The Truth About Dietary Cholesterol | Dr. Peter Attia & Dr. Andrew Huberman
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- čas přidán 17. 08. 2022
- Dr. Peter Attia and Dr. Andrew Huberman discuss the truth about dietary cholesterol and what impacts it.
Dr. Peter Attia is the host of The Drive podcast and is a world expert on behavioral approaches, nutritional interventions, supplementation and pharmacological techniques to improve lifespan, healthspan and athletic performance. Dr. Andrew Huberman is a tenured professor of neurobiology and ophthalmology at Stanford University School of Medicine and host of the Huberman Lab Podcast.
Full episode: • Dr. Peter Attia: Exerc...
Show notes: hubermanlab.com/dr-peter-atti...
#HubermanLab #Cholesterol
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This clip is from the Huberman Lab episode "Dr. Peter Attia: Exercise, Nutrition, Hormones for Vitality & Longevity." The full episode can be found on CZcams here: czcams.com/video/DTCmprPCDqc/video.html
the late Dr Steven Sinatra debunked cholesterol myth years ago. His website is now run by his son who is in the same field.
I like how the clip ends after he starts to actually address the topic
He explained it pretty well, what didn't he explain?
The answer is at 2:30 seconds
@@benward4153 he didn't explain that the idea of saturated fat being bad for you, is also a myth. the sugar and carbs we're so in love with are what creates the problem of fat clogging our systems. high blood sugar and insulin resistance, which 70% of Americans have, inflames the lining of our blood vessels, creating bottle necks. Not to mention a plethora of other issues. that is the problem. not the fat. Which fats ARE bad for you? any seed oils or highly processed fats. seeds are designed to be pooped out and grow into plants. they naturally defend against digestion so they can make it through the colon and be fertilized on the ground. but the geniuses out there decide that smashing them up and concentrating them into oils, create the fats that are good for us?!?
It wasn’t about saturated fat, but dietary cholesterol.
@@dubsbarry9963that’s only half the story. It’s the metabolic pathways of sugars to fat storage, eccces storage and blood lipid transport ie colesterol.
I am more confused than I was before I watched the video...
6 minutes of pointless pedantic defining and 30 seconds agreeing with the main point, which is do not eat saturated fat
A follow up video about the role of statins and the risks of high serum cholesterol would be wonderful
Exactly, this video left us hanging.
Watch Peter's Drive channel. He goes into great detail about saturated fat driving up ApoB and the use of PCSK9 inhibitors. I also recommend his new book Outlive.
That’s what I was looking for
Cholesterol is nothing to worry, except for oxidized cholesterol, but the "medical community" is keeping extremely quiet about this secret, now we know why.
@@wilsont1010 ...or oxidised anything. It beggars belief how cholesterol has been made the bad guy, when it is clear it is one of the most essential substances in the human body.
Is it me or does this episode feels like it’s finished half way and without going into details of saturated fats and cholesterol convection ?
I'm with you 😊.
@@floyd5292 that’s because it isn’t the full episode it’s just a clip
@@kiz__ wrong person.
Well, that ended weirdly.
@@zesticide1010😂😂😂
this man is brilliant but desperately needs an editor-he just spent 5 minutes talking well over our heads to say if you eat cholesterol you shit it out.
My GP is desperate for me to take statins but I cannot tolerate them so I won’t. When I have taken them I find my mobility seriously impaired, my joints and muscles become weak and are painful. I went on a keto diet last year where I was eating a lot of fatty meat, cooking in butter, eating loads of eggs etc. I lost 10k and kept it off when I came off the diet. My T2D is now in remission and my cholesterol levels tumbled. My fatty liver is now normal. At 70 I have never been healthier.
Get on a PSK9i then.
Same here. My doctor wanted to get me on statin. Tried fasting and avoiding sugar and refined food. Now I’m ok and feeling great
Big pharma is evil
Why on earth would any GP desperately try to push a med on someone especially if it's causing known side effects on your muscles/mobility
@@radar5464 that was exactly my thoughts at the time. Surely it was healthier for me to have mobility, be able to walk my dog and swim. What he seemed to be condemning me to was the rest of my life imprisoned in my home shuffling around and stuck in front of the TV. Since then I have learned how the multi-billion industries of processed food, diet and pharmaceutical which should be making and keeping us healthy are doing exactly the opposite because doing so makes them huge profits. Processed food gets you hooked on sugar and produces food that has very little nutritional benefit, the stats on the diet clubs reveal that 98% of people who lose weight with them put it back on and more and pharma encourages GP surgeries to push their drugs with “sweeteners”. Had I accepted the statins I would now be taking more drugs to counteract the side affects. I see elderly people coming out of the pharmacy carrying huge bags of drugs - we don’t pay for our drugs here in the UK over a certain age - when surely the best way to health is to ween people off drugs and ask “do you really need them?” My GP tried three times with three different types of statins but I refused them all and I’m still here and still walking and exercising. Some people can tolerate them and see benefits - my sister in law for one, but we can only go by our own individual experiences and not automatically accept that the GP is right.
My favourite videos in CZcams for sure! When you listen at Huberman it all make sense !
Ask this question to 5 scientists. You get 5 different answers…
Follow the money...
Ask them again a month from now and you'll get 10 more
Hence 00:34 "..at least IN YOUR VIEW".
Superb comment. These guys haven't a clue and make sweeping statements to compartmentalise everyone into one bracket.
