Virtually all the truths about preventing heart attacks that physicians and patients have held dear for more than a generation are wrong and need to be abandoned, [British cardiologist Aseem Malhotra] writes. He musters a passel of recent research that suggests that the "obsession" with lowering a patients' total cholesterol with statins, and a public health message that has made all sources of saturated fat verboten to the health-conscious, have failed to reduce heart disease.
Indeed, he writes, they have set off market forces that have put people at greater risk.
The Sound Of Settled Science
Categories:
13 Comments
Leave a comment
Best Canadian Blog
2004,
2005,
2006,
2007
About Kate
Why this blog?
Until this moment
I have been forced
to listen while media
and politicians alike
have told me
"what Canadians think".
In all that time they
never once asked.
This is just the voice of an ordinary Canadian yelling back at the radio - "You don't speak for me."
homepageemail Kate
(goes to a private mailserver in Europe) I can't answer or use every tip, but all are appreciated!
Support SDA
I am not a registered charity. I cannot issue tax receipts.
Economics for the Disinterested
...a fast-paced polar
bear attack thriller!

Want lies?
Hire a regular consultant.
Want truth?
Hire an asshole.
Click to inquire about rates.
Dow Jones
What They Say About SDA
"Smalldeadanimals doesn't speak for the people of Saskatchewan" Former Sask Premier Lorne Calvert"I got so much traffic after your post my web host asked me to buy a larger traffic allowance." Dr.Ross McKitrick
Holy hell, woman. When you send someone traffic, you send someone TRAFFIC. My hosting provider thought I was being DDoSed. - Sean McCormick
"The New York Times link to me yesterday [...] generated one-fifth of the traffic I normally get from a link from Small Dead Animals." Kathy Shaidle
"Thank you for your link. A wave of your Canadian readers came to my blog! Really impressive." Juan Giner - INNOVATION International Media Consulting Group
I got links from the Weekly Standard, Hot Air and Instapundit yesterday - but SDA was running at least equal to those in visitors clicking through to my blog. Jeff Dobbs
"You may be a nasty right winger, but you're not nasty all the time!" Warren Kinsella
"Go back to collecting your welfare livelihood."Michael E. Zilkowsky
Intelliweather
Seismic Map
Comments Policy
Best Of SDA
Hide The Decline
The Bottle Genie
(ClimateGate links)
You Might Be A Liberal
Uncrossing The Line
Bob Fife: Knuckledragger
A Modest Proposal (NP)
Settled Science Series
Y2Kyoto Series
SDA: Reader Occupation Survey
Brett Lamb Sheltered Workshop
Flakes On A Plane
All Your Weather Are Belong To Us
Song Of The Sled
The Raise A Flag Debacle
(Now on Youtube!)
(.mwv Video)
Abuse Ruins Life Of Girl
Trudeaupiate
Kleptocrat Jeans
Child Labour
I Concede
Small Dead Feminist
Protein Hoser: THK Interview
The Werewolf Extinction
Dear Laura (VRWC)
We Wait
Blogging The Oscars
Jackson Converts To Islam
Just Shut The HELL Up
Manipulating Condi
Gay Equality Rights
Blogroll
News Aggregators, Resources
Drudge Report
Bourque (Canada)
Memri (Middle East)
Newsmax
Military News Spotlight
Watching America
Int. Free Press Society
Newsbeat1
Rawlco local news
Dates in History
Newseum
Oilprice.com
My Westman
Favorites
Instapundit
NRO The Corner
Weekly Standard
Outside The Beltway
ScrappleFace
Day By Day
James Lileks
Hugh Hewitt
Mark Steyn
Belmont Club
Powerline
Den Beste (archived)
American Thinker
Victor Hanson
Michelle Malkin
Michael Yon (Iraq Imbed)
Tim Blair (Oz)
Protein Wisdom
Captain Capitalism
Kathy Shaidle
David Warren
Damian Penny
Publius
Cjunk
Conservative Grapevine
Newsosaur
Edward Michael George
Long War Journal
Eric Anderson
Charles Adler
Inconvenient Science
Climategate 2.0:
The emails unredacted
Search the database
Climate Audit
Prometheus
Planet Gore
Icecap
Anthony Watts
Climate Debate
HK Climate
Climate Depot
Anthropogenic Global Bias
Yanks, mostly
Professor Bainbridge
Stephen Green
Wizbang
Daniel Drezner
Dean Esmay
Right Wing News
Patterico
Medienkritic (Germany)
I Could Be Wrong
Mystery Pollster
Maggies Farm
Maxed Out Mama
Bill Roggio
Musing Minds
Pajamas Media
Newsbusters
Blackfive
Day By Day
Cox And Forkum (archives)
Brussels Journal (EU)
Argghhh!
