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feat: added hyperblog
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[14:00](https://youtu.be/ZemkG6Vj7hc?si=IFPCyFczzwPP3cgk&t=840)
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It would have been nice to highlight why causal inferences from Gundry's cited data would be dubious. He cites data is cross-sectional in natural, which lacks any evaluation of temporality. I also lacks individual-level follow-up and makes it susceptible to ecological fallacies.
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[15:00](https://youtu.be/ZemkG6Vj7hc?si=0wC9799emR0MnxQt&t=900)
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You seem to suggest that blue zones could give us an indication of the compatibility between different dietary patterns and longevity, but I don't even think that they tell us that much because of the cross-sectional nature and the susceptibility to bias and confounding. People could generally be eating a particular diet in the region and have markedly improved average longevity, but without individual-level measurements, it could be the case that the ones living the longest are the ones who are, on average, deviating from local dietary norms.
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[15:20](https://youtu.be/ZemkG6Vj7hc?si=BKmIoCzyLgEQ08LG&t=920)
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Okay, yeah, you alluded to it. 👍
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[16:00](https://youtu.be/ZemkG6Vj7hc?si=hNH_RABHWBKklNDy&t=960)
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Something to bring up here would be the fact that the prospective cohort studies that underpin our understanding of the relationship between smoking and poor health outcomes is routinely adjusted for both vitamin C and diet quality. So, the literature tends to produce results that are not expected on Gundry's hypothesis.
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[18:30](https://youtu.be/ZemkG6Vj7hc?si=hRHT6ML5s8tB7d4j&t=1110)
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Gundry literally confuses nicotine and vitamin B3, haha. Bruh.
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[19:30](https://youtu.be/ZemkG6Vj7hc?si=HtBbugN4FXlB75wf&t=1170)
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It would have been nice to dunk on him about not understanding the difference between nicotine and B3. Even if you had to pull out your phone and look up the molecular structures to show they're entirely different things and have no relation to one another, haha. Those dunk points would be 100% worth it. Then force a concession that nicotine and B3 are not related. That would have been beautiful.
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[21:30](https://youtu.be/ZemkG6Vj7hc?si=Bs2Cfcz9CTIFaRbU&t=1290)
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This was a really well articulated accounting of the literature on LPa and its relationship to outcomes. It shouldn't be taken for granted that anything that lowers LPa will be favourable as an intervention (such as liver disease).
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[24:10](https://youtu.be/ZemkG6Vj7hc?si=3nIZY_p-PHpp9Fv9&t=1450)
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The guidelines do not recommend to lower ApoB to lower oxPL levels, lol. You should have pressed him to substantiate this claim. OxPL and oxLDL don't have any clinical utility that I'm aware of, and the literature investigating them as independent risk factors hasn't been very fruitful for the hypothesis that they drive risk over and above ApoB. I dunno where he's getting this stuff, but he should have been pressed hard on this point.
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Beyond appealing to the guidelines, it would be helpful to explain why lowering ApoB is the gold standard recommendation for primary and secondary CVD prevention. It's merely because no other markers tend to survive adjustment and/or control for ApoB when analyzed, and the ones that do already have different treatment modality (such as beta blockers for hypertension, GLP1 for obesity, etc). We don't have a good justification for for making oxPL or oxLDL a target for therapy.
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[25:05](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=1505)
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You provided a question-begging argument here. An argument that assumes the conclusion in its premises; investigations into oxPL won't change guidelines because management is going to be lowering ApoB. This could be avoided by merely elaborating on why oxPL is not currently a target for therapy.
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[26:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=1590)
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Mike asks a very good question, and Gundry dodges and proceeds to ramble. It would have been appropriate to cut him off and directly ask him how he's deriving generalizable conclusions based on his mechanistic reasoning. If his response is "I see patients tho", simply direct him to a picture of the evidence hierarchy and ask him why recommendations should be guided by the lowest possible rung.
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[27:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=1650)
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Gundry dodged another direct question about oxPL and heart attacks. When pressed again, he started rambling about beta blockers. It would have been good to press him for an answer. The intention of this discussion is to confront Gundry on his views and see how robust his views are to scrutiny. He should be providing answers to every question he's asked, but he doesn't. Redirecting him back onto a linear path is crucial. Sophists will try to side-step you. You have to keep them linear and force answers when necessary.
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[29:35](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=1775)
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Good good, you explained by ApoB trumps his pet biomarkers in terms of epistemic virtuousness. It's good that you did, but it should have been done at 24:10. 👍
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[31:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=1890)
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This motherfucker starts yacking about leaky gut. It would have been nice to just stop him and ask him for the ICD-10/11 code for leaky gut. When he can't produce one, ask him why he's trying to diagnose and treat a disease that doesn't seem to exist.
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[35:50](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2150)
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Gundry criticizes your epistemology as "incomplete". You ask him "how so?". But, it would have been better to ask him what he means by "incomplete", because it'll probably cash out into something trivial that you might not even disagree with, but won't really succeed as a criticism against you. For example, if by incomplete he actually means you're not in possession of all of the facts or whatever, that's a criticism that will be true of all scientific and epistemic modalities. So who cares?
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Scrutinizing your opponents semantics when they say something bizarre or vague like "incomplete" can be a great way to demonstrate to the audience that they're out to lunch and/or gibberating. Semantic analysis is super important.
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[36:25](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2185)
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Again with this leaky gut shit. He needs to give the ICD-10/11 code or GTFO.
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[37:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2220)
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LMAO. You both asked him for a symmetry breaker between his anecdotes and other doctors anecdotes, despite mutually incompatible recommendations and great patient results, and he basically responds with a non-answer; "I treat their failures and they treat my failures". He should have been dicked into the dirt here. He should have been pressed mercilessly for that symmetry breaker; what justifies sooner believing Gundry's anecdotes over some other quacks's anecdotes.
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[37:50](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2270)
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Would have been nice to point out that the Lyon Diet Heart Study also replaced meat with bread, lol. That would have ground his gears.
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It's a good study, but I'd be less confident in the results because the confidence intervals for RR were a barn door, unfortunately. The results are compatible with virtually abolishing CVD and also compatible with barely making a dent. It's really hard to draw firm conclusions from it, despite the seemingly impressive results. It think you make a good point, though. Regardless of what I just said there, the results aren't expected on Gundry's hypothesis.
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[40:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2400)
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Wtf is this clown talking about? Antioxidants weren't included in the model for the final analysis in the LDHS. This mf is huffing whippits. He's just fucking hallucinating before our eyes.
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![[Pasted image 20240711165008.png]]
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[42:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2520)
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He's back on this leaky gut shit again. He needs to be pressed. ICD-10/11 codes, my dude.
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[48:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=2880)
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It's clear the discussion has gone completely off the rails because both Mike and yourself are allowing him to steer you down rabbitholes. It's probably no longer clear to the audience what the topic of discussion even is anymore. The convo desperately needs to be steered toward a path of linearity. He's made a number of wacky claims, but ultimately he's presumably there to defend his position that lectins causes leaky gut which leads to auto-immunity, which leads to all disease.
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His position can be formalized as such:
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<div style="text-align: center">
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<font color="CC6600">
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<b>P1)</b></font> If one consumes lectins, then one is at risk of developing leaky gut.
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<br />
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<font color="CC6600">
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<b>(P→Q)</b>
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<br />
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<b>P2)</b></font> If one is at risk of developing leaky gut, then one is at risk of developing auto-immunity.
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<br />
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<font color="CC6600">
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<b>(Q→R)</b>
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<br />
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<b>P3)</b></font> If one is at risk of developing auto-immunity, then one is at risk of developing all known diseases.
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<br />
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<font color="CC6600">
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<b>(R→S)</b>
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<br />
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<b>C)</b></font> Therefore, if one consumes lectins, then one is at risk of developing all known diseases.
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<br />
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<font color="CC6600">
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<b>(∴P→S)</b>
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<br />
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<br />
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</font>
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</div>
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He needs to provide an argument for each one of these premises, as they all seem to be questionable at best and stone cold fucking insane at worst.
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[50:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3000)
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You do give a really good response to his microbiome fuckery, which is good tho.
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[52:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3150)
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At this point I wouldn't even touch the glyphosate claim. All it does is invite an opportunity for him to whisk you both down on another tangent. The trajectory of conversation should be corrected and placed back on a linear path. He needs to provide sound arguments for his position, and addressing his claims on glyphosate is already granting him too much. The response you gave to the point was good though. I just personally wouldn't have let the conversation get that far off track.
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[54:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3270)
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"No juicers in central park zoos tho"
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Is this asshat for real? Holy fuck, lmao.
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[56:15](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3375)
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You curbstomped him here, haha. Glorious. At least we're sorta getting back on track and talking about dietary exposures and risk. But we need to steer back to the center of the bullseye and discuss lectins and whatnot.
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[56:40](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3400)
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You may have misspoke here, but humans are taxonomically classified as apes. I think maybe what you meant was that humans aren't other apes, like gorillas, chimps, etc.
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[59:20](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3560)
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I'm pretty sure the lectin content of just run of the mill canned beans is essentially zero. Given that nobody eats raw beans, it's not even clear why we should care about Gundry's hypothesis. He can't even demonstrate that the means by which beans are ubiquitously consumed actually has a level of lectins that would give us any reason to believe his hypothesis is credible in the first place. If nobody is eating lectins from beans, how in the fuck are those lectins contributing to disease?
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[1:02:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=3720)
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You smacked him pretty good here on the seasonality point, haha.
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[1:13:20](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4400)
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It's good that you eventually brought the conversation back to the question Gundry was asked at 37:00 that he dodged twice. I feel like this is a good step toward course-correcting the discussion.
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[1:15:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4500)
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I think this discussion about hunter-gatherer populations could benefit from a discussion about antagonistic pleiotropy. It's the best way to killscreen all appeals to evolutionary history, pretty much. There's no good answer they can provide for it other than appealing from incredulity.
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[1:18:10](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4690)
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Gundry is really starting to crumble here. After enough scrutiny we have finally distilled his position down to "I think fructose is a problem". It's like, okay, Gundry, we don't disagree that you believe that, and you're free to go take your pet theories and play with your prick in the corner with them. But when it comes to the human outcome data, there's nothing he's been able to cite to back up the seasonality claim, or the hybirdization claim, etc. It's all just speculation, and I think you both just eventually wore him down to the point where it was revealed that the claim was actually making was just some trivial horseshit.
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[1:20:20](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4820)
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Great job immediately smacking his anecdotal bullshit down, haha.
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[1:22:20](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4940)
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Holy fuck, at least we're back on a lectin-adjacent topic, I guess. But he just made a number of rapid-fire, bullshit claims one after the other, and if it wasn't as tangent, each of them would need to be scrutinized to completion. This guy is such con artist.
