The community agrees that a significant reduction in LDL cholesterol (the "bad" cholesterol) is a priority health objective, achievable primarily through strict dietary adjustments, notably by significantly increasing fiber intake and drastically reducing saturated fats.

noli's read

Science robustly validates the idea that high consumption of soluble fiber helps lower LDL cholesterol by limiting its absorption, as shown by several meta-analyses (e.g., Everson et al.). Reducing saturated fats in favor of unsaturated fats is also a pillar recognized by health organizations for improving lipid profiles (RCT/randomized clinical trials). However, the central role of LDL is currently nuanced in scientific literature by ApoB (apolipoprotein B), which is considered by many experts to be a more precise marker of cardiac risk, a point that the community aptly raises. The idea that this process necessarily requires years is sometimes contradicted by physiology, as the renewal of blood cholesterol is quite rapid, suggesting that changes can produce results much sooner. Finally, it is important to note that genetics play a major and unpredictable role in these levels, which a purely dietary approach can sometimes underestimate. The community strongly converges around the importance of these metrics and a proactive, data-driven approach.

the sources

1. 1Reynolds A et al. 2019
2. 2Jovanovski E et al. 2019
3. 3Malik VS, Hu FB 2019
4. 4Yang Q, Zhang Z, Gregg EW, et al. 2014
5. 5Westwater ML, Fletcher PC, Ziauddeen H 2016
6. 6r/PeterAttia