20-Year Low-Carber Finds Zero Plaque Buildup In Her Arteries
Apparently, she went off the rails a little in low-carb eating and went back to low-carb after gaining some weight. Jimmy Moore blogs:
Do low-carb diets simply cause more harm than good by consuming foods that are higher in fat and lower in carbohydrates? Let's look at the story of one of my readers who has been eating low-carb for the past 20 years and recently had a sophisticated test conducted to see what kind of damage her high-fat, moderate protein, low-carb way of eating has had on her body.She e-mailed me that she recently had a wellness exam after recommitting herself to a "clean" low-carb lifestyle again starting in May 2010 and she discovered that her cholesterol was slightly higher (36 points up) than normal. However, instead of medication, she was put on a high-quality, pharmaceutical-grade fish oil supplement. Now that's pretty amazing in this day and age of handing out statin drugs like they're candy, but the "best news" is what happened next. At the same time they checked her cholesterol, she had an arterial ultrasound test called Carotid Intima-Media Thickness (CIMT) done as well. It's a sophisticated test where they use a doppler to capture images of the carotid, femoral, and abdominal arteries to see if there is any plaque buildup to be concerned with. Plaque that penetrates the arterial wall can lead to a condition known as atheroschlerosis where the arteries harden and become blocked which can eventually lead to a heart attack or stroke. Dr. Oz was certainly insinuating on his show that eating a diet that consists of fat and very few carbohydrates would lead to this, but check out what happened next when my reader got her results.
The nurse practitioner called me and told me that my results were some of the best she had ever seen! My actual age is 43, but my arteries measured that of a 25 year old!And although her cholesterol is slightly elevated, we know that most of those tests tend to focus on LDL and total cholesterol rather than the triglyceride/HDL ratio which is a much better indicator of heart health risk than what is typically measured. I have long challenged anyone to prove to me that "high" cholesterol is unhealthy. There's just no solid evidence that exists substantiating this oft-repeated but never proven claim. Even worse, most doctors seem to be so clueless about cholesterol except to pull out their prescription pad to write down Lipitor or Crestor for their none-the-wiser patients. Why does a non-medically trained layperson like myself seem to know more about lipid health than a cardiologist like Dr. Oz? Maybe he likes the money he makes cutting into people's chests (as he bragged so much about in the Taubes interview) while simultaneously taking sponsorship from advertisers who create products that are the real culprit in cardiovascular disease, namely high-carb, grain-based cereals.
I'm a little out of my pay grade on arterial plaque testing, but I can say that Dr. Michael Eades, whom I greatly respect, told my boyfriend and me that the test to have is one that measures calcium to check for plaque in arteries, and he said not to have the one that uses a CT scanner (dangerous radiation) but the rarer/harder-to-find EBT machine. Eades writes in the comments on one of his blog posts:
You, of course, must consult your own physician on this. However, if you were my patient, which you aren't, I would send you for an EBT (electron beam tomography) scan of your heart. If your calcium score were normal, I wouldn't worry about it. I would sent my patients to get EBT scans as screening procedures instead of the other scans out there that most cardiologists recommend because these other scanning machines inflict way more radiation than I think people need simply for a screening scan. I have my patients seek out an EBT scanning center because for screening procedures these machines are as accurate as the others, but with significantly (and I do mean significantly) less radiation. Good luck.
Dr. William Davis blogs at The Heart Scan Blog:
Studies have conclusively shown that:--Coronary calcium scores generated by a CT heart scan outperform any other risk measure for coronary disease, including LDL cholesterol, c-reactive protein, total cholesterol, HDL cholesterol, blood pressure.
--Coronary calcium scores yield a graded, trackable index of coronary risk. Scores that increase correlate with increased risk of cardiovascular events; scores that remain unchanged correlate with much reduced risk.
--A coronary calcium score of zero--no detectable calcium--correlates with extremely low 5-year risk for cardiovascular events.
--Coronary calcium scores correlate with other measures of coronary disease. Heart scans correlate with coronary angiography, quantitative coronary angiography, carotid ultrasound (intimal-medial thickness and plaque severity), ankle-brachial index, and stress tests, including radionuclide (nuclear) perfusion imaging.
And here's Davis commenting positively on Dr. Eades' thinking on this and on diet.







Anecdotes are, of course, not proof. The fact that one person has no arterial plaque proves absolutely nothing.
a_random_guy at March 13, 2011 2:35 AM
I do have concrete proof that low carb put me in optimal cholesterol health. Couple of months ago I had a lab done by my psychiatrist. Apparently I'm the most improved patient and healthiest patient (in regards to cholesterol) she has ever seen.