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[1:23:10](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=4990)
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This should have been the turning point of the entire debate. He admits that his entire position is an unproven theory. From here, he needs to be pressed HARD on why he thinks unproven theories should be thought to have clinical utility. He needs to be pressed HARD on why he thinks recommendations should be based on unproven theories. This would have been the best opportunity in the entire debate so far to steamroll for a concession that his position is essentially a nothing-burger.
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Instead, this opportunity was overlooked and a superfluous line of questioning was resumed immediately after Gundry gave this answer. This is definitely a mistake. Gundry's toes are blistering against the hot coals at this point, and he admitted something devastating to his position. He was toast in this debate at that moment, but it was overlooked.
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[1:25:10](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=5110)
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Good to point out the selection bias for his claim there, haha.
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[1:29:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=5340)
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Gundry basically admits here that the selection bias point that you made, that he previously disagreed with, is actually true.
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[1:31:40](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=5500)
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He's insane.
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[1:34:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=5670)
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That coke-twinkie story was a really good way to highlight the folly of Gundry's approach.
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[1:38:30](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=5910)
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This mf is allergic to answering questions directly, hahaha
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[1:42:00](https://youtu.be/ZemkG6Vj7hc?si=hv74MzmRybpA2C7u&t=6120)
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This is more of a criticism of Mike, but ending with a sematic critique is weak. There were so many good opportunities to just body this clown, and after all that we end with a semantic critique. It's just such a shame.
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---
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# Hashtags
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#debate
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#clowns
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#clownery
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## Stories tho
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- Authorities tho
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- Bart Kay tho
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- Not well-tenured tho
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- Unproven causality tho
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- Carnivore Aurelius tho
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- Hatred tho
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- Screaming at waiters tho
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- Vandalism tho
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- ChatGPT tho
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- Chris Knobbe tho
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- DiNicolantonio tho
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- Gojiman tho
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- Butyrate tho
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- Fecal samples tho
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- Joseph Everett tho
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- $100 billion dollars tho
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- YouTuber saw dust tho
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- Paul Mason tho
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- Expensive studies tho
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- Statistical significance tho
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- Paul Saladino tho
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- Chicken thighs tho
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- Not radical tho
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- The remembering tho
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- Ray Peat tho
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- Gilbert Ling tho
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- Regenerative energy tho
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- Taleb tho
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- Black swan tho
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- Platonification tho
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- Risk management tho
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- Unknown unknowns tho
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- Not lindy tho
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- Tucker Goodrich tho
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- Antique studies tho
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- Africans tho
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- Corn oil not a seed oil tho
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- Slight benefit tho
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- CVD reporting tho
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- Ecological data tho
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- Best epi tho
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- Critical tho
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- Live in the ecology tho
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- Real life tho
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- Worst epi tho
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- Epi doesn't replicate tho
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- 800 calories tho
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- Walter Willett tho
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- Heart attacks are fine tho
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- Hunter-gatherers tho
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- Mongongo nuts tho
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- Tsimane motorboats tho
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- Nutrition transition tho
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- On my blog tho
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- Only mechanism tho
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- ALA tho
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- EAS paper tho
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- Trans fat is better tho
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- Wife's cracked feet tho
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- Brown and Goldstein tho
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- Statistics tho
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- Mediator adjustments are good tho
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- Post-hoc cherry-picking tho
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- Tsimikas tho
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- Covariates must interact tho
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- R² tho
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- Weston Price tho
|
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- Chris Masterjohn tho
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- Perilous tho
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- Vitamin E depletion tho
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- Jaw structure tho
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- Modern commerce tho
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- Zoe Harcombe tho
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- Ancel Keys tho
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- Fake scatterplot tho
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- Lent tho
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- Dietary guidelines tho
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- Public experiment tho
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- Intuitions tho
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- Common sense tho
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- Anecdotes tho
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- COVID lockdowns tho
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- Government interests tho
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- FDA approval tho
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- GRAS standards tho
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- Oppressed poor tho
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- Look around tho
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- n=1 tho
|
||||
- Curly hair tho
|
||||
- Explosive diarrhea tho
|
||||
- GERD tho
|
||||
- Joint pain tho
|
||||
- Mentally ill tho
|
||||
- Depression tho
|
||||
- Suicidal ideation tho
|
||||
- Skin health tho
|
||||
- Acne tho
|
||||
- Penis rashes tho
|
||||
- Sunburns tho
|
||||
- NCBI identifier tho
|
||||
- Physiognomy tho
|
||||
- Spontaneous combustion tho
|
||||
- Stabbings tho
|
||||
- Take-out salads tho
|
||||
- Corporate interests tho
|
||||
- Globalization tho
|
||||
- Chinese imports tho
|
||||
- Unsustainable tho
|
||||
- Habitats tho
|
||||
- Monocrops tho
|
||||
- Manipulated journals tho
|
||||
- Industry funding tho
|
||||
- Publication bias tho
|
||||
- Monsanto tho
|
||||
- Proctor and Gamble tho
|
||||
- Crisco advertising tho
|
||||
- Soap CEOs tho
|
||||
- Unilever tho
|
||||
- History tho
|
||||
- Engine lubricant tho
|
||||
- Great Depression tho
|
||||
- Homicide rates tho
|
||||
- King Henry VIII tho
|
||||
- McDonald's employees tho
|
||||
- Mustard ban tho
|
||||
- World War II tho
|
||||
- Soldier rations tho
|
||||
- Weapons manufacturers tho
|
||||
- Philosophy tho
|
||||
- Pascal’s wager tho
|
||||
- Precautionary principle tho
|
||||
- Papers tho
|
||||
- Case reports tho
|
||||
- Boston children’s hospital tho
|
||||
- 14 years tho
|
||||
- Intralipid tho
|
||||
- Omegaven tho
|
||||
- Granny in the 60s tho
|
||||
- Epidemiology tho
|
||||
- Confounders tho
|
||||
- Epi replication tho
|
||||
- FFQs tho
|
||||
- Healthy user bias tho
|
||||
- Indian railway study tho
|
||||
- Ghee tho
|
||||
- South India tho
|
||||
- Real life tho
|
||||
- Statistics tho
|
||||
- Inverse‐variance heterogeneity tho
|
||||
- Random effects tho
|
||||
- Human trials tho
|
||||
- Minnesota coronary survey tho
|
||||
- Biggest study tho
|
||||
- Influential tho
|
||||
- Hidden data tho
|
||||
- 18 years tho
|
||||
- Basement tapes tho
|
||||
- Sydney diet-heart study tho
|
||||
- Decoded reels tho
|
||||
- Low risk of bias tho
|
||||
- Unknown fat contents tho
|
||||
- Women’s health initiative tho
|
||||
- Noakes paper tho
|
||||
- Page 661 tho
|
||||
- Lyon diet heart study tho
|
||||
- LDL differences tho
|
||||
- Only low-LA study tho
|
||||
- Biggest effect tho
|
||||
|
||||
##
|
||||
|
||||
Mechanisms tho
|
||||
|
||||
- Biochemistry tho
|
||||
- Endothelial function tho
|
||||
- Flow-mediated dilation tho
|
||||
- Plaque contents tho
|
||||
- Phytosterols tho
|
||||
- Cholestasis tho
|
||||
- Gallstones tho
|
||||
- PUFA tho
|
||||
- Linoleic acid tho
|
||||
- Brain health tho
|
||||
- Amyloid tho
|
||||
- Neurotransmitters tho
|
||||
- Dopamine tho
|
||||
- GABA tho
|
||||
- Electromagnetic waves tho
|
||||
- 5G tho
|
||||
- Smartphones tho
|
||||
- Eye health tho
|
||||
- Damaged macula tho
|
||||
- Rods and cones tho
|
||||
- Microbiome tho
|
||||
- IBS tho
|
||||
- Leaky gut tho
|
||||
- Mitochondrial dysfunction tho
|
||||
- Apoptosis tho
|
||||
- Body temperature tho
|
||||
- Latitude tho
|
||||
- Thermogenesis tho
|
||||
- Cardiolipin tho
|
||||
- Energy leaks tho
|
||||
- Potassium leaks tho
|
||||
- Nonenals tho
|
||||
- 4-Hydroxynonenal tho
|
||||
- DNA damage tho
|
||||
- Obesity tho
|
||||
- Endocannabinoids tho
|
||||
- 2-AG tho
|
||||
- Marijuana tho
|
||||
- Munchies tho
|
||||
- Rimonabant tho
|
||||
- Gastric bypass tho
|
||||
- Insulin resistance tho
|
||||
- Hyperglycemia tho
|
||||
- Standard model tho
|
||||
- Ceramide-1-phosphate tho
|
||||
- Peroxidation tho
|
||||
- Aldehydes tho
|
||||
- Malondialdehyde tho
|
||||
- Old people smell tho
|
||||
- Diols tho
|
||||
- OXLAMs tho
|
||||
- Rodents tho
|
||||
- Demented rats tho
|
||||
- Mouse tumours tho
|
||||
- Hormone imbalance tho
|
||||
- Testosterone tho
|
||||
- Thyoid function tho
|
||||
- T3 tho
|
||||
- TSH tho
|
||||
- Inflammation tho
|
||||
- Auto-antibodies tho
|
||||
- Eicosanoids tho
|
||||
- Omega-3 ratio tho
|
||||
- Prostaglandins tho
|
||||
- Oxidation tho
|
||||
- Chinese fry cooks tho
|
||||
- Epoxides tho
|
||||
- Kitchen fumes tho
|
||||
- UV radiation tho
|
||||
- Rancid tho
|
||||
- Polymerization tho
|
||||
- Weak membranes tho
|
||||
- Fluidity tho
|
||||
- OxLDL tho
|
||||
- 4E6 antibody assay tho
|
||||
- E06 antibody assay tho
|
||||
- Styrofoam houses tho
|
||||
- Unnatural tho
|
||||
- Not ancestral tho
|
||||
- American adipose tho
|
||||
- FADS SNPs tho
|
||||
- Evolution tho
|
||||
- Face shape tho
|
||||
- Genetic modification tho
|
||||
- Industrial tho
|
||||
- Cheap tho
|
||||
- Plastic bottles tho
|
||||
- Diesel engines tho
|
||||
- Ecosystems tho
|
||||
- Spooky production tho
|
||||
- 98 ears of corn tho
|
||||
- Adulterated animal fats tho
|
||||
- Chicken fat tho
|
||||
- Pork fat tho
|
||||
- Adulterated plant fats tho
|
||||
- Avocado oil tho
|
||||
- Olive oil tho
|
||||
- Baby formula tho
|
||||
- Autism tho
|
||||
- Children’s brains tho
|
||||
- Chemicals tho
|
||||
- Bleached tho
|
||||
- Glyphosate tho
|
||||
- Solvents tho
|
||||
- Chemical extraction tho
|
||||
- Hexane tho
|
||||
- Press cakes tho
|
||||
- Car emissions tho
|
||||
- Dewaxing tho
|
||||
- Candles tho
|
||||
- Industrial sludge tho
|
||||
- Heat tho
|
||||
- Acrylamide tho
|
||||
- Fast food tho
|
||||
- French fries tho
|
||||
- Potato chips tho
|
||||
- Degumming tho
|
||||
- Deodorized tho
|
||||
- Unpleasant odor tho
|
||||
- Hydrogenation tho
|
||||
- Shortening tho
|
||||
- Trans fats tho
|
||||
- How It's Made tho
|
||||
- Interesterification tho
|
||||
- Microplastics tho
|
||||
- Ultraprocessed tho
|
||||
- Fat-free Pringles tho
|
||||
- Nutrient poor tho
|
17
💻 Hyperblog/Templates/Claim Template.md
Executable file
17
💻 Hyperblog/Templates/Claim Template.md
Executable file
|
@ -0,0 +1,17 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
|
||||
|
||||
## References
|
||||
|
||||
1.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#seed_oils
|
16
💻 Hyperblog/Templates/Disease Template.md
Executable file
16
💻 Hyperblog/Templates/Disease Template.md
Executable file
|
@ -0,0 +1,16 @@
|
|||
# Disease
|
||||
|
||||
Description
|
||||
|
||||
**Key features of :**
|
||||
|
||||
Body
|
||||
|
||||
- feature
|
||||
|
||||
|
||||
# References
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
11
💻 Hyperblog/Templates/Empirical Template.md
Executable file
11
💻 Hyperblog/Templates/Empirical Template.md
Executable file
|
@ -0,0 +1,11 @@
|
|||
# Title
|
||||
|
||||
Body
|
||||
|
||||
# References
|
||||
|
||||
1.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
19
💻 Hyperblog/Work/4e6 antibody assay.md
Executable file
19
💻 Hyperblog/Work/4e6 antibody assay.md
Executable file
|
@ -0,0 +1,19 @@
|
|||
# 4E6 Antibody Assay for oxLDL
|
||||
|
||||
The Mercodia 4E6 antibody assay is often used to measure [[oxidized low-density lipoproteins]] [(1)](https://www.mercodia.com/products/oxidized-ldl-elisa/). It is directed against a conformational epitope in the ApoB-100 moiety of [[low-density lipoproteins]] that is generated as a consequence of substitution of at least 60 lysine residues of ApoB-100 with aldehydes [(2)](https://pubmed.ncbi.nlm.nih.gov/16762956/). Some have claimed that the 4E6 assay is a [[seed oil claims - 4e6 antibody assay]], but their arguments are not particularly strong.
