I am so happy you keep up this work. When I read The Big Fat Surprise years ago it confirmed what I had learned listening to my body. I now eat a balanced omnivore diet and feel better than ever and have lost over 30 pounds and kept it off for two full years.

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Before I entered high school I was required to take a simple physical. The results came back "heart murmur". This was in 1964 and some of the details are fuzzy now, but I remember after that visiting a cardiologist at 14 years old -- it was all very scary -- and coming away with an AHA brochure encouraging my family to donate to them, presumably to show our appreciation. Instead we obtained a second opinion and there was no heart murmur. Not a trace. Whatever actually may have transpired to bring all that about (records mix-up?), dunning us that way under those circumstances put me on notice about the AHA, for life.

These dietary guidelines of theirs may be more dangerous for some people than others. I have a hereditary condition that, when combined with bad diet and other lifestyle factors, can often lead to heart attacks. My father and his brother both died early from heart attacks at 58 and 49, respectively, and very likely from that combination. I do have heart disease (controlled now) from many earlier years of bad diet, and if I had followed the AHA guidelines throughout my life, I suspect that I might not have been writing this comment just now.

As for keto, it's what I do, although I no longer need or want to lose weight and my appetite determines my carb intake. How original is that? I found that I could intentionally increase carbs over a span of months (on doctor's advice), coming from high quality foods, and my weight remained the same. But who needs extra carbs?

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“Public health groups in recent years have become more assertive about dispensing advice to the public despite, in some cases, seeming unhinged from the quality of the underlying evidence.”


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