, Cereal, Potatoes Total/HDL X Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

7 Diet Skinless Chicken, Low Fat Foods (Cheese, Yogurt), Olive Oil, Bread, Vegetables, Fruit, Nuts, Cereal, Potatoes Total/HDL X Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

8 ! Really Scary News Triglycerides (mg/dl) Heart Disease Risk Years
Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

9 ! Really Scary News Total/HDL Heart Disease Risk Years
Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Years

10 Obesity and Heart Disease in My Future
Body Weight (lb) ! Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 weight in 1980 Years

11 Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

12 Myths and Misinformation:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease

13 Myths and Misinformation:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease Myth #2: - Cholesterol clogs arteries and causes heart disease - You will live longer if you take medication to lower your cholesterol

14 Myths and Misinformation:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease Myth #2: - Cholesterol clogs arteries and causes heart disease - You will live longer if you take medication to lower your cholesterol Misinformation: Food and Drug Company-Supported Research and the government have provided incorrect recommendations on ideal sources of food for optimal health – we have been misled

15 Obesity Arthritis Heart Disease Metabolic Syndrome Alzheimer’s Disease
Hypertension Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Diabetes Stroke Cancer

16 Historical Perspective on Diet, Obesity and Health (1864 - Present)
5’5” >200 lbs Obesity-related health problems William Banting (1797 – 1878)

17 Historical Perspective on Diet, Obesity and Health (1864 - Present)
5’5” >200 lbs Obesity-related health problems His doctor (Dr. William Harvey) prescribed a low carbohydrate diet: Unlimited consumption of meat No potatoes, bread or sugar William Banting (1797 – 1878)

18 Historical Perspective on Diet, Obesity and Health (1864 - Present)
5’5” >200 lbs Obesity-related health problems His doctor (Dr. William Harvey) prescribed a low carbohydrate diet: Unlimited consumption of meat No potatoes, bread or sugar The Banting diet was a great success Banting lost 46 lbs, enjoyed great health, and lived into his 80’s. (no clogged arteries!) William Banting (1797 – 1878)

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20 An obese person … may be given a diet of meat, excluding bread and potatoes, and the patient will reduce to his normal weight. As soon as the patient returns to his diet of bread and potatoes, he straightaway begins to increase in weight. 1892

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25 = 1972 1864

26 Eat Meat (fat): Lose weight
But is it a healthy diet? Does eating red meat, full fat cheese, butter and eggs increase serum cholesterol? Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

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30 HDL (good cholesterol)
Total Cholesterol Triglycerides LDL (bad cholesterol) Ratio Total/HDL Blood Glucose

31 Low Carb Diet (unlimited red meat): Lose Weight and Lower Cholesterol!
Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

32 Low Carb Diet (unlimited red meat): Lose Weight and Lower Cholesterol!
Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 If a low carb diet reduces serum cholesterol, will a high carb diet (sugar) increase serum cholesterol?

33 Triglycerides (mg/dl) Cholesterol (mg/dl)
Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Cholesterol (mg/dl) Normal Diet No Sugar + Sugar No Sugar Weeks

34 Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut,
My Diet (2007 – Present) Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut, Dark Chocolate, Nuts and Vegetables (Broccoli) Small Quantities of Fruit, Bread, Potatoes and Sugar Triglycerides (mg/dl) Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Low Carb Diet Years

35 Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut,
My Diet (2007 – Present) Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut, Dark Chocolate, Nuts and Vegetables (Broccoli) Small Quantities of Fruit, Bread, Potatoes and Sugar Triglycerides (mg/dl) 70% Fat 20% Protein 10% Carbs Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Low Carb Diet Years

36 Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut,
My Diet (2007 – Present) Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut, Dark Chocolate, Nuts and Vegetables (Broccoli) Small Quantities of Fruit, Bread, Potatoes and Sugar Total/HDL 70% Fat 20% Protein 10% Carbs Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 Heart Disease Risk Low Carb Diet Years