Ppen at March 13, 2011 5:49 AM
In the more than a decade that I have been following (and slowly refining and improving) a low-carb diet plan, the only persistant problem I'm had with it is well-meaning fools telling me how "unhealthy" it is. As if I was actually healthier back when I was 100 lbs heavier, had severe arthritis & gout, and was almost night-blind...
Anecdotes are definitely not proof, but it's interesting that so many people are willing to completely ignore the mounting evidence that low-carb is the easiest and healthiest way to lose excess weight, or to maintain a goal weight.
TXCHLInstructor at March 13, 2011 6:44 AM
Anecdotes are, of course, not proof. The fact that one person has no arterial plaque proves absolutely nothing.
Um, did you stop reading the blog post after that point?
I realize it's sort of like chiseling through stone to click on a link on the Internet, but try.
From the last link:
And do I not post often enough on low-carb eating that I need to start with a primer on how it benefits health every time?
Amy Alkon at March 13, 2011 7:16 AM
I just recently had a physical. I'm 53 years old, 5'9", 178lbs, non-smoker, BP 108/70, pulse rate 66. I walked out feeling pretty good about my health. A week later I got an email from the Dr. saying that my cholesterol was too high and telling me that he had phoned in a prescription to my pharmacy. No discussion, no further explanation, no options except for the prescription and to tell me that I should restrict my diet to no more the 10g fat/day. I see an EBT (and a new physician) in my future.
Al at March 13, 2011 8:46 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/03/20-year-low-car.html#comment-1914129">comment from AlWow, Al, that's awful. From what I've read, what matters a great deal are ratios. My doctor didn't even bother to measure LDL, just for starters, nor did she measure triglycerides. I have high cholesterol -- which is great! It seems to be protective for women. I also have a great cholesterol to HDL ratio. HDL was 67 in 2009, and ratio was 3.6.
When Gregg's doctor last measured his, I asked him, per what I've learned through Eades and others, to look at his LDL particles to see if they're large and fluffy or small and dense. Important. The small and dense ones can apparently get out and attach themselves to the arterial walls. It seems to be the rare doctor who knows this or measures for it.
Of course, per Gary Taubes, my doctor's notion that high cholesterol is somehow damaging...well, that's actually not supported by evidence, which doesn't stop doctors from believing it.
http://www.nytimes.com/2008/01/27/opinion/27taubes.html
Here's more from Eades:
http://www.proteinpower.com/drmike/cardiovascular-disease/cholesterol-and-heart-disease-no-correlation/
Amy Alkon
at March 13, 2011 9:11 AM
I've started taking red krill oil Supposed to be better than fish oil-it's certainly easier. One small pill a dat as opposed to 2-3 large ones.
My cholesterol is a little high and I'm 33. However, my good stuff is super-high, and my bad stuff low. I eat cheese like it's going out of style. Low-fat dairy is a bad word here.
My mom called me up the other day, to marvel at coconut oil. IN the 80's it was literally banned it was so bad for now. Now it's great for you! These nutrition people have no idea what they're doing.
momof4 at March 13, 2011 9:46 AM
Amy Alkon
https://www.advicegoddess.com/archives/2011/03/20-year-low-car.html#comment-1915268">comment from momof4Eades advises taking krill oil. I take the brand he recommends -- Davinci Labs - Neptune Krill Oil - 60 -- which I found cheapest on Amazon ($26). I also use Nutiva organic virgin coconut oil to fry things, as does Gregg, although I cook my green veggies with butter, which I just LOVE. It's so amazing, being able to have as much food as you want, as much of these foods like buttered green beans and steak, and not having to worry about getting fat. For me, as long as I don't eat carbs, I'm just great. I had a bit of dessert at the Tucson Festival of Books and I fell asleep while Frank Deford was speaking, and missed the end of his talk. Grrr.
Amy Alkon
at March 13, 2011 11:02 AM
I follow low carb because it does work. But, honestly, I've grown to hate it. I miss so many foods that I love. And I still don't really "lose" any weight. The scale drops two or three pounds when I'm really good avoiding carbs, but if I have one stupid slice of pizza, or bread, it jumps right back up where I started. I am on a plateau. Not sure I lose any real weight because carbs attract more water. Dropping carbs will immediately reduce the scale.
