I pointed to sources that contain huge lists of sources, including such studies. Some of what I pointed to is free. There is no need to reproduce this here. The relevance here is to cascades, which occur without “conspiracies.”
A common response to a cascade being pointed out is to call the observer a “conspiracy theorist,” and that happens even if no conspiracy has been alleged. That people might be unconsciously motivated by issues of reputation and “face” is just what’s so for human beings.
I mentioned funding and was explicit that I did not know if this had an actual effect on recommendations.
Taubes has laid out the history of the “official dietary recommendations,” and he makes a persuasive case that some serious errors were made, and that some are persisting in beliefs that are not consistent with what is scientifically known.
Anyway, aceofspades asks for studies. He didn’t specify the context, but it was that he had written
Would you mind linking to this research that shows low carb diets lower cardiac risk factors?
I linked to extensive coverage of that research, by science journalists. However, specifically, and just what I picked up quickly:
I was under forty when my doctor, whom I trusted greatly, recommended that I go on a low-fat diet because I had mildly elevated cholesterol. Over 20 years later, the results: I’d gained about 30 lbs, my cholesterol levels were a lot higher. Sure, I wasn’t terribly compliant, but I’d shifted the balance greatly toward low-fat. Turns out my experience was typical. Compliance with low-fat diets is commonly poor, and the effect of the recommendation is often weight gain and worsening lipids. So then statins are prescribed....
My new doctor suggested the South Beach diet (kind of a compromised lower-fat or lower-sat-fat Atkins diet, also by a famous cardiologist), but I did the research this time, and found that the science was stronger behind Atkins. I told him, and he led me into his office and handed me the standard textbook on diabetes, written in the 1920s, that described what was then the standard treatment for type II diabetes. A low-carb diet. Insulin had just been discovered, and insulin was considered a miracle drug for the rest, who didn’t respond to low-carb diets. Fast forward, the American Diabetes Association discourages low-carb diets. Why? It’s really a good question!
Well, why hadn’t this doctor told me straight out about low-carb, that my high cholesterol was not necessarily a problem? It’s a little thing called “standard of practice.” He could lose his job and/or his license. However, he could smile at me and tell me “whatever you are doing, keep it up.” (Because my lipids and other indicators of heart health improved greatly.)
And then I found from a biopsy that I have prostate cancer. Taubes describes a plausible mechanism for how high-carb diets can increase the incidence of prostate cancer.
My story is anecdotal, and there is much we don’t know about diet, but “experts” still confidently tell us what to eat and what not to eat, and it’s entirely possible that the advice given to me, in full good faith, 30 years ago, led me into a potentially fatal disease. And similar may be true for many others. And it is still going on.
I was referred to a radiation oncologist who advised radiation treatment, if not surgery. So, again, I did the research, and found that the latest advice for someone exactly my age and situation was “watchful waiting.” I’m still more likely to die from something else than prostate cancer.
So why the recommendation from the oncologist? Well, it’s what he does. Go to a carpenter, you are likely to get some advice that involves a hammer. But is he aware of the latest research? Probably, though possibly not. But he’s not about to recommend something based on that, because it is not yet the “standard of practice,” and he can get his ass sued. Even if the advice was right as to risks.)
Cascades are a real problem that dumb down social structures, and especially when they create a “scientific consensus” that isn’t rooted in science and the scientific method. Cascades, however, occur in all kinds of social situations.
I agree that low carb diets are an effective means of weight loss relative to low fat diets for people in the aggregate. I do not agree that they are in the aggregate better for reducing mortality than DASH, and I think my personal health is optimized by eating whole grains, fruits, vegetables, low fat dairy, and lean protein and avoiding all else.
I pointed to sources that contain huge lists of sources, including such studies. Some of what I pointed to is free. There is no need to reproduce this here. The relevance here is to cascades, which occur without “conspiracies.”