|
||||
|
||||
# References
|
||||
|
||||
1. https://www.mercodia.com/products/oxidized-ldl-elisa/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/16762956/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#lipidology
|
||||
#oxidized_low-density_lipoproteins
|
||||
#low-density_lipoproteins
|
||||
#4e6_antibody_assay
|
||||
#malondialdehyde
|
||||
#hyperblog
|
126
💻 Hyperblog/Work/LA Veterans Administration Hospital Study.md
Executable file
126
💻 Hyperblog/Work/LA Veterans Administration Hospital Study.md
Executable file
|
@ -0,0 +1,126 @@
|
|||
# LA Veterans Trial
|
||||
|
||||
The LA Veterans Administration Hospital Study (LAVAT) was an eight-year double-blind RCT, first reported on by Dayton et al. (1969), and aimed to investigate the effects of substituting seed oils for animal fat on the risk of [[cardiovascular disease]] [(1)](https://www.ahajournals.org/doi/10.1161/01.CIR.40.1S2.II-1)[(2)](https://pubmed.ncbi.nlm.nih.gov/4189785/). The researchers actually took enormous care to ensure that the substitution of seed oils for animal fat was the only substitution the subjects were making. Even going so far as providing ice cream made out of seed oils rather than dairy fat [(3)](https://pubmed.ncbi.nlm.nih.gov/13907771/).
|
||||
|
||||
It's important to acknowledge that the trial observed statistically significant increases in dietary [[linoleic acid]] (LA) and LA tissue representation in the seed oil group. LA was higher across all measured tissue compartments when comparing subjects with an adherence of at least 88% to control.
|
||||
|
||||
## Outcomes
|
||||
|
||||
#### Cardiovascular
|
||||
|
||||
With respect to the primary outcomes, ischemic heart disease (IHD) and acute myocardial infarction, there was a statistically non-significant decrease in events in the seed oil group. Despite being non-significant, the results are not expected on the hypothesis that seed oils increase the risk of [[cardiovascular disease]] (CVD).
|
||||
|
||||
- **IHD and AMI:**
|
||||
- RR: 0.74 [0.51, 1.06]
|
||||
|
||||
When acute cerebral infarction (ACI) is added to the composite endpoint, there is a statistically significant decrease in risk in the seed oil group. Results that are truly unexpected on the the hypothesis that seed oils increase the risk of CVD.
|
||||
|
||||
- **IHD, AMI, and ACI:**
|
||||
- RR: 0.64 [0.46, 0.88]
|
||||
|
||||
When the results are scoped to only include fatal atherosclerotic CVD events, the results are also statistically significantly in favour of the seed oil group.
|
||||
|
||||
- **Fatal ASCVD:**
|
||||
- RR: 0.67 [0.46, 0.96]
|
||||
|
||||
#### Cancer
|
||||
|
||||
Among the secondary endpoints was total carcinoma, which showed a borderline statistically significant increase in carcinomas in the seed oil group [(4)](https://pubmed.ncbi.nlm.nih.gov/4100347/).
|
||||
|
||||
- **Carcinoma:**
|
||||
- RR: 1.80 [0.96, 3.35]
|
||||
|
||||
This may look worrying at first, but a good explanation was provided by the authors themselves:
|
||||
|
||||
>"Many of the cancer deaths in the experimental group were among those who did not adhere closely to the diet. This reduces the possibility that the feeding of polyunsaturated oils was responsible for the excess carcinoma mortality observed in the experimental group. However, there were significantly more low adherers in the entire experimental group than in the controls (table VI). In both groups, the numbers of cancer deaths among the various adherence strata are compatible with random distribution (table V). A high incidence among high adherers would be expected if some constituent of the experimental diet were contributing to cancer fatality."
|
||||
|
||||
Additionally, there was an included table that stratified cigarette consumption subgroup by carcinoma. There was a disproportionately higher number of carcinomas within the 1/2-1 pack/day group:
|
||||
|
||||
| Cigarette smoking | Control | | | Experimental | | |
|
||||
| ----------------- | ---------- | ------------------ | ------------------ | ------------ | ------------------ | ------------------ |
|
||||
| | No. of men | Carcinoma observed | Carcinoma adjusted | No. of men | Carcinoma observed | Carcinoma adjusted |
|
||||
| Unknown | 57 | 2 | 1.74 | 42 | 1 | 1.15 |
|
||||
| > 2 packs/day | 13 | 0 | 0 | 7 | 0 | 0 |
|
||||
| 1-2 packs/day | 57 | 2 | 1.66 | 38 | 4 | 5.00 |
|
||||
| 1/2-1 pack/day | 129 | 6 | 7.02 | 173 | 19 | 16.53 |
|
||||
| < 1/2 pack/day | 62 | 3 | 2.61 | 46 | 4 | 1.64 |
|
||||
| Occasional | 18 | 1 | 1.03 | 19 | 0 | 0 |
|
||||
| None | 86 | 3 | 3.24 | 99 | 3 | 2.79 |
|
||||
| **Total** | **422** | **17** | **17.30** | **424** | **31** | **30.15** |
|
||||
|
||||
If we turn our attention to the table that stratifies carcinomas by adherence, we can see that the majority of the excess carcinomas occurred only in the lowest adherence strata:
|
||||
|
||||
| Adherence (%) | Control group | Experimental group |
|
||||
|---------------|---------------|--------------------|
|
||||
| 0-10 | 2 | 10 |
|
||||
| 10-20 | 1 | 2 |
|
||||
| 20-30 | 1 | 3 |
|
||||
| 30-40 | 0 | 0 |
|
||||
| 40-50 | 3 | 3 |
|
||||
| 50-60 | 3 | 3 |
|
||||
| 60-70 | 0 | 4 |
|
||||
| 70-80 | 2 | 2 |
|
||||
| 80-90 | 4 | 1 |
|
||||
| 90-100 | 1 | 3 |
|
||||
| **Total** | **17** | **31** |
|
||||
|
||||
Given the numbers in the first table, one of the only reasonable explanations is that the excess carcinomas were occurring in non-adherent smokers in the intervention group. This certainly is not expected on the hypothesis that seed oils increase the risk of [[cancer]].
|
||||
|
||||
Furthermore, when you account for this by removing the moderate smokers, there was a statistically non-significant decrease in carcinoma risk in the seed oil group:
|
||||
|
||||
- **Carcinoma Adjusted:**
|
||||
- RR: 0.65 [0.14, 2.98]
|
||||
|
||||
##### Skin Cancer
|
||||
|
||||
Lastly, there was a post-hoc analysis of skin cancer performed by Pearce et al. (1971), wherein we see that in the seed oil group, there were ten cases of skin cancer, whereas in the animal fat group there were 21:
|
||||
|
||||
| Site | Diet phase | | Post-diet phase | |
|
||||
| -------------------------------- | ---------- | ------------ | --------------- | ------------ |
|
||||
| | Control | Experimental | Control | Experimental |
|
||||
| Buccal and pharynx | 6 | 10 | 1 | 0 |
|
||||
| Digestive and peritoneum | | | | |
|
||||
| Stomach | 6 | 12 | 6 | 3 |
|
||||
| Other | 1 | 6 | 2 | 0 |
|
||||
| Respiratory | | | | |
|
||||
| Lung and bronchus | 13 | 12 | 4 | 3 |
|
||||
| Other | 0 | 1 | 1 | 1 |
|
||||
| Genitourinary | 10 | 16 | 2 | 2 |
|
||||
| Prostate | 8 | 2 | 3 | 3 |
|
||||
| Other | 2 | 5 | 0 | 2 |
|
||||
| Total carcinomas, excluding skin | 35 | 57 | 12 | 7 |
|
||||
| ==**Skin carcinomas**== | ==**21**== | ==**13**== | ==**4**== | ==**2**== |
|
||||
| Other malignancies* | 3 | 0 | 1 | 2 |
|
||||
| Fatal benign tumor | 0 | 0 | 0 | 0 |
|
||||
| **Total** | **59** | **70** | **17** | **11** |
|
||||
|
||||
#### Body Weight
|
||||
|
||||
Some argue that seed oils increase the risk of obesity, however in this eight-year RCT, body weight fluctuated for both groups, and stayed roughly within 1% of baseline for both groups. Essentially subjects ended up essentially where they started in terms of body weight on average.