37 Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut,
My Diet (2007 – Present) Eggs, Butter, Beef, Chicken (with the skin), Full Fat Cheese, Coconut, Dark Chocolate, Nuts and Vegetables (Broccoli) Small Quantities of Fruit, Bread, Potatoes and Sugar Body Weight (lb) 70% Fat 20% Protein 10% Carbs Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2 weight in 1980 Low Carb Diet Years

38 Our Current State of Confusion

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41 Consequences of the Fat Phobia

42 Excess Consumption of Carbs
Carbohydrates Fats Protein 1970 1980 1990 2000

43 Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

44 Simple Message to the Obese: Stop the Vilification of the Atkins Diet
It’s ok to eat meat, lose weight! Eat Less Carbs: Less Potatoes, Bread and Anything Sweet Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

45 Myths and Misinformation:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease

46 X Myths and Misinformation: Myth #1:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease

47 How Did Food Recommendations Go Awry?

48 Deaths from Cardiovascular Disease
Lloyd-Jones et al, Circulation

49 Deaths from Cardiovascular Disease
Lloyd-Jones et al, Circulation

50 ‘There is a remarkable relationship between death rate from heart disease and the proportion of fat calories in the national diet” Keys (1953). Journal of the Mount Sinai Hospital New York

51 He selected data from 6 countries to create the linear relationship.
- Ancel Keys cheated - He selected data from 6 countries to create the linear relationship. Data were actually available from a total of 22 countries! Keys (1953). Journal of the Mount Sinai Hospital New York

52 Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

53 Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

54 No Significant Relation Between Fat Consumption and Heart Disease Mortality (r2=0.1, p > 0.05)
Significant Relation Between Sugar Consumption and Heart Disease Mortality (r2=0.41, p < 0.05)

55 “Coronary Heart Disease – Doing the Wrong Things”
“A generation of citizens has grown up since the Diet/Heart Hypothesis was launched as official dogma. They have been misled by the greatest scientific deception of our times: the notion that consumption of animal fat causes heart disease.” “Coronary Heart Disease – Doing the Wrong Things” Nutrition Today (July, 1985) George Mann, Sc.D., M.D. Professor, Nutritional Biochemist, Vanderbilt University Associate Director of the Framingham Study

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57  Intake of total fat was not significantly associated with coronary events (heart attacks) or mortality Intake of saturated fat (animal fat) was not significantly associated with coronary events or mortality Fatal heart disease was not reduced by low-fat diets or by replacing saturated (animal) fats with polyunsaturated (vegetable) fats

58 Chair, Department of Nutrition Harvard School of Public Health
Walter Willett, M.D. Chair, Department of Nutrition Harvard School of Public Health “data on nearly 300,000 individuals … clearly contradict the low-fat-is-good-health message … the exclusive focus on adverse effects of fat may have contributed to the obesity epidemic.”

59 Ancel Keys – Created the Artificial Link Between Fat and CHD
Became Editor of Circulation on the cover of Time Magazine, January, 1961 Pos – 1.87/ Size 75/75% = 4.96/ crop: 3/2

60 In 1977, a Senate Committee led by George McGovern released its "Dietary Goals for the United States." Without any evidence to support their conclusions, the committee identified fat as the culprit causing obesity.

61 The President of the US National Academy of Sciences,
Dr. Philip Handler, an expert on metabolism, referred to McGovern’s “Dietary Goals” as “nonsense”.

62 Steak for Dinner, Angioplasty for Dessert?
The Myth That Cholesterol Clogs Arteries

63

64 The Cholesterol Controversy, 1973 by Edward Pinckney, M.D.
“Thanks solely to “Madison Avenue” promotion by commercial food producers and the American Heart Association, a great many people imagine that if they lower their blood cholesterol … they will prevent heart disease... Few people realize that there has never been a proven, scientific relationship between lowering blood cholesterol levels and preventing heart disease” The Cholesterol Controversy, 1973 by Edward Pinckney, M.D. Editor of Journal of the American Medical Association

