Have you managed to reduce cholesterol naturally and if so, how

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hsph.harvard.edu

Doctors need more nutrition education

Anna Fisher-Pinkert

Despite the connection between poor diet and many preventable diseases, only about one-fifth of American medical schools require students to take a nutrition course, according to David Eisenberg, a…

Link:www.hsph.harvard.edu/news/hsph-in-the-...

You're doing exactly what you're accusing me of.

It's a well known fact that nutritional education is a joke in med school.

Only 20% of med schools require even a single course let alone enough training to be actually useful.

Nutrition is generally covered within biochem in med school.

Money grubbing hacks lacking intellect and courage? Bro, that one hurts - since you hate science,let me share some anecdotes:
I saw the pandemic firsthand, I was on the medical floors and in the ICUs, watching the floods of scared people, including the smug, arrogant fools who thought it was a hoax, take their last breaths of fresh air before we sedated and tubed them and watched a majority of them slowly die on the ventilator. I was exposed multiple times per day to a potentially lethal virus. Some of my colleagues died from it. My simple intellect managed complicated ventilator settings, vasopressors, and other day to day minutiae of medical care, while other "experts" tried to develop life-saving COVID treatment protocols. My daily social contact and emotional burden was to call families to update them and listen to their cries when I told them their loved ones had passed. Apparently, I don't have courage, but I showed up every day to fight with my patients - regardless of how stupid their beliefs about me, science, or medical experts might be. So, when I was working overtime for days on end, hoping I'd get approved for some hazard pay to compensate me fairly, and dealing with the daily mental trauma of mass death - Where the hell were you, mighty keyboard warrior?

Of course, you sat at home for months on end while reputable source Tucker Carlson brainwashed you to believe - "COVID is HOAX!", "The vaccine implants 5G!", "Spike protein alters DNA", "do your own 'research'", "doctors are liars", "look at the excess mortality". All this from idiots who don't even understand, or in your case, even care about scientific literature at all. You and your peers contributed NOTHING but the take-home message is that physicians are the money grubbing hacks lacking intellect and courage?

It all adds up to this- you're nuts. You live in an alternate reality, my friend. I hope you and the people who think like you can one day get back in touch with actual reality one day. Maybe one day you need a doctor yourself and get some idea of the work we do. Maybe there will be a realization then.

The money grubbing part is always the most interesting part to me because doctors made no extra money from covid vaccines or specific therapies during covid - you realize this right? The only extra pay any of us got was either overtime or hazard pay.

As for the rest of your post - "As a 50 something on/off athlete who likes to eat and drink things he shouldn't" you're one of the last people I would ever take advice from based on anecdotes. You're average health at best and it sounds like literally any diet is an improvement for you. If keto works for you, do keto until your LDL starts pouring from your freakin' eye balls. Nobody cares. The research is available for those who care for it.

How can I be doing what I'm accusing you of? I went to medical school, you didn't - so one of us has direct knowledge of the training, the other is making stuff up. See the nuance there?

Nutrition at my school was integrated into every aspect of the education from biochemistry to organ specific blocks like gastroenterology, endocrinology, neurology, etc. In biochemistry alone, we had to know every pathway including ketone production and lipid transport front to back, and every enzyme along the way. We learn every clinically relevant nutritional deficiencies there is. How excess calories lead to weight gain and metabolic syndrome. Finally we learn to construct reasonable weight loss diets and the basics on why diets fail.

To try to estimate it based on a review of curricula is going to be flawed. We also have to learn all of human physiology and pathology so, i think most of us defer to dietitians for their more specific expertise on diet alone. That said, we are also trained in how to read literature so if our interest is in nutrition, we can educate ourselves fairly easily.

Again, this is all very different from what you do - have no education in a topic and make sh!t up.

I don’t know any studies or whatever but I did keto in 2017 to lose 10 lbs.
It worked. FAST.

I also noticed I needed about an hour less sleep a night.
The downsides, however, were that I had no energy for exercise no matter how I altered my diet.

This kind of rapid weight loss is expected with keto. When you deprive your body of carbs, you deplete glycogen stores in the muscles and with that come significant water losses. So you may have lost 10lbs of weight fast (some fat, but a lot of water which gets stored with glycogen), but you didn't lose 10lbs of fat. Studies comparing keto to non-keto diets show that fat loss rates are the same if caloric intake is controlled for - so ultimately, any diet that allows you personally to maintain a caloric deficit is going to be best for weight loss. As you noted, not the best diet for any type of endurance athlete, though there are some weightlifters/bodybuilders who prefer it.

20 hours of dietary education that pretty much resembles the food pyramid is what doctors get.

true story - right from the conspiracy theorists mouth.

We actually only spend 10-15 minutes studying the pyramid because it's pretty basic. The rest of the 19h45m we spend drenching ourselves in seed oils and rolling in big pharma cash money.

Yes and the Vietnam War is covered in high school history. Most doctors have had about as deep a dive into nutrition after med school as the typical 18 year old has had into history. It's all superficial.

Calories in calories out applies regardless of diet. The benefits of keto are hormonal with appetite suppression and elevated satiety levels on reduced caloric intake which allows people to create a larger caloric deficit with less perceived mental effort.

Keto is great for endurance it is inferior to the normal glucose diets for high-intensity short duration events.

agreed, doctors and high school students are about the same in terms of education and expertise. i suppose we could agree all knowledge is superficial, no? since anyone can just make anything up, what even is knowledge?

You can be a moron and get any degree out there. Just because the material may have been presented along the way doesn't mean it was understood or retained.

Anyone who claims that being in ketosis has no benefit over regular dieting doesn't understand how ketosis works.

you dont need ketosis to suppress appetite - high protein diets in general reduce appetite and increase TEE, regardless of carbs. the perceived mental effort is... subjective - while i orgasm in my mouth eating pizza and donuts while remaining leaner than you, you can mental effort yourself into eating nothing but fatty meat day in and day out. that might be easier for you, given your fetish for keto. but not for me and not for most people. thats why keto diets like adkins are fad diets that don't offer long term solutions to obesity. if it were so easy, everyone would do keto and obesity wouldn't be a thing.

"Keto is great for endurance it is inferior to the normal glucose diets for high-intensity short duration events." o'rly?? lol, i guess that explains why all serious distance runners, from 1500m to the marathon, are fueling up before races with nothing but protein and fat.

Anyone who claims that being in ketosis has benefit over regular dieting doesn't understand how ketosis or dieting works.

Lol, such stupidity. These stupid idea comes from a BMJ paper where they tried to extrapolate deaths from medical error from smaller studies to the entire US population. This is not at all accurate. Interestingly, on the CDC list of leading causes of death in the US - the estimate from the BMJ article would make it the fourth leading cause of death (behind covid), not third, you utter moron.

just remember, when you get sick and are dying, you can choose to do it alone at home. we won't sweat about it.

As one who tutored pre meds in undergrad biology and was in relationships with two doctors, I can assure you that MDs tend towards mastery of superficial knowledge and rote memorization. That is the whole point of the current med school process. Innovation, critical thinking and context are seriously neglected or discouraged.

thank you for tutoring me on the subject. here i was thinking that my actual experience as an actual physician may be more relevant and accurate than that of someone who peripherally dated two physicians (props btw). how superficial and silly of me. innovation has clearly been lacking in medicine - we're still blood letting with slugs and chopping limbs off willy nilly for those weird conditions where the skin rots away. why didn't you come save our profession with your innovation, critical thinking, and context in pre-med biology??

As someone who tutored and subsequently was in a relationship with XY, I can assure you that XY is a certified ketonutcase.