I'm brand new. Just found I'm ApoE4. Yikes! I am going to try to learn what to do next.

[Nancy]

Yes, that's wise. I have always had high triglycerides.

[Nancy]

My mom and her mom had diabetes. Maybe that is why. But my Ac1 etc are good, so I'm not sure what it all means.

[GenePoole0304]

Esselstyn he is the guy of similar ilk from with the China study which is pretty much debunked by Denise Minger.. he is also the guy Bill Clinton follows if I am not mistaken.
https://rawfoodsos.com/2011/09/22/forks ... -critique/

Now <10g saturated fat might work for some on their diet but only a minority can survive on it and do well in their terms but I am more than skeptical about it being a healthy option.

I said around<20g might a better place to be.

the 3 best diets imho are DrGundry, PerfectHealth diet and Barry Sears Zone which he has just written The Mediterranean zone.

[Nancy]

I read the article reviewing "forks over knives", thank you. I'll check out the other diets you named. Stavia had some sensible sounding advice, too. I may just do something like that. Not so extreme. I actually have always cooked at home and quite healthy, except during the Atkins diet last fall. My biggest problem has always been desserts or snacks at night. I just won't buy them anymore. I'll just try to eat fruit instead.

[Stavia]

Nancy you probably shouldn't be eating after dinner or just before bed. The digested food won't be used for energy and will be stored as fat. All of what your body won't burn during sleep irrespective of whether it is protein carbs or fat. Maybe that's why your triglycerides were higher than expected on Atkins

[Nancy]

I'm going to have to break that habit. Maybe some herbal tea instead.

[Tincup]

Nancy,

First, you should read Stavia's primer, if you haven't. It is here: https://www.apoe4.info/forums/viewforum.php?f=33

My diet priorities:

1. Whole, non processed, food, emphasize varied nutrition and nutrition density (i.e. no empty calories).
2. Control insulin very well (see the Kraft links in this post: https://www.apoe4.info/forums/viewtopic ... aft#p25123
2a. Have long periods during the day for not eating. Bredesen says at least 12. I fast 22 hours a day, my wife fasts 16. Toronto doc, Jason Fung, has a series on fasting that starts here https://intensivedietarymanagement.com/ ... ry-part-i/ If you break the eating cycle, then you don't have to worry about bringing bars with you or what to do when is on your list (whatever that turns out to be) isn't available. You just don't eat.

(If you do 1 and 2a, 2 should fall in line and the rest of this list becomes less important)

I do a lot more, but I think if you do the above you've accomplished something huge. This is the place to start.

Stavia's comment about sustainability is very relevant. I agree with her comment, that on a low carb diet, your Tg should be much lower. Gundry targets less than 50 mg/dL and a Tg/HDL ratio <1. As to the Atkins products, at a recent conference I attended, an Atkins rep was there and she got a lot of flak because their products were high protein, not high fat. Her answer - they have to make what sells... A well formulated low carb diet is low in carbs, but high in fiber carbs - like non-starchy veggies; just adequate protein; and high in good fats. In our Gundry case, our diet is near vegan with no land animal fat, except a few egg yolks and modest animal protein - 20g (a 4 oz serving)/day (with his E4 limitations on animal protein limited to shell fish, white fish or omega3/pastured eggs) with a lot of fiber from the veggies, eating of this list https://www.apoe4.info/forums/download/file.php?id=760

If you pursue niacin, you should read this book https://www.amazon.com/Cholesterol-Cont ... _bdcrb_top Ideally you'd have a doc to help you, but arm yourself with information. Here is some of the most important info from the book:

scan niacin2.pdf

Gundry uses it for Lp(a) reduction.

Moderator note - I deleted the attached 22-page book excerpt because our copyright infringement policy prohibits it.

[Nancy]

Thank you for the info. The niacin link is a wealth of information, too. So helpful.

[Tincup]

Also, before you take meds for coronary artery disease you might consider an EBCT Calcium Scan on your heart. There is a lot of info in this thread https://www.apoe4.info/forums/viewtopic ... can#p14806

Also read this: https://theskepticalcardiologist.com/20 ... the-heart/
From this post:



If you have a zero score, you are in excellent shape. I don't have the reference, but in a study >50% (I think) of the people who were to be prescribed statins because of how they scored in the "calculator" of heart disease risk had a calcium score of zero. It is very arguable that these people shouldn't be treated.

If you do have a non-zero score, then according to the Raggi study https://www.apoe4.info/forums/viewtopic ... =10#p14817, if you have <15% year over year increase in calcium, your risk is very low:


My 4/4 wife and I did this a year ago. She got a calcium score of 3.7 at age 55 and I got 17 at age 59. So not zero, but not bad.

[Nancy]

That's pretty good. You must have a healthy lifestyle. I'll have to get that done for sure. Did you say your wife was a vegetarian? If so, did she switch to another type of diet and has it helped her?

The members on this forum must be the healthiest people on the planet. I'm going to have to get so disciplined. We'll all probably live to be 120.