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 Triglyceride/HDL Cholesterol Ratio

The TG/HDL-C Ratio in Clinical Context For decades, cholesterol has been the headline act in our understanding of heart disease. High LDL-cholesterol (LDL-C) — the so-called “bad” cholesterol — was cast as the main villain, while HDL-cholesterol (HDL-C) earned praise as the “good” kind. Statins became the blockbuster therapy, and LDL-C targets the cornerstone of … Read more

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

Rethinking LDL-Cholesterol: Is Lower Always Better for Heart Health?

For years, low-density lipoprotein cholesterol (LDL-C) has been considered the main culprit in heart disease. The common belief is that high levels of LDL-C clog up arteries, leading to heart attacks and strokes. This idea has driven medical experts to focus on lowering LDL-C as much as possible, often using medications like statins. However, as … Read more