And, for me, who doesn't enjoy eating tons of meat, it's kind of a miserable way to live. Great for you, Amy, 'cause you love bacon and steak, but I really miss...carrots...and BEANS...omg, I'd die for some hummus right now, but I can't. I'll literally gain 2 pds overnight.
I know I've read somewhere, or seen discussed here, that you must have a certain amount of fat. Maybe I'm not getting enough fat to break through this plateau? I cook everything in olive oil and apply low carb/high fat salad dressing to my endless (boring) salads. I just don't know. I'd eat straight butter if I could finally drop these last 10 pds (before my wedding in 3 weeks!)
lovelysoul at March 13, 2011 1:05 PM
Yeah, I just answered my own question reading through some LC forums. I've been doing this LC diet all wrong - without enough fat. I bet if I boost the my daily fat intake, I'll break this plateau.
lovelysoul at March 13, 2011 1:46 PM
The last time my cholesterol was checked, my doctor said my numbers were amazingly good. I am 63 years old. I did not tell him that I eat mostly cheese, pork chops, and steaks. I also take fish oil. I only eat carbs at breakfast--cereal.
ken in sc at March 13, 2011 5:51 PM
Well, I just can't win can I. My arteries are hardened to 20 years over my age. I follow a low carb diet, not through any effort but simply from what I like.
Oh yeah - couple of litres of booze every day. That might be it.
Ltw at March 13, 2011 11:20 PM
Lovelysoul, beans are fine. My dad has been instructed to follow a paleo-type diet (pretty similar to what Amy and Gary Taubes promote) so I've been reading up - there's really no reason to avoid beans if you like them. Early man was just as likely to be eating some legumes and tubers as he was to be eating cured salami or hormone-laced beef, so I really don't think the early man argument holds up to excluding these food groups. This is a nutrition website I like a lot, it seems better aligned with your preferences:
http://summertomato.com/
(She has reviews of Taubes' two books, and lots of nice things to say about his work.)
Sam at March 14, 2011 10:15 AM
Thanks, Sam.
lovelysoul at March 14, 2011 12:13 PM
"And, for me, who doesn't enjoy eating tons of meat, it's kind of a miserable way to live."
Me too LS. I go through these phases where meat and dairy gross me out. On low carb I lost 10 lbs in one week. I think it's going to be a temp thing for me as I find a new diet where I can maintain the weight. I love love veggies, tofu, beans, rice, etc.
Ppen at March 14, 2011 12:33 PM
I'm in middle of reading the New Atkins book. They repeat several times that too much protein w/o the right amount of fat will prevent weight loss. I forget the reason right now.
kishke at March 14, 2011 1:23 PM
One vegetarian LC dieter suggested using coconut milk, which is really high in fat (21 grams per 100 gram serving and only 2.8 g carbs). He mixes it in his protein shakes. I think I'll try that. Also eating more avocado, egg salad, olives, etc. I had noticed that I seemed to drop some weight after eating egg and tuna salads, so I bet not getting the proper balance of fat to protein is my problem.
lovelysoul at March 14, 2011 2:27 PM
Thanks for the links Amy. Now, if you could come up with a good reason for me to cancel the colonoscopy;-)
Al at March 14, 2011 2:46 PM
And, for me, who doesn't enjoy eating tons of meat, it's kind of a miserable way to live
This is why I ultimately stopped my low-carb experiment. I'm sure I would have lost weight if I'd continued, considering the limited number of foods I enjoyed eating on that diet. I like some meat. But I can go weeks at a time without wanting any, and I love vegetarian food.
MonicaP at March 14, 2011 2:51 PM
I have lost all my baby weight on the low-carb thing. I'm not so disciplined as to eat no carbs, though. I love my vanilla-caramel coffee creamer while I'm at work and I still think a little real sugar every now and then is better for me than those nasty artificial (a.k.a. chemical) sweeteners that taste so horrid. I love salads and beans have not been a problem for me (aren't they mostly protein, anyway?). My total cholesterol is only a little above normal and my triglycerides were 80 at last check and my NMR Lipoprofile test was great. I'm also back in my original jeans size only 5 months after having my son and I don't follow any exercise regimen, just the 2.5 miles (according to my pedometer) I walk at work every night and walking my three dogs, but that's not til warmer weather. I wish low-carb had been promoted more when I was a teenager. I was in lots of sports and rode my bike everywhere and still struggled with fluctuating weight.
Jessica at March 15, 2011 12:22 AM
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