|
||||
|
||||
![[Pasted image 20240714002415.png]]
|
||||
|
||||
# References
|
||||
|
||||
1. https://www.ahajournals.org/doi/10.1161/01.CIR.40.1S2.II-1
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/4189785/
|
||||
3. https://pubmed.ncbi.nlm.nih.gov/13907771/
|
||||
4. https://pubmed.ncbi.nlm.nih.gov/4100347/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#body_weight
|
||||
#cancer
|
||||
#cardiology
|
||||
#cardiovascular_disease
|
||||
#heart_attack
|
||||
#heart_disease
|
||||
#la_veterans
|
||||
#linoleic_acid
|
||||
#lipidology
|
||||
#randomized_controlled_trial
|
||||
#stroke
|
||||
#seed_oils
|
||||
#hyperblog
|
19
💻 Hyperblog/Work/age-related macular degeneration.md
Executable file
19
💻 Hyperblog/Work/age-related macular degeneration.md
Executable file
|
@ -0,0 +1,19 @@
|
|||
# Age-Related Macular Degeneration
|
||||
|
||||
Age-related macular degeneration (AMD) is typically an age-mediated condition of the retina that blurs vision, and usually worsens over time. It may even result in blindness. The primary risk factors are genetic predisposition, smoking, and poor [[lifestyle]] habits, such as following a [[standard american diet]]. Regular eye exams, lifestyle modifications (diet, exercise), smoking cessation, can reduce the risk of developing AMD.
|
||||
|
||||
**Key features of age-related macular degeneration:**
|
||||
|
||||
- Blurred or distorted vision, blind spots, difficulty reading or recognizing faces, and sensitivity to light.
|
||||
- Degeneration of the retinal pigment epithelium and photoreceptors, which can lead to choroidal neovascularization and scarring.
|
||||
- Often results in irreversible vision loss, difficulty performing daily activities, depression, and anxiety.
|
||||
|
||||
The pathophysiology of AMD is still not very well understood, and there are many hypotheses that can account for the phenomenon. However, certain genetic mediators have been discovered, though their precise mechanisms have yet to be elucidated.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#macular_degeneration
|
||||
#ophthalmology
|
||||
#hyperblog
|
26
💻 Hyperblog/Work/apolipoprotein B-containing lipoproteins.md
Executable file
26
💻 Hyperblog/Work/apolipoprotein B-containing lipoproteins.md
Executable file
|
@ -0,0 +1,26 @@
|
|||
# ApoB
|
||||
|
||||
ApoB-containing lipoproteins are particles that transport lipids in the bloodstream. The main classes are:
|
||||
|
||||
1. **Chylomicrons:** Largest particles, rich in triglycerides, formed in intestinal cells.
|
||||
2. **Very Low-Density Lipoproteins (VLDL):** Produced by the liver, carry endogenous triglycerides.
|
||||
3. **Intermediate-Density Lipoproteins (IDL):** Formed from VLDL, intermediate between VLDL and LDL.
|
||||
4. **Low-Density Lipoproteins (LDL):** Derived from VLDL and IDL, [[low-density lipoproteins]] are the main carriers of cholesterol to tissues.
|
||||
5. **Lipoprotein(a):** Similar to LDL but contains an additional protein, apo(a).
|
||||
|
||||
These particles vary in size, density, and lipid composition, with ApoB serving as the primary structural protein. They play crucial roles in lipid metabolism and, other than chylomicrons, are associated with cardiovascular disease risk.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#apob
|
||||
#cholesterol
|
||||
#chylomicrons
|
||||
#dietary_fat
|
||||
#lipidology
|
||||
#lipids
|
||||
#lipoproteins
|
||||
#low-density_lipoproteins
|
||||
#very_low-density_lipoproteins
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/appeal from incredulity.md
Executable file
13
💻 Hyperblog/Work/appeal from incredulity.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Appeal from Incredulity
|
||||
|
||||
The hallmark of this fallacy is assuming that a proposition is false merely because you personally do not believe, or can't imagine, that the proposition is true. This fallacy is tightly tied to the cognitive bias known as confirmation bias, which will be discussed later.
|
||||
|
||||
>**Example:** "That's nonsense, because I just can't believe it!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#appeal_from_incredulity
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/appeal to authority.md
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13
💻 Hyperblog/Work/appeal to authority.md
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|
@ -0,0 +1,13 @@
|
|||
# Appeal to Authority
|
||||
|
||||
When one appeals to authority, it simply means that one affirms that a proposition is true in virtue of it being uttered by an authority. This fallacy typically pervasive within any domain wherein there are experts who publicly profess their opinions.
|
||||
|
||||
>**Example:** "The carnivore diet is healthy because Paul Saladino concluded this after years of researching diet!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#appeal_to_authority
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/appeal to ignorance.md
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13
💻 Hyperblog/Work/appeal to ignorance.md
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|
@ -0,0 +1,13 @@
|
|||
# Appeal to Ignorance
|
||||
|
||||
An appeal to ignorance is typically defined as affirming that a proposition is true merely because it has not been shown to be false. This is common in domains of science wherein evidence for a particular research question is scant, and the gaps in knowledge can be filled with poor reasoning.
|
||||
|
||||
>**Example:** "It's never been shown that blueberries don't cure cancer, so we're safe in assuming that blueberries do cure cancer!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#appeal_to_ignorance
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/appeal to nature.md
Executable file
13
💻 Hyperblog/Work/appeal to nature.md
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|
@ -0,0 +1,13 @@
|
|||
# Appeal to Nature
|
||||
|
||||
An appeal to nature is characterized by the affirmation that something is good, preferable, or desirable, merely because it is natural. This fallacy is common in the domain of human health, such as when health product advertisers claim that their product is beneficial because it either contains more natural ingredients or fewer artificial ingredients.
|
||||
|
||||
>**Example:** "Red meat is clearly healthy for humans if we evolved consuming it!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#appeal_to_nature
|
||||
#hyperblog
|
24
💻 Hyperblog/Work/arrhythmia.md
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24
💻 Hyperblog/Work/arrhythmia.md
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|
@ -0,0 +1,24 @@
|
|||
# Arrythmia
|
||||
|
||||
Arrhythmia, also known as irregular heartbeat, is a condition where the heart beats abnormally [(1)](https://www.nhlbi.nih.gov/health/arrhythmias). This can be due to various factors including genetic predisposition, poor [[lifestyle]] habits, such as following a [[standard american diet]], and underlying medical conditions.
|
||||
|
||||
**Key features of arrythmia:**
|
||||
|
||||
- Irregular or abnormal heartbeat, which can feel like skipping beats, palpitations, or fluttering in the chest.
|
||||
- Can lead to reduced cardiac output, causing symptoms such as shortness of breath, fatigue, and dizziness.
|
||||
- Untreated arrhythmia increases the risk of stroke and heart failure due to blood clots forming in the atria or ventricles.
|
||||
|
||||
There are many types of arrhythmias, including [[atrial fibrillation]], atrial flutter, supraventricular tachycardia, and ventricular tachycardia. Risk factors are similar to those for [[cardiovascular disease]], with an emphasis on age, family history, hypertension, smoking, and physical inactivity. Management requires a multidisciplinary approach incorporating lifestyle changes, pharmacological interventions, and potentially interventional or surgical procedures.
|
||||
|
||||
# References
|
||||
|
||||
1. https://www.nhlbi.nih.gov/health/arrhythmias
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiovascular_disease
|
||||
#cardiology
|
||||
#arrhythmia
|
||||
#hyperblog
|
39
💻 Hyperblog/Work/atherosclerosis.md
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39
💻 Hyperblog/Work/atherosclerosis.md
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|
@ -0,0 +1,39 @@
|
|||
# Atherosclerotic Cardiovascular Disease
|
||||
|
||||
Atherosclerosis is a progressive, inflammatory disease of the arteries that develops over many years. This can be due to various factors including genetic predisposition, poor [[lifestyle]] habits, such as following a [[standard american diet]], and underlying medical conditions. It typically begins with endothelial dysfunction (though not always), allowing [[lipoproteins]], particularly [[low-density lipoproteins]], to accumulate in the arterial wall [(1)](https://pubmed.ncbi.nlm.nih.gov/34773457/)[(2)](). This triggers an inflammatory response, leading to a cascade of events:
|
||||
|
||||
- Recruitment of immune cells, especially monocytes, which differentiate into macrophages.
|
||||
- Formation of foam cells as macrophages engulf [[oxidized low-density lipoproteins]].
|
||||
- Migration and proliferation of smooth muscle cells from the media to the [[subendothelial space]].
|
||||
- Production of extracellular matrix, forming a fibrous cap over the lipid-rich core.
|
||||
|
||||
**Key features of atherosclerosis:**
|
||||
|
||||
- Narrowing of the artery lumen, potentially restricting blood flow.
|
||||
- Rupture and subsequent thrombosis, leading to a [[heart attack]].
|
||||
- Chronic inflammatory process.
|
||||
- Affects various arterial beds (coronary, cerebral, peripheral).
|
||||
- Major cause of cardiovascular diseases.
|
||||
- Influenced by multiple risk factors (e.g., dyslipidemia, hypertension, smoking, diabetes).
|
||||
|
||||
Management focuses on risk factor modification through lifestyle changes and pharmacological interventions. The goal is to slow progression, stabilize plaques, and prevent complications like myocardial infarction and stroke.
|
||||
|
||||
# References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/34773457/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/32052833/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiovascular_disease
|
||||
#atherosclerosis
|
||||
#heart_disease
|
||||
#low-density_lipoproteins
|
||||
#inflammation
|
||||
#subendothelial_space
|
||||
#heart_attack
|
||||
#oxidized_low-density_lipoproteins
|
||||
#cholesterol
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/begging the question.md
Executable file
13
💻 Hyperblog/Work/begging the question.md
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|
@ -0,0 +1,13 @@
|
|||
# Begging the Question
|
||||
|
||||
Colloquially, begging the question may be understood as merely leaving certain questions unanswered after an argument is rendered. However, in philosophy, begging the question has a very different definition, and refers to a type of circular reasoning. Begging the question specifically refers to the act of presupposing the conclusion of an argument in its premises. That is to say that at least one of the premises of an argument will hinge on that argument's conclusion being true.
|
||||
|
||||
>**Example:** "God exists because it is stated in his own words in the Bible!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#begging_the_question
|
||||
#hyperblog
|
26
💻 Hyperblog/Work/cardiovascular disease.md
Executable file
26
💻 Hyperblog/Work/cardiovascular disease.md
Executable file
|
@ -0,0 +1,26 @@
|
|||
# Cardiovascular Disease
|
||||
|
||||
Cardiovascular disease (CVD) refers to a group of disorders affecting the heart and blood vessels, including coronary artery disease, heart attacks, and stroke. It is often caused by [[atherosclerosis]], where plaque builds up in the arteries, leading to reduced blood flow. This can be caused by various factors including genetic predisposition, poor [[lifestyle]] habits, such as following a [[standard american diet]], and underlying medical conditions. CVD is a leading cause of death globally. CVD may also refer to other diseases and disorders such as [[hypertension]], [[arrhythmia]], [[atrial fibrillation]].