Nope. Ask the main authority bodies and not individual scientists. All the cardiovascular health and heart health bodies are abundantly clear on their stance on cholesterol and saturated fat. They are bad. Avoid them. Clear. Check the American Heart Association, Canadian Heart Association, British Cardiovascular Society,...etc. Much more reliable than individual celebrity scientists who promote their fads, gimmicks, and supplement products on podcasts
So the last thing Peter says is that diets high in saturated fat generally do raise cholesterol...I think everyone wants his take on whether that actually matters because the question is whether that "minority of people" Andrew mentions such as Paul Saladino (Carnivoremd), who disregard high LDL cholesterol as an important risk factor are actually correct. All parties involved agree that saturated fats generally raise cholesterol levels. The question is if that is an issue or not.
I had thought from listening to others speaking about heart disease, it was triglycerides to look out for. I had heard keep it low then you are less likely to get heart disease?
I'm feeling a little confused on this matters as there is so much conflicting information including I've negatives about statins.
Statins affected my auntie's liver. I've heard they only reduce heart attacks if you've already had one or a stroke.
Do yourself a favor and watch Nutrition Made Simple! Best I have seen at wading through nutritional research
That's an excellent point Alex. And I think related to that question is which type of cholesterol is being raised - small dense or other LDL type which I think is currently thought to be less related to ASCVD.
That's only a part of the picture. Saturated fat WITH sugar(carbs) will raise serum cholesterol, sure. This is why vegans like Hench Herbivore get gallstones -- because his diet consists entirely of eating plant oils together with carbs, sugar, and more carbs.
It seems, for some this is an issue, but for other it does not matter. The root cause is not clear. Anything in the genetic metabolism is different between the two?
Always great content Andrew.
Thank you for this very interesting and informative video 🙏😀❤️
Huberman, could you to go in depth about a diet specifically containing lots off egg consumption.
Whether or not it negatively or positively affects hdl or ldl, all within the parameters of an otherwise healthy diet/lifestyle like high protein, low sugar, good hydration, adequate sleep etc...
It doesn’t, eggs contain cholesterol but very little saturated fat. The actual cholesterol molecule in food has basically no effect on the cholesterol circulating in your blood. Eggs are completely fine unless you have a rare genetic mutation that makes you unable to properly regulate cholesterol levels.
I think the difficulty in understanding is this: if cholesterol is so important, why would an increase in LDL contribute to CVD? Why are the “types” of cholesterol so different in their functions that having one be high is essential and having another be high related to things that can kill us? I wish someone would explain (particularly with visuals):
1) the functions of all cholesterol
2) what triglycerides are
3) what the differences are between the cholesterol your body makes and the cholesterol you ingest (e.g. does the body NOT make LDL?)
4) what role ApoB plays?
5) do the studies examining saturated fat and LDL ACTUALLY isolate saturated fat NOT combined with things like refined sugars, starches and processed grains and other “foods” that cause hyperinsulemia and inflammation in order to KNOW that what leads to increased risk is the saturated fat and not the things we tend to consume with them?
Unfortunately, there is a confusion between LDL and cholesterol.
The LDL is the lipoprotein that wraps the cholesterol molecule in the body in order to transport it in the blood.
And it is this LDL that causes CVD, not the cholesterol inside it.
@@blindtorch the human body was not designed to eat animal products. As long as a person eats animal products, CVD will be the end result sooner or later. Changing to the original plan and diet of plant based natural unprocessed foods prevents/fixes the problem. thing is, no one wants to do what is best for their health, they want to eat crappy food and get a pill to cover the symptoms it causes while the diet continues to do its damage.
@@blindtorchwrong. the body makes ldl as well. is your liver trying to kill you? use logic.
the issue is Trygliceride number being too high.
pls go to this YT channel and listen to anyone speak on "cholesterol", its Low Carb Down Under
High triglycerides leads to high LDL
Why?
Because triglicerydes cannot be transported through the blood by themselves (fat does not dissolve in water)
So you need the LDL lipoprotein as an "envelope" to transport trigycerides across the body
@@christopherlindloff8331 You should eat more fatty animal products and less plant food, more like NO plant food. Red meat, Butter, Salt and Eggs, is all you need.
since the science keeps changing so often on these matters even tho the Dr has been recommending i take statins for the last 3 years i have refused but altho i have drastically changed my diet by eating small portions in foood size cutting sugar completely and only eating fast food once in 2 weeks my cholesterol still 6.5
ThankU 4 This Imformation!..Greatly Appreciated!..Explains It All!!
I was told by a high-ranking person at the American Heart Association that it's a fundraising organization - not a health organization. This person joked that many of the higher-level people there were on diets that the AHA actively demonized.
This is how disgusting our culture is.
Would be interesting what you think about the "saturated fat paradox", aswell as the keto diet in this context.
Great info guys
This is the most down to earth explanation out there
When I Google high cholesterol, All the sites list foods to avoid: red meat, eggs, etc. I don't think they've gotten the message
I, too, would like some explanation on that last question left hanging at the end of the video as previously @Karl pointed out.
So would I. Thank you.
Thank you! 😊
Thank you! Obrigado I 💓
My own experience is that I had poor serum cholesterol levels (high LDL, Triglycerides, low HDL) on the SAD. Now I live on sat fat and have a paleo diet and am now high HDL, low LDL/Triglycerides
me too.. low refined carb is key. my buddy went from a total of 320 down to 160 by elimination all sugars and refined carbs.
