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Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets

re: cholesterol and statins and atherosclerosis
re: ethics in medicine

A rather different viewpoint from mainstream. I agree with it.

Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets

2021-09-22. Emphasis added.

Abstract —  The decades-long dietary experiment embodied in the Dietary Guidelines for Americans (DGA) focused on limiting fat, especially saturated fat, and higher carbohydrate intake has coincided with rapidly escalating epidemics of obesity and type 2 diabetes (T2D) that are contributing to the progression of cardiovascular disease (CVD) and other diet-related chronic diseases.

Moreover, the lack of flexibility in the DGA as it pertains to low carbohydrate approaches does not align with the contemporary trend toward precision nutrition. We argue that personalizing the level of dietary carbohydrate should be a high priority based on evidence that Americans have a wide spectrum of metabolic variability in their tolerance to high carbohydrate loads.

Obesity, metabolic syndrome, and T2D are conditions strongly associated with insulin resistance, a condition exacerbated by increased dietary carbohydrate and improved by restricting carbohydrate. Low-carbohydrate diets are grounded across the time-span of human evolution, have well-established biochemical principles, and are now supported by multiple clinical trials in humans that demonstrate consistent improvements in multiple established risk factors associated with insulin resistance and cardiovascular disease.

The American Diabetes Association (ADA) recently recognized a low carbohydrate eating pattern as an effective approach for patients with diabetes. Despite this evidence base, low-carbohydrate diets are not reflected in the DGA. As the DGA Dietary Patterns have not been demonstrated to be universally effective in addressing the needs of many Americans and recognizing the lack of widely available treatments for obesity, metabolic syndrome, and T2D that are safe, effective, and sustainable, the argument for an alternative, low-carbohydrate Dietary Pattern is all the more compelling.


1. Introduction: The Current 2020 Dietary Guidelines Need Greater Flexibility

The current 2020-2025 Dietary Guidelines for Americans (DGA) recommends “Dietary Patterns” that provide little flexibility in the distribution of fat, protein, and carbohydrate. Relying on the “Acceptable Macronutrient Distribution Ranges (AMDR),” as defined by the National Academies, the 2020 DGA allows dietary fat to range from 20% to 35% of calories, and carbohydrate, from 45% to 65% ... the quality of carbohydrate consumed today is poor, with higher intakes of high-glycemic index carbohydrates including processed grains and simple sugars (e.g., high fructose corn syrup)...

2. Low-Carbohydrate Diets Defined

There are no formal or universally accepted definitions for low-carbohydrate diets, although as the name implies, the key feature is a reduction in carbohydrate in the diet. ... we suggest that a definition of a low-carbohydrate diet is one consisting of fewer than 130 grams per day....

3. Unintended Consequences of the DGA: The Obesity and Type 2 Diabetes Epidemic

Since the first DGA was released 40 years ago, there has been a consistent emphasis on limiting fat, especially saturated fat, and replacement of much of those calories with carbohydrate or polyunsaturated fat. Consequently, and over time, there has been an increase in the absolute intake of carbohydrate, resulting in a dietary pattern temporally associated with the marked rise in obesity, insulin resistance and type 2 diabetes (T2D) [3] as well as an increase in total mortality across multiple countries [14]. Today, more than two-thirds of American adults are overweight or obese [6], one-half have either prediabetes or T2D [7], and the numbers continue to rise...


4. The Role of Carbohydrate in the Obesity and T2D Epidemics

...These observations point to a role of high-carbohydrate intake, especially fructose, in the development of obesity, metabolic syndrome, and T2D. In support of this view, a burgeoning body of scientific evidence demonstrates that metabolic improvements are intimately connected with carbohydrate restriction...

5. Obesity and T2D Are Conditions Strongly Associated with Insulin Resistance

Clinically, insulin resistance (IR) refers to a state in which a given concentration of insulin is associated with a suboptimal response [30]. Conditions highly associated with IR (e.g., metabolic syndrome, pre-diabetes, T2D) are identified by some combination of hyperglycemia and hyperinsulinemia. ... most features can be triggered by the over-consumption of carbohydrate beyond the person’s capacity to use it for energy, and reversed by carbohydrate restriction....

6. Scientific Support for a Low-Carbohydrate Diet Option in the DGA

Low-carbohydrate diets have a long record of safe use. From a historical perspective, aboriginal hunting, fishing, and herding cultures survived for millennia with little available dietary carbohydrate...


9.3. Magnesium

Magnesium is an essential mineral. Because it is often lost during food processing, marginal deficiency of this nutrient is not uncommon in the general population. Diuretic medications and heavy use of alcohol also deplete magnesium. Magnesium has a key role in muscle and nerve transmission. Since most magnesium is contained within cells, serum tests for magnesium are of little value. Deficiency can result in muscle twitching and spasms or cramps, as well as persistently low blood potassium levels. Good sources of magnesium include dark green vegetables, nuts/seeds, non-processed meats, and homemade broths. It is important to capture the drippings from meat to retain magnesium. Magnesium depletion is common in individuals with T2D, in part due to increased urinary excretion [173]. Because magnesium depletion impairs glucose control [174], it is often necessary to provide supplemental oral magnesium in combination with KD in order to optimize T2D reversal.


10. Summary

Many Americans have varying degrees of IR as evidenced by the high prevalence of obesity, metabolic syndrome, prediabetes, and T2D, which have all been demonstrated in a large body of scientific literature to be highly responsive to a low-carbohydrate eating pattern...

...the high proportion of Americans with IR makes the case for redefining the target population of the guidelines to include this majority of Americas who would likely benefit from the inclusion of a low-carbohydrate dietary option.

WIND: correlation is not causation, but in this case it is absurd to deny it: ingesting loads of carbohydrate especially sugars is almost disease-causing, with direct physical effects in under an hour. And there is no other viable explanation.

Only a moron in a white coat would contest a low-carb diet. And they do.

I strongly recommend magnesium supplementation to everyone, using this product because of its low cost and extremely low heavy metals content. Many products contain excessive heavy metals.

The food supply is poisonous to health and its guidelines are killing people, feeding them into assembly-line medicine, dooming people to physical and financial misery and suffering and an early end to healthspan.

Type II diabetes is largely curable, but most doctors continue to bandaid-it with drugs, giving deadly advice to their patients that consuming lots of carbs is fine. Perhaps it is not fair to call it malicous, but it sure seems to be

The worst place to get dietary advice is from the big medical groups: AMA, ADA, etc. The are malicously corrupt. Follow the money and the corrupt junk science that enables it.

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