Doctor's Note

The lack of nutrition training in medical school is another barrier. See, for example, my videos Doctors’ Nutritional Ignorance and Doctors Know Less Than They Think About Nutrition.

Shockingly, mainstream medical associations actively oppose attempts to educate physicians about clinical nutrition. See my 4-part video series:

  1. Nutrition Education Mandate Introduced for Doctors
  2. Medical Associations Oppose Bill to Mandate Nutrition Training
  3. California Medical Association Tries to Kill Nutrition Bill
  4. Nutrition Bill Doctored in the California Senate

For more on why doctors don’t make more dietary prescriptions, see my video The Tomato Effect, Lifestyle Medicine: Treating the Cause of Disease, and Convincing Doctors to Embrace Lifestyle Medicine.

Heart disease may be a choice. See Cavities and Coronaries: Our Choice and One in a Thousand: Ending the Heart Disease Epidemic.

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  • Coacervate

    None of them ever mentioned a plant-based diet. Not a peep. Within two weeks of the treadmill test I was sliced and diced and wondering why I still had the angina. Then they told me. Because some of it was too deep to splice out. They knew that going in. The angiogram showed it. Not a peep. Pure greed.

    Ever hear of a pump head? The pump makes a fine foam in the blood. Plugs up here and there all over. Little clots. Now I can’t remember phone numbers, appointments or the length of my shnozze.

    But a within a few weeks of WF/PB the angina was gone. So are the headaches, the joint pain, the IBS … so many gripes. I got a measure of life back. I could have skipped all the medical “help”. I didn’t know. Oh darn.

    I like to watch people closely when I tell them that. Its in their eyes…that little flicker. I can always pick it. Wondering if they have the courage to believe. They know the odds already. They say “I’m eating a lot less beef”. Poor sods. They just don’t know…We got the Funk!

    • Thea

      Coacervate: I’m sorry you went through that. Thank goodness you have something that works for you now. Thank you so much for taking the time to write your story on this page. I think you may have shared some of this information in the past, but having it again on this page I think really helps make the point of the video. And hopefully will help others. Thanks.

      • Coacervate

        If we all keep telling our stories we will help others avoid needless surgery, needless drugging. Needless diabetes. Helps me too to “discharge”.

  • BB

    I saw this lack of informed consent first hand when my husband had a heart attack. He was herded into the cardiac protocol treatments and told he would be on drugs for the rest of his life at 53. A couple of months later, he was talked into a second angiogram because something “looked suspicious.” I suspected that the doctor was allowed two angiograms per patient and nothing was really wrong. That was confirmed after the procedure. My husband has followed Dr. Mcdougall and Dr. Esselstyn’s programs since the heart attack, takes no drugs and has been healthy for the last ten years since the episode. I don’t know if he would even be here if he had followed his cardiologists recommendations…..sad!

    • Thea

      BB: So sad! That kind of thing breaks my heart. I’m sorry your husband when through that. I’m glad he is on a good path now. Best of luck to you both.

    • HemoDynamic, M.D.

      Odds are that he wouldn’t be here if he followed the Cardiologist’s recommendation! Glad you found the BEST way to treat heart disease!

  • Veganrunner

    So my sister was talking to the cardiologist (who had just put a stint in her husband’s heart) about a vegan diet as her preferred treatment for heart disease. My sister can be rather passionate about this after her own diagnosis and recommendation for a stink the prior year. The cardiologist had the nerve to tell my sister to relax and have a steak for dinner. I guess he thought that was a funny thing to say in front of my bother in law as he recovered from his surgery. Who does that?

    • BB

      I think these cardiologists, like your sister’s have convinced themselves that surgical procedures and advanced drugs are the way to go. It keeps the money pouring in and keeps their waiting rooms full of follow-up patients. His joke about eating a steak says it all. This treatment protocol is not only ineffective, it is insensitive.

      • vigillance

        it’s what arrogance does to a person when he/she thinks no one can tell them anything they don’t know!
        Yes, this is not just sad, it’s frightening! This type of arrogance oftentimes; actually a majority of times ends up in dead patents! Like my daughter!!

    • Arjan den Hollander.

      Hey veganrunner.

      Do remember to advice her it not only going vegan but also what you eat as a vegan.

      – Greens in bulk (Magnesium & fiber to help flush cholesterol)
      – Whole grains – fiber
      – Arucola – NO
      – Beets – NO + better mitochondrial function with equal oxygen.
      Not hard to conclude this effect will offer some added prevention of (heart)cells dying from lack of oxygen.
      – Mushrooms – less sticky arterial walls
      – Natto – moving out plaques
      – Nuts – Arginine and whatever else makes them protect your heart vs sudden death.
      – exercise.

      Roll in, walk out after weeks wasn’t that the case?

      Anyway I’m sure you know but many probably won’t.
      Did I forget one?

      GL :)

      • “they are there to provide the best possible care at the lowest possible cost.”

        What country do you live in? Clearly, not in the USA Inc. :-D

      • Julot Julott

        No fruits? damn lol most perfect food for our primate frugivore digestive system~

        • Bennie

          We produce more amylase than most primates. This gives us the ability to digest complex carbohydrates and starches as well. There are also two species of primates living in or near the Arabian peninsula who also produce quite a bit of amylase. Their diet consists of mostly seeds and grains. See

          • Julot Julott

            Interesting primates species~
            Cooked starch is second best after fruits and vegetables indeed since we need to cook starch because it is not really well digested raw or just in small quantity…

    • Thea

      Veganrunner: Wow. My jaw dropped reading your post. It’s the kind of story where you shake your head in bewilderment.

      Hopefully things will get better in the future with the medical establishment. The participation of the great doctors and other health care professionals on this site gives me some encouragement.

      • Veganrunner

        I’m with you Thea. When my sister went through the treadmill stress test and called me with the recommendation that she have a stint I said, “well I guess you need to give up all the animal products.” But to do that she was really bucking her doctors recommendation. Her general said it won’t help. The cardiologist he referred her to said, ” well it’s possible but it takes a few years.” Luckily I invited her to see dr Greger when he came to town and he gave her the confidence she needed. Most doctors feel so strongly that patients will be unable to stick to the low fat PBWF diet and exercise that is required to work. They should at least be given the choice.

        • Thea

          Veganrunner: That’s a great story. Good for you on inviting your sister to hear Dr. Greger. I totally relate to the need to have confidence that one is on the right track before one can make a diet change. I had needed a similar confidence boost before I was able to make the change from vegetarian to vegan. (Interestingly enough, I had no problems going from carnist to vegetarian.)