I have the same issue. Did you cut out red meat? Im really going back and forth on the advice.
People seem to have so much trouble separating saturated fat and cholesterol. A good example is squid which is very high in cholesterol but almost no saturated fat and does not appear to increase serum cholesterol. Most meats especially beef/lamb/pork are high in saturated fat and have moderate cholesterol levels and they do increase serum cholesterol.
And that's why many of the low fat (low saturated fat) books of the 1990's included recipes for shrimp, lobster and squid. Like in Dr. Gabe Mirkin's Fat Free Flavor Full cookbook.
My GP told me NOT to eat squids nor shrimps so is he not well informed?
@@lihchan1539 As Dr.Peter Attia said, dietary cholesterol (shrimps,…) has little affect, BUT not no effect on serum cholesterol. Means, it can make a difference if you are in the high risk group and want to do anything you can to bring ldl/apoB down to minimize your risk.
You have some study done on humans, where eating squid doesn't raise choletserol against say a plant based control group?
@@lihchan1539 Watch the other clip of Attia talking about risks with diet vs exercise. I, and most other people, fixate way too much on dietary nuances.
"not to get too nerdy..." my guy I am tuning in so you can nerd off as hard as you can
There is something about Peter and Andrew that makes me trust them.
Oh man, right on time. I recently got diagnosed with high cholesterol. Truly appreciate the education
@Sweet Bee same, my total cholesterol is 210 mg/dL. I'm 20 💀
@@theOmKumar wow so young, that's bonkers
@@memastarful ya! and I eat healthy food never from outside. But My life is pretty sedentary, I suspect that's the reason idk.
@@theOmKumar genetics could also be a factor 🤔
@@theOmKumar please listen to Peter's tips on exercise and follow a normal clean diet before branching out. 45 min zone 2 training 4-6 times a week is mandatory.
Hello Huberman, most of us are confused about cholesterol medication apart from saturated fats. Can you please provide another video on it?
I don't understand what you are confused on. Most cholesterol medications help regulate your natural production of cholesterol so you can be more in line. Some people just naturally produce tons of LDL and need help beyond diet.
@@zadinal mmmm.. high LDL and High HDL is fine PROVIDED... triglycerides are low.
This is well known in the low carb community
@@KR-jg7gc High HDL might be(can't say about LDL), but the issue lies in lower risk vs no risk. You might have lower risk than someone who has high TG but if you compare normal TG-normalHDL/LDL to low TG-highHDL/LDL then it isn't quite as good. Though I agree, if you are able to maintain a TG low diet and don't want to take as many drugs then it is an option.
The CZcams channel "nutrition made simple" explains this perfectly
Cholesterol is nothing to worry, except for oxidized cholesterol, but the "medical community" is keeping extremely quiet about this secret, now we know why.
Very good interview! What do you think about taking statines just to prevent plaques to broke, and reduce it size... is this truth? Could be a good reason to take statines? Consider good hdl, trg and high ldl, thanks
ThankYou ThankYou Again ThankYou!!
Thank you very much for the science and the free knowledge...can you do an episode about dizzines vertigo and bilateral vestibular hypofunction ?? And the treatment for these
I started having vertigo about 10 years ago. It took a physical therapist to finally diagnose what triggers it. What brings it on is the position of my head and neck during sleep. Once I figured out the bad body positions and how not to sleep, I was able to reduce vertigo episodes by 90%.
@@GusMoore
Can you be specific on what advice you followed?
@@stevenjackson5213 90% of the time, I had vertigo episodes in the middle of the night, waking up from sleep... It's called: Benign paroxysmal positional vertigo. I visited a number of different doctors and nobody could diagnose it, until I visited a physical therapist. She put a scuba diving mask on me that was completely blacked out, where I could not see anything. Then, she tilted my head backwards and to the left and right until we found the position that caused me to get dizzy. From there, I just avoided sleeping in that position. Overtime, I also noticed that stress, hunger, lack of sleep, and sleeping in high-rise places can also trigger it. Experiencing vertigo was scary in the beginning, but I learned to live with it and only have episodes once or so a year. Hope you find a solution. I've heard from other people, physical therapist is who you want to see.
@@GusMoore are you serious? What kind of doctor did you go to, because bppv is the most common cause of vertigo, and head tilt test is standard. Did they do a similar test but couldn’t elicit the vertigo? Or they didn’t even attempt the head tilt test?
@@Alexander_MD I saw an ER doctor, general practitioner, and ear nose and throat specialist and none of them diagnose the vertigo or suggested a head tilt test. Over the years, have spoken to others who suffer from vertigo and none of them were aware of a head tilt test, until I mentioned it. Good that you know so much about the situation. Do you suffer from vertigo? It's so, would appreciate hearing how you deal with it
As he mentions 10-15 % of the dietary cholesterol is taken up by the body. That’s why if your LDL is already really low, adding eggs to your diet will cause a significant increase. It’s not a linear curve.
If you add eggs into the diet then the body will produce lesser cholesterol.
How does saturated fat raise cholesterol? If not dietary. I believe that ldl particles, which are stabilized by cholesterol, act as carriers of fat through the aqueous environment of the blood to tissues in need of energy. Does the cholesterol actually increase, or is it just partitioned/shifted to the serum in the presence of dietary fat?
