49 thoughts on “Tribalism, LDL Cholesterol, and All Cause Mortality – Nuance Isn’t Just For Low Carbers

  1. Why is it carnivores and omnivores seem so level-headed and informed, but vegans always seem to by somewhat unhinged? Having said that, sometimes Dave Feldman is kind of vague as to what he is actually saying and what he actually believes.

  2. Something also important is that those with HPA Axis Dysfunction. Actually need a carbs to heal the Pituritary. So Keto in a echo chamber doesn't work. It's gotta be individual based.

  3. As a formal nurse I know the tribe you are up against. Good luck. Most are dismissive of me and even the young in the group have drawn lines in the sand. So sorry to have my eyes open to the lies and deceit which as being going on for a hundred years in the medical community. I thought we were better than that. Remember I said FORMALLY a nurse.

  4. Well, I understand your concerns as myself also! It is honest way of thinking, not tribalism that can lead you into extremism! For instance, I took some good advice from both communities, because of my condition! I don’t judge something on base of an opinions, only on clear facts or evidence if I have them, but in a lot of cases – I don’t! Sometime, I’m walking in the dark confused and disorientated! I price your approach to this matter and I appreciated it well…THANKS! All people’s talk can be sometime look like convincing, but actually could be misleading…

  5. ALL are missing one very important aspect of the Low Carb / Keto diet. That is Blood Sugar/HbA1c or if you like, resultant low hsCRP. If the diet you are on consistently gives you low inflammation then your cholesterol numbers become irrelevant they can present no CV risk. You probably need to look at ACM with cholesterol figures in conjunction with something like hsCRP. Because if somebody has high CRP on a keto diet (for other reasons, or cheating) then cholesterol becomes an issue does it not? So we see many people die from CVD who don't have high cholesterol numbers, buy having any cholesterol numbers with elevated inflammation may be the critical formula of risk. NOW I can relate that over more than 12 months keto my HbA1c has fallen to 5.0, HDL/Trigs 2:1 AND my hsCRP on 4 occasions during that time…all less than 0.50 …i.e. negligible. So the entire benefit of the Keto diet may just boil down to its creation of low inflammation. There is probably data out their on CV deaths, cholesterol and relative inflammatory markers.

  6. I don’t understand why you continue to talk about all cause mortality, you can not draw meaningful conclusions about ACM from this data set.
    If you don’t understand that, please study the issue! I know this has been brought up in the past to
    You, your ignoring it at some point will seem intentional.
    None of these studies are powered for all cause mortality, and any conclusions you draw in ACM are meaningless.

  7. I read "The Big Fat Lie" and will never go back. I read "Grain Brain" and will never go back. I will never look at a grocery store the same again lol. The LDL paranoia to me is about as relevant as the brilliant diamond marketing scheme by De Beers in the 40's or 50's. Its a marketing campaign. There is risk in all we do. Everything you say is in the "Big Fat Lie". So I totally see what you are saying. Thank you. You were missed!

  8. Great talk. The "cholesterol causes heart disease " tribe is the the worst. When I told my doctor I stopped taking my statin medication and tried to get special lab work done she told me I was nuts and wouldn't do the special blood work because it wasn't "standard of care" and didn't want to loose her license. I tried to get her email so I could forward your videos to her but she declined. Surviving on social security I'm forced to go blind and just continue Keto and intermittent fasting. Thanks for your inspirational work .

  9. Thank you, Dave, for your efforts to lift the debate to where it should be – comparing evidence from studies and observations. I think it may be impossible to ever have a "knock out punch " from either side of the argument, and that might not be a bad thing. Argumentation can lead to greater focus, better studies, and increased knowledge over time. I greatly admire your contributions in this field and wish to thank you for what you do.

  10. The authors of the paper made a classic move. It seems that they didn't have any arguments to present against the LCHF community so they merely threw out the accusation of divisiveness.  It seems clear to me that the LCHF community already has been giving the LDL-is-a-risk theory with all the respect that it is due.The slide at 6:25 (the excerpt from the paper) sounds like it implicitly accepts the old concerns about saturated fat.—————————————————————The paper Feldman is discussing here just looks to me like another pronouncement from conventional scientists who haven't read the literature. I'm sorry if I sound like I'm perpetuating the discord. The LCHF people didn't start it.

  11. Some are easily butt hurt. Moreover, instead of interest, they respond by trying to lashing out because otherwise their world would come crumbling down.
    The article is weak, poorly written and uncouth. And is not worthy of a response from you or anyone else.

  12. what is lacking today is folks are quick to defend their territory & sadly, most of the studies leave out exercise, body fat percentages, smoking history, and possible fatty liver disease. I cannot say if fatty liver preceeds type 2 diabetes & metabolic disease but its highly likely folks have both NAFLD & T2DM….Go DAVE! Keep up your awesome case study collections & your youtube is very PROFESSIONAL!

  13. you are a N of 1, a case study!! please know this link explains sub-types of public health epidemiology. goes fast…https://www.youtube.com/watch?v=Jd3gFT0-C4s

  14. Tribal? I don't think so. If science is a tribe…I'm in.

    The fact is that most, if not all, LCHF/Keto people were driven to the diet by science and performance.  [full-stop]

    The opposition is mostly outraged because a computer engineer destroyed everything that they have believed in and pontificated about their entire career. 

    They have spent so much professional and personal capital on supporting the heart/lipid hypothesis that there is no turning back. They are definitely not going to let some guy jump out of the woods and tell them….guess what gentlemen…..your life's work is equal to ZERO…you took the wrong path.

