New referral to Ruth McPherson

(Michael) #1

Ruth McPhereson was my referral from my new GP to discuss my very high LDL-C. In advance I have been reading some of her papers found at https://pubmed.ncbi.nlm.nih.gov/?term=McPherson%2C%20Ruth[Author]&filter=years.2020-2023&timeline=expanded&sort=date

As an IR hyperresponder I thought this paper in particular interesting https://pubmed.ncbi.nlm.nih.gov/36035741/ as it shows a typical standard of care without validating Feldmans LMHR work at all. She helped write the Canadian guidelines https://pubmed.ncbi.nlm.nih.gov/33781847/ as well. Should be an interesting discussion. Her paper in 2014 asking for further testing on med risk patients with low ldl makes sense. I would ask the same for me, further testing required. As she also specializes in genetic testing I expect a full FH test and apoE as well I also thought her paper on genetics leading to artery wall dis function could be a lead into other causal factors. Could be a complete waste of time, but we will see, appointment is early May.

(Bob M) #2

That study you cited shows she has no idea of what’s really causing higher lipids in lean individuals.

Personally, I wouldn’t get near her, unless she wants to monitor you with CAC and CIMT over the course of 1-several years.

(Michael) #3

You read my mind actually. Along with the genetic testing. Not going to try to convince her of anything, but I may end up over time if she wishes to use me as a test subject for a research paper. She certainly reads like a researcher as opposed to a clinician.

(You've tried everything else; why not try bacon?) #5

A rather wordy way of expressing Max Planck’s views on the subject, which some wit further distilled down to the pithy, “Science progresses one funeral at a time.”

(Bob M) #6

It’s a difficult situation. I was thinking of going to a non-traditional doctor. There’s a group of doctors near me who use non-traditional methods including genetics testing and other testing to try to address their patients’ true issues and work on those, rather than giving people drugs.

The problem I had (let’s ignore that it’s out of pocket and very expensive) was the doctor they recommended for me was…plant-based. I could hear some conflict when I said I was keto for as long as I was, and potentially disbelief when I said what some of the benefits were. He also said he was an ApoE4 person who ate PUFAs out of concern for LDL. (I doubt he realized I know what all of that means, as we didn’t discuss that aspect.)

I am conflicted. While tests for things like SIBO etc. could be interesting, do I really want to go to someone who operates still on a completely different viewpoint? Could I really change his mind? Not sure.

It is possible. I forget which doctor it was who suggested that his patient he was treating for schizophrenia or something like that go on keto/low carb to lose weight. Then get stunned when the patient not only lost weight but stopped hearing voices. I heard another woman who was treating a patient with migraines who was confused when her patient had red wine while fasting a longer time yet did not get a migraine, since red wine is normally a trigger for migraines. She realized her patient was likely in ketosis, and then realized that ketosis might be able to help some people with migraines.

But it takes someone with an open mind and at a time when they can see results for what they are.

Even I was closed off to keto at one time, believing low fat was healthy. Had you come to me 20 or so years ago about keto, I would’ve been convinced you were killing yourself.

It’s a really tough call.

(You've tried everything else; why not try bacon?) #7

The doctor was Chris Palmer, and he says the patient actually came to him wanting to try keto to lose weight. When the schizophrenia improved, he didn’t believe it at first. He says he actually called up the patient’s father and other caregivers to make sure that he wasn’t imagining things. He also had another patient, a woman, whose schizophrenzia went into remission on a ketogenic diet, and he apparently published a case study about her. He also mentions her in his lectures.

As for the migraubes, its definitely true. Except for a month or two after my bout of COVID, eating keto and properly managing salt have done away with my migraines.

I know, right? All that arterycloggingsaturatedfat is going to kill us!

#NOTDEADYET