What about the relationship between dietary cholesterol intake and fatty liver or nash????
Wow ... Clear difference between saturated fat and cholesterol molecule ... Amazing
Except that there usually isn’t any difference. Often food that is high in saturated fat is also high cholesterol.
@@southern842 Still broke? Thought so…😜
@@hardcoreherbivore4730Eggs
okay how do we fix ldl cholesterol? I learned nothing useful unfortunately this usually happens with Dr huberman even tho it's very informative
Thank you for explaining this. I do appreciate the technical detail. I need to have a difficult conversation with my doctor about my cholesterol.
Paul Mason did a series of videos on that, amazing science.
I ate eggs all week before a lipid test - my total cholesterol went up (last lab 4 months ago I do my own labs at times)
Total 186 to 258 ,
LDL up 101- 170 , trigs49 / HDL 67 stayed level .
My new doc immediately wanted to put me on statins .
Health care is scary ! Likely I know better , but how many people are needlessly on meds . SMH 🤦♂️ it’s rather frightening.
@@madebyPure that would make sense my 80 year mother has alway had high cholesterol and LDL -fantastic HDL/ratio - very active all her life amd continues to be . No meds taken
@@Marx1963exactly what ratio? HDL to what? Total chol, Triglycerides?
Don't worry about it. Cholesterol is directly linked to longevity, as long as your arteries aren't slowed with plaques (formed by inflammation and high sugar diets).
@@HeroC14 right, but yes I do have some plaque in my right carotid artery the scan showed Wanted to put me on a statin
@@auntdee9678 You can always get on the statin for a season and clean up your diet with keto/carnivore until the plaque is cleared. Just make a plan with your doctor and follow through.
Don't stay on them forever, maybe for 2-3 months until improvements are seen, then stop taking them but maintain that diet.
What a rediculous place to end the video!
Very interesting however, does high cholesterol from saturated fat mean it's causing heart disease.
There's a lot of information out there that suggests high LDL is not the problem it was made out to be.
VLDL and IDL are the culprits of high triglycerides not LDL, the HDL- triglycerides ratio is a far better indicator of heart and arterial health.
What'd you think?
At what point, who should you be on a statin? What about PCSK9 is that a better option?
Thanks
tldr: high saturated fat consumption increases cholesterol but high dietary cholesterol consumption almost does not increase cholesterol
And saturated fat is good for you and so is the cholesterol it increases, as long as you’re not unhealthy & insulin resistant.
@@bryanutility9609Right, and unfortunately saturated fat has been mechanistically proven to cause insulin resistance, and trials where people are put on high saturated fat diets observe decreased insulin sensitivity even when body weight/waist circumference remains the same. Once you leave the realm of meat/food industry funded studies the issues with saturated fats become pretty unambiguous.
@@bryanutility9609No. Unsaturated fat is healthy PUFA ,MUFA
@@biomagica4559 beyond minimal requirements, PUFA is poison in excess & large quantiles. It oxidizes and destroys mitochondria. Seed oils are industrial poison. We didn’t evolve to eat rape seed oil. You should look into it. It’s well studied.
Could you please explain why at one point you said dietary cholesterol can be desterified at a rate of about 10% and that it has no bearing? It sounds like it has a 10% bearing?
10% makes it into the body doesn’t mean that all of that 10% is added to the serum levels, the body is more complex than that, plus unless your diet is terrible 10% is not enough to make a huge difference especially since if you track dietary cholesterol there’s no distinction made between good and bad cholesterols. So how much of that 10% is contributing to good cholesterol levels and how much to the bad? If you consider all those factors you realize if your diet is relatively good you don’t have to watch dietary cholesterol levels, it won’t make enough of a difference to matter
My question is how much fat does the body need to build muscle ?
What is the relationship here .
As you age , like me at 65 still weight training does the levels change . Please do an expanding video.
Really enjoy your content as do hundreds of us
Depends on your height, lean body mass, your activity level, your goal, etc., and lots of factors. If you want to build muscle, then #1 eat more protein (2 grams per lb of body weight), #2 you need some carbs, and a bit of fats.
Fat doesn’t play a significant role in building muscle, but it is essential for the production of hormones. The minimum amount you should consume is 0.3grams/pound of bodyweight. It’s pretty easy to get this amount in your meat, seafood, or dairy.
I thought eating black beans which are high in fiber, would lower my LDL cholesterol and Total Cholesterol, but now my total cholesterol is going up and I don't know why?
Is it because beans since they're a type of complex carbohydrate are still going to push total cholesterol to the upside? P.S. some people say Oats are also bad for you when it comes
to attempting to lower your cholesterol because they also are a type of grain and grains not fats are just as much a problem for heart health,
When will the full episode be out? I can’t wait to hear what to do when high cholesterol runs in your family even with healthy life style xx
Has been out for a couple of weeks.
There's no such thing as high cholesterol. Your body will produce exactly as much cholesterol as you require. High cholesterol is a drug company number that has been stated so many times people actually believe it's true.
Link in description box
This is me right now
The problem is that most foods high in dietary cholesterol are high in saturated fat as well.
well said...which is why i think these kinds of discussions are more or less irrelevant. I think Attia is an extremely intelligent man, but knowing what to eat to be healthy is different than knowing the biochemical minutiae of fat metabolism
why is that a problem? lol saturated fat is good for you
Not necessarily in all cases, for example prawns and other seafood are high in dietary cholesterol but low in saturated fat
@@user-ei4bn9t yes most foods not all👍
Correct, and why are we having this discussion? Most Animal products have saturated fat. So, they are also going to raise your cholesterol.
