True Anomaly said:
bam02 said:
Yes LDL and Apo B are the most important because they are the most atherosclerotic. They tend to "bore" into the artery wall more so than the other lipids, but again, this is typically dependent upon inflammation or other controllable factors like diabetes and smoking.
I would argue that chronically elevated levels of LDL and Apo B in the setting of someone without diabetes or smoking somehow leading to clinically significant lower levels of cardiovascular disease is not generally accepted in medicine or nutrition. Maybe future research will help further delineate this so we can come to a more general, objective conclusion
What's currently happening is people are seeing various influencers that cherry pick data and give hypotheses that LDL doesn't matter, just eat carnivore and your inflammation will go down, and all these other claims that aren't backed by quality evidence. There are anecdotes out there, but not enough data to form a true conclusion on evidence. And many people are using themselves as the guinea pigs. Unfortunately, those that have harms develop are probably not going to go publish their results in aggregate for it to get attention.
I am by no means a vegan. And I tell people they should consider trying carnivore if they want to see how it affects them. But there are risks associated with it. The overwhelming amount of data out there supports the notion that elevated LDL is bad for you. High HDL may counteract that to an extent, but the data still seems to show that high LDL is still worse for you than lower LDL.
Now certainly there are other markers of metabolic health that affect the cardiovascular system, and even blood pressure can have a greater impact in some cases than LDL. I have seen individuals with chronic high BP get off meds when they went vegan. There are also people that get off diabetes meds when they go vegan.
I think at the end of the day, the key for the majority of people is to just get rid of the junk and eat a balanced, minimally processed diet. That being said, if you're overweight, you probably would benefit from any diet that helps get you to a lower weight, whether it's carnivore or vegan. However, for an average person at a healthy weight, I think an omnivore ,minimally processed diet, with lots of healthy fats, is probably the way to go.