Sublime

All forms of refined, processed carbohydrates:

Dr. James Fries, a professor of medicine at the Stanford University School of Medicine.

This is my starting point with any patient, whether they are like Anahad (with one prominent risk factor) or like me (lots of smaller risk factors). Our first order of business is to reduce the burden of apoB particles, primarily LDLs but also VLDLs, which can be dangerous in their own right. And do so dramatically, not marginally or incrementally.

This is not an atypical scenario: when a patient comes to me and says their father or grandfather or aunt, or all three, died of “premature” heart disease, elevated Lp(a) is the first thing I look for. It is the most prevalent hereditary risk factor for heart disease, and its danger is amplified by the fact that it is still largely flying under the

well. If you take anything away from this section, let it be that it’s not the amount of fat you consume; it’s the type.

How much protein do we actually need? It varies from person to person. In my patients I typically set 1.6 g/kg/day as the minimum, which is twice the RDA.

The bottom line is this: If it comes in a package, it probably contains added sugar.