Is inflammation a factor in the sludge you may get in your arteries? I know it should be optimal regardless. Just curious?
Glyceraldehyde 3-phosphate, also known as triose phosphate or 3-phosphoglyceraldehyde and abbreviated as G3P, GA3P, GADP, GAP, TP, GALP or PGAL, is a metabolite that occurs as an intermediate in several central pathways of all organisms.
I watched this video after eating 16 eggs. I think I’m safe.
Only 16? You Gota step up your game 😂
I eat six eggs cooked in bacon fat and six pieces of bacon for breakfast every day. Dinner is steak and butter. I never skimp on the salt. I am way healthier now than I was when I was younger and eating vegan. Humans are carnivores.
So what about the people that are on the Carnivore diet that is reversing a lot of ailments and heart disease.
Feel like this clip needed 10 more minutes. But full of great information.
You mentioned that "the American Heart Association acknowledged that dietary cholesterol has no effect on serum cholesterol." However, I believe the AHA recommends restricting dietary cholesterol intake as part of a balanced diet to aid in managing cholesterol levels and lowering the risk of heart disease. Could you provide a reference for your assertion? Additionally, you asserted that Ancel Keys vilified fat, particularly with the lipid hypothesis (claiming saturated fat as the cause of heart disease), which has since been discredited.
I started ketovore diet November 2021.... cut out sugar, grains, etc. I eat saturated fat all day, every day.
Two months ago I had a non-fasted blood draw. The doc said my numbers were optimal. Blood sugar, immediately after a meal, was 110. It used to be that fasted.
I still have to deal with the consequence of a lifetime of carbo addiction (I'm 72), but things are easing, it took decades to create those issues. I'm sticking with the program.
Thanks for sharing. How are your LDL levels on ketovore?
Is high LDL still a risk if all of your other health markers, such as triglycerides and A1C, are in a healthy, good range? I wonder if it makes a difference if all other markers are within a healthy range and you are metabolically healthy. Many people who follow a keto and carnivore diet report that all health markers improve, except LDL
Yes, it's still a risk factor.
Yes it is a risk factor although ApoB and LDLp (particle count) is a better indicator of your risk than LDLc..because in 20-30 percent of people their is a discordance between their LDLc and Apob and LDLp.
Also various way to do keto I do a Keto/Meditterinian hybrid...Instead of using red meat and Cheese as your protein sources/calories have Fish (Wild Salmon, Sardines, Mackarels), and Monounsaturated fat/Omega 3 rich foods like Avocadoes extra virgin olive oil, Nuts like Almonds etc (Almonds do contain some SFA but also has phytosterols so on net it is benfit).
High LDL cholesterol has a symptom it is called sudden death. The higher your LDL cholesterol is the higher chance of you to die from a heart attack. High LDL cholestrol has ZERO symptoms. You wont ever know it is happening except for a blood test. When you say your other markers are in the good range that is good but does not mean anything when it comes to sudden death from heart attacks. Those people you are talking about with the keto and carnivore diet that have high cholesterol once again High LDL cholesterol has ZERO symptoms you feel nothing. Your arteries will indicate nothing you will just get sudden death. AKA you die.
Good question, and one Dr Elizabeth Bright says is often overlooked (i.e.) looking at the LDL/Triglyceride ratio is the important question 🤔
My apob is 94 does and Ldl 100 ....I am 32 ...does it mean I will get sick soon because of high apob
absolutely Love PA.
Can someone summarise what was told please. I don’t understand, it’s too complex. Thank you very much.
I can. These guys are science chasers who think that only they are smart enough and qualified to give a valid opinion about dietary cholesterol and saturated fat consumption. They don't seem to understand that for 99.9 percent of our existence, nobody told us what to eat for optimum health...
I've had heart disease since my 30s due to genetics. LDL was 130, then 118 with statins, but my cardiologist wanted it below 70. A healthy diet and strenuous exercise had no effect, so I went vegan and it dropped to 63 in three weeks. Hard for me to believe that dietary cholesterol doesn't effect serum cholesterol
Yes. The vegan, oil free diet, no meat diet will stop heart disease.
Ofcourse it does. The video is BS. Lots of wooly talk and ‘let’s have some eggs.’ You did the right thing WFPBLF.
you are confusing cholesterol and saturated fat. Saturated fat has effect on LDL, but not so on dietary cholesterol.
@@dannyiskandar what is wrong with you people?
That doesn't get views on CZcams though.
Still c9nfused about what to do... what does all that info mean for my diet and overall health?
Spent alot of time on dietary cholesterol not increasing serum cholesterol, but then at the end say yeah, foods w high saturated fats can increase cholesterol when eating of those foods is probably what most are concerned with
So as someone who has extremely low blood cholesterol levels (total of 77), how would you recommend getting that up? Certainly not through diet?
A lot of it is dependant on genetics. But I have seen food + exercise upping HDL across a dozen plus people of different ages. Also a change in diet lowers LDL by a few points. So, IMHO a better way to phrase what Dr Attia is saying would be "diet alone can rarely make or break your HDL/LDL levels." Over the last 3 or 4 decades what has happened is we have gone from paying no heed to impact of diet on cholesterol to being sticklers and over-cautious.