|
||||
|
||||
**Key features of cardiovascular disease:**
|
||||
|
||||
- Narrowing or blockage of blood vessels, potentially restricting blood flow to vital organs.
|
||||
- Damage or dysfunction of the heart muscle, valves, or electrical conduction system.
|
||||
- Chronic [[inflammation]] and [[oxidative stress]] contributing to disease progression.
|
||||
- Major cause of morbidity and mortality worldwide, with significant economic burden on healthcare systems.
|
||||
|
||||
Management can involve modifying various risk factors through lifestyle changes (diet, exercise, smoking cessation) and pharmacological interventions. Interventional procedures (angioplasty, stenting) or surgical interventions to restore blood flow may be required.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiovascular_disease
|
||||
#cardiology
|
||||
#heart_disease
|
||||
#hypertension
|
||||
#lipidology
|
||||
#lipoproteins
|
||||
#low-density_lipoproteins
|
||||
#stroke
|
||||
#hyperblog
|
24
💻 Hyperblog/Work/cholestasis.md
Executable file
24
💻 Hyperblog/Work/cholestasis.md
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|
@ -0,0 +1,24 @@
|
|||
# Cholestasis
|
||||
|
||||
Cholestasis is a pathological condition characterized by the impairment or cessation of bile flow. In this disorder, bile, which is normally produced by liver cells and transported through bile ducts to the gallbladder and small intestine, becomes blocked or slowed.
|
||||
|
||||
**Key features of cholestasis:**
|
||||
|
||||
1. **Accumulation of bile components:** Substances normally excreted in bile (such as bilirubin, bile acids, and cholesterol) build up in the liver and bloodstream.
|
||||
2. **Jaundice:** The hallmark sign, resulting from elevated bilirubin levels in the blood, causing yellowing of the skin and eyes.
|
||||
3. **Pruritus:** Severe itching, often one of the most distressing symptoms, caused by the accumulation of bile acids in the skin.
|
||||
4. **Impaired fat absorption:** Due to reduced bile flow into the intestine, leading to malabsorption of fat-soluble vitamins (A, D, E, K).
|
||||
5. **Steatorrhea:** Fatty stools due to impaired fat digestion and absorption.
|
||||
6. **Potential liver damage:** Prolonged cholestasis can lead to inflammation, fibrosis, and eventually cirrhosis of the liver.
|
||||
|
||||
Cholestasis can occur within the liver (intrahepatic) or in the bile ducts outside the liver (extrahepatic). It can be acute or chronic, and its severity can range from mild to life-threatening, depending on the underlying cause and duration.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#liver_function
|
||||
#cholestasis
|
||||
#gallstones
|
||||
#gallbladder
|
||||
#hyperblog
|
23
💻 Hyperblog/Work/coronary heart disease.md
Executable file
23
💻 Hyperblog/Work/coronary heart disease.md
Executable file
|
@ -0,0 +1,23 @@
|
|||
# Coronary Heart Disease
|
||||
|
||||
Coronary heart disease (CHD) is a condition where the coronary arteries, which supply oxygen-rich blood to the heart muscle, become narrowed or blocked due to the buildup of plaque, known as [[atherosclerosis]]. This reduction in blood flow can cause chest pain (angina), shortness of breath, and other symptoms. This can be caused by various factors including genetic predisposition, poor [[lifestyle]] habits, such as following a [[standard american diet]], and underlying medical conditions.****
|
||||
|
||||
**Key features of coronary heart disease:**
|
||||
|
||||
- Narrowing or blockage of the coronary arteries due to atherosclerosis.
|
||||
- Reduced blood flow to the myocardium (heart muscle), potentially leading to ischemia and infarction.
|
||||
- May present acutely as [[myocardial infarction]] or chronically as stable angina.
|
||||
|
||||
Severe blockages can lead to heart attacks, where part of the heart muscle is damaged or dies. CHD is a major cause of death and disability globally, often preventable through [[lifestyle]] changes and medical treatment.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiovascular_disease
|
||||
#heart_disease
|
||||
#atherosclerosis
|
||||
#cardiology
|
||||
#lipidology
|
||||
#low-density_lipoproteins
|
||||
#hyperblog
|
20
💻 Hyperblog/Work/ecological fallacy.md
Executable file
20
💻 Hyperblog/Work/ecological fallacy.md
Executable file
|
@ -0,0 +1,20 @@
|
|||
# Ecological Fallacy
|
||||
|
||||
The ecological fallacy is a common error in reasoning that occurs when causal relationships are assumed from correlations or associations between variables. This logical misstep is prevalent across various fields, including social sciences, epidemiology, economics, and data analysis.
|
||||
|
||||
Key aspects of the ecological fallacy include:
|
||||
|
||||
1. Misattribution of causality based on observed associations
|
||||
2. Failure to account for confounding variables or alternative explanations
|
||||
3. Overgeneralization from one level of analysis to another
|
||||
4. Neglect of individual variation within groups
|
||||
|
||||
The fallacy serves as a reminder of the complexities involved in analyzing data and drawing meaningful conclusions. It highlights the importance of rigorous experimental design and careful interpretation of observational studies.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#ecological_fallacy
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/equivocation.md
Executable file
13
💻 Hyperblog/Work/equivocation.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Equivocation
|
||||
|
||||
An equivocation occurs when one uses a term with a certain meaning in one part of their argument, like the premises, but also uses the same term with a different meaning in another part of their argument, like the conclusion. This is an extremely common fallacy, and occurs often across virtually all domains of debate.
|
||||
|
||||
>**Example:** "The announcer said the game ended with a tie, but I didn't see any string, so the announcer must be wrong."
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#equivocation
|
||||
#hyperblog
|
11
💻 Hyperblog/Work/genetic fallacy.md
Executable file
11
💻 Hyperblog/Work/genetic fallacy.md
Executable file
|
@ -0,0 +1,11 @@
|
|||
The crux of the genetic fallacy is to conclude that a position is wrong merely in virtue of the one uttering the position. This type of fallacy is remarkably common, if not ubiquitous, in the political debate sphere.
|
||||
|
||||
>**Example:** "I know what Joe Biden says is wrong, because Joe Biden is an idiot."
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#genetic_fallacy
|
||||
#hyperblog
|
18
💻 Hyperblog/Work/high-density lipoproteins.md
Executable file
18
💻 Hyperblog/Work/high-density lipoproteins.md
Executable file
|
@ -0,0 +1,18 @@
|
|||
HDL particles function primarily to transport cholesterol from the bloodstream and artery walls to the liver, where it can be processed and excreted from the body. This process may help to reduce the risk of [[cholesterol]] buildup and [[atherosclerosis]], thereby protecting against [[coronary heart disease]]. Higher levels of HDL are generally associated with a lower risk of [[cardiovascular disease]], making them a crucial component of lipid management and overall cardiovascular health.
|
||||
|
||||
It was once believed that HDL was cardio-protective, however recent data has thrown this conclusion into question [(1)](https://pubmed.ncbi.nlm.nih.gov/32113648/)[(2)](https://pubmed.ncbi.nlm.nih.gov/27673306/).
|
||||
|
||||
# References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/32113648/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/27673306/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#high-density_lipoproteins
|
||||
#lipidology
|
||||
#lipids
|
||||
#lipoproteins
|
||||
#hyperblog
|
18
💻 Hyperblog/Work/inflammation.md
Executable file
18
💻 Hyperblog/Work/inflammation.md
Executable file
|
@ -0,0 +1,18 @@
|
|||
Inflammation is the body's natural defense against injury or infection, characterized by redness, heat, swelling, pain, and loss of function. It increases blood flow to the affected area, bringing immune cells to fight pathogens and repair tissue.
|
||||
|
||||
**Key features of inflammation:**
|
||||
|
||||
- Response to harmful stimuli, such as pathogens or tissue damage.
|
||||
- Increased vascular permeability, leukocyte migration, and the production of various chemical mediators (e.g., cytokines, chemokines).
|
||||
- Can encompass acute (short-term) and/or chronic (long-term); localized and/or systemic; innate and/or adaptive immune responses.
|
||||
- Contributes to tissue damage and disease progression in conditions like [[atherosclerosis]], [[autoimmune disease]], and [[cancer]].
|
||||
|
||||
Acute inflammation is a short-term, often beneficial response, while chronic inflammation is prolonged and can lead to diseases like [[arthritis]], [[heart disease]], and cancer. This can be due to various factors including genetic predisposition, poor [[lifestyle]] habits, such as following a [[standard american diet]], and underlying medical conditions. Managing inflammation is crucial for health and can be achieved through lifestyle changes and medications.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#immunology
|
||||
#inflammation
|
||||
#hyperblog
|
21
💻 Hyperblog/Work/linoleic acid.md
Executable file
21
💻 Hyperblog/Work/linoleic acid.md
Executable file
|
@ -0,0 +1,21 @@
|
|||
Linoleic acid is an essential fatty acid that plays a crucial role in human health. Here's a concise description:
|
||||
|
||||
1. **Chemical structure:** It's an 18-carbon polyunsaturated fatty acid with two double bonds (18:2 ω-6).
|
||||
2. **Classification:** Omega-6 fatty acid.
|
||||
3. **Essentiality:** Cannot be synthesized by the human body, must be obtained through diet.
|
||||
4. **Dietary sources:** Found in vegetable oils (e.g., sunflower, safflower, soybean), nuts, and seeds.
|
||||
5. **Functions:**
|
||||
- Component of cell membranes
|
||||
- Precursor for arachidonic acid and eicosanoids
|
||||
- Involved in skin health and barrier function
|
||||
- Important for growth and development
|
||||
6. **Recommended intake:** 12-17 grams per day for adults, depending on gender and total caloric intake.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#linoleic_acid
|
||||
#polyunsaturated_fats
|
||||
#seed_oils
|
||||
#hyperblog
|
18
💻 Hyperblog/Work/lipoproteins.md
Executable file
18
💻 Hyperblog/Work/lipoproteins.md
Executable file
|
@ -0,0 +1,18 @@
|
|||
Lipoproteins are complexes of lipids and proteins that transport fats through the bloodstream. They are crucial for the absorption, transport, and metabolism of lipids such as [[cholesterol]] and triglycerides.
