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My Plea to Bill Clinton

Posted: 02/25/10 12:38 PM ET

It appears I'm on a plea kick this month. I don't know why, but I am. This time my plea goes out to President Clinton: Get off the no fat/low fat, high carbohydrate diet you're on and start eating real foods rich in natural fats and proteins instead. It'll save your heart and your life.

In a recent ABC News story, Clinton is quoted as saying, "Since I left the White House, maybe if I had stayed on a lower fat diet. Maybe if I had... not eaten so many hamburgers and steaks, which I love..."

Most people would nod their heads in agreement with the former President under the mistaken belief that fat and cholesterol are the causative agents in heart and vascular disease. Most of us have bought the no fat/low fat story to such a degree that we even defend it when we hear information contrary to it. This always completely baffles me when in my studio or at a party talking to people about the subject. It's not like they own stock in heart disease.

Truth is we've been hoodwinked into believing that eating fat makes us fat. We've been snookered into believing that eating fat and cholesterol is the road to a heart attack and heart disease. Ladies and gentlemen: This hypothesis is false. There isn't a lick of scientific evidence to support it and loads that should end this wives tale forever. As Tom Naughton, director of the movie Fat Head puts it: It's a load of bologna. I urge everyone to watch this clip as it explains the obesity epidemic in one fell swoop. In this clip you will hear from my friend and co-author Michael Eades, M.D. who's blog is a godsend to those desperate for the straight and narrow on nutrition. If Dr. Eades were our Surgeon General, we'd have the healthiest nation in the world.

But as is the norm with many organizations of great size and stature (can you say Toyota?), to admit to the gen pop that they have been wrong, really wrong, is unheard of. Why be honest when you can easily weasel around the truth instead? Who cares that an ex-president will suffer an untimely death. And if they don't care that an ex-president will die before his time, do you really think they care about you?

New research is emerging that now links inflammation to heart and vascular disease. In other words, chronic systemic inflammation leads to a host of health problems including CHD and CVD. The fat in your diet from steak, burgers, bacon, or any other animal product hasn't a thing to do with it. But the bun on your burger does, as does the potato frites along side your juicy steak.

It's the sugar, not the fat that is the issue. Here is but one paper from the prestigious Journal of the American College of Cardiology that discusses this issue.

They conclude:

High- compared with low-glycemic carbohydrate consumption significantly suppresses FMD in nondiabetic overweight and obese volunteers, suggesting a mechanism whereby high-glycemic meals may enhance cardiovascular risk.

Why an ex-president's doctors haven't read this stuff is beyond me.

A new epidemiological study conducted by Ronald Krauss, M.D. and his team found saturated fat 'innocent' on the issue of cardiovascular disease.

A meta-analysis of prospective epidemiologic studies showed that there is no significant evidence for concluding that dietary saturated fat is associated with an increased risk of CHD or CVD. More data are needed to elucidate whether CVD risks are likely to be influenced by the specific nutrients used to replace
saturated fat.

So did this paper, also by Krauss, which too found carbohydrate to be the culprit.

They state:

Thus, given the changing landscape of CVD risk factors and the increasing importance of the atherogenic dyslipidemia associated with obesity, insulin resistance, and type 2 diabetes, the relative effect of dietary saturated fat on CVD risk requires reevaluation. This is of particular concern with regard to the implications of further restrictions in total and saturated fat beyond prevailing US dietary guidelines, which call for levels no higher than 10% of total energy, and the recognition that subsets of the population may not benefit, and may even be harmed, by the substitution of high intakes of carbohydrates, especially refined carbohydrates, for fat in the diet. Particularly given the differential effects of dietary saturated fats and carbohydrates on concentrations of larger and smaller LDL particles, respectively, dietary efforts to improve the increasing burden of CVD risk associated with atherogenic dyslipidemia should primarily emphasize the limitation of refined carbohydrate intakes and a reduction in excess adiposity.

In other words, it's not the fat, it's the sugar.