Carnivore diet. Saturated fats will increase your LDL which is likely a very good thing. The medical field is completely wrong about cholesterol. It's the small LDL-P that we need to worry about.
Damn guys.... whoever was deciding where to parse this clip must have been hungover that day......this needed way more than 6 minutes and where it stopped definitely wasn't a good exit.....huge HL fan here, but dang.
Ugh. I know, right! I would like to listen to the ENTIRE interview to FULLY learn about the BS cholesterol lie.
Dr Huberman, what shud you do if you have low ldl and hdl cholesterol.
5:29 Boom! Thats the question i was begging you to ask him. Thank you so much.
Dietary Cholesterol is an irrelevant red herring. What we all want to hear, is a definitive answer on whether eating saturated fat (and so elevating LDL levels) is a cause of atherosclerotic plaque and CHD?
Has Peter ever explicitly stated what he believes causes LDL to increase? Is it saturated fat? Sugar?
I've listened to him for about 2 years now, and I don't recall him ever explaining what nutritional choices can lead to increased LDL. And I'd like to know
he says it at the end of the video.
Saturated fat increases LDL. Full stop
Literally his last sentence at the end
Don’t worry about your cholesterol and just get a calcium score..
And just cut down on sugar and carbs. Don’t worry about saturated fat.
Luckily for you, you dont have to care what Peter says because whatever he says about this topic is factually wrong.
Cholesterol containing foods will raise cholesterol somewhat, foods with saturated fats much more ...
So do I continue with my carnivore diet ( high fat & cholesterol ) or not...🤔🤔
Have you got this discussion for a dr who specialises in cardiology (cardiologist), want to get the best expert facts .
Great video thank you. Would it be possible to share references of the studies showing that cholesterol containg food does not increase serum cholesterol?
I have only seen that in studies where participants that eat omnivore diets were non significantly impacted by additional cholesterol containing food. Serum cholesterol of vegan diet participants where way lower and increased strongly when cholesterol containg foods where added to their diets. Even when food low in saturated fat contend was added.
Look up whether an esterified cholesterol could pass through the receptor he mentions at around time stamp 4:36
Confirm whether it’s true that the cholesterol in our food is nonesterified.
He didn’t say his assertion is backed up by “studies” he explained a specific mechanism that prevents us from absorbing dietary cholesterol.
Best of luck!
There's very clear experimental research going back decades showing that there is a curvilinear relationship between additional cholesterol intake and resulting increases in serum cholesterol/LDL. People starting with lower cholesterol levels and who eat little or no dietary cholesterol could see a 20 point bump in cholesterol from adding a bunch of eggs. but as people's prior serum cholesterol level and prior dietary cholesterol level get's higher and higher, there is less and less of an effect from added dietary cholestetol, and it gets to be negligible once you are dealing with westerners with already-elevated levels of cholesterol and high beginning cholesterol intake. However, for people with healthy/normal starting levels of cholesterol, this does cause an unhealthy increase in levels.
He said it doesn’t, in the beginning, but then backpedaled because he admitted that some eventually will get absorbed. Saying that dietary cholesterol doesn’t increase serum cholesterol is also wrong, it just doesn’t raise cholesterol a lot, and most animal products have both cholesterol and saturated fats. This was pretty much a useless video, full of meaningless sound bites for the low carb/keto/paleo crowd to memorize. No wonder people are still confused about cholesterol.
@@-astrangerontheinternet6687 The specualtion on mechanisms is meaningless when actual double-blinded trials show that dietary cholesterol and saturated fat increase blood cholesterol and do so in a significant manner. You don't even need to be a scientist to figure it out when vegans often have LDL-C of even as low as 50mg/dl and omnivores often over 100mg/dl.
@@cyberfunk3793
Mechanism is good enough for drug targets.
Reproducibility crisis and all.
Wow! I did not know this. So foods high in cholesterol will only raise your cholesterol if they also contain high amounts of saturated fat. I've been warned by many family members (who think they know) to avoid eating more than 2 eggs/day because egg yolks are so high in cholesterol. However, it turns out that egg yolks are very low in saturated fat. One average egg (58g) contains around 4.6g fat, which is about a teaspoon. Only a quarter of this is saturated fat.
This is incorrect. Don't listen to bro scientists on youtube. There are clear studies showing that eggs increase your cholesterol. Red flags should go up when people on CZcams try to discredit Ansel Keyes studies and throw out confusing terminology and mechanisms. If large medical institutions have vastly different opinions than your CZcamsr you then you need to proceed with extreme caution. You should look at people on the opposite side of this argument and see who science backs up more.
It also depends what you diet is in general. You can only absorb so much dietary cholesterol, before it stops influencing your serum cholesterol. For example, if you consume zero dietary cholesterol and then you add eggs to your diet, they will raise cholesterol.
Compared to many plant foods the saturated fat in eggs is sky high and studies clearly show adding just a bit extra eggs indeed raises cholesterol in blood too, so your family was correct to warn you.
I've eaten at least four eggs a day for decades. I'm over 60, not a wrinkle in my face, fit as hell. High testosterone. Eggs are nature's perfect food
@@craigcrawford6749 nice anecdote, but your testimony doesn’t change the fact that eggs raise serum LDL cholesterol. Nor does it prove in any way, that it’s a “perfect food”, whatever that means. Only someone clueless about nutrition would think that these claims interact in any way with the issue that we are discussing here.
