First off, I’m a big fan of Peter Attia. He seems like a really knowledgable guy. But that podcast really annoyed me. I realize there is another thread going about this but the impression I got after listening to 3 hours of that in addition to reading the transcript was that us “low carbers” are a bunch of goofs who are feeling so good on our new diets that we won’t listen to any type of science or logic.
The Peter Attia transcript shows comments like:
Attia: “Well, I’m going to keep eating my bacon and eggs like it’s mainlining, and ignoring my LDL-C because my HDL-C is high and my trigs are low, because I’m on a low carb diet, and somehow that makes me special, because no one’s proved that this is wrong.” Wow. That’s not the legacy I want."
and
Attia: “But, if they share your passion for truth, then they should happily fund you to go to an NLA meeting and spend a week there, and actually, start hanging with these guys who are way smarter than me. I’m a knucklehead, I know a lot about lipids for a knucklehead. But, I’m talking about, the smartest people in the world are the ones you need to be talking to on this topic. And they’re not at low-carb conferences, I promise you that. They’re not on Twitter, and they’re not playing patty cakes on their high-carb, whatever, low-carb blogs”
In addition to that, located in the transcript, was a bunch of what I felt were snarky “corrections” by the untouchable Thomas Dayspring. (https://peterattiamd.com/davefeldmantranscript/)
After being a bit bummed out feeling like a conspiracy theorist who is applying my disdain for nutrition guidelines to the almighty depth of research about LDL and its “obvious” cause in CAD I figured I’d go check out this Thomas Dayspring guy… maybe I’d learn why Attia comes across like such an a$$. Maybe he’d tell me that eating fat will indeed kill me.
So I watched this:
What did I learn? THAT THOMAS DAYSPRING SUPPORTS AND RECOMMENDS KETO AND SEEMS LIKE A REASONABLE GUY. I was shocked after watching that. I was expecting Dayspring to come across like vegan Dr. Khan. I assumed he would be a total ivory tower academic elitist supporting low fat eating. Not so.
So basically my rant will end with this: I feel like Attia and @DaveKeto sort of got lost in the weeds (and Peter’s tangents) of trying to prove or disprove the energy model. While yes that is amazing to debate I think some of the podcast should have been devoted to how LDL doesn’t change in majority of low carbers and that low carb has benefits that reduce the CAD risk in other ways (such as inflammation and reduction of insulin resistance). Maybe that’s just obvious to everyone but all the annoyance that Attia showed made me think he’s anti keto and that we are all going to our grave.
If anything - watch that video of Dayspring. It just reminds me that if LDL is so causal to CAD and such a killer and here we have a “top lipidologist” recommending a high fat diet… something doesn’t jive with that.