      • leenie

        Unfortunately, I don’t see medicine changing. It’s full steam ahead for genomics and individualized drug treatment. The money will keep rolling, while the bodies roll out!

  • HemoDynamic, M.D.

    This Video strikes so many chords with me. So instead of ranting I will allow one to make their own conclusions. Drawing conclusions as to how we treat our fellow human beings should start first with the Hippocratic Oath about the 4th century BC 2400 years ago. (Author(s) unknown). (The whole interpretations “classical” and “modern” are in the link below)

    Hippocratic Oath Classical Version (excerpt):

    “I will just relay the I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.”

    “Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief. . .”

    Hippocratic Oath Modern Version (excerpt):

    “I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of over-treatment and therapeutic nihilism.

    “I will prevent disease whenever I can, for prevention is preferable to cure.”

    “I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.”

    “I will remember that I remain a member of society, with special obligations to ALL my fellow human beings, those sound of mind and body as well as the infirm.”

    • Thea

      Dr. HemoDynamic: Thanks for this post! I wasn’t aware that the Hippogratic Oath had a modern interpretation. Duh. I just hadn’t thought of it before.

    • DanielFaster

      The classic one, while explicit and enlightened on diet (thanks!), also appears however to be tilted toward the theists, anti-abortionists, and anti-assisted suicide proponents – not sure I can use it so much.

      • HemoDynamic, M.D.

        Yes times have surely changed but it is incredible to me how much was understood about treating the sick 2400 years ago with diet and the critical role the physician played as a patient confidant.

    • Kitsy Hahn

      Unfortunately, those who need the guiding back don’t bother to read websites like Dr. Greger’s. They’re too busy proclaiming “statins should be in everybody’s drinking water.”

      • HemoDynamic, M.D.

        And unfortunately how true that statement is because the new Statin guidelines suggest millions more people (soon to be patients) should now be placed on statin’s that weren’t on them before. Sad!

        • I don’t get it. Some reports say more will be on statins, other reports say some people on statins will be able to quit them. Meanwhile, I haven’t actually been able to find the guidelines or the risk calculator with my iPhone.

          • JacquieRN
          • Thanks, Jacquie,

            Information overload. I was thinking of a calculator where you input the pertinent variables, hit Enter, and get an evaluation of options.

          • b00mer

            Is this what you’re looking for?

            web version:

            link for app version:

            Keep in mind if you’re a white male 65 years or older, a black male 64 years or older, or a black or white female 70 years or older, you will automatically be on statins regardless of how perfect your data looks. (i.e. Dr. Esselstyn and his wife would be on statins!)

            And here’s a funny cartoon if you haven’t seen it :)

          • Yup. That’s it.

            But it won’t let me tell the truth!

            I don’t understand the de-emphasis on LDL goals. Or the lack of a question about BMI or fat % body weight? (Still working on those last stubborn pounds.). No question about family history, either?

            But it looks like I’m in the clear according to this. But the tape measure and my family history and the fact that I had to add a little meat back into my diet tell me to keep working on myself.

            Of course, with the ubiquitousness of cardiovascular disease and studies like the latest “saturated fat is OK” studies, what’s an overworked, confused physician to do?

          • Veganrunner

            Hi MacSmiley,
            Just out of curiosity, why did you have to add a little meat back into your diet?
            Thanks, gale

          • Food sensitivities severely curtailed both the amount and variety of plants I can eat. Try to get enough protein when you can’t eat enough plants. Doesn’t work. I truly wish it were not a necessity. But it is. I eat as little as I can get away with. I poach a small portion 3 times a week to keep the carcinogens down.

            At least, Dr. Fuhrman’s books “allow” a little animal food. My lipids seem to confirm his position. At any rate, you gotta do what you gotta do to survive.

          • tedster

            Have you tried some of the plant-based protein supplements? There are soy, pea, hemp, etc.-based supplements out there. Maybe one would work well for you so you don’t have to resort to meat.

          • Thanks for asking. The more concentrated the plant source, the more problematic.


          • JacquieRN

            Just posting the original article in case you or anyone wanted to read.

            1. The Cardiosource link does have a nice summaries – if you scroll down. like 10 point summary, the link to calculator and infographic:

            2. The new guidelines are not sitting well with many – thus the calculator is being questioned as well for instance:

            “Dr. Nissen entered the figures for a 60-year-old African-American man with no risk factors — total cholesterol of 150, HDL (the good cholesterol) of 45, systolic blood pressure of 125 — who was not a diabetic or a smoker. He ended up with a 10-year risk of 7.5 percent, meaning he should be taking cholesterol-lowering statins despite being in a seemingly low-risk group.”



          • I plugged in Gary Taubes’s cholesterol numbers. That was fun. :-D

            PS. All the cardiac risk calculators put too much stock in HDL.

          • b00mer

            Lol re: Taubes’ numbers. :)

            The emphasis on HDL these days bugs me too.

          • Gotta love the last few paragraphs in that Boston Globe article!! :-)

    • Q

      Wow, I have to say this is so maddening. My story is one of finding the whole food plant based diet after I had two drug eluding stents put in my circumflex. I asked the discharging cardiologist about diet and reversal and he did agree that the vegan diet could do it. After rehabbing for 4 weeks and starting to run again I noticed more pain when I ran and asked the cardiologist if something else could be wrong… He said no just take the drugs I have prescribed for the rest of you life and you will be fine. So I changed to the cardiologist that did my discharge and he ordered another angio. and this time the interventionist said I needed CABG. I asked my GP and the new cardiologist about diet again and they said it would take so long and I was at risk of dropping dead in the woods on a run… So I spoke to the Heart surg. and he told me that I needed the bypasses because my blockages were in the forks of the arteries and could not be stented. So I had quintuple bypass 70, 50, 70, 70, and a 50 percent blocked arteries.. The WFPBD was not given any discussion time…although the cardiologist I had did say it would work but the surgery was what was best. I am not bitter about what I had done but it infuriates me to think that the medical community ignors such valuable info.. it is supposed to be health care not Disease care. I did well bouncing back thanks in large part to the WFPBD and have given up all meds except a 10 mg simvastatin. I run 25 to 30 miles a week and just completed a 12K trail run this last Saturday in the hills of the Western NC mountains at a 8:57 pace. Thanks to the Nutrition facts staff and Dr. Greger for letting the truth be known… I know I preach it early and often to all around me.. BTW My Cardiologist did take the certification in Plant Based nutrition from E-Cornell and Colin Campbell. The practice he is in also has started cooking classes that show a better way of treating the real reason for heart disease.

