But arent animal fats pretty good for you?
All that article from the AHA said was coconut oil is high in saturated fat. The link between sat fat and CHD is dubious at best.
I think that is just the result of âSome is good, therefore more is betterâ so the medical associations have to say âX is badâ so people donât eat themselves to death.
As soon as anything is considered âgoodâ people hear âFree Ride!â then pound that substance into their face until they end up in the hospital.
As a card-carrying cardiovascular disease epidemiologist, AHA position statements on healthy diet continue to (mildly) frustrate me, and the news reporting of them frustrates me even more.
Coconut oil is fine. So is beef tallow. So is duck fat. So is pork lard. So is grass-fed butter. All of these are excellent cooking fats, and their consumption is fine - at least in moderation, no guarantees if youâre melting and drinking the stuff by the jar.
Will come back and give more thoughts on âsaturated fatâ later if anyone desiresâŠ
Sadly this is the type of study blinkered by the âsaturated fat is evilâ nonsense. Further, it clearly does not recognise the mechanisms at work with coconut oil, namely MCTs, which is clearly different to those in beef fat. These articles really get my goatâŠ
Iâd like to hear what you have to say. I find it really weird that the AHA recommends statin drugs still, since they donât lower CVD mortality and may increase atherosclerosis and heart failure.
Given that thereâs so much research since the Framingham study it just seems odd theyâre sticking with âeating cholesterol clogs your arteries.â
Iâll try to do this at some point, so tag me if I havenât done this in the next day or twoâŠjust need to carve out some time, as you might guess this is a complex topic requiring some explanation. Before delving into any specifics of saturated fat and cholesterol. I do have a few thoughts on âresearch/processâ in general and the way scientific thinking in a field gets shaped and preserved:
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Dogma dies hard. Just my anecdotal experience in collaborating with physicians on research papers for a couple of years - I believe that most physicians are driven by a desire to do good, but I also believe that once theyâve attached themselves to a certain school of thought, some physicians have a really hard time letting go - even in the face of very strong evidence against. It doesnât happen much, but I have seen doctors abandon papers that we started working on because the findings didnât show what they expected, and they simply said âWell, we canât explain this, it makes no senseâ and decided not to write a paper on the results; this is the so-called âfile drawerâ effect, where unattractive research findings are left sitting in the file drawer instead of being published.
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Even when the lead author wants to proceed and we write a paper, sometimes youâll get resistance from the journal editors and/or peer reviewers if your message goes against conventional wisdom in that area. A year or two ago, I co-authored a paper comparing outcomes with a ânewâ antiplatelet drug (more expensive) compared against an âoldâ antiplatelet drug (which is available as a generic and costs a few pennies per day) in patients receiving a stent. When we looked at ongoing âreal worldâ data of patients treated with the newer drug vs. the older drug followed over several years, it seemed that the benefit was at best trivial (and maybe none at all). We encountered stiff resistance from journals in trying to publish these findings - even though the data were analyzed properly and there was really no arguing with the results - simply because the editors and/or peer reviewers would say things like âHow can you explain that the results with X are not any better than Y?â (our answer, of course, was âmaybe the new drug isnât actually so superior to the old drugâ).
Point is, once something becomes mainstream thinking, it can be very hard to change peopleâs minds, even in the face of strong evidence. Hereâs a well-written article on that particular subject, which I think everyone should read:
That is full of great nuggets, but hereâs one specific to this topic:
"Brown, the Washington University cardiologist, says that once doctors get out of training, âitâs a job, and theyâre trying to earn money, and they donât necessarily keep up. So really major changes have to be generational.â
This quote probably isnât fair to âdoctorsâ as a whole - plenty of terrific doctors do make real efforts to stay on top of the latest science - but I think that last part is key, that really major changes have to be generational. If we have an entire generation of physicians that have been trained with a particular way of thinking, that will never just reverse itself overnight. It will only happen once that generation ages out and gets replaced by a new crop whose training included a different way of thinking.
Those are just a few thoughts on the scientific publishing process and how it can be difficult to go against or change mainstream thinking. Iâll come back later with more specific thoughts on âcholesterol â CHDâ and âsaturated fat is bad for you.â
Since I havenât been able to write my treatise on the subject yet, hereâs a decent lay explanation that more or less aligns with my thinking.
All I took from this is that Nic Cage + swimming pools is a recipe for disasterâŠamiright?
Btw, beef/ pork fatty acid composition, roughly,
5% Poly Unsaturated
55% Monounsaturated
40% Saturated
#Funfact
Hey, itâs the article I linked you at one point in some PWI thread =D Glad to see that itâs useful.
Medicinal science (and, indeed, all science really) are not immune to the basic fallacies.
I like to continually increase my toolbox of examples to use against people who seem to believe that knowledge/understanding of basic science and logic somehow means that youâre less likely to commit fallacies and/or commit biased thinking.
Heck, at this point I think itâs those who believe(key word here) themselves well-studied to be most susceptible to be biased and obstinate those new information.
Serious question- How prevalent do you think the so-called âfile drawerâ effect? It sounds similar to the issues with research in various social (or soft) sciences.