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Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions
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  • Published on:
    The Author of the Inflammation and Heart Disease Theory Cautions - Cholesterol and Saturated Fat are an Integral part of the Inflammatory process we call Coronary Artery Disease.
    • Richard M Fleming, Physicist-Cardiologist FHHI-OI-Camelot
    • Other Contributors:
      • Matthew R Fleming, Physicist-Paramedic
      • Tapan K Chaudhuri, MD

    In the mid-1990s, as one of the reviewers for the American Heart Association, the first author of this letter, Dr Richard M Fleming (RMF) introduced a then controversial theory stating that Coronary Artery Disease (CAD) is the result of an inflammatory process, which builds up within the walls of the arteries (Figure 1) impairing their ability to dilate and increase coronary blood flow when needed; thus producing regional blood flow differences resulting in angina [1-3] and ultimately myocardial infarction (MI) and death.
    In recent years, people promoting various dietary and lifestyle practices – particularly those promoting LowCarb-Keto diets, have taken advantage of the obesity epidemic and focused everyone’s attention on obesity and weight loss. These individuals have not determined the actual impact their diets have on CAD - which would require more than just looking at changes in weight or serum blood tests. It would require measurement of changes occurring within the walls of the coronary arteries themselves – not some other artery - and the resulting change in coronary artery function [1,4].
    These individuals, including Dr. Aseem Malhotra [5] support their dietary recommendations by showing weight loss, and occasionally reductions in cholesterol levels – at least initially in some people. Over the years as it has been shown that cholesterol levels fail to fall, and frequently increase on such diets, their argument has changed and has been replaced with “...

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    Conflict of Interest:
    FMTVDM is issued to the first author. The first author authored the Inflammation and Heart Disease and Angina Theories.
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  • Published on:
    A simple approach to a healthy lifestyle
    • Louisa Lam, Public health practitioner, epidemiologist and an academic Monash University

    Dear Editor,

    Saturated fat is an essential element in our diet. Our body uses saturated far for energy, hormone production, facilitating vitamin absorption and most importantly, for coating and padding to protect our cellular membranes and organs. In the last two decades, saturated fat has been demonised as the main culprit leading to fatty deposits in the coronary artery and causing heart attacks (myocardio-infarction) when the deposits block up the artery. The truth is that myocardio-infarction is not directly caused by deposition of saturated fat called ‘plaque’ in our coronary arteries. The main cause of myocardio-infarction is the rupture of the plaque [1]. The main cause of rupture is inflammation [2-4]. There are many factors which will trigger an inflammation response in our body. These include: infection, stress, allergy, and injury…etc. Other genetic factors and social and environment factors also play an important role. I salute the authors of this paper for their strong spirit of science, identifying new evidence which challenges previous views. “The important thing is not to stop questioning. Curiosity has its own reason for existing”. - Albert Einstein As an epidemiologist, public health practitioner and an educator, I concur with the author’s suggestion of the non-pharmaceutical approach to maintain good health. This simple approach involves an easy short daily walking exercise and eating a good balanced diet with...

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    Conflict of Interest:
    None declared.