I have recently come across some information regarding the management of diabetes and its correlation with diet. Specifically, I am curious about two scenarios:
1. If someone’s HbA1c level is 5.5 while consuming only animal-based foods such as meat, chicken, fish, beef, eggs, and dairy products like milk, cheese, and yogurt, does this indicate that their diabetes is cured?
2. Similarly, if an individual’s HbA1c level is 5.5 while consuming solely whole, raw plant-based foods including fruits, vegetables, nuts, and seeds, does this suggest that their diabetes is cured?
Great 💯
Go listen to Dr.Chris Knobbes speech about fats. The problem are polyunsaturated fats. especially artificially constructed ones, 35 % of the average caloric intake in the US are exactly those. That is the big problem.
By the way. The Massai people eat around 66% saturated fat of their total caloric intake. They are perfectly healthy.
They were not a long living polulation, so you cannot consider them as healthy
yes the problem is broccoli that people are overconsuming
Peter gives wonderful explanations, I would've liked him to speak on how saturated fats raise serum cholesterol (similar to how he explained esterified cholesterol)
Better yet is cholesterol even bad? I’ve only seen that it’s present after what sugar and high insulin have done to arteries. Bring your insulin way down and cholesterol is it’s helpful self - needed for brain function, immune system and hormone synthesis. Don’t take the statin. Focus on the cause. Not the symptom.
@@forester057right on the Money you are sir😂.
sounds like you're well family with the likes of ivor Cummings, Dr Prof Tim Noakes, Dr Ken Berry, Dr Paul Mason etc
@@forester057 cholesterol isn't "good" or "bad". Your body uses it in a ton of ways. It's important enough to bodily function that it makes enough of it by itself. Nobody in their right mind has ever claimed that you need a daily allowance of cholesterol or you'll get sick or not function at your fullest. It's not a vitamin or an essential food.
The separate question is, "is it safe to eat it regularly?" And this, like many questions in biology, is one that needs to be answered with carefully collected and interpreted data, not a convincing explanation. Too many wild interpretations have been made by influential figures because they had a convincing explanation rather than solid, scientific, critically assessed evidence.
If we relied on jargon-filled explanations and theoretical mechanisms alone, we're no better than superstitious savages.
if dietary cholesterol plays little role in serum cholesterol, then what does? any videos on that?
I get blood work done 2-3 times a year. My total cholesterol in my last 3 were 157, 152 and then 120. That 120 was my only biomarker in the red and I can’t find much literature on low cholesterol. Any info from anyone?
I think a more interesting question that what was discussed here is "does eating saturated fat raise the person's LDL" (this was the very last sentence of the video, but it would have been nice to start the conversation there.) Is the higher LDL resulting from eating saturated fat the healthy "big fluffy beachball" kind, or is it the "small hard golfball" kind of LDL. Moreover, does it matter what else is in your diet, or is the only think that matters how much saturated fat the person consumes? In my experience, I eat ALL of the fat that is on the meat that I eat, and cook with beef fat, and my LDL numbers (don't know the size of the LDL particles) are lower now than when I ate more carbs. From my N of 1 experience, it is carbs that raise LDL, not saturated fat, or at a very minimum saturated fat without excessive carbs doesn't appear to raise LDL (for me).
A lot of words but the only ones that are important are N of 1.
I am sure high fat diet worked for, but it does mean that it works for everyone.
right on, I'm left with more questions than answers.
"Is the higher LDL resulting from eating saturated fat the healthy "big fluffy beachball" kind, or is it the "small hard golfball" kind of LDL." This is a common misunderstanding: Having too many LDL particles of ANY size is atherogenic. ALL LDL particles except a few of the very biggest VLDL particles can pass the walls of the endothelium and lodge in the artery walls. You want LDL levels under ~70 and apoB levels under ~90 to avoid plaque buildup.
"From my N of 1 experience, it is carbs that raise LDL, not saturated fat, or at a very minimum saturated fat without excessive carbs doesn't appear to raise LDL (for me)." If saturated fat isn't raising your LDL levels above the normal range, are you saying you have any LDL level under 70 despite eating a high-fat diet?
@@karlwheatley1244 Interesting. No apoB testing possible here. As for the LDL of 70, the information I got from the hospital is that below 65 is "too low." Mine hovers just above that. I eat lots of vegetables, no grains, no seed oils, 2g/kg of protein per day, mostly from meat. No ultra processed foods, no added sugars in foods. I wouldn't call my diet "high fat" like a keto diet or something, but I have no restrictions on consuming animal fat, olive oil, coconut oil. When I had no restrictions on refined carbs, my LDL was more like 150. Maybe it is the ultra processed foods and not the carbs per se.
Is there a better statin medication and worse, respect to side effects? I know three persons who take statins (resuvastatin 5mg),two of them suffer from muscle pain during exercise, sleep problems and cramps. And how statins affect T levels if they suppress the cholesterols so much?
They should be taking CoQ10 with the statin.
Try amla.
Ubiquinone, L-Carnitine Tartrate, Magnesium is the Trinity
@@Alexander_MD It works without physical activity. The guy who plays football just stopped the statins. Nothing worked for him.
@@JennMartinello Thanks a lot. Why L-Carnitine? Never heard that it helps. What form of magnesium?