      • HemoDynamic, M.D.

        Thanks for sharing that!

      • crc_check

        This is exactly my story sans CABG. Thanks to *real* dietary changes, I’m more likely to die from my stents (restenosis) than CAD.

  • satchel

    Recently told that I should add some fat every time I eat fruit, as it will help with my blood sugar and insulin resistance issues. If I eat fruit sugar (I eat a lot of fruit) without fat I am told that I could end up getting a limb amputated later in life. I thought fat was bad for people with insulin resistance issues? Really confusing stuff for me. I’d like to remain vegan and low-fat, but this is a concern. And I favor the fruit that is higher in fructose, such as apples and watermelons and dates. But does adding almonds or pecans every time I eat a couple apples really help one with these issues? How? It seems to me that the added fat to the sugar would make the issue worse in the long run

    • I always eat my fruit as part of a meal, all of which also include nuts/seeds and avocado apportioned between those 3 meals. Therefore, I always end up eating some fat with my fruit.

      Search Dr. Greger’s site for videos about nuts and seeds. There are a number of informative clips addressing various aspects of nut/seed/avocado consumption.

      • satch

        Do you know how the fat helps in anyway, as far as the fruit sugar issue?

        • Jean

          Fat helps slow down the digestion of sugar so it doesn’t hit all at once. Can’t find the source of this info quickly.

        • It averages out glycemic load, although fruit is not as high on the glycemic index as most people think.

          A little fat enhances absorption of micronutrients as well.

        • gary

          The fiber in fruit slows the absorption of sugar- as long as you don’t chop up the fiber in a high speed blender.

    • Jay M

      I would recommend eating fruits & fats separately. Is it true that birds eat berries one day and bugs on another?

    • Thea

      satch: Usually when I hear of “blood sugar and insulin resistance issues”, I think “diabetes” or “pre-diabetes”. If you are talking about Type 2 diabetes, then I think the book Dr. Neal Barnard’s Program for Reversing Diabetes would be relevant to your question.

      It’s been a while since I read the book, but I don’t remember it mentioning a need to eat fat with fruit. I even did a quick skim of the recipes and found a Fruit Smoothie recipe recommended, with no added fat/nuts/etc. (Though it does have some protein powder. Don’t know if that would be a key ingredient for the recipe in terms of what Dr. Barnard would recommend to a diabetic.)

      In the meal plans, I saw breakfasts such as oatmeal cooked with apples. And wheatberry pancakes and fresh fruit. Fresh fruit was also recommended as a dessert for one of the dinners.

      I would recommend checking out the above book to see if it can give you some general confidence in what a good diet would be for you. Here’s a link if you are interested:

      As for your questions about fat and how it might make diabetes worse, Dr. Barnard would certainly agree with you. That’s one more reason for you to read the book. It does a great job of addressing your questions.

      Good luck.

      • satch

        Thea, I’m going to get the book. Thank you. It seems to me that some vegans think they can (i was one of them) eat a lot of nuts and seeds and avocados each day, and not have it turn into a problem. I do think that this somehow caused my issues with sugar, sweets, and breads. I used to be able to eat these sweets and breads, now I struggle. I did read that large amounts of vegan omega 6 fats eaten each day, and consistently, can really screw up the liver and pancreas, and their ability to handle carbs. Thanks again for the book suggestion.

        • Thea

          Great. Good luck. If the book ends up changing your eating habits, let us know how it goes. I’ll think good thoughts for you.

  • Over the years, as I slowly crept up to a BMI of nearly 45, not a single one of my doctors ever even mentioned the “O” word. My endocrinologist did ask me at each appointment if I was still following a vegetarian diet, but he never inquired further. I was really a vegJUNKtarian, as Dr. Fuhrman would phrase it. If I hadn’t needed to move out of the Tri-state NY area, and had thus been able to keep Dr. Fuhrman as my primary care physician, I never would have reached such a sad state of affairs unchallenged and uninformed.

    Let’s hope the healthier plant-based changes I’ve made in the last 4 years, including dropping 100+ pounds, undoes any undiagnosed atherosclerosis, even if it doesn’t resolve all my health issues.

    • Broccoli

      What is the “O” word? Or you intended “P” word?


    • b00mer

      That is incredible that they wouldn’t mention it to you! I wonder if doctors are now required or at least encouraged to discuss obesity with patients since the AMA officially classified it as a disease last year.

    • Thea

      MacSmiley: Good for you for making those changes. Sounds like it has been extremely beneficial for you. I really appreciate you sharing. Your story is an inspiration.

      re: “Let’s hope…” I’ll keep my fingers crossed for you.

  • Broccoli

    $$$$$$$$ and greed.

    Some (all?) hospitals serve unhealthy foods… (there was a McDonald’s to 1 I went to + sugar drinks, freely refillable).

    You, Dr. Greger, are free and give us free info on this free site. Freeness is goodness. True thanks to you.

    “All what is needed is a few Dr. Greger types but lawyers. :)”

    If Dr. Greger can be cloned, that will be epic.
    ‘Dr. Greger’ judge
    ‘Dr. Greger’ lawyer
    ‘Dr. Greger’ president.

    • Joyce

      Husband just got out of hospital. Said he wanted vegan diet. He got a burnt toasted cheese sandwich (the aid picked it up and said, “Even I wouldn’t eat this.”), white flour thick mushroom soup, jello, brownie, fake whipped cream, etc. Dumped it all and I had to bring food in.

  • baby_grand

    Informed choice about plant based diets as a therapy or treatment would have to have something more definite than “plant-based”. That phrase covers a range from great to dangerous diets. Only the “well-designed” plant based diets work to fix bodies.

    We have the evidence that changing from indigenous high micro-nutrient diets to Western high caloric density-low micronutrient diets is an effective intervention to produce all the diseases of civilization. We have fewer of the reverse examples, since “plant-based” doesn’t always get rid of them, only a well-designed plant based diet.

    So pretty much any “Western diet” without much specifics, causes bad effects, but only a “well-designed plant-based diet” is sufficient to fix things.

    To recommend a plant-based diet to patients without any design specs for it (and a good plant-based diet is not simple, it takes a lot more planning and strategy than a random western type diet) will lead a patient nowhere. So the best way would be to have a specific plan with steps someone can take in the RIGHT direction.

    Imagine a doctor saying, “ok, so you are going shopping for some broccoli, beans, and kale today. I want you to eat some each day, the more the better, all you want, for the week, and call the office on compliance and report how you feel.” Versus: “A plant-based diet is good in many cases” And out he goes for some potato salad and orange juice, gets worse, decides on the surgery.

