MYTH #11: “We need to eat cholesterol.” Nope. Cholesterol has important functions in our bodies, but we are capable of making all the cholesterol we need, even if we consume a zero-cholesterol diet. Virtually every human tissue is capable of making cholesterol, especially the liver, intestine, adrenal glands, & reproductive organs.
MYTH #2: “The cholesterol we eat doesn’t matter.” Actually, cholesterol in food does raise blood cholesterol, though not as predictably as do saturated & trans fats. The point may be moot, as most foods that contain cholesterol also contain saturated fats. The effect that dietary cholesterol has on your blood cholesterol depends in part on the rest of your diet: if your diet is already high in saturated fats and cholesterol, adding more cholesterol won’t have as much of an effect. But if your diet is overall healthy, more dietary cholesterol will cause a greater rise in your blood cholesterol. Also, independent of blood cholesterol levels, high-cholesterol foods such as eggs have been shown to promote LDL oxidation and increase cardiovascular risk.
MYTH #3: “Raising your HDL (‘good’) cholesterol protects against cardiovascular disease.” Not necessarily! Research shows that the FUNCTION of your HDL particles is probably more important for lowering cardiovascular risk than the HDL level reported on your blood test results. In its normal state, HDL is an anti-inflammatory, antioxidant particle that is responsible for cholesterol efflux- the removal of excess cholesterol from our tissues, especially the blood vessels. But HDL can become dysfunctional and pro-inflammatory in situations of oxidative (cellular) stress. For example, saturated fats, which are known to raise HDL, also have been shown to render HDL more inflammatory and atherogenic. So you shouldn’t celebrate a rise in your HDL cholesterol if you got there simply by eating more saturated fats.
THE BOTTOM LINE? Eating a diet rich in plant foods, and low in added sugars, animal foods, & ultra-processed foods, is a great way to optimize your cholesterol panel & dramatically reduce your cardiovascular risk.
Freeman, J Am Coll Cardiol 2017 (dietary cholesterol)
Spence, Can J Cardiol 2010 (eggs, dietary cholesterol)
Spence, Atherosclerosis 2012 (eggs)
Briel, BMJ 2009 (raising HDL doesn’t reduce risk)
Navab, Nat Rev Cardiol 2011 (HDL review)
Kosmas, Drugs Context 2018 (HDL review)
Nicholls, J Am Coll Cardiol 2006 (saturated fats & HDL)
Let’s check what researchers have found about the health of people who lived in very cold climates, like Inuits. These populations are known to have a meat-based diet. Sources are listed at the end of this article.
Ötzi the Iceman, found frozen in the Alps, had gallstones, hardened arteries and fatty streaks in his arteries, which is the first sign of atherosclerosis.
Researchers examining the content of his stomach worked out that his final meal consisted of venison and ibex meat.
The Westernization of their diets actually lowered their rates of heart disease. You know your diet is bad when the arrival of Twinkies improves your health.
Meat doesn’t get any more organic than that and it still caused heart disease! Even climbing mountains couldn’t protect him from heart disease. Because all meat comes with artery clogging substances like cholesterol and saturated fats.
Same goes for all Inuits who eat mostly wild caught meat and basically no fruits and vegetables. The totality of evidence from actual clinical investigations, autopsies and imaging techniques is that they have the same plague of coronary artery disease than non Inuit populations have, and actually have twice the fatal stroke rate and don’t live particularly long.
Another example from 500 years ago, an Inuit woman in her early 40’s – atherosclerosis in her aorta and coronary arteries.