65 A hypothesis out-of-date: The diet-heart idea
“An almost endless number of observations and experiments have effectively falsified the hypothesis that dietary cholesterol and fats, and a high cholesterol play a role in the causation of atherosclerosis and cardiovascular disease. The hypothesis is maintained because allegedly supportive, but insignificant findings, are inflated and most contradictory results are ignored.” A hypothesis out-of-date: The diet-heart idea by Uffe Ravnskov, M.D., Ph.D. Journal of Clinical Epidemiology, 55: , 2002

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67 24% reduction in heart disease-related deaths!
- of 480,000 men, screened the top 5% in cholesterol level (290 mg/dl) to be in the study followed for 7.4 years, treated with cholestyramine or placebo 24% reduction in heart disease-related deaths!

68 24% reduction in heart disease-related deaths!
- of 480,000 men, screened the top 5% in cholesterol level (290 mg/dl) to be in the study followed for 7.4 years, treated with cholestyramine or placebo 24% reduction in heart disease-related deaths!

69 98% (Placebo) vs 98.4% (Treated) Survived
Start: 480,000 men 98% (Placebo) vs 98.4% (Treated) Survived

70 Start: 480,000 men 0.4% becomes 24%

71 96.3% (Placebo) vs 96.4% (Treated) Survived
Start: 480,000 men 0.4% becomes 24% 96.3% (Placebo) vs 96.4% (Treated) Survived

72 Start: 480,000 men The $120 Million Study That Produced a Non-Significant Treatment Difference of 3 People! = 0.1%

73 The Drug Trial Failed Miserably – Lowering Cholesterol Had no Significant Effect on Mortality

74 The Drug Trial Failed Miserably – Lowering Cholesterol Had no Significant Effect on Mortality
The Lead Investigators Declared Victory – Predicting Heart Disease Would Be Eradicated With Drugs

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77 Professor, Nutritional Biochemist, Vanderbilt University
“No sensible person can avoid the conclusion that the NCEP is an expensive fraud perpetuated by avaricious business enterprises and dishonest scientists.” George Mann, Sc.D., M.D. Professor, Nutritional Biochemist, Vanderbilt University

78 The Missing Conflict of Interest Statement

79 ATP III Update 2004: Financial Disclosure
Dr. Grundy has received honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb, and AstraZeneca; he has received research grants from Merck, Abbott, and Glaxo Smith Kline. Dr. Grundy Dr. Cleeman has no financial relationships to disclose. Dr. Bairey Merz has received lecture honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer, and EHC (Merck); she has received unrestricted institutional grants for Continuing Medical Education from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca, and Bristol- Myers Squibb Medical Imaging; she has received a research grant from Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson, SCIPIE Insurance, ATS Medical, and Biosite. Dr. Brewer has received honoraria from AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering- Plough, Fournier, Tularik, Esperion, and Novartis; he has served as a consultant for AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Sankyo, and Novartis. Dr. Clark has received honoraria for educational presentations from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer; he has received grant/research support from Abbott, AstraZeneca, Bristol- Myers Squibb, Merck, and Pfizer. Dr. Hunninghake has received honoraria for consulting and speakers bureau from AstraZeneca, Merck, Merck/Schering-Plough, and Pfizer, and for consulting from Kos; he has received research grants from AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, and Pfizer. Dr. Pasternak has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS- Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson-Merck, and AstraZeneca. Dr. Smith has received institutional research support from Merck; he has stock in Medtronic and Johnson & Johnson. Dr. Stone has received honoraria for educational lectures from Abbott, AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, Pfizer, Reliant, and Sankyo; he has served as a consultant for Abbott, Merck, Merck/Schering-Plough, Pfizer, and Reliant. Dr. Grundy … honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb and AstraZeneca; … research grants from Merck, Abbott and Glaxo Smith Kline.

