Twitter | Search | |
Bret Scher, MD
Medical director at . Low Carb Cardiologist Promoting health through purposeful lifestyle. Making low carb simple with trustworthy information
2,967
Tweets
454
Following
19,150
Followers
Tweets
Bret Scher, MD 8h
Here is a guide we have at Diet Doctor. Some of the simplest and best are waist to height, Insulin and TGs, and HOMA IR. Fasting glucose by itself is likely the worst!
Reply Retweet Like
Bret Scher, MD Feb 22
It’s on the Diet Doctor YouTube channel and the written post is on the news section of the Diet Doctor website
Reply Retweet Like
Bret Scher, MD Feb 22
I whole heartedly agree that "we" as a medical community have over emphasized LDL and we need to dramatically scale back our reliance on it. But I stop short of saying we have proof it does not impact CV risk in LCHF. If it does, I think it is very small, but not zero.
Reply Retweet Like
Bret Scher, MD Feb 22
Great point Eric. These recommendations are VERY helpful for those who think they "need" to abandon their lifestyle that has helped them in so many ways.
Reply Retweet Like
Bret Scher, MD Feb 22
Replying to @DaveKeto @DietDoctor
And dont forget to read the post on DietDoctor!
Reply Retweet Like
Bret Scher, MD retweeted
Frank Mitloehner Feb 22
“...focusing on individual choices around air travel & beef consumption heightens the risk of losing sight of the gorilla in the room: civilization’s reliance on fossil fuels..., which accounts for ... 2/3 of global carbon emission...” | Time
Reply Retweet Like
Bret Scher, MD Feb 22
I agree sdLDL is a big concern. But to be fair, we need to adjust for ApoB rather than LDL-C since in discordance ApoB matters more. I am not aware of many studies that look at it in that way, but I would love to find more. You know the lit as well as anyone, David, help me out!
Reply Retweet Like
Bret Scher, MD Feb 22
I think it is time for a new video on this topic alone!🤨
Reply Retweet Like
Bret Scher, MD Feb 22
The key is admitting we do not know everything. We do not know that elevated LDL-P in a healthy LCHF lifestyle is dangerous. But we also do not know that it isnt. That is where individualization comes in to play. Hopefully that helps clarify my personal opinion better 🤔
Reply Retweet Like
Bret Scher, MD Feb 22
It then comes down to the individual to decide if it is worth making dietary changes to lower potential risk in every possible way. For some, it is totally worth a small risk reduction., For others, it isnt enough to move the needle.
Reply Retweet Like
Bret Scher, MD Feb 22
so, while I think we should aim for large, less dense LDL and follow a LCHF diet to optimize metabolic health, we have to keep an open mind that markedly elevated LDL-P or Apo B may still increase risk, albeit likely a very small amount.
Reply Retweet Like
Bret Scher, MD Feb 22
I think it is important to recognize what we still do not know for sure. We know large LDL with low Tg/HDL ratio is much less of a concern than the opposite. But we do not know that elevated ApoB in this setting is NO risk. Heres a pic from the Quebec CV study. RIsk isnt zero
Reply Retweet Like
Bret Scher, MD Feb 21
Replying to @dnarunner @Medscape
Here is a different perspective to consider. . It may not be a scenario of "right or wrong" as much as put it into context. Let me know what you think.
Reply Retweet Like
Bret Scher, MD retweeted
Dave Feldman Feb 21
Great new video from (via ) for those interested in lowering on a diet. It pretty much hits all the main points I have in my guide as well.
Reply Retweet Like
Bret Scher, MD Feb 20
Could be. I still like to think of it as avoiding superficial interpretations to break out of cognitive bias. I guess time will tell but we have to be open to admitting we were wrong if the science definitively says so
Reply Retweet Like
Bret Scher, MD Feb 20
Superficial misinterpretation of science. When your favorite diet lowers HDL you look for confirmation bias. Maybe i’m doing the same thing but Drug altered HDL is dramatically different from naturally occurring HDL. Plus the definitions of high versus low seem pretty off.
Reply Retweet Like
Bret Scher, MD Feb 20
Replying to @jnutritionorg
Here is a little more info about this post in our youtube video
Reply Retweet Like
Bret Scher, MD retweeted
Adele Hite Feb 19
has some great patient education materials:
Reply Retweet Like
Bret Scher, MD retweeted
Andreas Eenfeldt, MD Feb 19
I was fast and managed to taste these low-carb onion rings, as Giorgos finished up his video shoot. They're pretty great. 😋 Full recipe and more:
Reply Retweet Like
Bret Scher, MD Feb 19
Do TMAO levels matter? The gut metabolite makes headlines, but studies do not prove a causal relationship between TMAO and heart disease.
Reply Retweet Like