  • Plant strong

    Excellent! Keep fighting the good fight, get the word out! WFPB nutrition.

  • spoday

    I too have had a similar experience to many of the other commentators. I had some shortness of breath and shoulder pain so my doctor sent me to the cardiologist. The cardiologist did a treadmill test and found some mild irregularities. He then wanted to schedule me for an angiogram. He said the results of that would probably result in my need for statins. My brother and father (both steak eaters) are both on statins. I refuse. I am a vegetarian but have not been faithful to my vegan food choices. I am also in the obese category (although only by a couple of pounds). When I discussed using diet and lifestyle as my preferred treatment my cardiologist became upset and doubtful that I could effectively treat my issues with this method. He too told me that I shouldn’t worry about the procedure nor the drugs, both were safe but that “lifestyle changes are very hard”. I agree they are hard in this society. But I consider the lifestyle choices of an invasive procedure and then lifetime of drugs to be much harder. Give me greens and exercise any day. I no longer see that cardiologist but do see the inside of my gym daily. BTW, the doctor never did a blood test until he was preparing to do the angiogram and at that point he did tell me that I was severely anemic. When I looked it up, it turns out that severe anemia can cause all of the symptoms that I had experienced. A simple blood test could have solved the problem rather than the very expensive set of tests he ran. A frank conversation would have been helpful as well. He never mentioned that I was obese as being a problem.

    • Veganrunner

      Spoday have you lost the weight? If not I highly recommend Dr Fuhrmans’ book Eat For Health. Since you are already a vegetarian the transition should be easy.

      • Arjan den Hollander.

        Do you know of books dealing with plant foods for the brain? Ex:Trained to much on wednesday and I still trouble in my sleep rhythm because it got so heavily disrupted the few days after. Actually writing here on the site is already to stimulating for me. Its really weird I know.

      • b00mer

        I would also recommend the fabulous “How to Lose Weight Without Losing Your Mind” lecture by Dr. Lisle!

    • Sometimes I wonder how many heart attacks are precipitated, i.e. unstable plaques are ruptured, by the extremes in blood pressure caused by stress tests and the poking around arteries by angiogram probes.

      Although I must say intravenous ultrasound is absolutely fascinating.

  • Sheryl B

      Fact-checking isn’t what it used to be.

      Remember that journalists are laypeople and can be just as easily confused as the general public, especially in this Internet hit-centric environment we now get our information from.

      Decades ago, doctors used to endorse cigarette brands and even prescribe smoking to patients. Today, the dealers of death and disease promoting foods benefit from public confusion about the causes of heart disease. They are using obfuscating junk science and paid-off doctors to push their wares, just as the tobacco industry did in the past.

      Keep in mind, the American public never actually followed a low fat diet. Going back to saturated fats, which are proven to raise LDL but are not proven to save lives with increased HDL, will just lead us back to the peak heart attack years of the 50s and 60s.

    • Here’s what Willett’s 1996 paper actually says:

      Key messages

      •Diets high in saturated fat and cholesterol are associated with an increased risk of coronary disease, but these adverse effects are at least in part explained by their low fibre content and associations with other risk factors

      •Diets high in linolenic acid (N-3 fatty acid from plants) are associated with a reduced risk of coronary heart disease, independently of other dietary and non-dietary risk factors

      •Uncertainty remains on the optimal amount of polyunsaturated fat in the diet for prevention of coronary heart disease

      •Benefits of reducing intakes of saturated fat and cholesterol are likely to be modest unless accompanied by an increased consumption of foods rich in fibre

      In other words, to get the most cardiac benefit from reducing saturated fat, one needs to increase foods rich in fiber, i.e. PLANTS.

      Unfortunately, the public will not get that part of the message, as long as even the great Walter Willett keeps dropping the word “refined” from in front of the word “carbohydrate”. They will just be easier prey for the low-carb vultures, slather on the butter and fry up the steak and eggs, pour on some olive oil and call it a Mediterranean diet.

      • JacquieRN

        Yes MacSmiley, if you listen closely the “most of our carbohydrates are highly refined…” (Mozaffarian) “Americans took this as a green light to eat more refined grains such as breads, processed snack foods and white pasta.”

        “Some fats, particularly plant-based fats, like olive oil and nuts, seem to have a beneficial effect…”

        So listen closely, not new news. The damage comes when most people don’t listen carefully or closely.

        • You do me a disservice. I listened correctly. The word refined was not used consistently to modify the word carbohydrate. In the printed article, the word carbohydrate is appears 8 times, carbs 7 times, grains 2 times. The word refined is used only 4 times and the word processed only once. That’s a ratio 17 to 5. Carbohydrate in one form or another is unmodified 12 times.

          Might the uninformed get the idea that all carbs are bad? Absolutely, especially in the audio presentation.
          The point was not clearly made that unrefined carbohydrates are beneficial.

          • JacquieRN

            Oh MacSmiley, I am agreeing with you. I was a response to the line of conversation. Sorry for any confusion!

          • K, thanks. :-)

  • Arjan den Hollander.

    I think one of the biggest problems is that people do not recognize signs of disease. Most, even if they could, would not understand the implications for their years to come.

    It requires a slight to moderate understanding of how things work.
    Plus being able to seperate between aging and illness, is hard.
    It creeps up on a person, vascular disfunction, that is one of the biggest problems I think. People will only notice they are sick after they make changes, before they are just not aware and thus not prepared to invest time or effort.

    I’ve personally been very lucky in a way by being very sensitive to stress.
    The moment I stopped smoking apart from whatever else happend, stress went through the roof for 10 days and all of a sudden multiple symptoms of bad circulation presented itself those days.
    Understood immediately that I had to act on it instantly. My limited understanding also makes quitting the new road impossible and thus processed foods have very little pull.

    I understand however this is not a common series of events amongst patients. Wouldn’t it be prudent to device a test where a person undergoes a similar kind of process? To show the patient the difference.

    A cold room with thermal imaging or something. Or even a sight dose of vasoconstrictive medicine that can be immediately reversed after symptoms appear?


    • Veganrunner

      Seeing that heart disease is the number one killer we should all be aware that chances are we are heading down that road unless we make a conscious effort to do things differently. My father died at 52 from a massive heart attack. It would be beyond stupid for me to get fat, be a couch potato, and let time pass in a meat/fat induced coma.

      • Arjan den Hollander.

        I thought I suspended that message above, dunno how a message I wrote can appear as guest.

