It's easier to successfully find fault than it is to find new correct solutions. So is the case with The Great Cholesterol Myth. While the authors appropriately acknowledge that there's some truth to the myth -- the data do show that cholesterol does matter for middle-aged white males with heart conditions -- the medical establishment has vastly over extrapolated from these findings to conclude that lowering cholesterol levels for huge portions of the population is a good thing -- and that any side-effects aren't worth paying attention to.
I have first-hand experience with this. A couple of years ago I developed a textbook case of walkthrough angina so obvious I could diagnose myself with a simple internet search, but I dutifully followed my GP's orders to go to the cardiologist and have multiple tests done, whereupon the cardiologist concluded "you have a textbook case of walkthrough angina." He went on to prescribe the "standard treatment" of beta blockers to "lower my high blood pressure" and statins to "lower my high cholesterol".
I first replied, "I don't have high blood pressure". The cardiologist then looks at my chart and reads the blood pressure readings that have been taken at the beginning of each of my visits. They're actually on the low side. Disregarding my response and his own assistant's work, he takes my blood pressure himself and concludes that I don't have high blood pressure and don't need the beta blockers.
I then say I don't have high cholesterol. He pulls those data too, then protests that they're several months old. I respond that I've never had high cholesterol. He says I should take statins anyway. I decline. He unhappily shrugs and indicates we're done.
Of course there was never a discussion about diet as a way to lower cholesterol.
I've read everything I can find on "walkthrough angina". It's uncommon, untreatable, and it has a small negative correlation with having a heart attack such that it is believed to be a protective mechanism. It's annoying, but benign.
Statins and beta blockers have side effects, yet there was a knee-jerk reaction to prescribe them. Perhaps that's because of the biggest side-effect of all: It makes money for cardiologists and pharmaceutical companies, a fact clearly pointed out by the authors.
Pointing out that the emperor has no clothes is the easy part. The hard part is what to do about heart conditions. The authors go on to cover some more respected and more speculative recommendations about diet and lifestyle, then they get deep into recommending supplements -- not coincidentally supplements that have author Dr. Sinatra's name on them, and for which the supporting evidence is spotty.
Maybe some of the work some of the time. I even bought one to try. But I'm skeptical, and you should be too.
Do your own research, get dissenting views, and don't just take the authors' word on everything here, especially as they gain financially from your doing so.
This book desperately needs editing down. Far too many words for too little content.
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