Z dogg makes it very pretty clear on the front end that he is an entertainer, the first clue being that he goes by Z Dogg. If you'd prefer a more dead panned exploration of the material, both Peter Atila and Chris Kesser have hours and hours of material on cholesterol/ lipidology.

beingL .. You are a nurse.. So why would you not talk about your fat intake? This is where the problem lies. Keto or Fat burning is Fat and Cholesterol as your energy source...and why the most Keto experts have it all wrong, If you think protein is how you do this... Protein burning is Acidosis!! Do your research!

Fung would be too annoyed with this clown always yelling.

and Dr. Fung believes in a high fat diet, not a vegan diet.

@@spaceghost8995 Who is the clown? The host?

unfortunately the host and his crew are a bunch of jackholes, at least their behavior, language, and ghetto actions in this podcast. Otherwise yes, the guest has some really valuable information to pass along.

I think its because the host is so annoying. Working too hard to be funny?

It's false information, not special undercover truths.

@@allencrider How do you know that? Do you work for Pfizer or Merck?

@@peternct811 do you realize you're listening to people with no education in dietetics? The only reason these two have any views is because they're telling people good things about their bad habits, which in the end is false information.

opposite happened for me.

Steve F I

Low fat is bad. Low carb is good

Good saturated fat rocks!

becoming vegetarian for an entire year is meaningless because you are eating cheese , milk and dairies . That is animal food.Stupid is as stupid does. You would pay eventually with a cancer down the road.

Fear is used by doctors to pharma to sell their pills. It's like where ever fire was there you find Fire Brigade personnel & researches conclude they are responsible for every fire for they were at the scene. Instead of taking care of the causes they want to treat symptoms, the same way instead of treating whole body, mind & soul together they treat humans as metal machines which are fixed with part change or repair. I've personally seen people who took Omega 3 fat had every lipid test with results as normal, BP & Diabetes too will come down with diet & exercise, but money pharma can't make if all people follow this regimen.

@@devdathmdsouza Hi. Ahh, excellent, we seem to forget how heavy hitters Omega-3s can be, especially for inflammation.

Well done!

Since starting the blog, I've had a surprising number of people write to me with stories like yours. Two of them were from immigrant families where they had poor access to healthcare where they came from, yet each generation lived into its 80s and 90s. But once here, it was found half the family had very high cholesterol. Given their original family history, they all refused statins and it didn't change their (already impressive) lifespans.

But it is clearly more complex than this. 50% of people with FH will develop early coronary artery disease, with significant early mortality (~25x early cardiovascular mortality risk). FH is (mostly) a mutation in the LDL receptor, so it should still play a negative role in this model of cholesterol. It is likely that there are lifestyle and other genetic factors at play determining which people with FH have the bad phenotype. I would agree that the evidence of significant benefit from statins is poor (jaha.ahajournals.org/content/3/6/e001236)

Hi Sherry, I'm glad you are feeling better and I think that is wonderful. I have been into LCHF for several years. I recently ran into the problem of high oxalate in foods that people often start eating when they are trying to be more healthy. I seem a number of these on your list of foods you are eating and thought you might appreciate a heads up about the oxalate. If you want to look into it, here is the webpage I would refer you to. sallyknorton.com Best wishes and good luck.

Christopher McMaster do you have a working link about the statins? I have FH and am on a statin with a fatty liver and am trying to learn more!

Sherry M ㅃ

Can you give me a example what kind of fat I should eat more higher fat

Howard Sterne....

@@stevenw4549 doctors tend to be childish because if we are too serious we explode from stress, i completely understand zdogg. i think he´s just trying to help people and got excited and, as far as i can tell dave wasn't bothered with the interruptions, either way take a chill pill y'all

@@forerofore Perhaps but just looked stupid to me anyway. Also annoying. Sorry.

Distracting and loses the thread

Hi - I am fighting the same battle with my "Functional M.D." So sad that many physicians are not tuned in to Keto diets. I almost gave it up, until I heard Dave Feldman's explanation. Bless you Dave, keep sharing and perhaps more doctors will become educated. Meanwhile, we must not give up on Keto but share Dave's website cholesterolcode.com to help educate our health professionals.

LDL

Metabolism reduces with age

My experience within the Clinical or Medical Laborstory is: everyone measures lipids, fee measure critical inflammation markers. Therefore there is a bias in correlating clinical evidence with above or below normal values of lipids. It is important but it is very interesting to see this clinical approach viewing all as a system.