|
||||
|
||||
Lipoproteins are classified based on their density: [[high-density lipoproteins]] (HDL) are known, somewhat imprecisely, as "good cholesterol" because they transport cholesterol away from the arteries to the liver for excretion, while [[low-density lipoproteins]] (LDL) are known as, also imprecisely, "bad cholesterol" because they can deposit cholesterol in artery walls, leading to atherosclerosis.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#lipidology
|
||||
#lipoproteins
|
||||
#low-density_lipoproteins
|
||||
#very_low-density_lipoproteins
|
||||
#high-density_lipoproteins
|
||||
#cholesterol
|
||||
#apob
|
||||
#apoa
|
||||
#dietary_fat
|
||||
#hyperblog
|
28
💻 Hyperblog/Work/low-density lipoproteins.md
Executable file
28
💻 Hyperblog/Work/low-density lipoproteins.md
Executable file
|
@ -0,0 +1,28 @@
|
|||
# Low-Density Lipoproteins
|
||||
|
||||
Low-density lipoprotein (LDL) are types of [[lipoproteins]] that plays a crucial role in cholesterol transport within the human body. Often, and somewhat imprecisely, referred to as "bad cholesterol", LDL is a complex of lipids and proteins that carries [[cholesterol]] from the liver to various tissues throughout the body.
|
||||
|
||||
Structurally, LDL particles consist of:
|
||||
|
||||
- A core of cholesterol esters and triglycerides.
|
||||
- An outer layer of phospholipids and unesterified cholesterol.
|
||||
- A single apolipoprotein B-100 molecule.
|
||||
|
||||
LDL particles are formed in the bloodstream as very-low-density lipoproteins (VLDL) lose triglycerides through the action of lipoprotein lipase. As this process continues, VLDL particles become increasingly dense, eventually forming LDL.
|
||||
|
||||
However, elevated levels of LDL in the bloodstream are associated with an increased risk of cardiovascular disease, particularly [[atherosclerosis]]. This is because excess LDL can penetrate the arterial wall and become [[oxidized low-density lipoproteins]], triggering [[inflammation]] that leads to plaque formation.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#lipids
|
||||
#cholesterol
|
||||
#low-density_lipoproteins
|
||||
#oxidized_low-density_lipoproteins
|
||||
#dietary_fat
|
||||
#apob
|
||||
#cardiology
|
||||
#heart_disease
|
||||
#heart_attack
|
||||
#hyperblog
|
21
💻 Hyperblog/Work/mechanistic speculation.md
Executable file
21
💻 Hyperblog/Work/mechanistic speculation.md
Executable file
|
@ -0,0 +1,21 @@
|
|||
Mechanistic speculation in health sciences can be problematic from an epistemic standpoint for several reasons:
|
||||
|
||||
1. **Complexity of biological systems:** Human health and disease involve intricate, interconnected systems that are often not fully understood. Speculating about mechanisms without sufficient evidence can oversimplify these complex relationships.
|
||||
2. **Risk of confirmation bias:** Researchers may be tempted to fit data to their proposed mechanisms, potentially overlooking contradictory evidence or alternative explanations.
|
||||
3. **Lack of empirical support:** Speculative mechanisms often lack robust empirical evidence, making them unreliable bases for clinical decisions or further research.
|
||||
4. **Potential for misleading conclusions:** Unfounded mechanistic explanations can lead to incorrect assumptions about disease processes or treatment efficacy, potentially misdirecting research efforts or clinical practice.
|
||||
5. **Difficulty in falsification:** Speculative mechanisms may be challenging to disprove, leading to the persistence of incorrect ideas in the scientific literature.
|
||||
6. **Resource allocation issues:** Pursuing research based on speculative mechanisms may divert resources from more promising evidence-based approaches.
|
||||
7. **Ethical concerns:** In clinical settings, basing treatments on speculative mechanisms rather than evidence-based practices can put patients at risk.
|
||||
|
||||
Instead of relying on mechanistic speculation, the health sciences generally prioritize empirical evidence, rigorous experimental and observational study designs, and validated statistical analyses to draw conclusions.
|
||||
|
||||
>**Example:** "Of course seed oils increase the risk of heart disease, because they oxidize LDL particles, and oxidization of LDL particles is a necessary step in heart disease!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#mechanistic_speculation
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/muddying the waters.md
Executable file
13
💻 Hyperblog/Work/muddying the waters.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Muddying the Waters
|
||||
|
||||
Muddying the waters is less of a fallacy and more of a rhetorical device designed to obfuscate and make one's position extremely ambiguous or unclear. This is extremely prevalent in political or ethical debates, wherein it is common to vaguely gesture at your opponent with the mere appearance of disagreement rather than actually providing clear arguments.
|
||||
|
||||
>**Example:** "We all know those studies are bad, because you just follow the money if you want to know the truth!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#muddying_the_waters
|
||||
#hyperblog
|
28
💻 Hyperblog/Work/obesity.md
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28
💻 Hyperblog/Work/obesity.md
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|
@ -0,0 +1,28 @@
|
|||
Obesity is a complex medical condition characterized by excessive accumulation of body fat to an extent that it negatively impacts health. It's typically defined as having a Body Mass Index (BMI) of 30 or greater, although this measure has limitations and doesn't account for body composition.
|
||||
|
||||
Key aspects of obesity include:
|
||||
|
||||
- Imbalance between calorie intake and energy expenditure.
|
||||
- Genetic and environmental factors contributing to its development.
|
||||
- Association with numerous health complications.
|
||||
|
||||
Obesity is considered a major public health concern due to its prevalence and associated health risks. These risks include:
|
||||
|
||||
- Increased adipose tissue mass
|
||||
- Hormonal imbalances
|
||||
- Chronic low-grade inflammation
|
||||
- Cardiovascular diseases
|
||||
- Type 2 diabetes
|
||||
- Certain cancers
|
||||
- Osteoarthritis
|
||||
- Sleep apnea
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#obesity
|
||||
#body_weight
|
||||
#type_2_diabetes
|
||||
#hyperphagia
|
||||
#hyperblog
|
14
💻 Hyperblog/Work/oxidized low-density lipoproteins.md
Executable file
14
💻 Hyperblog/Work/oxidized low-density lipoproteins.md
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|
@ -0,0 +1,14 @@
|
|||
# oxLDL
|
||||
|
||||
Oxidized low-density lipoprotein (oxLDL) are forms of [[low-density lipoproteins]] that have undergone oxidative modification. These particles contribute to the development of [[atherosclerosis]] by promoting inflammation and the formation of plaque in the [[subendothelial space]]. OxLDL is more readily taken up by macrophages, leading to the formation of foam cells and fatty streaks, which are early signs of atherosclerosis.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#oxidized_low-density_lipoproteins
|
||||
#low-density_lipoproteins
|
||||
#lipidology
|
||||
#cardiology
|
||||
#4e6_antibody_assay
|
||||
#hyperblog
|
15
💻 Hyperblog/Work/phytosterols.md
Executable file
15
💻 Hyperblog/Work/phytosterols.md
Executable file
|
@ -0,0 +1,15 @@
|
|||
# Phytosterols
|
||||
|
||||
Phytosterols are plant-derived compounds structurally similar to [[cholesterol]]. They are found in fruits, vegetables, nuts, seeds, and plant oils. Phytosterols help lower blood levels of cholesterol contained in [[lipoproteins]] by competing with cholesterol for absorption in the digestive system, thus reducing overall blood cholesterol levels. Regular intake of phytosterols is associated with a decreased risk of [[cardiovascular disease]] but perhaps an increased risk of [[cholestasis]].
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cholestasis
|
||||
#gallbladder
|
||||
#gallstones
|
||||
#lipidology
|
||||
#lipids
|
||||
#liver_function
|
||||
#hyperblog
|
24
💻 Hyperblog/Work/processed foods.md
Executable file
24
💻 Hyperblog/Work/processed foods.md
Executable file
|
@ -0,0 +1,24 @@
|
|||
# NOVA Classification System
|
||||
|
||||
The NOVA classification system is a framework for categorizing foods based on their degree of processing [(1)](https://pubmed.ncbi.nlm.nih.gov/19366466/). Developed by researchers at the University of São Paulo, Brazil, it aims to provide a better understanding of the impact of food processing on health.
|
||||
|
||||
The system divides foods into four groups:
|
||||
|
||||
1. **Unprocessed or minimally processed foods:** Natural foods altered slightly through processes like drying, boiling, or freezing.
|
||||
2. **Processed culinary ingredients:** Substances extracted from natural foods, such as oils, butter, sugar, and salt.
|
||||
3. **Processed foods:** Foods altered by adding ingredients like salt, sugar, or oil, such as canned vegetables, cheeses, and freshly made bread.
|
||||
4. **Ultra-processed foods:** Industrial formulations with little to no whole foods, often containing additives for flavour, texture, or shelf life, such as snacks, soft drinks, and ready-to-eat meals.
|
||||
|
||||
This system helps understand the impact of food processing on health and guides healthier dietary choices.
|
||||
|
||||
# References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/19366466/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#diets
|
||||
#processed_food
|
||||
#hyperblog
|
45
💻 Hyperblog/Work/proteoglycans.md
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45
💻 Hyperblog/Work/proteoglycans.md
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|
@ -0,0 +1,45 @@
|
|||
|
||||
# Proteoglycans
|
||||
|
||||
Proteoglycans are complex macromolecules that play crucial roles in various tissues, including the subendothelial space of arteries.
|
||||
|
||||
General structure of proteoglycans:
|
||||
|
||||
1. Core protein.
|
||||
2. One or more glycosaminoglycan (GAG) chains covalently attached.
|
||||
3. GAGs are long, unbranched polysaccharides with repeating disaccharide units.
|
||||
|
||||
Proteoglycans in the subendothelial space of arteries:
|
||||
|
||||
1. Main types:
|
||||
- Versican (large aggregating proteoglycan).
|
||||
- Biglycan and decorin (small leucine-rich proteoglycans).
|
||||
- Perlecan (basement membrane proteoglycan).
|
||||
2. Functions:
|
||||
- Structural support and tissue organization.
|
||||
- Regulation of water content and tissue hydration.
|
||||
- Interaction with lipoproteins, particularly [[low-density lipoproteins]].
|
||||
- Modulation of cell adhesion and migration.
|
||||
- Regulation of growth factor activity.
|
||||
3. Role in atherosclerosis:
|
||||
- Retention of [[apolipoprotein B-containing lipoproteins]].
|
||||
- Contribution to the formation of [[atherosclerotic plaques]].
|
||||
- Modulation of inflammatory responses.
|
||||
4. Interactions:
|
||||
- Bind to other extracellular matrix components (e.g., collagen, elastin).
|
||||
- Interact with cell surface receptors.
|
||||
- Sequester growth factors and cytokines.
|
||||
5. Regulation:
|
||||
- Synthesis and degradation influenced by mechanical forces, growth factors, and inflammatory mediators.
|
||||
|
||||
Understanding the role of proteoglycans in the [[subendothelial space]] is crucial for comprehending arterial physiology and pathophysiology, particularly in the context of atherosclerosis development.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#proteoglycans
|
||||
#subendothelial_space
|
||||
#low-density_lipoproteins
|
||||
#heart_disease
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/red herring.md
Executable file
13
💻 Hyperblog/Work/red herring.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Red Herring
|
||||
|
||||
A red herring is a type of rhetorical tactic, typically used to obfuscate, that involves referring to an irrelevant point. It can be thought of as a point, reference, or example, that distracts from the main point of a discussion or larger argument.