80 ATP III Update 2004: Financial Disclosure
Dr. Grundy has received honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb, and AstraZeneca; he has received research grants from Merck, Abbott, and Glaxo Smith Kline. Dr. Grundy Dr. Cleeman has no financial relationships to disclose. Dr. Bairey Merz has received lecture honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer, and EHC (Merck); she has received unrestricted institutional grants for Continuing Medical Education from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca, and Bristol- Myers Squibb Medical Imaging; she has received a research grant from Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson, SCIPIE Insurance, ATS Medical, and Biosite. Dr. Brewer has received honoraria from AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering- Plough, Fournier, Tularik, Esperion, and Novartis; he has served as a consultant for AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Sankyo, and Novartis. Dr. Clark has received honoraria for educational presentations from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer; he has received grant/research support from Abbott, AstraZeneca, Bristol- Myers Squibb, Merck, and Pfizer. Dr. Hunninghake has received honoraria for consulting and speakers bureau from AstraZeneca, Merck, Merck/Schering-Plough, and Pfizer, and for consulting from Kos; he has received research grants from AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, and Pfizer. Dr. Pasternak has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS- Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson-Merck, and AstraZeneca. Dr. Smith has received institutional research support from Merck; he has stock in Medtronic and Johnson & Johnson. Dr. Stone has received honoraria for educational lectures from Abbott, AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, Pfizer, Reliant, and Sankyo; he has served as a consultant for Abbott, Merck, Merck/Schering-Plough, Pfizer, and Reliant. Dr. Grundy … honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb and AstraZeneca; … research grants from Merck, Abbott and Glaxo Smith Kline. $150,000/drug company x 10 = $1,500,000/year!

81 ATP III Update 2004: Financial Disclosure
Dr. Grundy has received honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb, and AstraZeneca; he has received research grants from Merck, Abbott, and Glaxo Smith Kline. Dr. Grundy Dr. Cleeman has no financial relationships to disclose. Dr. Bairey Merz has received lecture honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer, and EHC (Merck); she has received unrestricted institutional grants for Continuing Medical Education from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca, and Bristol- Myers Squibb Medical Imaging; she has received a research grant from Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson, SCIPIE Insurance, ATS Medical, and Biosite. Dr. Brewer has received honoraria from AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering- Plough, Fournier, Tularik, Esperion, and Novartis; he has served as a consultant for AstraZeneca, Pfizer, Lipid Sciences, Merck, Merck/Schering-Plough, Fournier, Tularik, Sankyo, and Novartis. Dr. Clark has received honoraria for educational presentations from Abbott, AstraZeneca, Bristol-Myers Squibb, Merck, and Pfizer; he has received grant/research support from Abbott, AstraZeneca, Bristol- Myers Squibb, Merck, and Pfizer. Dr. Hunninghake has received honoraria for consulting and speakers bureau from AstraZeneca, Merck, Merck/Schering-Plough, and Pfizer, and for consulting from Kos; he has received research grants from AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, and Pfizer. Dr. Pasternak has served as a speaker for Pfizer, Merck, Merck/Schering-Plough, Takeda, Kos, BMS- Sanofi, and Novartis; he has served as a consultant for Merck, Merck/Schering-Plough, Sanofi, Pfizer Health Solutions, Johnson & Johnson-Merck, and AstraZeneca. Dr. Smith has received institutional research support from Merck; he has stock in Medtronic and Johnson & Johnson. Dr. Stone has received honoraria for educational lectures from Abbott, AstraZeneca, Bristol-Myers Squibb, Kos, Merck, Merck/Schering-Plough, Novartis, Pfizer, Reliant, and Sankyo; he has served as a consultant for Abbott, Merck, Merck/Schering-Plough, Pfizer, and Reliant. Dr. Grundy … honoraria from Merck, Pfizer, Sankyo, Bayer, Merck/Schering-Plough, Kos, Abbott, Bristol-Myers Squibb and AstraZeneca; … research grants from Merck, Abbott and Glaxo Smith Kline. $150,000/drug company x 10 = $1,500,000/year! Dr. Bairey Merz … honoraria from Pfizer, Merck, and Kos; she has served as a consultant for Pfizer, Bayer and Merck; she has received grants from Pfizer, Procter & Gamble, Novartis, Wyeth, AstraZeneca and Merck; she has stock in Boston Scientific, IVAX, Eli Lilly, Medtronic, Johnson & Johnson ...

