As someone with two communities on dubvee.org, I don't think it's a bad instance, in fact it's pretty great. Lots of moderation tooling being developed there
Which elimination diets have you used? They didn't work?
The carnivore diet is often used in a elimination protocol because it's very well tolerated by people. Red meat, water, and salt. 90 days - if that doesn't resolve your issue then it may not be a food based issue.
Judy Cho has a book detailing the protcol and rationale - Carnivore Cure: The Ultimate Elimination Diet
Cholesterol is a broad term and doesn't address the specifics necessary to addr iness overall average health for an individual.
I agree completely, people should not be trying to treat a cholesterol number. They should be optimizing their metabolic health. Cholesterol should be an indicator that further follow-up is required, either arterial imaging, or diet and lifestyle interventions
Then there is the whole "sugar" issue. There are dozens of sugars and we only associate the term with fructose or sucrose. We can technically name all sorts of things as sugars, but if it doesn't include sucrose and fructose explicitly, then it "isn't" sugar on the label.
Happily, all of those sugars do get included in the carbohydrate label on packaging. I would say dietary carbohydrates are the biggest culprit in cardiovascular disease, and that's what people should focus on instead of cholesterol.
A 2009 meta-analysis of 28 cohort studies and 16 randomized controlled trials (RCTs) concluded “The available evidence from cohort and randomised controlled trials is unsatisfactory and unreliable to make judgment about and substantiate the effects of dietary fat on risk of CHD.”
A 2010 meta-analysis of 21 cohort studies found no association between saturated fat intake on CHD outcomes.
A 2014 systematic review and meta-analysis of observational studies and randomized controlled trials found that the evidence does not clearly support dietary guidelines that limit intake of saturated fats and replace them with polyunsaturated fats.
A 2015 meta-analysis of 17 observational studies found that saturated fats had no association with heart disease, all-cause mortality, or any other disease.
A 2017 meta-analysis of 7 cohort studies found no significant association between saturated fat intake and CHD death.
"They" can also just he normal people who don't want to be wrong. Doctors are famous for their humility and self reflection.
The cholesterol heart hypothesis was pushed by ancel Keys, who has since been shown to be a dishonest academic, leaving out data, or abandoning research if the results didn't math the preconceived conclusions. https://en.m.wikipedia.org/wiki/Ancel_Keys
In medicine, like many fields, sometimes the old guard has to retire out before change can happen.
I'm also a !carnivore@lemm.ee and I've satisfied myself that LDL by itself is not a risk factor I should be concerned with.
As someone with two communities on dubvee.org, I don't think it's a bad instance, in fact it's pretty great. Lots of moderation tooling being developed there