  • NextPoster

    i live in austria/europe. the country with the highest amount of in-patient days in the world. none of my patients would ever quit drinking (daily. 80% of adults in austria do) or change their diet. even mentioning the risks makes them highly upset and angry. i can totally relate to the practice of treating people as unconscious zombies and go straight for surgery – just as most doctors here do.

    • Veganrunner

      You can’t be serious.

    • Thea

      NextPoster: Thanks for sharing.

      Your comment sparked the following thought for me: As much as I (generally) personally see doctors having a responsibility of sharing all the relevant information regardless of expected recipient reaction, society in general also has to step up. If, for example, the media and government did a better job of educating people, then when doctors bring up these issues, the doctors would be talking to a more receptive audience. Your job wouldn’t be as hard and the patients might have a better chance of actually being helped. Just thinking here.

      Good luck. I hope your future holds lots of enlightened patients.

    • Arjan den Hollander.

      If elderly people do not listen out of principle they could be considered incompetent to pass short term judgement on what is best for their own health. And all decisions posponed for a few weeks.

      People could just be forced to do a 3 week diet before any planned surgery. No doubt this would help boost survival rates and lessen complications immediately anyhow. And after 3 weeks the knife might not even be needed anymore.

      In any case the whole of the western worlds economies are buckleling under the strain of health care. The more expensive healthcare gets the less can be invested in education and other social issues that do produce long term returns.
      Its a vicious circle/vortex sucking up the worlds labour and monetairy resources. Its a huge macro economical problem and can easily paralise entire countries.

      Refusal to eat your greens when sick = act of economic terrorism towards ones own nation!

      Keep blasting that over the TV- sets in short but frequent bursts and let that nasty demon patriotism do your educational foot work for you! Another unique tool the U.S. still has next to claim culture!

      Flag waving went somewhat out of fashion over here 60 years ago, so we might need to think of a different way :)

  • Vegan Heart Surgeon

    We practice reactive medicine driven by big pharma and now big hospital corporations. 99% of physicians have no knowledge of nutrition except for ICU nutrition which has nothing to do with every-day nutrition.
    I offer dietary changes to all my patients. Most accept it. Others (minority) rather die than never eat BBQ again. the best solution is for people to get educated…

    • Veganrunner

      Best response of the day!

    • Coacervate

      And yet look at the “news” from NPR:

      I was so confused about diet because of this sort of “spin”. It seems like the majority of people have a vague notion about nutrition but they don’t believe managing blood chems really matters. My GP still thinks 5 mM total cholesterol is good. This site is a rare “candle in the darkness” to quote Carl Sagen.

      • I don’t get the mohl measurement. What is 5 mM converted to mg/dl?

        • Coacervate

          about 200 mg/dl

          • Is there an equation?

          • b00mer

            The mM unit stands for “millimolar”, which is the number of millimoles of something per liter of solution. The unit M, without the milli, stands for “molar”, which would be the number of moles of something per unit of solution. A mole is a unit, similar to “a dozen”, except where a dozen equals 12, a mole equals 6.022*10^23. It allows chemists to take astronomically high numbers of things (atoms, molecules, etc) and reduce it down to manageable and calculable numbers. So rather than saying I’m making a solution of 6.022*10^23 molecules per liter, I can simply say I’m making a 1 “molar”, or 1 M, solution of that substance.

            So, you can take 6.022*10^23 of anything (atoms, molecules, rubber duckies, marshmallows, etc), and measure the mass of that many of them. This mass value is referred to as the “molar mass” of ____. The units of molar mass are in grams per mol.

            If we were to measure the mass of 6.022*10^23 cholesterol molecules, the mass would be 386.65 g. So its molar mass is 386.65 g/mol.

            On to the conversion, this is your basic dimensional analysis. As an example, converting 5 mmol per liter (5 mM) of cholesterol to its value in mg per deciliter (mg/dL) would go as follows below. Multiply all the numerators by each other, divide by all of the denominator values, and cancel out any units that appear as both a numerator and a denominator (since e.g. mol/mol or anything/anything = 1):

            (1000 mg/1 g)*(386.65 g/1 mol)*(1 mol/1000 mmol)*(5 mmol/1 L)*(1 L/10 dL)*(1 dL)

            The numerical value you should get is 193.33, and after crossing out identical units, the only units remaining are mg in the numerator, and dL in the denominator, so the answer is 193.33 mg/dL.

            Short answer:
            ____ mM *38.665 = your value in mg/dL

            I hope this wasn’t patronizing. Students (i.e. college level chem students) have a very hard time with the concept of moles. They try to make it into some mythical beast that is much harder to understand than it really is. I can’t help but have a fervent passion for spreading the good word about moles. For more fun with moles, please google “a mole is a unit youtube”. Great song :)

          • Glad I’m not the only one whose head is spinning. Perhaps in the future you could do the conversion in advance like they do on food labels, just for us American laypeople?

            Looks like my LDL is 1.27 from your POV. TC is 2.82.
            (Thank you, Siri, for doing the math. Energy conservation is really hard-wired, isn’t it?)

            Cute video. I’ll share it here.


          • Thea

            Fun video. Thanks for the link.

            And thanks b00mer for the education and info about the video! I’m feeling awfully ignorant right now as I don’t remember learning anything about moles before.

  • Anorexic Freaks

    While it surely seems like a really good idea, I think what you will find is that MOST PEOPLE are looking for doctors to give them a pill. Many have had YEARS, if not DECADES, to read a health book, a few diet books, and watch some free online video’s about this. They can get blood work done. If they have high blood pressure, that is a WARNING SIGN, that something is wrong. Again, they will look to the doctor for a fix.

    Read the responses. They will act shocked now, when they had 30 to 50 years to look at a plant based diet. Most of them will have trashed plant based diets till they end up in the hospital.

    People will usually only consider a plant based diet till AFTER they get end up in the hospital.

    The medical profession has a diet that that is not working. So they are on the same diet as you. The medical diet has a 60% population fat rate. Most doctors I know are fat. think it is funny, when I got a nutritionist, who has to be 350 lbs, to tell me how to be healthy.

  • rick

    “Dr. Garrison added, “You should also know that, for the average person with your
    medical history and state of health, the number needed to treat—that is, the
    number of individuals who must be treated with a statin to prevent one death
    from a cardiovascular event such as a heart attack or stroke—is generally
    between 60 and 100, which means that if I treated 60 people in your situation, 1
    would benefit and 59 would not.” – This is a quote from the AMAJOE. So the 1 out of 60 benefit is taken from this article. Do we have evidence that 1 out of 60 benefit is a science based number?