A common response to a cascade being pointed out is to call the observer a “conspiracy theorist,” and that happens even if no conspiracy has been alleged. That people might be unconsciously motivated by issues of reputation and “face” is just what’s so for human beings.
I mentioned funding and was explicit that I did not know if this had an actual effect on recommendations.
Taubes has laid out the history of the “official dietary recommendations,” and he makes a persuasive case that some serious errors were made, and that some are persisting in beliefs that are not consistent with what is scientifically known.
Anyway, aceofspades asks for studies. He didn’t specify the context, but it was that he had written
I linked to extensive coverage of that research, by science journalists. However, specifically, and just what I picked up quickly:
Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. (Blood lipids, i.e., cardiac risk factors, were studied.)
Comparison of the Atkins, Zone, Ornish, and LEARN diets for change in weight and related risk factors among overweight premenopausal women: the A TO Z Weight Loss Study: a randomized trial. (Lipid profile was studied.)
Systematic review of randomized controlled trials of low-carbohydrate vs. low-fat/low-calorie diets in the management of obesity and its comorbidities. (This is a “systematic review,” very much on point as to cardiac risk.)
Part of my own experience:
I was under forty when my doctor, whom I trusted greatly, recommended that I go on a low-fat diet because I had mildly elevated cholesterol. Over 20 years later, the results: I’d gained about 30 lbs, my cholesterol levels were a lot higher. Sure, I wasn’t terribly compliant, but I’d shifted the balance greatly toward low-fat. Turns out my experience was typical. Compliance with low-fat diets is commonly poor, and the effect of the recommendation is often weight gain and worsening lipids. So then statins are prescribed....
My new doctor suggested the South Beach diet (kind of a compromised lower-fat or lower-sat-fat Atkins diet, also by a famous cardiologist), but I did the research this time, and found that the science was stronger behind Atkins. I told him, and he led me into his office and handed me the standard textbook on diabetes, written in the 1920s, that described what was then the standard treatment for type II diabetes. A low-carb diet. Insulin had just been discovered, and insulin was considered a miracle drug for the rest, who didn’t respond to low-carb diets. Fast forward, the American Diabetes Association discourages low-carb diets. Why? It’s really a good question!
Well, why hadn’t this doctor told me straight out about low-carb, that my high cholesterol was not necessarily a problem? It’s a little thing called “standard of practice.” He could lose his job and/or his license. However, he could smile at me and tell me “whatever you are doing, keep it up.” (Because my lipids and other indicators of heart health improved greatly.)
And then I found from a biopsy that I have prostate cancer. Taubes describes a plausible mechanism for how high-carb diets can increase the incidence of prostate cancer.
My story is anecdotal, and there is much we don’t know about diet, but “experts” still confidently tell us what to eat and what not to eat, and it’s entirely possible that the advice given to me, in full good faith, 30 years ago, led me into a potentially fatal disease. And similar may be true for many others. And it is still going on.
I was referred to a radiation oncologist who advised radiation treatment, if not surgery. So, again, I did the research, and found that the latest advice for someone exactly my age and situation was “watchful waiting.” I’m still more likely to die from something else than prostate cancer.
So why the recommendation from the oncologist? Well, it’s what he does. Go to a carpenter, you are likely to get some advice that involves a hammer. But is he aware of the latest research? Probably, though possibly not. But he’s not about to recommend something based on that, because it is not yet the “standard of practice,” and he can get his ass sued. Even if the advice was right as to risks.)
Cascades are a real problem that dumb down social structures, and especially when they create a “scientific consensus” that isn’t rooted in science and the scientific method. Cascades, however, occur in all kinds of social situations.
I agree that low carb diets are an effective means of weight loss relative to low fat diets for people in the aggregate. I do not agree that they are in the aggregate better for reducing mortality than DASH, and I think my personal health is optimized by eating whole grains, fruits, vegetables, low fat dairy, and lean protein and avoiding all else.