Heart Health Fuhrman Ornish
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Thanks for the kind words. Back at u.
Hi Dolores,
If you like, you could describe your program. Please don't beat yourself up, or blame yourself as to why you had a heart attack. We only want to be helpful.
Best regards, EngineerGuyView Thread

You are right. Poor Garnet was surrounded by rich tempting food, and worked full time at work and at home. I myself do not do well, visiting family and traveling. I just saw family for 4 days, and did better. That's progress, for me.
On the both the Fuhrman and McDougall websites, there are posts of people who say they are doing better than they did on the other diet. I myself am doing better on Fuhrman, compared to McDougall. But I think you are right, that McDougall would be easier in some situations.
I believe that Dr. Fuhrman has more valuable advice on a variety of subjects. I believe that the meal frequency that Dr. Fuhrman advocates, is very valuable. I believe that emphasizing a wide variety of veggies is very valuable, and emphasizing certain ones. I am certain that getting a blood test for vitamin D and taking a supplement, if deficient, is valuable, as I was seriously deficient in June (blood level of 16, normal 30 -55), in spite of carefully getting an hour of sunlight 7 days a week for 2 years, at noontime, wearing only trunks, if over 60F.
The take away is that we all are individuals, and sometimes we are surprised that our program is not adequate to achieve our health goals. We have to look to how we might improve.
Best regards, EngineerGuyView Thread

I might have been wrong about the Fit For Life being low fat vegan. Thanks for pointing that out.
Best regards, EngineerGuyView Thread

DO NOT FORGET - You are a CHAMP !! Congratulate yourself for what you have accomplished, which is PLENTY. Do not beat yourself up or blame yourself. That is simply counterproductive anyway. Almost any other person in your place, would have succumbed long ago, but you have gone forward and taken care of business, with a great lifestyle.
OK, so we get a surprise that we have to do more.
More ideas, for your consideration:
You eat 4 meals daily, as I recall. You might read "The End Of Diabetes, and consider if you want to reduce to 3 or 2 meals. (I used to eat 6 meals, for 30 years on Pritikin, but dropped to 3 meals daily, and usually 2 meals on weekends.) There is a huge amount in The End of Diabetes. And, anything that is good for diabetes, is good for heart disease, and good for everyone. I certainly follow all advice in the book, for myself. I think I'll re-read it, just to make sure that I am not forgetting something.
Work with your doctor to analyze your blood tests, to look for clues as to where you should work, based on your individuality.
I got a more expensive cholesteol test, called the VAP test. I believe there are other excellent tests, today, also. The improved tests break down the LDL and HDL to small, medium and large particles. The VAP cholesterol test told my I have famlial type B lipid profile, so my LDL is mostly the small dense type, the worst type. My HDL runs very low, and is mostly the small dense HDL, the only type of HDL that is bad. The take home message is, that familial type B lipid profile is very sensitive to abdominal fat. So, I have to be very lean, to prevent heart disease. This is just an example of using blood tests, etc. to try to determine particular sensitivities that have to be addressed, particular to an individual.
Dolores, you are a treasure, and jc and I and H and all of us care for you.
Wishing you all the best, EngineerGuyView Thread