    • Dr. Esselstyn has always quoted a figure that statins help prevent mortality in 30% of cases, leaving 70% on meds still at risk of dying from their disease. That’s 3 out of 10 or 1 out of 3.33 persons. So I’m not understanding the 1 out of 60 number either.

      Cleveland Clinic demonstrated atherosclerotic plaque lesion regression with a particular statin at an 80 mg dose. Perhaps raising statin dosages in general cardiac practice would up the percentage benefited. However, that would also increase the risk of adverse side effects.

      Not encouraging whole food plant-based nutrition as the cure for this disease instead is a tragedy.

  • s noor

    I have been on a low fat vegan diet for a year, but my cholesterol numbers will not come down. Any suggestions?

    • Are you eating whole plants as grown or commercially processed vegan foods? How is your weight? Do you eat nuts? Beans? Oats (rolled or steel cut, not Cheerios)? Greens?

    • Arjan den Hollander.

      Increase your fibers. Eat more bulk.

    • Thea

      s noor: I’m not a doctor or expert, but I have some ideas for you.

      I remember a talk once where the speaker (I think it was Esselstyn, but can’t even swear to that at this point) said that he suspected that some people’s bodies were so messed up from years and years of too much cholesterol that their bodies make too much even after they stop consuming cholesterol. I don’t think this was an established scientific fact (just a true expert’s conjecture), and I may not even be remembering correctly, but it is something to think about. There may be a small percentage of people who have to take some cholesterol lowering drugs along with a plant based diet in order to get into the desired levels. Maybe you are just an individual? This would be something ot determine with your doctor. Just a thought.

      Another thought I had was: If you are overweight and as part of the last year, you are loosing weight, I wonder if that can keep ones cholesterol levels higher than desired. Maybe things will get better when you are at your healthy weight. (Again, not an established scientific principle as far as I am aware – but it is worth thinking about.)

      Finally, while I don’t have easy links for you at the moment, Dr. Greger has highlighted special foods and classes of foods that have been shown to be especially helpful in lowering cholesterol. So, perhaps you could find those videos and then tweak your diet to include a great amount of those foods. This is really the best suggestion. Being low fat vegan for a year is great! (Really, it really and truly is!!!) But maybe you need special help, tweaking your diet for your special condition?

      Good luck.

      • Some great points, especially re weight loss lowering LDL levels. I recently found out from Plant Positive that is how low-carb diet studies get rigged, have the low-carbers eat fewer calories and make sure the low-fat group is not so low fat.

        • Thea

          MacSmiley: Thanks. I think Plant Positive is amazing. I appreciate you bringing him into the conversation.

          Thanks for adding your two cents. I have been appreciating your recent comments in general on this site. Thanks for the participation!

    • Darryl

      In Pritikin’s, Dr. Esselstyn’s and other studies, a no-added fat vegan diet alone (in CVD patients) usually drops total cholesterol to the ~170 mg/dL range, not quite the < 150 mg/dL range associated with lowest cardiovascular risk. Dr. Esseltyn's outcomes are in part due to also prescribing lovastatin and sometimes cholestyramine to get numbers below 150.

      Personally, I've eaten a moderate fat vegan diet for 4 years, recently supplemented with 1 g non-prescription nicotinic acid. This only gets my total cholesterol down to 167, but with a low risk total cholesterol/LDL ratio of 2.5. My hope is that with further weight loss (my BMI is 28, down from 36 with a target of 22) I might make the magic 150 number. You may have a genetic predisposition to higher cholesterol, you may be older (which increases levels), you may have a lot of free lipids circulating due to your current BMI, and there's undoubtedly epigenetic programming from your early childhood diet playing a role. True CVD immunity from diet may start in childhood.

      Weight loss and a low saturated fat diet play the largest role, but I think everyone at risk should also weigh the benefits and risks modern medicine (even non-prescription) has to offer. I believe that ideally, GPs and cardiologists would prescribe major lifestyle changes with hard rules as their first intervention and reassess, followed by medicine until markers fall to the 50-70 mg/dL LDL levels associated with the lowest risk, followed in the last resort by surgery, with its mostly palliative effects.

      14.04.23 EDIT: I tried getting really strict about all added fats and fatty foods (ie salad dressings) in my diet, and as of my most recent blood donation, my total cholesterol was down to 156. Almost there.

  • Sherry

    It is a little odd to me that Dr. Gregor did this video when he doesn’t agree with Dr. Esselstyn in his treatment of people. It would be great if Dr. Gregor would get on the same page with Dr. Esselstyn. I am someone who had been vegan for years, but still developed heart disease, it wasn’t until I read Dr. Esselstyn’s book that I understood that I needed to be on a diet that excluded things like nuts, avoccado, and other plant-based fats, and things like juces and smoothies. when I eliminated those my health changed drastically. Even when I bring up my further restrictions people get very angry at me, when the way I eat is the way that doctors like Dr. Esselstyn, Dr. Campbell and Dr. McDougall are all agreeing on, and they are the doctors who have paved the way and have the results.

    • Arjan den Hollander.


      Watched McDougall sell carbs and sugars like you wouldn’t believe and at the end 1:02 gets pestered about stevia and video ends.

      That is awesome editting with a solid joke at the end.
      Had a good laugh!

    • I’ve been thinking about your post over the week. I’d be interested in knowing more about your condition pre-heart attack: lipid panel, homocysteine levels, BMI or body fat percentage.

      I was a vegJUNKtarian for many years and imagine I laid my share of plaque during that time.

  • Plantstrongdoc M.D.

    As a MD it is difficult not to be impressed by the work of Esselstyn, Ornish and others. Everything else is scientific ignorance.

  • ken marteney

    I want to give a shout out to Dr. Stedman in Marble Falls TX. I am uninsured and went in to be treated for a broken foot. Dr. Stedman shared plant based diet info with me. Talk about preventative care. I have only been eating plant base for two weeks but feel great! Just need my foot to heal. Dr. Stedman is the man! Thank you!

  • Crc_check

    At 37, I received 6 stents over three surgeries. Some of my blockages were only around 50%. Not one Cardiologist mentioned real dietary changes, just “follow the AHA diets” – which I was already eating given my family history. My total cholesterol was only 183 on the day of the stents.

    Now, I’m on a whole foods plant based diet, I feel much better & my numbers are better. I follow Esselstyn’s diet recommendation.

    The kicker of this, I’m more likely to die from restenosis that actual cholesterol build up. Drug Eluting Stents have a life time of around 20 years before the scar tissue closes them, and I have at least one of them in every major coronary artery. Awesome – thanks Doc.