According to Dr. Richard Feinman:

"What these papers indicate is that there is no convincing evidence that there is a benefit in reducing saturated fat. A meta-analysis summarizes several papers some of which, in the case of the Krauss paper, were more than twenty years old. In other words, the data are inconclusive, and have been for years. So why have we continued to try to limit total saturated fat?

By analogy with the law, saturated fat is not guilty. Remember, however, that does not mean innocent. You can't be found innocent. The papers suggest that the data always were inconclusive and saturated fat should never have been indicted in the first place. Unfortunately, in the popular mind, just having been indicted has some presumption of guilt."

Fat, like people, should be innocent until proven guilty. And a lot of people, the former President included, are being sent down the road of ill-health due to the demonization of fat and cholesterol.

(Side note: Low vitamin D levels may also be a possible factor in systemic inflammation. Here is an abstract of a paper discussing this issue. I urge the former president to have his levels checked. I'll bet dimes to doughnuts that his vitamin D level is below 30 ng/ml. Current research indicates that D levels should be upwards of 60 ng/ml or higher for optimal health.)

So my plea to you Mr. Clinton is this: If you want to return to a life of robust health, ditch the carbs (not the vegetables however) and start eating like a caveman. Since we're both based in NYC, I'd be honored to meet with you and discuss it.

It's called a "beer belly" and not a "steak belly" for a reason.

 
 
 

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07:38 PM on 02/25/2010
in my world Fred, beer is the good carbs, the only good carbs, actually...

that might explain my rather persistent steak belly, I suppose....
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Fred Hahn
05:36 AM on 02/26/2010
I don't doubt it!
06:30 PM on 02/25/2010
Brilliant post, Fred. After being a vegetarian for nearly 25 years, now I'm going the low carb/Paleo/Primal route, in addition to Slow Burn training, and my health is the most robust it's ever been, and I'm in my mid-50's. It is really frightening how many people don't know that grains are the bad guy here - not saturated fat. People! Please start reading! Don't just go along with the conventional wisdom. Take charge of your health - ditch the grains, go for the butter and cream and ENJOY LIFE!!!
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Fred Hahn
07:12 PM on 02/25/2010
Amen to that BabyL80. Glad to hear you're on the right track. Thanks for reading!
01:00 PM on 02/25/2010
My father died of a heart attack at 51 years old. He had high cholesterol for years, and did not do anything about it (this was before statin drugs). He ate a high fat, high cholesterol diet. Lots of meat. Very little sugar or carbs. Oh, and he wasn't overweight either.

My grandmother also had high cholesterol. She changed her diet, starting eating low-fat foods. Very little red meat, some chicken and fish. She ate a good amount of sugar and carbs (although not terribly excessive). She lowered her cholesterol through diet and lived to be 90, when she died of pneumonia--not a heart attack. I think i'll take my grandmother's approach.
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Fred Hahn
04:15 PM on 02/25/2010
First let me say that I am very sorry to hear of your fathers passing at such a young age.

I'll have to take you on your word that he ate lots of meat and fat and very little sugar/carbs. Of course, you really don't know what he ate when you weren't around him. I know two people in my life who carb binge at pastry stores, candy stores, etc.

Besides, the fact is that many people with low cholesterol levels have heart attacks. Many who have high cholesterol levels haven't a hint of CVD or CHD and live long healthy lives eating meat and fat. Cholesterol isn't the issue. Systemic inflammation is.

Perhaps your father had very low vitamin D levels as I mentioned in the blog post. Perhaps he had a very stressful life. Perhaps he was a heavy drinker? Smoker? Or both? Perhaps he had a defective heart and did not know. But the fact is his love of meat and fat was not what caused his heart attack.

And your grandma living to 90 has nothing at all to do with her low fat diet. Perhaps she would have lived even longer and healthier had she eaten more healthy fats and protein. We have no way of knowing.

You are not thinking scientifically on this issue - just emotionally - and that is not exactly the best way to approach an issue such as this one.