What is the Optimal Diet for the Prevention of Atherosclerotic Cardiovascular Disease? — The Skeptical Cardiologist

The skeptical cardiologist was asked to give a lecture in July on diet to the cardiology fellows in our training program at Saint Louis University. Needless to say, I didn’t hew to current recommendations from the American Heart Association or the Dietary Guidelines for Americans. For example, these recommendations are still promoting the narrative that…

What is the Optimal Diet for the Prevention of Atherosclerotic Cardiovascular Disease? — The Skeptical Cardiologist

Great lecture. Thank you Dr. Pearson.

A Plan is Not a Strategy – Update 08.03.22

A few months ago I was thinking about retirement. The funny thing about life at “retirement age” and still working is you think about retirement a lot. See Thinking About Retirement (or just another fine Saturday Morning) While catching up on news I came across several articles on unretirement. I learned the word unretire is actually in the dictionary. See https://www.merriam-webster.com/dictionary/unretire. Rather than retire then unretire I decided I needed a plan. The more I thought about coming up with a plan the more I realized I needed a strategy instead.

So now I’m working on strategy only to realize I’ve had a strategy for many years. I’ve just never taken the time to write it down. It might be time to document my strategy. But it’s been too hot to write and Too Hot to Blog.

Take Home Message: A Plan is Not a Strategy.

Update 08.03.22

For an excellent example of strategy read this piece https://www.noceilingsnba.com/p/the-art-of-presti on how Sam Presti the General Manager of the OKC Thunder epitomizes this definition of strategy.

Thinking About Retirement (or just another fine Saturday Morning)

Andel’s suggestion to anyone contemplating retirement: “Find a new routine that’s meaningful.” He points to people living in the Blue Zones, regions of the world that have been identified to be home to a greater number of residents who’ve reached the age of 100 and beyond. One of the common characteristics among Blue Zone inhabitants is, says Andel, “these people all have purpose.”

Think Retirement Is Smooth Sailing? A Look at Its Potential Effects on the Brain — https://getpocket.com/read/2840794990

The funny thing about life at “retirement age” and still working is you think about retirement a lot.

Since I still work a full time job I have a lot of trouble envisioning what my retirement will look like.

After reading this article and listening to Andel’s short talk I am now scared of retirement.

I need to figure out how to avoid brain rot. But my journal tells me I already have.

My Purpose is to educate others on diet and disease, weight loss and weight management by sharing my personal journey through writing and other teaching activities.

Vegan Diet and Fracture Risk (I’m confused too)

If you’ve been anywhere near the internet I’m sure the headlines caught your eye. But a 43% higher risk of fractures just seemed really high to me with a meat free diet as the cause. I found the following article online. Since most people nowadays can’t get past the headlines you’ll find the second paragraph completely ignored by the media.

Compared with people who ate meat, vegans with lower calcium and protein intakes on average, had a 43% higher risk of fractures anywhere in the body (total fractures), as well as higher risks of site-specific fractures of the hips, legs and vertebrae, according to a study published in the open access journal BMC Medicine. Vegetarians and people who ate fish but not meat had a higher risk of hip fractures, compared to people who ate meat. However, the risk of fractures was partly reduced once body mass index (BMI), dietary calcium and dietary protein intake were taken into account.

The authors caution that they were unable to differentiate between fractures that were caused by poorer bone health (such as fractures due to a fall from standing height or less) and those that were caused by accidents because data on the causes of the fractures were not available. No data were available on differences in calcium supplement use between the different diet groups, and as in all dietary studies the estimates of nutrients such as dietary calcium or dietary protein are subject to measurement error. As the study predominantly included white European participants, generalisability to other populations or ethnicities may be limited, which could be important considering previously observed differences in bone mineral density and fracture risks by ethnicity, according to the authors.

Vegans, vegetarians and pescetarians may be at higher risk of bone fractures — https://www.eurekalert.org/pub_releases/2020-11/bc-vva111820.php

As I was gathering my thoughts the algorithms started doing what they do and this popped up in YouTube.

Let’s discuss the latest paper from the EPIC database. Excuse me eating while working. Not enough hours in day. Short version: this is a database from 90’s. Average fiber intake is 20 gm so not healthiest plant based eaters. Meat eaters got more vitamin D. Also (forgot to mention in video) used hormone replacement therapy up to 50% more. Both associated with stronger bones. Other studies have shown that plant based eaters have great bone health BUT you have to be healthy. Get dark greens. Drink or eat soy (studies show as good dairy for bones). Exercise and use resistance training. And take supplements if needed. I like multivitamins that have K2 as that may be a nutrient vegans are deficient in unless you eat natto 🤮. Definitely vitamin D if deficient. The EPIC Oxford cohort are not the healthiest vegans and vegetarians BUT have less ischemic stroke, weight less, generally better heart and less of certain cancers despite poor supplementation and diet habits.

Dr. Garth Davis YouTube post 11.23.20

I love it when someone else does the work for me. If you have eleven minutes listen to Dr. Davis’ analysis. I am now less confused.

Lower fracture risk with higher BMI because you have more padding when you fall!