Yellow Paper lol sounds better 😀

FreeMocean I love Paul Mason, MD. Used his videos to figure out I’m Pattern A and don’t need Statins.

@@charlenequiram1145 It's absolutely horrible that doctors want to immediately put you on statins based on your LDL-C, without even ordering a particle test.

Love Dr Paul Mason

Indeed -- one of the first pieces I found early on was on high cholesterol with anorexia. Which, again, makes mechanistic sense. This is likewise seen in what I mention in the video as Lean Mass Hyper-responders. Less adipose (stored fat on the body) necessitates more low density lipoprotein trafficking for needed energy (triglycerides). cholesterolcode.com/are-you-a-lean-mass-hyper-responder/

Wow, 133 HDLs. Amazing. What protection, Crazy. (you sure?)

Hope this helps someone. Sure helped 9 of us.

Confounding variables? Association is not causation. Especially true for complex systems.

"Confounding variables?" No. "Association is not causation." Nobody said otherwise. Off topic strawman argument attempt noted. Nobody is challenging the fact that high fat intake increases serum cholesterol. Please address the specific point in the last sentence, supported by the entirety of the preceding sentences I quoted from Goldstein and Brown (the Nobel winners and discoverers of LDL receptors). Can you guess what intervention is routinely used to raise serum cholesterol in all animal studies on diet and detrimental effects of elevated serum cholesterol? If you guessed dietary saturated fat, you are correct. It isn't sugar. It isn't refined wheat, it is saturated fat and when it is combined with dietary cholesterol (within animal products), this amplifies the critical strain on LDL receptors in the field. If dietary cholesterol was not helpful to omit in a healthy diet, cardiologists would be urging their patients to avoid blueberries, blackberries, and soluble fiber in general. Get with the program. "Especially true for complex systems." Especially true for complex systems - such as health risks of diseases of affluence is the fact that there are multiple causes, contributing or composite causes, precipitating causes, underlying causes, not a single causal factor. In fact, no other variable besides cholesterol has been implicated more or has had more evidence to support the roles in acquiring atherosclerosis. Moreover, cholesterol is being studied increasingly for it's role in elevated cancer risk.

At lot of specious rambling for a person who has no idea if the Finnish study, for example, was thorough in designing a multivariate analysis. Even when the attempt is made to control for confounding variables, the fact that our collective understanding of the metabolism (including epigenetics, genetic polymorphisms, and the microbiome) is still at a very crude level inherently sets up superficial analyses. That's complexity and if you had formally studied medical science paradigms such as oncology, immunology, or neurology for years then you might have an inkling of what complex systems look like.

"At lot of specious rambling for a person who has no idea if the Finnish study, for example, was thorough in designing a multivariate analysis" A lot of bland denial of the lipid hypothesis and 50 years of available evidence, off-topic strawman attempts, mind-wandering speculation, and unanswered questions on your part, considering the fact that there is more evidence linking dietary saturated fat to atherosclerosis and you present no evidence of any type to contest this fact. "Even when the attempt is made to control for confounding variables, the fact that our collective understanding of the metabolism (including epigenetics, genetic polymorphisms, and the microbiome)" Now that you've given up on the subject, you bring up another problem with the aberrant diet of animal fat" The argument you are now faced with is that meat causes heart disease by multiple mechanisms of action and cholesterol is implicated not just in HD but cancer, as well. A meta-analysis summarizes nothing new. "Our results suggest that vegetarians have a significantly lower ischemic heart disease mortality (29%) and overall cancer incidence (18%) than nonvegetarians" Ann Nutr Metab. 2012;60(4):233-40. Microbes in gastrointestinal health and disease. Gastroenterology 2009;136:65-80. Backhed F: Host responses to the human microbiome. Nutr Rev 2012;70 Suppl 1:S14-17. Koeth RA, Wang Z, Levison BS, et al: Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis. Nat Med 2013. There's numerous mechanisms of action by which meat causes HD, Ca, AD, etc... Notice vegans also metabolize chol more effectively. "Remnant removal from circulation, estimated by cholesteryl oleate FCR was faster in vegans, but the lipolysis process, estimated by triglyceride FCR was equal. Increased removal of atherogenic remnants and diminution of cholesteryl ester transfer may favor atherosclerosis prevention by vegan diet" PMID: 21937206 Together, these data indicate that hypercholesterolemia may be responsible for a premature increase of oxidative stress and in turn CD40L up-regulation, thereby contributing to early atherosclerosis. Journal of the American College of Cardiology Volume 49, Issue 19, 15 May 2007, Pages 1974-1981 Early Increase of Oxidative Stress and Soluble CD40L in Children With Hypercholesterolemia www.sciencedirect.com/science/article/pii/S073 "you might have an inkling of what complex systems look like." Off topic. You repeated yourself, again. Nobody said that the difficulty humans have metabolizing dietary saturated fat, cholesterol, and atherosclerosis were not complex systems for humans. My point is precisely that it is more difficult for herbivores and frugivores to digest dietary saturated fat and cholesterol. This is precisely why true carnivores do not get atheroslcerosis but humans do.

