The Metabolic Reckoning: How Medicine Rediscovered Carbohydrate Restriction

In 2012, telling a heart patient to cut carbohydrates could still get you labeled a heretic. Fat was the villain. Carbohydrates were the gospel. Medicine spoke in percentages and pyramids, not physiology. Calories were our currency, and balance was our creed. But the numbers on my desk told a different story.Triglycerides were falling, waistlines shrinking, … Read more

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…

The Explorer Who Ate Only Meat—and Lived to Tell the Tale

In the winter of 1906, somewhere north of the Arctic Circle, a young explorer named Vilhjalmur Stefansson sat cross-legged in an igloo, surrounded by Inuit hunters. Outside, the wind cut like a knife, shrieking across the frozen plain. Inside, the flickering light of seal oil lamps cast dancing shadows on the snow-packed walls. The air … Read more