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From:	herman (96.224.164.59)
Subject:	Nuts on a VLF Diet
Date:	November 19, 2010 at 6:46 am PST

Hi Dr,

I just read this piece by Dr Fuhrman in which he advocates the use of nuts in low fat diets

http://www.huffingtonpost.com/joel-fuhrman-md/heart-health-prevent-and-reverse_b_783565.html

As you recall I have been following Dr Esselstyn's pgm for over 7 years with spectacular results. I don't have heart disease but have a family history of it. I have lost 145 lbs on the pgm and have maintained my weight for this time. I have been fearful however on two fronts about consuming nuts: a) might over eat them and b) the added fats.

However, the paper cited by Dr Fuhrman seem to suggest strong benefit. For instance this one (Nut consumption and blood lipid levels: a pooled analysis of 25 intervention trials )

http://www.ncbi.nlm.nih.gov/pubmed/20458092

The papers conclusion is "Nut consumption improves blood lipid levels in a dose-related manner, particularly among subjects with higher LDL-C or with lower BMI"

A particular point Fuhrman makes alarms me that "The data suggests that following a low-fat diet for a long period of time, though effective at reducing atherosclerotic plaque, could actually increase the risk of sudden cardiac death. "

Thus is one of the rationals he makes to make the diet more nutrient rich by adding nuts.

I am confused and would appreciate your thoughts on this.

Thanks as always,

herman

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