Ed Driscoll
Don Surber
Obsidian Wings
Tygrrrr Express
Brutally Honest
Karl Rove
Tom Nelson
Call Me Stormy
The Last Tradition
Canadian, eh?
CPC Youtube Channel
The Shotgun
Bow. James Bow
Ghost Of A Flea
The Black Rod
Blog Quebecois
Catprint
Calgary Grit
Proud To Be Canadian
Fighting for Taxpayers
Quotulatiousness
Arcologist
Uncle Meat
Editorial Times
Halls of Macadamia
Full Comment (NP)
Andrew Keyes
Brad Farquhar
Steynian
Blazing Cat Fur
myWestman
Inspiringyoutothink
Prince Arthur Herald
Freelance Conservative
November 2016
Recent Comments
- DanBC: OWJ I was just going to say, Atkins was onto read more
- Rita: One of your commentators mention the Cholesterol skeptics. I ran read more
- outwestjim: Loki, not enough doc's like you around. I do much read more
- Loki: Murray, thanks for that info. Unfortunately have to get to read more
- Loki: This is actually old news. Over 5 years ago a read more
- Mkelley: I used to worry about my "cholesterol", until I ran read more
- murray: Good point, Tregonsee. One has to personally vet all such read more
- Tregonsee: It isn't that long ago that vitamin E was being read more
- Steve: What are we to do with all the health care read more
- Murray: Barry Groves was on to this more than a decade read more










Yeah, a socialist foreigner cardiologist in training is who we want to listen to...
http://www.theguardian.com/commentisfree/2012/jan/23/nhs-bill-andrew-lansley
Andrew Lansley is leading us to an Americanised system of privatised care with no accountability. We will all be worse off - Aseem Malhotra
Not only is the 'saturated fats = BAD' meme false but the 'exercise burns excess body fat' meme is also false.
The reason that both these memes are false is that fat storage in the body is regulated by the hormone insulin and consumption of carbohydrates triggers insulin release in the body.
It's all about insulin.
Gary Taubes at Stanford
http://www.youtube.com/watch?v=UMQKtvj1htU
And yet, the LA Times is certain that climate science is settled, and they will publish no dissent.
http://talkingabouttheweather.wordpress.com/2013/10/10/you-dare-to-question-the-great-los-angeles-times/
Barry Groves was on to this more than a decade ago. The physicians are starting to catch on. Eventually dieticians will start trying to understand the research and give it another decade and the guidelines of the health bureaucracies will start to change. In the meantime, millions worldwide will die prematurely needlessly from a diet with lipophobic diets excess in starch and sugar.
I find more interesting the research of Dr. Kenyon on how insulin triggers cellular and tissue aging (activating daf-2 and suppressing FOXO genes) and research showing higher levels of blood sugar and insulin (as measured by HgbA1c testing) increases the annual rate of loss of brain mass, with no lower bound. That is, there is no u-curve. The lower the blood sugar, the greater the retained brain mass. Reading the typically vitriolic response of pro-carb zealots to the recent science, this might explain a lot.
What are we to do with all the health care industry's food cops? We're not going to stand by and let parents decide what their kids can and can't eat are we??
It isn't that long ago that vitamin E was being recommended by the cardiologists. Then, it was found to be, at best, useless, and even interfered with statin blockers. Medicine is still far less of a science than people, including patients, would like to believe.
