Dr. Gundry is a clinician, not a scientist. I think his personal and patient experiences drive his recommendations more than published research. Because in his practice he focuses primarily on getting his patients to make difficult lifestyle changes, communicating his prescriptions persuasively is critical to his success. Key elements includeOrangeblossom wrote:In terms of the Wiki about Dr Gundry's advice can anyone explain to me what this means, and why is it specific to sat fats not the others? Thanks.
"Saturated fats compete for space within the Apolipoprotein 4's molecules ability to recycle cholesterol. No such problem exists if you don't carry the 4."
- Compelling, lay-accessible stories explaining his perspectives regarding lectins, inflammation, fasting, grains, dairy, etc. See The Plant Paradox for an unabridged presentation.
- Extensive testing - explained by the stories, the unusual tests he uses and the per-patient custom prescriptions driven by those tests reinforce his credibility with patients.
- The high costs of consultation and testing harnesses patients' innate desire to avoid cognitive dissonance: "If I'm paying so much, the advice I get is special, and I better follow it!"
I see Dr. Gundry the clinician adopting the language of science while eschewing the methodology in order to persuade his patients to adopt lifestyles that seem to be greatly increasing their health spans. He has an exceptionally loyal base of patients, and for me that is the bottom line.
To answer your question specifically, I think that statement just means that based on his experiences with patients and his judgement as a successful clinician, Dr. Gundry thinks it's best for ε4 carriers to limit saturated fat consumption. I personally am not persuaded that he is correct on this point, and I choose to eat saturated fats ad libitum.