82 * These guidelines were developed by people with a financial conflict of interest.

83 Are they wrong?

84 A Different Opinion From Scientists Unsupported by the Statin Industry

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90 *These guidelines were developed by people with a financial conflict of interest.
**These guidelines have been disputed by scientists without a conflict of interest.

91

92 Isn’t there a benefit from statins in the reduction of cardiac events?

93 Isn’t there a benefit from statins in the reduction of cardiac events?
"What if you put 250 people in a room and told them they would each pay $1,000 a year for a drug they would have to take every day, that many would get diarrhea and muscle pain, and that 249 would have no benefit?" Jerome R. Hoffman, M.D. Professor of Clinical Medicine, UCLA School of Medicine

94 Adverse Side Effects of Statins

95 Adverse Side Effects of Statins:
Erectile Dysfunction, Type 2 Diabetes, Rhabdomyolysis, Acute Renal Failure, Cancer and Liver Dysfunction

96 Final 2 Issues: What Caused the Increase in Deaths from Cardiovascular Disease in the 20th Century? How is Cholesterol Involved in Heart Disease? Villain or Misunderstood Hero?

97 Does Butter or Saturated Fat Consumption Parallel the Increase in Heart Disease-Related Death?
Lloyd-Jones et al, Circulation

98 Deaths from Cardiovascular Disease
No Relation of Butter Consumption to Heart Disease Deaths from Cardiovascular Disease

99 Deaths from Cardiovascular Disease
No Relation of Saturated Fat Consumption to Heart Disease Deaths from Cardiovascular Disease

100

101 Deaths from Cardiovascular Disease
Clear Relation of Smoking to Heart Disease Deaths from Cardiovascular Disease

102 What Causes Coronary Heart Disease?
Cross Section of a Damaged Artery sugar

103 What Causes Coronary Heart Disease?

104 What Causes Coronary Heart Disease?

105 What Causes Coronary Heart Disease?
LDL WBC

106 Thickening of the Artery Wall Following Repeated Injury and Repair

107 Myths and Misinformation:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease

108 X Myths and Misinformation: Myth #1:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease

109 X Myths and Misinformation: Myth #1:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease Myth #2: - Cholesterol clogs arteries and causes heart disease - You will live longer if you take medication to lower your cholesterol

110 X X Myths and Misinformation: Myth #1:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease X Myth #2: - Cholesterol clogs arteries and causes heart disease - You will live longer if you take medication to lower your cholesterol

111 X X Myths and Misinformation: Myth #1:
Consumption of food high in saturated fat and cholesterol (beef, butter) makes people fat and causes heart disease X Myth #2: - Cholesterol clogs arteries and causes heart disease - You will live longer if you take medication to lower your cholesterol Misinformation: We have been misled

112 The Bittersweet End Of Humans as Hunters

113 My Mentors Anthony Colpo Gary Taubes Barry Groves
Paul Rosch, M.D. Jeff Volek, Ph.D. Rodney Hayward, M.D. Walter Willett, M.D. Joel Kauffman, Ph.D. John Abramson, M.D. Walter Willett, M.D., Ph.D. Robert C. Atkins, M.D. Uffe Ravnskoff, M.D., Ph.D. Germain Brisson, Ph.D. James H. Salisbury, M.D. Emmet Densmore, M.D. C. De Lacy Evans Marcia Angell, M.D. Jean Anthelme Brillat-Savarin John Abramson, M.D. George Mann, ScD., M.D. James H. Salisbury, M.D. Duane Graveline, M.D. Kilmer McCully, M.D. Nancy Appleton, Ph.D. Bruce Fife, C.N., N.D. Jay S. Cohen, M.D. William Rothstein, Ph.D. Edward H. Ahrens, M.D. Michael F. Oliver, M.D. Edward R. Pinckney, M.D. and Cathey Pinckney Sally Fallon and Mary G. Enig, Ph.D.

114 Are there any questions?


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