Good point, Tregonsee. One has to personally vet all such claims with some critical thinking and additional research. Vitamin E is indeed beneficial to the heart, as vitamin E in tocotrienol form, which enhances the effectiveness (with co-enzyme Q10 and L-carnitine) of mitochondria. This gives the heart cells more energy. The problem was that tocotrienol forms of vitamin E are more expensive and people generally supplement with tocopherols. Large doses of tocopherols interfere with the uptake of tocotrienols, so taking normal vitamin E supplements was counterproductive. Better to eat organs rich in mitochondria, like heart and liver.
I used to worry about my "cholesterol", until I ran onto this:
http://www.ravnskov.nu/cholesterol.htm
Ravnskov and other cholesterol skeptics say that Big Pharma underwrites much of the research that supposedly supports use of their products. The board that dictates to doctors what a healthy cholesterol level is has members beholden to the industry that makes billions selling statins.
This is actually old news. Over 5 years ago a respected Vancouver cardiologist gave a talk entitled "Cholesterol: why everything you've learned is wrong". I was happy to go to that talk as he and I had sparred for quite a while as I never accepted the cholesterol hypothesis. Statins work, but they have nothing to do with cholesterol. They increase the efflux of endothelial progenitor cells from the bone marrow and inhibit prenylation of proteins. That latter form of protein modification is involved in production of plaque and growth of vascular smooth muscle. Oh, and incidentally statins lower cholesterol and CoQ10 levels - that's one of their side effects. Every patient I put on a statin is advised to take CoQ10 as well.
Diabetes is by far a greater problem and this is exacerbated by "fat free" food which is loaded with sugars. It's bizarre being in the US where it's virtually impossible to find yogurt that doesn't have added sugar and no yogurt seems to contain any fat. Body fat is a hormonally active organ and visceral fat is particularly bad. Excess carbs are immediately converted to fat. What is considered to be a normal HGBA1c level is likely far too high as there is a linear relationship between HGBA1c and heart disease incidence from 0.05 and up. The upper limit of normal for HGBA1c is given as 0.06 currently. If you can get your HGBA1c under 0.05 you're doing well. The heart disease data is from a British paper which didn't seem to make much of an impact on the lipocentric cardiology population.
The main problem we're dealing with is that the human body wasn't designed to live a long time. We're living far longer than the design specs call for and hence are finding all of the design mistakes which weren't considered when the original specs called for survival long enough to breed + 15 years or so and didn't worry about much past that.
When I was at a CME event in the US a couple of years ago, there was the obligatory review of cardiology with all of the associated lipophobia. I asked the question of why the US was still so lipocentric given that the cholesterol hypothesis has essentially been demolished. The cardiologist pondered this for a moment and then his answer was "because the lawyers still believe it".
Murray, thanks for that info. Unfortunately have to get to the clinic now and can't look up the references till this evening. What the findings you've described suggest, however, is that pretty much everyone with normal renal function should be taking metformin for life extension purposes.
Loki, not enough doc's like you around. I do much better on lowcarb than anything else.
You don't happen to practice in BC?
Funny how similar the low fat brigade is to the climate change alarmists. I am Considered a kook on both fronts.
In other news Dr Atkins was a cardiologist.
One of your commentators mention the Cholesterol skeptics. I ran into that site about 10 years ago . I read a lot about it and after that I made a point of asking people I knew that complained of muscle and joint pain particularly in the shoulders if they were on statins. Many of them were. If you ask them to think of when the pain started and many correlate the onset of the pain to the statins.
There is another very informative web site about how harmful statins are to your overall health. The website was developed by a Medical Doctor who happened to be an astronaut. He states that statins totally destroyed his health in a 6 month period. His name is Dr. Duane Graveline and his website is http://www.spacedoc.com/index.php . It has a lot of well researched information . This is coming from M.D.s and not wing nuts.
I am amazed that there are not more class action lawsuits about these statins because every person I have talked to that is or has been on statins have suffered some degree of significant side effects.
OWJ
I was just going to say, Atkins was onto this decades ago.
And he was viewed as a quack, a nutbar, a pariah, in the health and medical industry. But his evidence was clear, as were the case histories of his successes. Yet his reasoning and understanding of how the body processed carbs (immediate and fast conversion to blood sugar, causing insulin levels to spike) was sound, and supported his thesis.