|
||||
|
||||
>**Example:** "Bacon must be healthy for people because I have a 95-year old grandmother who eats bacon every day!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#red_herring
|
||||
#hyperblog
|
31
💻 Hyperblog/Work/seed oil claims - 4e6 antibody assay.md
Executable file
31
💻 Hyperblog/Work/seed oil claims - 4e6 antibody assay.md
Executable file
|
@ -0,0 +1,31 @@
|
|||
# Claim
|
||||
|
||||
>The 4E6 antibody assay makes poor distinctions between native and oxidized LDL.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
Some criticize this study for the use of the [[4e6 antibody assay]], arguing that this assay is invalid due to supposedly making poor distinctions between native [[low-density lipoproteins]] (LDL) and [[oxidized low-density lipoproteins]] (oxLDL) [(1)](https://pubmed.ncbi.nlm.nih.gov/15883220/). However, this is a [[red herring]], because if the 4E6 assay was truly making poor distinctions between oxLDL and native LDL, the two biomarkers would essentially be proxying for one another to the point of being either interchangeable or even being the same thing. In this scenario, the results of the model would suggest extreme [[multicollinearity]] as indicated by similarly (extremely) wide [[confidence intervals]] for both results.
|
||||
|
||||
Wu et al. (2006) used the 4E6 assay to measure oxLDL and discovered that the association between oxLDL and heart disease does not survive adjustment for traditional risk factors like [[apolipoprotein B-containing lipoproteins]] or total cholesterol/[[high density lipoprotein cholesterol]] [(2)](https://pubmed.ncbi.nlm.nih.gov/16949489/). Essentially this means that after accounting for ApoB or TC/HDL, risk is more closely tracking ApoB or TC/HDL-C, and is not particularly likely to be tracking oxLDL at all.
|
||||
|
||||
If oxLDL and native LDL were truly proxying for one another in the model in this fashion, we'd expect the confidence intervals for each relative risk to be inflated and more likely non-significant. But, there is no evidence of extreme multicollinearity in the results. Therefore, it is unlikely that the 4E6 antibody assay is actually making poor distinctions between oxLDL and native LDL. This is important to consider, because the argument for extreme multicollinearity is the primary criticism used against the 4E6 antibody assay's usefulness. But the argument doesn't actually pan out.
|
||||
|
||||
---
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/15883220/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/16949489/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#4e6_antibody_assay
|
||||
#cardiology
|
||||
#claims
|
||||
#lipidology
|
||||
#low-density_lipoproteins
|
||||
#oxidized_low-density_lipoproteins
|
||||
#red_herring
|
||||
#hyperblog
|
43
💻 Hyperblog/Work/seed oil claims - age-related macular degeneration.md
Executable file
43
💻 Hyperblog/Work/seed oil claims - age-related macular degeneration.md
Executable file
|
@ -0,0 +1,43 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because linoleic acid causes degeneration of the retinal macula.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
This claim is merely [[mechanistic speculation]]. The notion that seed oils increase the risk of [[age-related macular degeneration]] (AMD) is essentially a [[red herring]], because it has very little empirical support, with much of the human outcome data showing incredibly heterogeneous results. Across prospective cohort studies, [[linoleic acid]] (LA) associates with a non-significant decrease in the risk of AMD [(1)](https://pubmed.ncbi.nlm.nih.gov/21402976/)[(2)](https://pubmed.ncbi.nlm.nih.gov/7786215/)[(3)](https://pubmed.ncbi.nlm.nih.gov/32181798/)[(4)](https://pubmed.ncbi.nlm.nih.gov/19433719/)[(5)](https://pubmed.ncbi.nlm.nih.gov/19433717/)[(6)](https://pubmed.ncbi.nlm.nih.gov/16832021/)[(7)](https://pubmed.ncbi.nlm.nih.gov/11157315/).
|
||||
|
||||
![[Pasted image 20240814192514.png]]
|
||||
|
||||
Among the studies with the longest follow-up time, largest cohort size, best adjustment models, and the widest exposure contrasts, the results tended to be null. For example, Chong et al. (2009) adjusted for [[ lutein]], [[zeaxanthin]], and sources of [[omega-3]], which are inversely associated with AMD. Their results were non-significant for every exposure.
|
||||
|
||||
The strongest study of all was Christen et al. (2011). Their analysis included three different adjustment models that help us better ascertain the relationship between AMD and seed oils. For example, their analysis showed that LA was associated with AMD only before adjustment for AMD risk factors, and that the association was likely a function of insufficient omega-3.
|
||||
|
||||
>_“Women in the highest tertile of LA intake, relative to the lowest, had an age- and treatment-adjusted RR of 1.41 (95% CI, 1.03-1.94; P for trend=.03). However, the RR was attenuated and no longer significant after additional adjustment for AMD risk factors and other fats. The ratio of -6 to -3 fatty acids was directly associated with the risk of AMD, and the association was strengthened when the denominator term for-3 fatty acids included only DHA and EPA (Table 2).”_
|
||||
|
||||
Essentially, seed oils may sometimes be acting as a correlate for low quality dietary patterns, such as the [[standard american diet]], but the seed oils themselves do not see, to independently increase the risk of AMD. Seed oils do tend to associate with dietary patterns that lack characteristics that tend to associate with a decreased risk. For example, diets that are high in seed oils tend to be low in [[carotenoids]] and omega-3, for example. After adjusting for those [[confounders]], the association vanishes.
|
||||
|
||||
There is also [[mendelian randomization]] (MR) data from Wang et al. (2021) investigating the relationship between genetically elevated LA biomarkers and AMD [(8)](https://pubmed.ncbi.nlm.nih.gov/33982092/). In this multinational MR study of 8631 participants they applied three different statistical tests across two subgroups investigating different combinations of gene variants. In the aggregate, genetically increased plasma LA was consistently associated with a reduced risk of AMD, regardless of the test or gene variant subgrouping. Interestingly enough, tissue AA was actually positively associated with AMD, like we saw earlier with the previously mentioned MR research.
|
||||
|
||||
---
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/21402976/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/7786215/
|
||||
3. https://pubmed.ncbi.nlm.nih.gov/32181798/
|
||||
4. https://pubmed.ncbi.nlm.nih.gov/19433719/
|
||||
5. https://pubmed.ncbi.nlm.nih.gov/19433717/
|
||||
6. https://pubmed.ncbi.nlm.nih.gov/16832021/
|
||||
7. https://pubmed.ncbi.nlm.nih.gov/11157315/
|
||||
8. https://pubmed.ncbi.nlm.nih.gov/33982092/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#ophthalmology
|
||||
#seed_oils
|
||||
#macular_degeneration
|
||||
#mechanistic_speculation
|
||||
#fallacies
|
||||
#hyperblog
|
33
💻 Hyperblog/Work/seed oil claims - ancestral intake levels.md
Executable file
33
💻 Hyperblog/Work/seed oil claims - ancestral intake levels.md
Executable file
|
@ -0,0 +1,33 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because we never consumed this much linoleic acid in our history.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
Essentially, this claim is an [[appeal to nature]]. If one actually investigates adipose tissue samples, or acceptable proxies like breast milk fatty acids [(1)](https://pubmed.ncbi.nlm.nih.gov/8237871/)[(2)](https://pubmed.ncbi.nlm.nih.gov/16829413/), from [[traditional populations]] eating traditional diets, the [[linoleic acid]] (LA) percentage is non-inferior to that of levels in the [[LA Veterans Administration Hospital Study]] subject population at baseline. Which means the outcomes aren't explained by having too much LA in the diet at baseline (not that such an explanation would make any sense to begin with).
|
||||
|
||||
![[Pasted image 20240714004122.png]]
|
||||
|
||||
Overall, the results show that the LA intakes of traditional cultures was well in line with average intakes well into the 1970s, as the differences are not [[statistically significant]] different from the LA Veterans study population at baseline [(3)](https://pubmed.ncbi.nlm.nih.gov/22624983/)[(4)](https://pubmed.ncbi.nlm.nih.gov/16039290/)[(5)](https://onlinelibrary.wiley.com/doi/10.1002/cphy.cp050117). Benefits to [[cardiovascular disease]] outcomes can be observed in LA Veterans.
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/8237871/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/16829413/
|
||||
3. https://pubmed.ncbi.nlm.nih.gov/22624983/
|
||||
4. https://pubmed.ncbi.nlm.nih.gov/16039290/
|
||||
5. https://onlinelibrary.wiley.com/doi/10.1002/cphy.cp050117
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#adipose_tissue
|
||||
#ancestral_diets
|
||||
#appeal_to_nature
|
||||
#breast_milk
|
||||
#claims
|
||||
#diets
|
||||
#linoleic_acid
|
||||
#seed_oils
|
||||
#hyperblog
|
32
💻 Hyperblog/Work/seed oil claims - cholestasis.md
Executable file
32
💻 Hyperblog/Work/seed oil claims - cholestasis.md
Executable file
|
@ -0,0 +1,32 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because they cause cholestasis.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
While partially true, this claim counts as a [[red herring]], because it's not actually seed oils simpliciter that causes [[cholestasis]]. In the [[LA Veterans Administration Hospital Study]], the seed oil group had a dose-dependent increase in gallstones [(1)](https://pubmed.ncbi.nlm.nih.gov/4681896/). However, the most parsimonious way of explaining the effect is through hepatic [[phytosterol]] elimination leading to gallstones, not [[linoleic acid]] [(2)](https://pubmed.ncbi.nlm.nih.gov/9437703/)[(3)](https://pubmed.ncbi.nlm.nih.gov/27812789/).
|
||||
|
||||
Some seed oils, such as corn oil (the primary seed oil investigated in the LA Veterans trial), have extremely high concentrations of [[phytosterols]] [(4)](https://pubmed.ncbi.nlm.nih.gov/31404986/). At the doses investigated, this may be expected to cause issues, but these are not doses that people typically consume, even on the [[standard american diet]].
|
||||
|
||||
---
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/4681896/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/9437703/
|
||||
3. https://pubmed.ncbi.nlm.nih.gov/27812789/
|
||||
4. https://pubmed.ncbi.nlm.nih.gov/31404986/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cholestasis
|
||||
#claims
|
||||
#gallstones
|
||||
#la_veterans
|
||||
#liver_function
|
||||
#phytosterols
|
||||
#red_herring
|
||||
#seed_oils
|
||||
#hyperblog
|
25
💻 Hyperblog/Work/seed oil claims - flow-mediated dilation.md
Executable file
25
💻 Hyperblog/Work/seed oil claims - flow-mediated dilation.md
Executable file
|
@ -0,0 +1,25 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because they decrease flow-mediated dilation.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
This claim is merely [[mechanistic speculation]]. Even if this is true, studies show that these are postprandial changes in [[flow-mediated dilation]] (FMD), and there are no studies indicating that postprandial changes in FMD actually increase the risk of any particular disease or condition. Additionally, despite postprandial decreases in FMD, the opposite appears to hold true long term [(1)](https://pubmed.ncbi.nlm.nih.gov/26016869/). It appears as though [[linoleic acid]] consumption associates with favourable increases in FMD overall.