Plant Chompers has a good video addressing the hits and misses of Attia's book
Can prescribed Omega3 increase LDL? I take four pills a day after dinner.I am on TRE (5-7pm daily) Please reply. Thank you .
After taking omega 3 what is your ldl levels
Sounds like you need a PhD to interpret that high LDL is not related to dietary cholesterol even though eating saturated fat increases it. Not a very clear video.
I found it clear, I don’t have a PhD. I’d like a little more information which I may get by watching the whole video.
Sigh - i wanted this to be something i could use. Not afraid of big complex words or concepts. But sadly i didn't really learn anything actionable, or even fully comprehensible. Usually a big fan of AHub.
So if i look at a nutrition facts label and read “x amount of daily cholesterol” do i ignore that because dietary cholesterol is not impacting LDLs and triglycerides? ORRR does it still provide some kind of guidance about how my LDLs and triglycerides will be effected? I wish this whole eating healthy thing was easier (and tastier)
@mptavar i work at the hospital, and so many of our patients are on statins. granted, theyre at the hospital so lot's of them have chronic issues and arent mobile enough to get the exercise they need. I wonder if there's just no downside to the statins and that's why they keep getting prescribed. or maybe health care providers just assume they have to prescribe something or it will seem like they aren't helping lol
Doc always says gotta work on that cholesterol! Staying in good health is all we need to worry oabout
This goes some way in explaining why those on pescatarian diets tend to do better mortality wise than even vegetarians and vegans, because seafood, although having cholesterol, and unlike red meats, tends to be very low in saturated fat, along with having the health promoting omega 3.
Could you provide some evidence for that? Because that is opposite to what I've seen so far.
Men need cholesterol. It’s the building block of testosterone. That is why men these days have continually dropping T levels.
What happens if your atp binding cassette doesn't clear cholesterol correctly?
We need something with practical steps of what to do for good long life and health span, not just all the science without any practical conclusion and steps
Attia loves to hear his own voice. Huberman question was pretty clear but he took the longest route possible to answer his question. He did the same thing on Rogan.
God forbid someone gives a thorough answer that gives detailed context and information in this day and age.
Seems like cholesterol is extremely important. Kinda weird how they’re trying to lower the populations cholesterol considering our body uses it in so many different things
Cholesterol is an ambiguous term in regard to benefit. The goal is to not have too high LDL cholesterol, and to have high enough HDL
Sugar is important too, nevertheless there is something like too much. For very low cholesterol it is associated with cancer and strokes, I doubt they promote those situation
I started eating about 125g of butter every week in stews and such a year ago. I discovered today my LDL has shot up. Going to replace the butter with EVOO.
He said that dietary cholesterol has minimal impact on serum cholesterol but then went on to day that eating saturated fat does raise cholesterol. Which is it?
But??? Why does this clip end here?
So it's not good to eat saturated fat, but it's OK to eat high cholesterol foods?
I thought saturated fat IS a high cholesterol food?
I'm more confused than I was when I began. My mum just got diagnosed with high cholesterol and I wanted to send this to her but it just doesn't make sense the way it is edited.
I am confused as hell about the food advice going around 🤦🏾♀️
@Solista If you read the description box, the link for the full episode is provided. You can also look at Dr. Attia's channel if you want to explore this subject further. Overall, there is a huge amount of information being disseminated about fats in the diet, and it can be frustrating to learn that there are many theories that seem to conflict with each other. That being said, it's well worth the time to keep learning and you and your mum can make decisions about what dietary changes will work for her needs. I hope that helps, and I'm wishing you both great health moving forward.
I think the basic message is exactly what he said - saturated fat in meat etc is what can cause you to have high blood cholesterol which can in turn cause heart disease. Cholesterol in foods doesn't get to your blood so has little effect on heart disease.
It means, for example, that eating squid or octopus (which are high in cholesterol) will not impact your cholesterol levels because they're very low in saturated fats (or any kind of fat, for that matter)
@@holly939 Thanks. Yes I saw the entire episode. Haven't listened to it yet as it's over 2 hrs.
This clip is titled 'the truth about cholesterol' and the only 'truth' about cholesterol' it mentions is that cholesterol from high cholesterol foods cannot be absorbed but cholesterol from high fat foods can.
Doesn't address any of the confusion about the 'dangers' of fat consumption for cholesterol levels.
It's also edited to be cut at a pivotal point which is frustrating too.
Thanks anyway - yes I know I can research the question but I thought that this title would provide some relevant or useful information, rather than increase confusion and give me another research project. 🥂
@@SpindlyScoudrel in which case the standard government advice about the dangers of eating saturated fat from meat sources is correct.
Which is contradictory to multiple sources of health advice ie. Keto, carnivore diets.
And is also surprising as I thought the whole lie about fat was the source of the confusion.
But it turns out it is correct ie. Eating meat/meat products that are high in saturated fat, could lead to high blood cholesterol.
Vitamin B3 at higher doses removes LDL and triglycerides and boosts HDL.
Why take a statin when B3 will do a better job with no side effects?
Does saturated fat raise cholesterol because it requires more bile to break down, and bile itself is made of cholesterol?
nope! Our liver cells have LDL receptors on them. When LDL cholesterol passes by in the blood, these receptors take the cholesterol out of the blood and into the liver to be broken down. Research suggests that eating too much saturated fat stops the receptors from working so well, and cholesterol builds up in the blood
why do you interview someone that clearly has no idea about this topic? it's really amazing honestly