Given up? LOL. Not on reasoned analysis. You're all over the map with off the charts mania. We're not going to find common ground. Best of luck with your dietary and lifestyle strategies.

this is dangerous to claim factually... the body has a fasting and a fed state and people on keto are on fasting state, you could claim that this behavior is true for keto, but in fed-state people the video doesn't provide info because the study was focused on keto only patients, which is a selection bias. the difference is huge because the fed state has completely different hormonal levels. TL;DR you are right, but only in ketogenic diet patients, we dont know if everyone else will be too.

A'bad Pris'ner Exactly. This is the conclusion of my mother' GP. The reaction is to order statins.

I have had "high" readings of LGL and HDL cholesterol at my last physical and I intermittent fast. I have only started having these readings since since I started following a IF and Ketogenic lifestyle 4 years ago.

Yes!

Yep -- it's strange to me how often medical professionals don't see this as a likely issue in a study. And thus, this is why I have a problem nutrition studies in general. Too many broad, categorical conclusions made about a single variable when often dozens to even hundreds of variables are not being controlled for.

Because all the people using your protocol never did a single cheat day or done things abit differently, despite the diet itself being unusual and unsustainable?

My triglycerides are over 5 hundred,run 2 miles don't feel any pain,when done with 2 miles i feel that not enough and go for 1 more mile.i am over 50 and feel like never before

@@dizi2765 Jimmy Fix felt the same too. Do you know who Jimmy Fix was? That could be your destiny .

If you have had this for 10 years then why don't you get an angiogram done and make it a medical record for Plant Based Diet doctors like Esselstyn, Neal Bernard, McDougall, etc eat dirt

triglycerides are other thing and they are dangerous do not get confuse with cholesterol and do not have symptoms or you will feel bad when you run or exercise

kzfaq.info/get/bejne/rNZhh82Il56vpKM.html

Excellent point, Jean. To be sure, we covered so much we just didn't quite get around to that. But FWIW, on an ATP-to-ATP basis, your cells are arguably powered more by fatty acids directly (brought by LDL as TG, or NEFAs) when on a keto diet than BHB (which are disproportionately taken up by the brain since they can cross the blood-brain barrier). Certainly, I spend more time on the lipid side of the fence, but the benefits of ketones, especially for the brain, are well documented in the keto community.

the only problem with the video was that there is an overwhelming majority of the audience out there that doesn't know what you guys are talking about with all the fancy words , even glucose ,glycogen ,carbs,sugar ext... there is a quote" if you can't teach it to a second grader you don't know it yourself " I say skip all the fancy talk, get out to the general public, that high healthy fat diets with 40 carbs/ sugar or less per day mainly coming from green veggies with lots of high fat,like avacodo, olive oil,mct oil,coconut oil,Kerry gold butter,grass-fed beef, and pasteurized eggs ext is healthy!

Fair point, Jean -- but it was hard to avoid when getting into the specifics on the topic. As far as a LCHF/Keto diet in general, there are plenty of better people than myself who make great videos on the topic. And I may actually return to ZDogg's show at some point in the future to give my own intro to the diet, in which case we likely will be avoiding the much larger words. :)

Dave, this interview with Dr. Damania changed my life. Sure some items discussed went a bit more technical than I could comprehend on first listen, but that pushed me to... :::gasp::: do some research and learn the details for myself. And I'm not sure how a 2nd grader could understand everything you covered if PhDs are still having a hard time grasping it (though your recent breakdown at Low Car Breck (kzfaq.info/get/bejne/ZrKlftqk35-7n5c.html) was great at helping simplify the concepts). Keep up the good work, Dave!

jean paul fox Biologist here, the information is there to influence research: go read scientific papers and be careful of who funded what, understand placebo effects, etc.