    Based on what I know now, I just needed a single stent, and that is what makes me angry.

  • BennyB

    If you haven’t, check out Dr. Ornish’s web forum on plant-based nutrition and healthful eating! Share a post in the community that outlines your 2014 health journey and use the tag #ISupport[Ben @delabeaux]

  • Darryl

    Meanwhile, the first study the first study to link fruit and vegetable consumption with all-cause, cancer and heart disease deaths in a nationally-representative population was just released.

    Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data

    7+ servings daily reduced all-cause mortality by 42% compared to < 1 serving, vegetables had a stronger effect than fruit, and canned fruit were associated with more mortality.

    • They lump frozen fruit with cooked??!! =O

      • Arjan den Hollander.

        Must be to hide the true effects of BP’s natural gas on fruit while heating! :)

    • b00mer

      I just read the abstract, don’t have access to the whole piece. I hope they weren’t conflating syrupy canned fruit cocktail with frozen unsweetened fruit.

      • Darryl

        I suspect the issue is that (if the UK is anything like the US) the overwhelmingly most popular frozen vegetable is french fries, and canned fruit are mostly pie fillings.

    • Mindaugas Raulinaitis

      The article says “… frozen/canned fruit consumption was apparently associated with increased mortality (1.17 (1.07 to 1.28) per portion).” There is nothing about frozen vegetables.

      • Darryl

        Corrected. I

  • LynnCS

    Why am I so stupid, sometimes!

  • I am a recent subscriber and have been watching your videos on youtube for some time. You push the plant-based diet very hard. That is fine but I have some questions. What would this plant-based diet look like? What percentages of protein, carbs, and fat from calories would I be attempting to achieve? What about entomophagy? Would entomophagy fall in the same category with animal proteins or maybe fall somewhere in between animal and plant protein because it is clean of hormones and pesticides? My main concern is where all the protein is coming from and if it can be achieved without a very heavy carb load.

    • Thea


      Your questions/concerns are quite understandable. I’ll take a crack at trying to answer this for you.

      The easiest issue is to address is your protein concerns. Here are my favorite sources which address the protein issue. After reading these articles, your mind will be much at ease concerning protein: (check out December 2003 for McDougall’s site, “A Brief History of Protein: Passion, Social Bigotry, Rats, and Enlightenment”. Also April 2007, “When Friends Ask: Where do you get your protein?”)

      You also asked, “What would this plant-based diet look like? What percentages of protein, carbs, and fat from calories would I be attempting to achieve? ”
      In terms of percentages, especially of fat, you may find some differing of opinions. But what I think many people agree on is that if you generally eat a whole plant food based diet, full of veggies, fruit, intact grains, and legumes, plus a side of nuts and seeds, then you will automatically get the percentages that you need. But when people are first starting to eat healthy, this generalization is not so helpful, plus there is some fine-tuning that is needed.

      So, I first refer you to Dr. Greger’s recommendations for eating:

      That’s a great start, but is often not enough guidance for some people. So, I would encourage you to also think about the Power Plate from PCRM. This gives a very simple, easy to understand graphic of what a healthy diet might look like. Roughly fill your plate with the 4 food groups as shown in the graphic. The only thing that I think Dr. Greger might add is a 1 to 2 ounce serving of nuts and seeds on the side.

      And also consider checking out the free 21 Day Kickstart program. They hold your hand for 21 days, giving you everything from grocery lists to meal plans to recipes to forums for discussion and support. By the time you got through 21 days, you would have a very good idea of “what the diet looks like.”

      Finally, to address your question about eating bugs, Dr. Greger does have a video about this some where. I *think* it was called something like, “The healthiest __” animal? meat? I hope that when you finish reading the links I gave you about protein, you won’t see the need to eat insects. But if that seems important to you, Dr. Greger did address it.

      Hope that helps.

      • Arjan den Hollander.

        Come on thea you are a nice girl but linking to a guy who claims vegetables hold more protein than meat or fish does?

        @ OP : start filling out what you eat and start trimming to get decent values.

        • Thea

          Arjan: I think the numbers speak for themselves. I’m glad you found the cronometer. I know a lot of people get a lot of value out of it.

          • Arjan den Hollander.

            You cannot say protein content and then cite numbers of protein content percentage of total calories! Those are 2 totallly different things!

            This bluejay guy is out to confuse and misinform!

        • b00mer

          Hi Arjan,

          Most people calculate things by weight, because the food industry benefits from this. That’s how food with nearly all the calories coming from fat can be marketed as “99% fat free”, and beef which contains 33% of its calories from fat can be marketed as “95% lean”. In the nutrition world, in terms of research and recommendations, percentage in terms of calories is nearly always used and is generally considered to be a more accurate representation.

          So broccoli is 27% protein by calorie. I regularly have a big serving (about 2 cups steamed), which provides 7.4 g of protein, which is 16% of my RDA. That’s 16% of my RDA from one side dish from one meal. Not too shabby.

          I personally find percentages by calorie to be much more user-friendly. Since all I have to know is 1) am I eating enough calories, and 2) is my overall percentage of calories from protein in my diet at least 10 percent. Since I’m not a fruitarian, the answer to number 2 is always yes.

          Thinking about serving sizes and adding up numbers of grams for each for each food I eat sounds like a lot more work imo.

          • Arjan den Hollander.

            That is why grams and kilograms are so usefull instead of serving sizes and cups. All of a sudden 1+1=2 instead of 1/12+1/12*0.2854=???

            Here in my country it just says how much fat is in it per 100gr and that will be it. Anything else is just strange.

            And you are talking RDA while you use a Protein percentage guideline. This gets weirder and weirder. And who’s arbitrary RDA guideline do you follow? RDA’s are no percentages right?

            So percentages also limited by weight? And how does that affect everything else you eat or can eat or all of a sudden can’t eat anymore because RDA max has been reached?

            This sounds like the single best way to start a WFPBD eating disorder to me. Sorry m8 it really does.

          • b00mer

            Hi Arjan,

            I’m having trouble understanding most of what you are saying, but I think I can respond to a couple points.

            Regarding RDA: Most major nutritional and medical organizations agree on the same general protein requirements; these are based on body weight. For a non-athlete, 0.7-0.8 g/kg body weight. So that is what I’m going by.

            I don’t stop eating when I get to the RDA. Most days I get about 150% of my RDA, and this is without making any effort to do so. I guess that was my point, that it is very difficult to not get enough protein. It seemed like that was the main aspect of this thread –how to get enough protein– not getting too much, which is an entirely different topic.