Since you were having a heart attack, a stent or bypass is absolutely the right thing to do, as it had a great chance to minimize or prevent the damage being done by the heart attack.
For those reading, is anyone having a heart attack or stroke, RIGHT NOW?
If so, get to a hospital immediately, because as a modern miracle of medicine, a stent or bypass may be able to prevent the damage from the heart attack or stroke.
OK - happily, nobody replied that they are having a heart attack or stroke RIGHT NOW.
If you want to prevent a heart attack or stroke next month, should you go get a stent or bypass? Unfortunately, no. 70% of heart attacks or strokes occur at fresh, new plaque, which ruptures and causes a clot. The old established severe blockages often have considerable collateral circulation, and the plaque does not rupture as easily. The only way to prevent next month's heart attack is to promptly and diligently adopt a healthy lifestyle. And a diligent healthy lifestyle can take effect that quickly. Don't forget lots of sleep, too.
Dolores, eating ham in one meal on Easter, I don't think should cause a heart attack. True, Dr. Esselstyn has no tolerance for "moderation", but ham on Easter is not really "moderation". It's one meal.
Please understand, I am only trying to be helpful. Please absolutely believe that the heart attack was not "your fault". You have worked very hard to have an excellent lifestyle, and you are to be congratulated for it. You can rightfully be very proud of your accomplishments, to take control of your health.
Should you take H's advice? Well, bless H for his perseverence and dedication. But H still points to the Masai as an example of a healthy population on a program similar to his. And this is even after Dr. Mann publicly reversed himself, to Dr. Mann's credit, and stated that "The coronary arteries showed intimal thickening by atherosclerosis which equaled that of old U.S. men. The Masai vessels enlarge with age to more than compensate for this disease. It is speculated that the Masai are protected from their atherosclerosis by physical fitness which causes their coronary vessels to be capacious."(1) Ultimately, H attributed the bad results of the Masai to occasional white flour use, which H completely dreamed up. And, if H were right that occasional white flour use was the Masai's downfall, that would imply that the SAD was actually very protective against heart diesase, compared to H's program, since the SAD has vastly more white flour than the Masai, but the SAD makes less atherosclersis.
My recommendation is to carefully consider Dr. Fuhrman's recommendations, compared to your present program.
I was pretty shocked, 5 years, ago, after faithfully and strictly following the Pritikin program for 2 years, and pre vs post IMT tests showed the development of lipid inclusions (fat pockets) in my carotid arteries. Well RATS.
After 2 years on Fuhrman, (with occasional binges) my lipid inclusions are gone.
We all have different heredity. Our heredity tells us how hard we have to work to be healthy.
Below I am listing aspects of our program, only as suggestions for your consideration. Whether you decide you might work to improve some aspect of your program, only you can decide.
Are you very lean? Are you near to pinching 1 inch by the navel? Some people are very sensitive to abdominal fat, and for some sensitive people, even 5 pound of extra fat, can make problems. Do you exercise daily? Do you get plenty of sleep?
continued...
Best regards, EngineerGuy
(1) http://aje.oxfordjournals.org/cgi/content/abstract/95/1/26View Thread

Thanks for the excellent reference. It shows that, among 32,561 Swedish women, followed for nearly 10 years, those who ate the most veggies (by food questionaire) had 20% fewer heart attacks, compared to those who ate the least veggies. But the most veggies was 7 servings, and the least veggies was 2.4 servings a day.
What would happen for people who followed the Eat To Live program, who ate only healthful foods, got lots of sleep, exercise, etc?
Thanks again for the great reference.
Best regards, EngineerGuyView Thread

THANKS again for a truly great reference. You have found many of my favorite links. You introduced me to PubMed.
For those copied, this is a very powerful endorsement of the health benefits of veggies, fruit, etc, showing that people are actually healthier, not just theories. Less heart disease, cancer, lower total mortality. Less bad things.
Best regards, EngineerGuyView Thread

Stents do not reduce heart attacks or extend lifespan.
http://nutritionalresearch.org/research/heart-disease ?
Best regards, EngineerGuyView Thread

For the first case history listed, the heart disease sufferer had better results on the Eat To Live (Fuhrman) program, compared to "Fit For Life" low fat vegan program.
https://www.nutritionalresearch.org/case-studies/91-heart-disease
I had similar results, except I had no symptoms of heart disease. My improvement is based on IMT results (ultrasound of the carotid arteries). I had better results on Eat To Live, than on Pritikin.
Best regards, EngineerGuyView Thread

A 5 minute clip on a Wikipedia article contributed by children in Peru. You really cannot miss it. The internet can make the world a smaller place. We really cannot predict how it will affect the world in the future.
I loved this video.
http://www.youtube.com/watch?v=1XPnH_rF9ks
Best regards, EngineerGuyView Thread
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