He has gotten a lot better at these recently. Constantly shouting jokes at the background guys is what was irritating me the most

Here is what doctors believe in -- not getting sued; prescribing exactly what all the other doctors are prescribing which is relayed to them by drug reps (and it's always the latest drug on the market);prescribing only what that patient's insurance will cover so they are not called upon to argue with the insurance company for waivers. And by the way they can't be sued for damaging your health as long as they followed standard practices (again, dictated by the drug companies and insurance companies including medicare). And, finally, doctors know virtually nothing about what these guys are talking about. They are clinicians -- listen for an actionable "complaint" and prescribe for that specific complaint. Period. No longer are doctors diagnosticians. Again labelling someone with any specific condition other than what is obvious from a test result can change a person's life -- career, ability to get insurance, etc. which someone may sue a doctor for but if the doctor fails to diagnose except for what tests say they are protected. Clinical practice lags behind absolute, irrefutable knowledge from medical researchers they say an average of TWENTY years! That estimate comes from the medical industrial complex self evaluation. Look at stents for a great example. Debunked well over a decade ago by medical research, mainstream,, done more every year because doctors like doing them. Robots and AI will replace doctors because their jobs have been reduced to nothing more than what a machine will do better. That said, your idea is a good one but medical researchers, insurance companies and drug companies should make up the panel since they are driving the bus. Pease and good health.

Gregory Dworak Im clicking off & will find another presentation of Dave elsewhere. Thx 🙄

Rebecca Evans check your thyroid

Good point

But then why has ldl been discarded by the risk calculators?

The triglyceride to HDL ratio is the stronger predictor of heart disease, much more so than “just” high cholesterol and LDL/HDL ratios. It is important to understand there are other predictors and not just “high” cholesterol that indicate a potential problem.

Right on .

Amen. I've often thought to myself, all one needs is to study the human body and nothing else to determine there is a creator.

Ellen Kno yes, the breath of life is well beyond me too.

Thank the creator, the best engineer ever. He did all the initial build in 6 days and a reproduction system to boot. Of course we have no knowledge of how long his day was. Perhaps a minute or 2 or... 6 earth revolutions, then he rested after engineering everything, including earth and the heavens..

Me too.

I made it to the end, but it was hard. Damania reminds me of a kid that thinks how cool it is that he is on youtube and acts predictably about 10 years old during the video, ok 12 years old no more.

I had to stop after 10 minutes, too.

Me too. Had to stop after 10 mind. Will type the guest's name and watch him on other podcasts.

Guy Clark I agree with you ! I’m watching my mother in law fade away mentally due to being on Lipitor for the last 20 years while eating the standard American diet disguised as an effective diet for diabetic health. Not one doctor told her to change her diet and rid herself of diabetes, they just added pill after pill and now she’s a shell of her former self.

@@umayaswellcallmejesus1489 Because that's what (most) doctors do, push pills.

Mike Ramsay what was your cholesterol numbers to begin with? What did you eat for dinner?

@@JR-kg1dp My numbers were high 200s.

Mike Ramsay How is that bad? Have you or your doctor applied your data to any of the well known cardiac risk calculators?

This hour-long talk could have been 20 minutes without all the other crap. Good information lost among the garbage.

You're NOT your. Learn it.

Ghost c'mon guy (or gal) pls don't be a grammar nazi. Sometimes the keyboard makes the mistakes.

You must make it a point to go see a functional medicine doctor your standard practitioner will not lead you down the right path they do not have the background or information and often are resistant to models which challenge their traditional medical school training.

Does this mean that cholesterol have not much bearing on heart attack?

@@peternct811 well that's what many experts say, not all, and that's what the stats show

@@contrarian717 Thanks for sharing your thought. There is lots of unknow unknown in medical science. Who should I believe? Toss a coin?

Shasta Fog And the oxidized ones which are generally small cause they been around awhile.

So when you get labs while loosing weight cholesterol will be more present in your blood. Thus labs will be high.

My Cholesterol is now down to 135 after a week in the Hospital for a stroke and another stent. High Fat does not work for me. Plus a have a bypass surgery in 3 months. High fat almost killed me.

Good Keto IF> way to go.. Omega3 Fish oil. and vit K2 helps reduce plaque. also Measure TG/HDL Ratio is important below 2 lower being good.

You know -- for a half a sec, I didn't realize it was you and I thought, "two low HDLers in one thread, what are the odds?" :D

Dave Keto that bad hey 😆