148 Joel Fuhrman, M.D.
important, it should be called a low-nutrient-density diet — one
with a dangerously low level of plant-derived nutrients. As a result
of following this almost worthless advice, heart disease patients usu-
ally eat a diet that derives over 80 percent of its calories from
processed foods and animal products.
No matter how poor patients' diet, most claim that they are al-
ready on a low-fat diet. They believe that eating a chicken-and-
pasta-based diet is in some way healthy merely because they eat less
red meat. Yet chicken is almost as dangerous for the heart as red
meat; switching from red meat to white meat does not lower choles-
terol.^8 Such conventional diets simply do not lower cholesterol suffi-
ciently and do not contain adequate heart-protective factors such as
fiber, antioxidants, folate, bioflavonoids, and other phytochemicals.
Another real problem with these so-called low-fat diets is that
they are often low in fiber and phytochemical-rich vegetation and
may not be carefully designed to include enough of the cardiopro-
tective fats. For example, multiple studies have shown the protective
effects of consuming walnuts, which are rich in omega-3 fatty acids.
A study of 34,192 Californian Seventh-Day Adventists showed a 31
percent reduction in the lifetime risk of ischemic heart disease in
those who consumed raw nuts frequently.^9 The ideal diet for heart
disease reversal, then, is free of saturated fat, trans fat, and choles-
terol; rich in nutrients and fiber; and low in calories, to achieve thin-
ness. However, it should contain sufficient essential fatty acids, so it
is important to add a small amount of nuts and seeds, such as wal-
nuts and flaxseed.
Dramatically Lower Your "Bad" Cholesterol Without Drugs
Some studies published in the past few years have concluded that di-
etary changes alone are insufficient to alter plasma lipid levels.^10 The
message reported in both the lay and medical media is that low-fat
diets don't work. This reinforces the concept that there is not much
we can do to alter our genetics, except maybe take drugs. Sadly, the
diets offered by nutritional authorities are not aggressive enough to
offer true protection or to expect predictable recovery in patients
with heart disease. These so-called heart-healthy diets are not any-
thing like my diets.
The concern that some medical authorities have regarding "low-
fat" diets is that these diets may lower your HDL and raise triglyc-
erides." This is true. Lowering fat intake is not the principal step