The Ghost in the Guidelines: How the Fat Debate Shaped the Story of Heart Disease

Just days ago, something remarkable happened.
FDA Commissioner Marty Makary stood at a podium and said what would’ve once been unthinkable.
That dogma still lives large,” he declared, referring to America’s decades-long war on saturated fat. “You see remnants of it in the food guidelines that we are now revising.”
It wasn’t just a revision. It was a rebuke.
Makary didn’t mince words. He called the foundational science behind decades of dietary advice—especially…


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