|
||||
|
||||
---
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/26016869/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiology
|
||||
#claims
|
||||
#endothelial_function
|
||||
#flow-mediated_dilation
|
||||
#mechanistic_speculation
|
||||
#seed_oils
|
||||
#hyperblog
|
30
💻 Hyperblog/Work/seed oil claims - oxidized plaque lipids.md
Executable file
30
💻 Hyperblog/Work/seed oil claims - oxidized plaque lipids.md
Executable file
|
@ -0,0 +1,30 @@
|
|||
# Claim
|
||||
|
||||
>Seed oils are unhealthy because most lipids found in atheromas are oxidized.
|
||||
|
||||
## Rebuttal
|
||||
|
||||
This claim is merely [[mechanistic speculation]], and is an example of the [[ecological fallacy]]. Essentially, it is being posited that merely because atherosclerotic plaques contain high proportions of oxidized [[linoleic acid]] (LA), that said LA must have caused the atherosclerotic plaque to begin with. It is true that plaques contain very high proportions of oxidized LA [(1)](https://pubmed.ncbi.nlm.nih.gov/10397689/)[(2)](https://pubmed.ncbi.nlm.nih.gov/8632720/). However, we must remember the pathophysiology of [[atherosclerosis]], which involves native [[low-density lipoproteins]] particles being irreversibly bound to [[proteoglycans]] in the [[subendothelial space]] [(3)](https://pubmed.ncbi.nlm.nih.gov/9637699/)[(4)](https://pubmed.ncbi.nlm.nih.gov/27472409/). Once bound, oxidation is inevitable. It's unclear that restricting seed oils will actually lead to reduced oxidized lipids in the plaque.
|
||||
|
||||
---
|
||||
|
||||
## References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/10397689/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/8632720/
|
||||
3. https://pubmed.ncbi.nlm.nih.gov/9637699/
|
||||
4. https://pubmed.ncbi.nlm.nih.gov/27472409/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#claims
|
||||
#ecological_fallacy
|
||||
#heart_disease
|
||||
#cardiology
|
||||
#low-density_lipoproteins
|
||||
#mechanistic_speculation
|
||||
#proteoglycans
|
||||
#seed_oils
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/seed oil claims.md
Executable file
13
💻 Hyperblog/Work/seed oil claims.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Table of Contents
|
||||
|
||||
[[seed oil claims - age-related macular degeneration]]
|
||||
[[seed oil claims - ancestral intake levels]]
|
||||
[[seed oil claims - 4e6 antibody assay]]
|
||||
[[seed oil claims - cholestasis]]
|
||||
[[seed oil claims - flow-mediated dilation]]
|
||||
[[seed oil claims - oxidized plaque lipids]]
|
||||
|
||||
# Hashtags
|
||||
|
||||
#seed_oils
|
||||
#hyperblog
|
27
💻 Hyperblog/Work/standard american diet.md
Executable file
27
💻 Hyperblog/Work/standard american diet.md
Executable file
|
@ -0,0 +1,27 @@
|
|||
# Standard American Diet
|
||||
|
||||
The Standard American Diet (SAD) is characterized by:
|
||||
|
||||
1. High intake of [[processed foods]] and fast foods.
|
||||
2. Large portions of red meat and poultry.
|
||||
3. Liberal [[saturated fat]] and [[cholesterol]] intake
|
||||
4. Refined grains (white bread, pasta, rice).
|
||||
5. Added sugars, especially in beverages.
|
||||
6. High-fat dairy products.
|
||||
7. Relatively low consumption of fruits and vegetables.
|
||||
8. Frequent snacking on high-calorie, low-nutrient foods.
|
||||
9. High sodium content.
|
||||
|
||||
This diet tends to be energy-dense but nutrient-poor, often leading to excessive calorie intake while lacking essential vitamins, minerals, and fibre. It's associated with various health issues, including [[obesity]], [[atherosclerosis]], and [[type 2 diabetes]].
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#diets
|
||||
#standard_american_diet
|
||||
#processed_food
|
||||
#sugar
|
||||
#red_meat
|
||||
#saturated_fat
|
||||
#hyperblog
|
13
💻 Hyperblog/Work/strawman.md
Executable file
13
💻 Hyperblog/Work/strawman.md
Executable file
|
@ -0,0 +1,13 @@
|
|||
# Strawman
|
||||
|
||||
A strawman fallacy is characterized by either intentionally or unintentionally misrepresenting your interlocutor's position or argument, such as to make said position or argument easier to attack. It is also the inverse of the Motte and Bailey fallacy, which is characterized by misrepresenting your own position or argument in order to make it easier to defend.
|
||||
|
||||
>**Example:** "People who argue for taxation are pushing communism!"
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#fallacies
|
||||
#strawman
|
||||
#hyperblog
|
32
💻 Hyperblog/Work/subendothelial space.md
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32
💻 Hyperblog/Work/subendothelial space.md
Executable file
|
@ -0,0 +1,32 @@
|
|||
# Subendothelial Space
|
||||
|
||||
The subendothelial space is a crucial component of blood vessel structure, located directly beneath the endothelium in the tunica intima. This thin layer serves as an interface between the endothelial cells lining the vessel lumen and the internal elastic lamina, which separates the intima from the media layer.
|
||||
|
||||
Structurally, the subendothelial space consists of:
|
||||
|
||||
- Loose connective tissue
|
||||
- Scattered smooth muscle cells
|
||||
- Extracellular matrix proteins (e.g., collagen, elastin, [[proteoglycans]])
|
||||
|
||||
This composition allows for some flexibility and resilience in the vessel wall while maintaining its integrity. The space plays a vital role in vascular physiology and pathology, particularly in the development of cardiovascular diseases.
|
||||
|
||||
However, in certain types of [[cardiovascular disease]], such as [[atherosclerosis]], the subendothelial space becomes a critical site for disease progression. It can accumulate:
|
||||
|
||||
- Lipids and [[lipoproteins]].
|
||||
- Inflammatory cells (e.g., macrophages).
|
||||
- Cellular debris.
|
||||
|
||||
These accumulations can lead to the formation of atherosclerotic plaques, which may eventually compromise blood flow and vessel integrity.
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#cardiovascular_disease
|
||||
#atherosclerosis
|
||||
#cardiology
|
||||
#heart_attack
|
||||
#heart_disease
|
||||
#proteoglycans
|
||||
#subendothelial_space
|
||||
#hyperblog
|
25
💻 Hyperblog/Work/type 2 diabetes.md
Executable file
25
💻 Hyperblog/Work/type 2 diabetes.md
Executable file
|
@ -0,0 +1,25 @@
|
|||
# Type 2 Diabetes Mellitus
|
||||
|
||||
Type 2 Diabetes Mellitus (T2DM) is a complex metabolic disorder that fundamentally alters the body's ability to regulate glucose levels in the blood. At its core, it's a disease of insulin dysfunction, where the body either doesn't produce enough insulin or can't effectively use the insulin it does produce, typically precipitated by high energy status [(1)](https://pubmed.ncbi.nlm.nih.gov/25515001/)[(2)](https://pubmed.ncbi.nlm.nih.gov/29221645/).
|
||||
|
||||
The disease affects multiple systems in the body:
|
||||
|
||||
- It alters fat and protein metabolism, not just glucose handling.
|
||||
- It can lead to systemic [[inflammation]].
|
||||
- It affects vascular health, both in small and large blood vessels.
|
||||
|
||||
# References
|
||||
|
||||
1. https://pubmed.ncbi.nlm.nih.gov/25515001/
|
||||
2. https://pubmed.ncbi.nlm.nih.gov/29221645/
|
||||
|
||||
---
|
||||
|
||||
# Hashtags
|
||||
|
||||
#type_2_diabetes
|
||||
#obesity
|
||||
#body_weight
|
||||
#hyperphagia
|
||||
#inflammation
|
||||
#hyperblog
|
0
💻 Hyperblog/arthritis.md
Executable file
0
💻 Hyperblog/arthritis.md
Executable file
0
💻 Hyperblog/atherosclerotic plaques.md
Executable file
0
💻 Hyperblog/atherosclerotic plaques.md
Executable file
0
💻 Hyperblog/atrial fibrillation.md
Executable file
0
💻 Hyperblog/atrial fibrillation.md
Executable file
0
💻 Hyperblog/autoimmune disease.md
Executable file
0
💻 Hyperblog/autoimmune disease.md
Executable file
0
💻 Hyperblog/cancer.md
Executable file
0
💻 Hyperblog/cancer.md
Executable file
0
💻 Hyperblog/carotenoids.md
Executable file
0
💻 Hyperblog/carotenoids.md
Executable file
0
💻 Hyperblog/cholesterol.md
Executable file
0
💻 Hyperblog/cholesterol.md
Executable file
0
💻 Hyperblog/confidence intervals.md
Executable file
0
💻 Hyperblog/confidence intervals.md
Executable file
0
💻 Hyperblog/confounders.md
Executable file
0
💻 Hyperblog/confounders.md
Executable file
0
💻 Hyperblog/diet.md
Executable file
0
💻 Hyperblog/diet.md
Executable file
0
💻 Hyperblog/exercise.md
Executable file
0
💻 Hyperblog/exercise.md
Executable file
0
💻 Hyperblog/flow-mediated dilation.md
Executable file
0
💻 Hyperblog/flow-mediated dilation.md
Executable file
0
💻 Hyperblog/high density lipoprotein cholesterol.md
Executable file
0
💻 Hyperblog/high density lipoprotein cholesterol.md
Executable file
0
💻 Hyperblog/hypertension.md
Executable file
0
💻 Hyperblog/hypertension.md
Executable file
0
💻 Hyperblog/lifestyle.md
Executable file
0
💻 Hyperblog/lifestyle.md
Executable file
0
💻 Hyperblog/multicollinearity.md
Executable file
0
💻 Hyperblog/multicollinearity.md
Executable file
0
💻 Hyperblog/myocardial infarction.md
Executable file
0
💻 Hyperblog/myocardial infarction.md
Executable file
0
💻 Hyperblog/omega-3.md
Executable file
0
💻 Hyperblog/omega-3.md
Executable file
0
💻 Hyperblog/statistically significant.md
Executable file
0
💻 Hyperblog/statistically significant.md
Executable file
0
💻 Hyperblog/traditional populations.md
Executable file
0
💻 Hyperblog/traditional populations.md
Executable file
Loading…
Add table
Add a link
Reference in a new issue