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Nutrition Facts with Dr. Greger

Is This the End of the Cholesterol Controversy?

Nutrition Facts with Dr. Greger

[email protected]

Health & Fitness, Alternative Health, Nutrition

4.83.6K Ratings

🗓️ 6 April 2023

⏱️ 11 minutes

🧾️ Download transcript

Summary

The correlation between high cholesterol and heart disease is settled once and for all. This episode features audio from Cholesterol and Heart Disease: Why Has There Been So Much Controversy? and Does Dietary Cholesterol (Eggs) Raise Blood Cholesterol?. Visit the video pages for all sources and doctor's notes related to this podcast.

Transcript

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0:00.0

What's the best way to stay healthy in the face of so much conflicting nutrition information?

0:05.2

Well ideally you would go to the source the gold standard the pure viewed medical literature and read through the stacks of the latest medical journals

0:13.7

But who's got time for that? I do

0:17.2

Welcome to the Nutrition Facts podcast. I'm your host Dr. Michael Greger

0:22.3

Today we hope to settle the debate once and for all for the role of cholesterol in heart disease

0:30.2

The cholesterol controversy is over in fact you can argue was over a century ago

0:37.4

It seemed obvious in 1920 that high cholesterol levels in the blood infiltrating your artery walls was the cause of

0:45.4

coronary heart disease the number one killer of men and women

0:49.4

Confirmed as unequivocally as the revelation that blood circulated throughout the body or that the tuberculosis bacteria causes tuberculosis

0:58.7

The question is why did it take so long?

1:03.1

What is so puzzling is that why we have to work so hard to sell the message given what seems to be an unbeatable amount of hard evidence?

1:11.3

Many rejected the cholesterol heart disease link because so many patients were dying of coronary heart disease despite so-called perfectly normal cholesterol levels

1:21.5

Of course as I've detailed before having normal cholesterol levels in a society where it's normal to drop dead of a heart attack

1:29.6

Isn't exactly saying much

1:32.0

Ideally we want to get our total cholesterol well under 150 since having high cholesterol levels in your blood

1:38.1

Is thought of as the only direct atherosclerotic risk factor all the other things smoking high blood pressure diabetes in activity

1:46.1

Obesity just exacerbate the damage caused by the high cholesterol

1:51.0

Another factor may be the preoccupation of cardiologists with all the new fancy gadgets and procedures out there

1:57.1

It's like we train them to be highly skilled high-tech fighter pilots to fight a war

2:01.8

But then sent them on some boring preventive diplomatic mission

2:06.9

But the reasons maybe even more personal than that

2:11.9

As an editorial in the journal the American Heart Association asked nearly 50 years ago

...

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