            I disagree about your eating disorder comment. My whole point is that I just eat whole foods, all day long, as much as I want, and I get plenty of protein. I don’t add up any grams and I don’t do any percentage calculations either.

            However it is precisely because of the percentage of calories from protein of various food groups that I know that **it is impossible to not get enough** That was my whole point. I don’t track protein. However, I can, retroactively perform the calculations to demonstrate that I get enough.

            Here is how I track my protein to make sure I’m getting enough: make sure I eat enough food each day. If I’m still hungry, eat more. Done.

          • Arjan den Hollander.

            So where does that protein percentage of calories to live by come in?

          • b00mer

            So first, I have a general RDA that I want to make sure I meet: (57 kg)*(0.8 g/kg) = 45 g protein needed per day.

            I eat about 1800-2000 Calories per day. I don’t count them in order to limit them, but if I eat whole-foods plant-based, eat to satisfaction, and plug my food into cronometer, that’s just about what it ends up being.

            To know what percentage of those 1800-2000 calories need to come from protein (in order to achieve 45 g), I take into account that there are 4 Calories for every gram of protein:

            (45 g protein)*(4 Cal/g) = 180 Cal

            Thus I need 45 g of protein, or in other words, 180 Calories of protein per day.

            180 Cal/1800 Cal = 10%

            So as long as at least 10% of my calories come from protein in the diet, I will automatically get my 45g. The nice thing about this, is that since I know that vegetables, legumes, whole grains all average > 10%, I know my overall average will be greater that 10%. So I don’t even have to think about it. I just make sure I eat enough food.

      • Thank you for the well sourced response. I was up late last night going over everything you sent. along with getting sidetracked with other video on nutrition facts.

        • Thea

          Carl: My pleasure. re: “I was up late last night…” Oh dear, I hate to think I caused anyone to lose sleep. ;-)

          Thanks for the feedback! I’m so glad I was helpful.

  • DGH

    The problem, I believe, is that physicians will never broadly recommend a plant-based diet because they themselves do not eat one. Therefore, recommending one when they don’t themselves believe in it would cause too much cognitive dissonance. It’s like getting smoking cessation counseling from a two-pack-per-day surgeon with lung cancer.
    The vast majority of doctors are not vegans or even vegetarians, just like the vast majority of patients are not vegans or vegetarians. To believe otherwise is to live in a rarefied bubble.
    I don’t know what it’s going to take to get the message out there more. We are still inundated with incorrect nutritional health policy recommendations. People are talking about lean meat all the time (chicken, fish).
    Drs. MacDougall, Greger, Esselstyn and Ornish are standout professionals but they are relatively lone voices in the medical community. The recent lifestyle modification guidelines promulgated by the American Heart Association and the American College of Cardiology, which directly deal with diets, don’t even mention vegetarianism. This is despite the fact that they include vegan search terms in their literature search strategies. They recommend the DASH diet and the Mediterranean Diet. The mainstream medical community refuses to adopt vegetarianism.

    • Thea

      Well said DGH. Thanks.

    • rikperry

      Can’t do vegan… Maybe because our palates are wired by the (mostly new) food culture (i.e. fast, processed, western diets) that habituate bad choices (i.e. sugar, fat, salt). For starters, maybe too, it’s time to ban[damn] ‘Charlie and the Chocolate Factory’ (the sugar, not the chocolate), the candy holidays, and prohibit children from ‘added sugar’ use [like a drug].

  • robert

    Are DO’s better at nutrition than MD’s? Osteopathic physicians stress holistic approach but do they use nutrition in treatment?

  • signalfire1

    Same thing happens with a cancer diagnosis. A 15 minute appointment, the shock of your life (suicide rates skyrocket by 7X in the week after a cancer diagnosis!), a quick referral (weeks away) to the surgeon, the chemo guy and the radiation guy. No mention whatsoever of the part vitamin D plays, low levels of selenium, sugar feeding the tumor, Vitamin C, certainly not the biggest issue of all, B17 or laetrile which is still considered a joke even though its used in many countries now and should be offered at the patient’s discretion. Not telling your patient about ALL their options for treatment should be grounds for a class action lawsuit, especially if in reality, the AMA will label a quack any doctor who actually discusses these issues honestly. And the recommendations for chemo and radiation, both of which are carcinogenic in themselves, didn’t include any cost-benefit approach to cure rates, toxic side effects, none of that. I’m convinced more people are killed by cancer treatments themselves, than by the cancer which could most definitely respond to a dietary approach for the individual patient as well as society.

    Something I’d like Dr. Greger to look into if he has time; I read somewhere that the plant geneticist Mendel spent a large amount of his time breeding the B17 out of fruits and vegetables, because it was bitter and people liked sweet. I wonder if this is true and if we have food bred now for much less of this important nutrient.

  • HereHere

    This could be a big legal problem for cardiologists.

  • Elise

    I note that in abstract the authors state, “We considered participants adherent if they eliminated dairy, fish, and meat, and added oil.” But in the Methods section, they say, “Initially the intervention avoided all added oils and processed foods that contain oils…” Do you know which oils were added and which were prohibited and why?

    • Brenda

      Dr, Esselstyn has a video on YouTube – No, no no oil of any kind. The way he describes it – for six hours after consumption you assault your endothelial lining making it vulnerable. Oil is a processed food, there is no good one.

  • maria c mattioli

    I started following Dr. Esselstyne’s diet one year ago, I lost 25 pounds, and noticed this thin layer of fat that was just under my skin all over my body has diminished, it is great actually, I always felt I had this extra padding like babies have, now it is gone, not to mention the cholesterol tests are getting much better as well. The only downside I had to fix all of my clothes to fit me, luckily I have a sewing machine to do that!

  • Leslie

    I am a bit confused about nuts and seeds. Dr. E suggests to avoid all except for possibly walnuts, yet Dr. McDougall doesn’t say that except for watching calories. At least that’s my understanding. Can you clarify?

  • Lisa B.

    Wow same story here. they told me the artery that was still 70% blocked was too hard to get to and too fragile to stent. so they insist i stay on all this medication and since i have been doing Mostly plant based i am feeling so much better.

  • Han

    It should not even be the patient’s choice! The choice between very expensive life threatening surgery, very expensive pills or a change of diet. It’s an outrage insurance companies are willing to pay for those procedures. There should be an insurance option for people on a plant based diet which costs significantly less. And a very expensive insurance for people who consume a SAD or Atkins-like diet.