    Looking forward to your book, Dave.  

    You deserve a lot more recognition.

  15. There are cancers that chemotherapy are known not to cure and yet … they still do chometherapy on those cancers. Thomas Seyfried I think mentions this in a talk. The tribalism and dogma is as much if not more on the high carb side than the low carb. Most low carbers and carnivores right now are basing a lot of their choices on newly discovered science and these new diet choice people are as health conscious as let's say vegans. Most are not doing it on a whim.

    I am sure the dogma will creep in later but I'd say right now that most benefits people are seeing are worth acknowledging.

    The whole cholesterol issue is one big fat dogma.

  16. Cholesterol is only a risk in a high inflammation state, akin to more plaster needed when more holes in a wall. Very few holes in wall means lower plaster needed to patch them.

  17. Is there a dietary group that naturally has low cholesterol? Yes. They hold powerful positions in the dietary world and through alliances have controlled the levers of power in setting dietary policy. Those allies sell cheap processed foods that make us sick, and expensive cholesterol lowering drugs that are suppposed to heal. For many, this dietary group is a faith based way of life. For those of us who dared to go against all of the conventional wisdom and experienced miraculous life-giving improvements, we zealousy proclaim this path while gathering with our torches and pitchforks against those enemies. We didn't make them our enemies. They made themselves that by lying and stealing and profaning against us and our families. So now WE are accused of tribalism? Beyond ironic.

  18. What a great video. We should all want this kind of conversation/debate for so many other topics in life as well….politics for one. I appreciate your approach. Keep up the great work.

  19. Give it ten years and there won't be any doubt. All these crazy high fat diets will be just a bad memory, when everyone on them will dealing with heart disease. A vegan low fat diet is the only diet ever proven to reverse heart disease. People just love it when they hear good news about their bad eating habits. We have known for fifty years that high cholesterol causes heart disease. How does it make sense to eat 80% of diet as saturated fat.

    Six months ago I went vegan and changed everything in thirty days. Total cholesterol, 255 down to 155, LDL 158 down to 78, blood sugars in 140 down to 100, weight dropped twenty pounds. The biggest change was that for the first time in six years, my stage four pancreatic cancer showed no new growth in the existing tumors or any new tumors found on my last scan. After six months I've lost 44 pounds and feel better than I have in years, even with stage four cancer…

  20. Fundamentally, I think it's the psychology of new ideas. Some people defend the established "science" tooth and nail. Others push the new information too fanatically. It just takes time for the truth to take hold.

  21. Cholesterol is such a total distraction. It's a diet and lifestyle marker, our bodies response to the way we live. We should stop pretending that it is causal of anything.

  22. Keep up the good work Dave! Don’t let the haters take you down. You are brilliant and brave in digging into the science of cholesterol and heart disease, etc. I never miss a video!

  23. Do you know yet Dave why LDL goes upon a LCHF diet? Seems that we all need to be armed with this knowledge. Each tribe has their own agenda, that's a human trait. What I am most concerned with right now is the LDL factor. Hoping we get some answers soon. Thank you for all you do!

  24. And another anecdote given yesterday by Nina Teicholz in another lecture relates how in Medical School the Professor was providing a lecture on approved Dietary Guidlines. When afterward a student asked wasn't he aware on new data and research. The good Prof noted that he was on a low carb diet, but had no option but to teach the approved standards.

  25. You no doubt have seen it, but a few days back another really great full of stuff I hadn't seen before… Lecture at Low Carb Down Under on this very topic by Cardiologist Nadir Ali. If anybody is worried about thier cholesterol on a LC or Keto diet – just watch this, and you will be very happy. And the guy gives some very interesting data on comparing low LDL with high LDL. https://www.youtube.com/watch?v=qXtdp4BNyOg Dr. Nadir Ali is an interventional cardiologist with over 25 years of experience. He is also the chairman of the Department of Cardiology at Clear Lake Regional Medical Center. Before working as a cardiologist, he served as an assistant professor of medicine for eight years at Baylor College of Medicine in Houston, where he also received his medical training.
    Dr. Ali has championed many aspects of the science and practice of a low-carb lifestyle in the local Clear Lake area since 2013. He organises a monthly nutritional seminar in the Searcy Auditorium of the Clear Lake Hospital that receives more than 100 visitors every month from the local community. Dr Ali’s focus is on managing heart disease, obesity, metabolic syndrome and diabetes.

  26. Thank you for your objectivity. We need reason to stand behind a well balanced research, and you provide that. I've been watching you for more than a year. I have "high" cholesterol and on low carb diet after statins wrecked my body from the first week. I am kind of like you believe in testing and changing variables. I wish I can share my numbers with you.
    Again thx for trying your best where doctors quit

  27. Just a bit of curiosity but how representitive is vegans in the NHANES data? Does this % carry across with the trifecta of high LDL, high HDL and Low Trigs?

  28. You have been a busy bee, Dave. And judging by that data, I should live forever! I'm in my late 50s, my LDL is over 300 (mostly large pattern A), my HDL is 88, and my triglycerides are 89.

  29. Dave do you have a link to this NHANES data? Seeing a cardiologist on Tuesday for my high LDL (with high HDL and low trigs). Be nice to have that 🙂

  30. would like to give my (keto-adapted) body to take part in all these growing knowledge about human mecanism and save lifes and go beyond our limit xD

  31. Not enough credit is being given to the lay person. We live in the information era, we can educate ourselves if we wish. No one enjoys being proved wrong but a lay person will at least admit to it with grace… mostly.

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